Therapists in Killeen, TX

Photo of Rena Maus, MS, MTS, LPC-S, Licensed Professional Counselor
Rena Maus
Licensed Professional Counselor, MS, MTS, LPC-S
Verified Verified
Online Only
When important moments are interrupted by unresolved thoughts or emotions, everyday could be a challenge to get through. I know it can be hard to focus on those days. Sometimes talking or seeing things from a different point of view can help. Together we can create a safe space where you can explore your thoughts and feelings to find what works best for you.
When important moments are interrupted by unresolved thoughts or emotions, everyday could be a challenge to get through. I know it can be hard to focus on those days. Sometimes talking or seeing things from a different point of view can help. Together we can create a safe space where you can explore your thoughts and feelings to find what works best for you.
(254) 853-5058 View (254) 853-5058
Photo of Dr. Yulonda Washington, PhD, LPC - S, Licensed Professional Counselor
Dr. Yulonda Washington
Licensed Professional Counselor, PhD, LPC - S
Verified Verified
8 Endorsed
Killeen, TX 76541
The journey of life is unique for everyone. I want to be a part of your unique journey by helping you navigate the intricate chapters of your unique story. Together we can write your story expressing your true emotions using integrative systemic therapies. It is my passion to assist you to effectively communicate through true emotions, help you navigate life realizing and using your own strengths, while empowering you to live your best life. I believe you have the power to live your journey happy, fulfilled, and mindful of every moment.
The journey of life is unique for everyone. I want to be a part of your unique journey by helping you navigate the intricate chapters of your unique story. Together we can write your story expressing your true emotions using integrative systemic therapies. It is my passion to assist you to effectively communicate through true emotions, help you navigate life realizing and using your own strengths, while empowering you to live your best life. I believe you have the power to live your journey happy, fulfilled, and mindful of every moment.
(254) 875-0203 View (254) 875-0203
Photo of Crystal Brown, MSW, LMSW, NSW-C
Crystal Brown
MSW, LMSW, NSW-C
Verified Verified
Killeen, TX 76542
I am a therapist who uses an eclectic approach with my clients. I believe in a person-centered method. My therapy style is warm and interactive. Improving your quality of life is the priority and I feel the best way to reach that is by tailoring each session to meet your specific needs. In sessions, you can expect a collaborative approach. We will tailor your treatment plan to meet your unique and specific need(s). My passion is empowering clients to achieve their goals. My schedule is open, and I look forward to hearing from you!
I am a therapist who uses an eclectic approach with my clients. I believe in a person-centered method. My therapy style is warm and interactive. Improving your quality of life is the priority and I feel the best way to reach that is by tailoring each session to meet your specific needs. In sessions, you can expect a collaborative approach. We will tailor your treatment plan to meet your unique and specific need(s). My passion is empowering clients to achieve their goals. My schedule is open, and I look forward to hearing from you!
(254) 358-4502 View (254) 358-4502
Photo of Ashley Spivey, MA, Marriage & Family Therapist Associate
Ashley Spivey
Marriage & Family Therapist Associate, MA
Verified Verified
2 Endorsed
Killeen, TX 76541
Supervised by Christina Watts-Figueroa, MA, LMFT-S, LPC-S, RPT-s. When approaching therapy, I strive to be authentic and genuine with clients during our sessions to promote a safe and welcoming environment. I work with children, teens, adults, families, relationships, and those who identify with or want to learn more about the LGBTQIA+ community. I focus on various topics such as depression/anxiety, life transitions, LGBTQIA+, relational issues, and ADHD. I aim to walk alongside you during your journey of healing and exploration. I would love to make a safe space for you along your journey.
Supervised by Christina Watts-Figueroa, MA, LMFT-S, LPC-S, RPT-s. When approaching therapy, I strive to be authentic and genuine with clients during our sessions to promote a safe and welcoming environment. I work with children, teens, adults, families, relationships, and those who identify with or want to learn more about the LGBTQIA+ community. I focus on various topics such as depression/anxiety, life transitions, LGBTQIA+, relational issues, and ADHD. I aim to walk alongside you during your journey of healing and exploration. I would love to make a safe space for you along your journey.
(254) 431-3259 View (254) 431-3259
Photo of Rob Clark, PhD, Psychologist
Rob Clark
Psychologist, PhD
Verified Verified
Killeen, TX 76542
Not accepting new clients
**Currently, I am not taking new clients.** I offer individual and couples counseling, and assessments for adults and teenagers. I have extensive training and experience in working with active duty, veterans, and civilians with anxiety, adjustment difficulties, and depression. I adjust my approach to meet each individual's/couple's needs, using well-researched treatments such as Cognitive Behavioral Therapy (CBT), Emotion Focused Therapy (EFT), and Acceptance and Commitment Therapy (ACT). I am licensed in TX but approved through PsyPact to see teletherapy clients in several other states.
**Currently, I am not taking new clients.** I offer individual and couples counseling, and assessments for adults and teenagers. I have extensive training and experience in working with active duty, veterans, and civilians with anxiety, adjustment difficulties, and depression. I adjust my approach to meet each individual's/couple's needs, using well-researched treatments such as Cognitive Behavioral Therapy (CBT), Emotion Focused Therapy (EFT), and Acceptance and Commitment Therapy (ACT). I am licensed in TX but approved through PsyPact to see teletherapy clients in several other states.
(254) 449-8623 View (254) 449-8623
Photo of Sara Orosco Ma Lpc Associate Supervised By Christina Watts-Figueroa, MA
Sara Orosco Ma Lpc Associate Supervised By Christina Watts-Figueroa
LPC Associate, MA
Verified Verified
Killeen, TX 76541
As an employee of Yellow Ribbon Counseling PLLC I can help you. I am trained in a wide variety of areas to include: anxiety, depression, PTSD, self-esteem, behavioral issues, marital problems, ADHD, anger, parenting difficulties, going through transitions such as deployment or life changes, trauma, attachment, cultural differences, and/ or women's issues.
As an employee of Yellow Ribbon Counseling PLLC I can help you. I am trained in a wide variety of areas to include: anxiety, depression, PTSD, self-esteem, behavioral issues, marital problems, ADHD, anger, parenting difficulties, going through transitions such as deployment or life changes, trauma, attachment, cultural differences, and/ or women's issues.
(254) 863-2555 View (254) 863-2555
Photo of Jeanetta Henderson, LPC, Licensed Professional Counselor
Jeanetta Henderson
Licensed Professional Counselor, LPC
Verified Verified
Killeen, TX 76542
I have enjoyed spending my life living, working, and mentoring in multicultural environments in the US, Europe, Africa, and Asia. My counseling experience expands by 40 years. I received my bachelor’s and master of Arts degrees from Dallas Baptist University. I am a Licensed Professional Counselor and have completed 50 hours of Trauma training and 40 hours of Certified First Responder Counselor Training certificate programs. In my experience, the challenges in our relationships result from shame, fear, wounds, trauma, unrealistic expectations, or any combination of these.
I have enjoyed spending my life living, working, and mentoring in multicultural environments in the US, Europe, Africa, and Asia. My counseling experience expands by 40 years. I received my bachelor’s and master of Arts degrees from Dallas Baptist University. I am a Licensed Professional Counselor and have completed 50 hours of Trauma training and 40 hours of Certified First Responder Counselor Training certificate programs. In my experience, the challenges in our relationships result from shame, fear, wounds, trauma, unrealistic expectations, or any combination of these.
(281) 688-2882 View (281) 688-2882
Photo of Kami L. Diaz, LCSW-S, Clinical Social Work/Therapist
Kami L. Diaz
Clinical Social Work/Therapist, LCSW-S
Verified Verified
3 Endorsed
Online Only
I offer a safe, non-judgmental, and supportive space for you to share what you are going through. In life many experience the challenges of trauma, relationships, and life transitions. All can benefit from the support offered by a therapists and I hope you will allow me the opportunity to support you.
I offer a safe, non-judgmental, and supportive space for you to share what you are going through. In life many experience the challenges of trauma, relationships, and life transitions. All can benefit from the support offered by a therapists and I hope you will allow me the opportunity to support you.
(254) 655-3285 View (254) 655-3285
Photo of Angela Marie Jourdain, MS, LPC, LCDC, Licensed Professional Counselor
Angela Marie Jourdain
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
1 Endorsed
Killeen, TX 76541
Our office believes that access to counseling should be easy and comfortable. I personally try my best to never turn away a client, schedule immediately, and work with any financial barriers. Although I work with a variety of treatment goals and treatment modalities, I am known for my work with children, trauma experienced populations, relationship counseling, addictions, military and advocacy for community health. When working with children, I always involve the parents and I attempt to assess in a variety of settings to assure I have the entire picture. Counseling should feel comfortable and safe.
Our office believes that access to counseling should be easy and comfortable. I personally try my best to never turn away a client, schedule immediately, and work with any financial barriers. Although I work with a variety of treatment goals and treatment modalities, I am known for my work with children, trauma experienced populations, relationship counseling, addictions, military and advocacy for community health. When working with children, I always involve the parents and I attempt to assess in a variety of settings to assure I have the entire picture. Counseling should feel comfortable and safe.
(254) 280-0793 View (254) 280-0793
Photo of Asha (Ayee-Shuh) Creary, MEd, LPC-S, NCC, IPT-CST, Licensed Professional Counselor
Asha (Ayee-Shuh) Creary
Licensed Professional Counselor, MEd, LPC-S, NCC, IPT-CST
Verified Verified
1 Endorsed
Killeen, TX 76549
Now Offering Supervision for LPC-Associates.... I am a professional counselor who strongly believes that we can heal ourselves through a shift in our thought patterns, behaviors & mindset. I enjoy working with men and women and teens who are struggling with the longterm aftermath of childhood trauma leading to increased experiences with anxiety, depression, grief, PTSD & maladaptive attachment styles. I start the therapeutic experience by exploring your family history & build connections to current disruptive & unhealthy patterns impacting your mental health.
Now Offering Supervision for LPC-Associates.... I am a professional counselor who strongly believes that we can heal ourselves through a shift in our thought patterns, behaviors & mindset. I enjoy working with men and women and teens who are struggling with the longterm aftermath of childhood trauma leading to increased experiences with anxiety, depression, grief, PTSD & maladaptive attachment styles. I start the therapeutic experience by exploring your family history & build connections to current disruptive & unhealthy patterns impacting your mental health.
(314) 886-6757 View (314) 886-6757
Photo of Katherine Kainer,  PsyD, Psychologist
Katherine Kainer
Psychologist, PsyD
Verified Verified
Killeen, TX 76542
Hello! My name is Dr. Katherine (Katie) Kainer and I am a licensed psychologist based in San Antonio, TX. I am the owner of ReNew Psychological Services, PLLC, and provide virtual therapy to clients all over Texas. I work with adults who experience various difficulties, including depression, anxiety, social anxiety, bipolar, ADHD, PTSD, trauma, anger, stress, body image, relational, communication, life transition/adjustment, grief/loss, burnout, work stress, perfectionism, self-esteem, family conflict, chronic pain, neurocognitive, military/veteran-related, and college mental health concerns.
Hello! My name is Dr. Katherine (Katie) Kainer and I am a licensed psychologist based in San Antonio, TX. I am the owner of ReNew Psychological Services, PLLC, and provide virtual therapy to clients all over Texas. I work with adults who experience various difficulties, including depression, anxiety, social anxiety, bipolar, ADHD, PTSD, trauma, anger, stress, body image, relational, communication, life transition/adjustment, grief/loss, burnout, work stress, perfectionism, self-esteem, family conflict, chronic pain, neurocognitive, military/veteran-related, and college mental health concerns.
(726) 224-7611 View (726) 224-7611
Photo of Dr. Cherlyn Lane, LMFT-S, EdD, Marriage & Family Therapist
Dr. Cherlyn Lane
Marriage & Family Therapist, LMFT-S, EdD
Verified Verified
Killeen, TX 76542
Let’s face it… life can be extremely difficult. Our relationships challenge us, our family overwhelm us, and our peace of mind escapes us. Often times, we do what we can to navigate ourselves through these struggles, but sometimes we just need someone to help us along.
Let’s face it… life can be extremely difficult. Our relationships challenge us, our family overwhelm us, and our peace of mind escapes us. Often times, we do what we can to navigate ourselves through these struggles, but sometimes we just need someone to help us along.
(254) 279-0589 View (254) 279-0589
Photo of Rachel Leslie, LPC, Licensed Professional Counselor
Rachel Leslie
Licensed Professional Counselor, LPC
Verified Verified
Killeen, TX 76549
Rachel received her Master's degree in Counseling Psychology from Texas A&M University Central Texas. She is an active member of the Texas Counseling Association. Her professional experience includes small group and individual counseling in the school setting with preschool -5th grades. Also small group counseling for Women. As a professional school counselor, Rachel has worked with individual and groups on issues such as divorce, depression, anxiety, anger management, grief, family dynamics, physical and sexual abuse, and adolescent transitions.
Rachel received her Master's degree in Counseling Psychology from Texas A&M University Central Texas. She is an active member of the Texas Counseling Association. Her professional experience includes small group and individual counseling in the school setting with preschool -5th grades. Also small group counseling for Women. As a professional school counselor, Rachel has worked with individual and groups on issues such as divorce, depression, anxiety, anger management, grief, family dynamics, physical and sexual abuse, and adolescent transitions.
(254) 332-1707 View (254) 332-1707
Photo of Emmanuel (Manny) Tamarez, Licensed Professional Counselor
Emmanuel (Manny) Tamarez
Licensed Professional Counselor
Verified Verified
1 Endorsed
Online Only
Are you taking on the problems of those around you but finding nothing left in the tank? Is your mind on overdrive, and you want to achieve peace? Is it hard to let go of the things that may have happened to you in the past? Hey! Therapy is not easy, so thank you for taking the steps towards a change for the better. Whether with me or another, I hope you find your person. My therapy approach is anchored in empathy and understanding. I am here to walk with you. Your story matters, and most importantly, you matter!
Are you taking on the problems of those around you but finding nothing left in the tank? Is your mind on overdrive, and you want to achieve peace? Is it hard to let go of the things that may have happened to you in the past? Hey! Therapy is not easy, so thank you for taking the steps towards a change for the better. Whether with me or another, I hope you find your person. My therapy approach is anchored in empathy and understanding. I am here to walk with you. Your story matters, and most importantly, you matter!
(254) 536-5824 View (254) 536-5824
Photo of Pamela Morales Garcia, PhD, LPC, Licensed Professional Counselor
Pamela Morales Garcia
Licensed Professional Counselor, PhD, LPC
Verified Verified
Killeen, TX 76543
My therapeutic approach focuses on assisting you to explore, understand, and develop effective strategies to change life situations that cause trauma, stress, anxiety, depression, and addictions. I assist clients to be heard in safe, emotionally secure setting with a personal therapeutic connection. Improving your quality of Life is the goal. I specialize in identifying the inappropriate stress coping techniques we use in dealing with daily life stress. Understanding and changing these behaviors results in a healthier, positive, and growth oriented life.
My therapeutic approach focuses on assisting you to explore, understand, and develop effective strategies to change life situations that cause trauma, stress, anxiety, depression, and addictions. I assist clients to be heard in safe, emotionally secure setting with a personal therapeutic connection. Improving your quality of Life is the goal. I specialize in identifying the inappropriate stress coping techniques we use in dealing with daily life stress. Understanding and changing these behaviors results in a healthier, positive, and growth oriented life.
(361) 386-2601 View (361) 386-2601
Photo of Lucy Romo, MSW, LCSW, Clinical Social Work/Therapist
Lucy Romo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Online Only
You feel stuck in fight or flight—reacting emotionally to small triggers, overwhelmed by the demands of life, and unsure how to break free from old patterns. This bleeds into your relationships and it feels like you’re easily set off by minor disturbances. You desire to better make sense of your feelings and thoughts and learn how to work through them and regain control of them. You want to show up better and more regulated for yourself and your relationships. This starts with healing wounds, and I am here to help with that. I'm driven by the unwavering belief that everyone deserves a safe place to unravel, heal, & grow.
You feel stuck in fight or flight—reacting emotionally to small triggers, overwhelmed by the demands of life, and unsure how to break free from old patterns. This bleeds into your relationships and it feels like you’re easily set off by minor disturbances. You desire to better make sense of your feelings and thoughts and learn how to work through them and regain control of them. You want to show up better and more regulated for yourself and your relationships. This starts with healing wounds, and I am here to help with that. I'm driven by the unwavering belief that everyone deserves a safe place to unravel, heal, & grow.
(254) 735-3558 View (254) 735-3558
Photo of Della Boyer - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Online Only
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
(254) 795-7217 x1 View (254) 795-7217 x1
Photo of Sarah Afriecq, Psychologist
Sarah Afriecq
Psychologist
Verified Verified
1 Endorsed
Online Only
Stress comes in many forms...relationships, school, work, and life changes/transitions. I enjoy working with adults who have tangible personal goals for treatment. They are driven and motivated to improve or change and are looking for motivation or accountability through treatment. I have helped clients to develop helpful coping skills and strategies that they can use when they encounter stressful life situations now, and in the future.
Stress comes in many forms...relationships, school, work, and life changes/transitions. I enjoy working with adults who have tangible personal goals for treatment. They are driven and motivated to improve or change and are looking for motivation or accountability through treatment. I have helped clients to develop helpful coping skills and strategies that they can use when they encounter stressful life situations now, and in the future.
(254) 454-4964 View (254) 454-4964
Photo of Jacqueline Ruiz-Lugo - SuVida Therapy and Consulting Services, PLLC, LCSW, Clinical Social Work/Therapist
SuVida Therapy and Consulting Services, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Not accepting new clients
Are you mentally, emotionally, physically, and/or spiritually drained? Insight, hope, positivity, and change are gifts that therapy can provide. Allow me to support you via teletherapy from the comfort of your space. My goal is to help you have the fulfilling life you deserve. I would be honored to be part of this journey of exploration and healing of the mind+body+soul of "SuVida" (your life). I also conduct virtual immigration psychological evaluations.-Visit www.suvidatherapy.com to schedule your appointment. -Jacqueline Ruiz-Lugo, LCSW, C-DBT
Are you mentally, emotionally, physically, and/or spiritually drained? Insight, hope, positivity, and change are gifts that therapy can provide. Allow me to support you via teletherapy from the comfort of your space. My goal is to help you have the fulfilling life you deserve. I would be honored to be part of this journey of exploration and healing of the mind+body+soul of "SuVida" (your life). I also conduct virtual immigration psychological evaluations.-Visit www.suvidatherapy.com to schedule your appointment. -Jacqueline Ruiz-Lugo, LCSW, C-DBT
(254) 736-6653 View (254) 736-6653
Photo of Eleanor L. Brown, MA, LPC, CCTP, CGP, Licensed Professional Counselor
Eleanor L. Brown
Licensed Professional Counselor, MA, LPC, CCTP, CGP
Verified Verified
9 Endorsed
Online Only
Imagine feeling hurt, broken, and alone, as if your emotions control every aspect of your life. Fear and shame seem to consume you, making you question if anyone could truly love the real you. The pain of your past looms large, casting a shadow on your present. But there's hope for change, and you don't have to face it alone. Together, we'll uncover the roots of your pain, helping you find freedom from fear and shame, gain clarity, and learn the art of forgiveness when you are ready. Most importantly, you'll learn to love yourself and build a meaningful life, even amid life's challenges.
Imagine feeling hurt, broken, and alone, as if your emotions control every aspect of your life. Fear and shame seem to consume you, making you question if anyone could truly love the real you. The pain of your past looms large, casting a shadow on your present. But there's hope for change, and you don't have to face it alone. Together, we'll uncover the roots of your pain, helping you find freedom from fear and shame, gain clarity, and learn the art of forgiveness when you are ready. Most importantly, you'll learn to love yourself and build a meaningful life, even amid life's challenges.
(254) 272-0873 View (254) 272-0873
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How does your Therapist compare?

Number of Therapists in Killeen, TX

200+

Average cost per session

$120

Therapists in Killeen, TX who prioritize treating:

91% Anxiety
86% Depression
71% Trauma and PTSD
71% Self Esteem
70% Coping Skills
68% Relationship Issues
62% Stress

Average years in practice

8 Years

Top 3 insurances accepted

82% Aetna
82% BlueCross and BlueShield
71% UnitedHealthcare UHC | UBH

How Therapists in Killeen, TX see their clients

61% In Person and Online
39% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Killeen?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.