Therapists in Pflugerville, TX

Photo of Kristen Pipes Supervised By Robert Gallegos Lpc-S, MA, LPC-A, LPC Intern
Kristen Pipes Supervised By Robert Gallegos Lpc-S
LPC Intern, MA, LPC-A
Verified Verified
1 Endorsed
Pflugerville, TX 78660
Living life means dealing with transitions and coping with change. Sometimes this can be difficult, whether that is because we feel powerless in the midst of change or traumatic experiences continue to hold us back. Hi, I'm Kristen and I have a passion to empower my clients so that they recognize and utilize their own strengths and develop new skills to help reach their goals! Whether working through life circumstances or through mental illness, I hope to provide a safe environment to those seeking growth.
Living life means dealing with transitions and coping with change. Sometimes this can be difficult, whether that is because we feel powerless in the midst of change or traumatic experiences continue to hold us back. Hi, I'm Kristen and I have a passion to empower my clients so that they recognize and utilize their own strengths and develop new skills to help reach their goals! Whether working through life circumstances or through mental illness, I hope to provide a safe environment to those seeking growth.
(512) 812-8354 View (512) 812-8354
Photo of Jessica Marquez, LCSW, Clinical Social Work/Therapist
Jessica Marquez
Clinical Social Work/Therapist, LCSW
Verified Verified
Pflugerville, TX 78660  (Online Only)
If you’re feeling overwhelmed, anxious, or stuck, you’ve come to the right place. I specialize in helping people just like you find their path to self-empowerment and well-being. I understand how these feelings can make everyday tasks feel impossible. Many of my clients come to me feeling lost or alone, unsure of how to move forward. Whether you're dealing with stress from school, work, or personal relationships, know that you are not alone. I’m here to help you navigate through these challenges.
If you’re feeling overwhelmed, anxious, or stuck, you’ve come to the right place. I specialize in helping people just like you find their path to self-empowerment and well-being. I understand how these feelings can make everyday tasks feel impossible. Many of my clients come to me feeling lost or alone, unsure of how to move forward. Whether you're dealing with stress from school, work, or personal relationships, know that you are not alone. I’m here to help you navigate through these challenges.
(737) 302-5004 View (737) 302-5004
Photo of Maryehdiah Giah, LPC , Licensed Professional Counselor
Maryehdiah Giah
Licensed Professional Counselor, LPC
Verified Verified
Pflugerville, TX 78660
Maryehdiah Giah is a Licensed Professional Counselor in the state of Texas. She has over 20 years of experience in the mental health field, and she also has experience working with children (+10) and adolescents to adults aged 65 and above. Maryehdiah is passionate about assisting her patients and, as such, is very attentive to her patients while in sessions. Maryehdiah believes that everyone who wants to express their feelings to a professional deserves the professional’s undivided attention. Maryehdiah obtained her Master of Arts in Counseling at Prairie View A&M University.
Maryehdiah Giah is a Licensed Professional Counselor in the state of Texas. She has over 20 years of experience in the mental health field, and she also has experience working with children (+10) and adolescents to adults aged 65 and above. Maryehdiah is passionate about assisting her patients and, as such, is very attentive to her patients while in sessions. Maryehdiah believes that everyone who wants to express their feelings to a professional deserves the professional’s undivided attention. Maryehdiah obtained her Master of Arts in Counseling at Prairie View A&M University.
(832) 648-4611 View (832) 648-4611
Photo of Kelley Casey, LCSW, Clinical Social Work/Therapist
Kelley Casey
Clinical Social Work/Therapist, LCSW
Verified Verified
Pflugerville, TX 78660
Currently accepting new clients. I specialize in helping people think about how to improve their relationships, their emotional health and their lives. People often call because they are needing someone to think with them during a difficult season of life. They may notice unhealthy relationship patterns (disconnection, conflict, severed relationships), they may be struggling with a particular transition (transitioning to adulthood, parenting, loss), or they may be struggling to cope with some intense feelings (grief, sadness, anxiety). I would be happy to help you think about how you would like to meet the challenges you are facing.
Currently accepting new clients. I specialize in helping people think about how to improve their relationships, their emotional health and their lives. People often call because they are needing someone to think with them during a difficult season of life. They may notice unhealthy relationship patterns (disconnection, conflict, severed relationships), they may be struggling with a particular transition (transitioning to adulthood, parenting, loss), or they may be struggling to cope with some intense feelings (grief, sadness, anxiety). I would be happy to help you think about how you would like to meet the challenges you are facing.
(512) 879-9832 View (512) 879-9832
Photo of Jonathan Ybarra, LPC, Licensed Professional Counselor
Jonathan Ybarra
Licensed Professional Counselor, LPC
Verified Verified
Pflugerville, TX 78660  (Online Only)
I provide a safe, non-judgmental environment for you to have the freedom to explore and process your life situation(s) which may be contributing to uncomfortable feelings and behaviors. My desire is to see you overcome obstacles in your life so that you can move forward and improve the quality of life you desire and deserve. It is my desire to listen, understand, and be helpful to you to the fullest extent of my professional ability. I am a Licensed Professional Counselor in the state of Texas and with over 18 years of professional counseling experience in outpatient, inpatient, community mental health and private practice settings.
I provide a safe, non-judgmental environment for you to have the freedom to explore and process your life situation(s) which may be contributing to uncomfortable feelings and behaviors. My desire is to see you overcome obstacles in your life so that you can move forward and improve the quality of life you desire and deserve. It is my desire to listen, understand, and be helpful to you to the fullest extent of my professional ability. I am a Licensed Professional Counselor in the state of Texas and with over 18 years of professional counseling experience in outpatient, inpatient, community mental health and private practice settings.
(737) 339-8525 View (737) 339-8525
Photo of Michael Cox, MA, LPC-S, Licensed Professional Counselor
Michael Cox
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Pflugerville, TX 78660
One of the hardest things as a father is to watch my children go through difficult things and at times feel completely helpless. As they navigate life and the challenges this can bring, I find a deeper appreciation for the allies in our lives that can support them and us (mom and me) along this journey. Additionally, the more we focus on their needs it is equally a challenge to remember that there is an "US" in our marriage that exists and we have to nurture it with the same drive and care. It can be a lot, at WLP we seek to walk alongside Families, Couples and Individuals seeking support through life's challenges.
One of the hardest things as a father is to watch my children go through difficult things and at times feel completely helpless. As they navigate life and the challenges this can bring, I find a deeper appreciation for the allies in our lives that can support them and us (mom and me) along this journey. Additionally, the more we focus on their needs it is equally a challenge to remember that there is an "US" in our marriage that exists and we have to nurture it with the same drive and care. It can be a lot, at WLP we seek to walk alongside Families, Couples and Individuals seeking support through life's challenges.
(512) 831-7676 View (512) 831-7676
Photo of Christine Torossian, LPC-A, LCDC, MA
Christine Torossian
LPC Associate, LPC-A, LCDC, MA
Verified Verified
1 Endorsed
Pflugerville, TX 78660
I have experience working with a wide range of mental health issues from depression and anxiety to schizophrenia and bipolar disorder. I have worked in various inpatient settings ranging from psychiatric hospitals to residential treatment centers. I also have experience working with a wide range of ages, from 12 upwards.
I have experience working with a wide range of mental health issues from depression and anxiety to schizophrenia and bipolar disorder. I have worked in various inpatient settings ranging from psychiatric hospitals to residential treatment centers. I also have experience working with a wide range of ages, from 12 upwards.
(737) 302-5129 View (737) 302-5129
Photo of Liz Jenkins - Dr. Liz Jenkins, LMFT, CLC, CTMH, LMFT, CLC, CTMH, Marriage & Family Therapist
Dr. Liz Jenkins, LMFT, CLC, CTMH
Marriage & Family Therapist, LMFT, CLC, CTMH
Verified Verified
Pflugerville, TX 78660  (Online Only)
If you're here, it's likely because you're at a pivotal moment in your relationship or life. Perhaps your marriage feels stagnant, or communication with your partner has become a series of misunderstandings. Maybe you're wrestling with individual issues like career stress, anxiety, or emotional well-being that are trickling into your relationships. You're not just seeking short-term fixes; you're searching for lasting change and a more fulfilling life. You want to understand your relationship strengths and gaps, repair what's been damaged, and build a happier, stronger future.
If you're here, it's likely because you're at a pivotal moment in your relationship or life. Perhaps your marriage feels stagnant, or communication with your partner has become a series of misunderstandings. Maybe you're wrestling with individual issues like career stress, anxiety, or emotional well-being that are trickling into your relationships. You're not just seeking short-term fixes; you're searching for lasting change and a more fulfilling life. You want to understand your relationship strengths and gaps, repair what's been damaged, and build a happier, stronger future.
(512) 861-8804 View (512) 861-8804
Photo of Kelley Jean Broadaway, LPC-S, Licensed Professional Counselor
Kelley Jean Broadaway
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Pflugerville, TX 78660
I am a trauma and attachment therapist. I am currently utilizing telehealth and in-office visits. I specialize in trauma and post-adopt family work, but also enjoy working with individual children, teens, adults and therapists. I have 26 years of experience in community mental health and with a Foster Care Agency .I believe that all family members deserve to feel safe, trusted, loved and understood. My passion is helping traumatized, abused and neglected ones heal and thrive.
I am a trauma and attachment therapist. I am currently utilizing telehealth and in-office visits. I specialize in trauma and post-adopt family work, but also enjoy working with individual children, teens, adults and therapists. I have 26 years of experience in community mental health and with a Foster Care Agency .I believe that all family members deserve to feel safe, trusted, loved and understood. My passion is helping traumatized, abused and neglected ones heal and thrive.
(512) 580-9808 View (512) 580-9808
Photo of Savannah Arranaga, LPC-A
Savannah Arranaga
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Pflugerville, TX 78660
I enjoy working with children, teens, college students, and young adults. Working with children, I aim to help them explore and process their emotions, and develop coping skills through play therapy. I understand the complexities teens face in navigating identity, relationships, and academic pressures. I believe in providing a non-judgmental space where they can freely express their concerns and aspirations. I like working with college-age and young adults who are transitioning into adulthood, facing career decisions, relationship challenges, and personal growth by tapping into their potential and navigating life responsibilities.
I enjoy working with children, teens, college students, and young adults. Working with children, I aim to help them explore and process their emotions, and develop coping skills through play therapy. I understand the complexities teens face in navigating identity, relationships, and academic pressures. I believe in providing a non-judgmental space where they can freely express their concerns and aspirations. I like working with college-age and young adults who are transitioning into adulthood, facing career decisions, relationship challenges, and personal growth by tapping into their potential and navigating life responsibilities.
(737) 232-5469 x10 View (737) 232-5469 x10
Photo of Sarah Weaver, LPC, Licensed Professional Counselor
Sarah Weaver
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pflugerville, TX 78660
My name is Sarah Weaver, and I am a licensed professional counselor (LPC) in Pflugerville, Texas. I have primarily focused on working with young people and adults who have faced various challenges such as poverty, substance use, depression, self-harm, and thoughts of suicide. I am also passionate about helping parents and other family members or friends better understand how these struggles affect their loved ones and what they can do to support them.
My name is Sarah Weaver, and I am a licensed professional counselor (LPC) in Pflugerville, Texas. I have primarily focused on working with young people and adults who have faced various challenges such as poverty, substance use, depression, self-harm, and thoughts of suicide. I am also passionate about helping parents and other family members or friends better understand how these struggles affect their loved ones and what they can do to support them.
(512) 337-9583 View (512) 337-9583
Photo of Dwight Newell, LPC, Licensed Professional Counselor
Dwight Newell
Licensed Professional Counselor, LPC
Verified Verified
Pflugerville, TX 78660
Dwight Newell is a Licensed Professional Counselor with over 30 years of experience in the mental health field. He has worked in outpatient, inpatient, and intensive outpatient settings to offer quality mental healthcare to assist those in need. He has worked with individuals, families, and couples to assist them in learning the steps necessary to reach their greatest level of happiness. Dwight has worked with all age ranges needing to learn skills to reach higher levels of life satisfaction. Dwight has worked with parents to help them learn ways to guide their children to attain a greater level of emotional health.
Dwight Newell is a Licensed Professional Counselor with over 30 years of experience in the mental health field. He has worked in outpatient, inpatient, and intensive outpatient settings to offer quality mental healthcare to assist those in need. He has worked with individuals, families, and couples to assist them in learning the steps necessary to reach their greatest level of happiness. Dwight has worked with all age ranges needing to learn skills to reach higher levels of life satisfaction. Dwight has worked with parents to help them learn ways to guide their children to attain a greater level of emotional health.
(737) 727-3143 View (737) 727-3143
Photo of Amy Urbanek, MA, LPC, Licensed Professional Counselor
Amy Urbanek
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Pflugerville, TX 78660  (Online Only)
Are you ready to start the journey towards living your best life? It's easy to feel overwhelmed in today's fast-paced world. The pressure to succeed, trying to make a living, or just getting through each day can be hard and we often feel like we are lost on our current path in life. As your therapist, I will collaborate with you to find your best way forward to feeling better. Working together we can find ways to get you on the path to changing where you are now to moving towards where you want to be.
Are you ready to start the journey towards living your best life? It's easy to feel overwhelmed in today's fast-paced world. The pressure to succeed, trying to make a living, or just getting through each day can be hard and we often feel like we are lost on our current path in life. As your therapist, I will collaborate with you to find your best way forward to feeling better. Working together we can find ways to get you on the path to changing where you are now to moving towards where you want to be.
(737) 201-1578 View (737) 201-1578
Photo of Julie James, MA, LPC-S, Licensed Professional Counselor
Julie James
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
Pflugerville, TX 78660
Humans are relational. This means we are wired to be loved and accepted by those around us. We live among imperfect people, however, so our experience sometimes becomes hurt from unmet needs. The results then become unproductive patterns in our relationships, negative behaviors, a lack of positivity, and a sense of being stuck. For me, the goal of counseling is to heal past hurts and to process how those hurts affect our current choices and relationships. Once we free ourselves from the hurt, anger, guilt and shame of the past, we are open to feel love and to love others.
Humans are relational. This means we are wired to be loved and accepted by those around us. We live among imperfect people, however, so our experience sometimes becomes hurt from unmet needs. The results then become unproductive patterns in our relationships, negative behaviors, a lack of positivity, and a sense of being stuck. For me, the goal of counseling is to heal past hurts and to process how those hurts affect our current choices and relationships. Once we free ourselves from the hurt, anger, guilt and shame of the past, we are open to feel love and to love others.
(512) 861-8293 x5 View (512) 861-8293 x5
Photo of Tom Alexander, LPC, PhD, Licensed Professional Counselor
Tom Alexander
Licensed Professional Counselor, LPC, PhD
Verified Verified
Pflugerville, TX 78660  (Online Only)
Not accepting new clients
I am a licensed counselor with several years of experience working in the field. I work exclusively with adults aged 21+ and consider it an honor and great privilege to be able to walk alongside my clients on their journey toward health, wellness, and success, no matter what challenges they might face. I have extensive experience in trauma-informed care which has proven to be helpful for numerous clients over the years who have been facing struggles related to early life trauma.
I am a licensed counselor with several years of experience working in the field. I work exclusively with adults aged 21+ and consider it an honor and great privilege to be able to walk alongside my clients on their journey toward health, wellness, and success, no matter what challenges they might face. I have extensive experience in trauma-informed care which has proven to be helpful for numerous clients over the years who have been facing struggles related to early life trauma.
(737) 259-6748 View (737) 259-6748
Photo of Phoebe Rankin, LCSW, Clinical Social Work/Therapist
Phoebe Rankin
Clinical Social Work/Therapist, LCSW
Verified Verified
Pflugerville, TX 78660
If you are reading this, it is likely that you are in need of some assistance in navigating your less than perfect mental health. The journey to heal your mental health is a hard one, and I am proud of you for making it this far. My goal for therapy is to build a connection with you that is a deep relationship; one I do not take for granted. I listen attentively and I am nonjudgmental, allowing you to safely talk about your concerns. I offer supportive and caring therapy in a safe environment. I utilize a person-centered, strengths based approach with a strong emphasis on trauma, to help you reach your therapy goals.
If you are reading this, it is likely that you are in need of some assistance in navigating your less than perfect mental health. The journey to heal your mental health is a hard one, and I am proud of you for making it this far. My goal for therapy is to build a connection with you that is a deep relationship; one I do not take for granted. I listen attentively and I am nonjudgmental, allowing you to safely talk about your concerns. I offer supportive and caring therapy in a safe environment. I utilize a person-centered, strengths based approach with a strong emphasis on trauma, to help you reach your therapy goals.
(512) 957-3182 View (512) 957-3182
Photo of Mark Abou-Rached, MA
Mark Abou-Rached
LPC Associate, MA
Verified Verified
1 Endorsed
Pflugerville, TX 78660
Life can be full of challenges and setbacks. At times, it can feel very overwhelming and make it hard to cope. However, we do not have to go through them alone. If you find yourself feeling stuck, unmotivated, and discontent with life in general, it may be time to begin therapy. I specialize in treating issues involving self-esteem, relationship conflict, emotion regulation, body dysmorphia, and sports performance.
Life can be full of challenges and setbacks. At times, it can feel very overwhelming and make it hard to cope. However, we do not have to go through them alone. If you find yourself feeling stuck, unmotivated, and discontent with life in general, it may be time to begin therapy. I specialize in treating issues involving self-esteem, relationship conflict, emotion regulation, body dysmorphia, and sports performance.
(512) 643-5832 View (512) 643-5832
Photo of Fabeain Barkwell - Ellie Mental Health - Pflugerville, TX, Clinical Social Work/Therapist
Ellie Mental Health - Pflugerville, TX
Clinical Social Work/Therapist
Verified Verified
5 Endorsed
Pflugerville, TX 78660
Making the decision to go to therapy is hard enough. Finding a therapist that you feel comfortable talking with about all the things in life that brought you to the office shouldn't be so hard. At Ellie Mental Health Pflugerville, we totally get it! Why? Because our therapists are just like everybody else! Being a therapist doesn't give us a "free pass" from all the struggles that can occur in life. That being said, we have the compassion, authenticity, and a sprinkle of humor to sit with you along your journey - no matter how big or small the issues you're dealing with.
Making the decision to go to therapy is hard enough. Finding a therapist that you feel comfortable talking with about all the things in life that brought you to the office shouldn't be so hard. At Ellie Mental Health Pflugerville, we totally get it! Why? Because our therapists are just like everybody else! Being a therapist doesn't give us a "free pass" from all the struggles that can occur in life. That being said, we have the compassion, authenticity, and a sprinkle of humor to sit with you along your journey - no matter how big or small the issues you're dealing with.
(512) 991-0760 View (512) 991-0760
Photo of Sandra Clem, MA, LPC, Licensed Professional Counselor
Sandra Clem
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Pflugerville, TX 78660
Providing a safe, confidential environment where you can share your story is my first priority. I believe in using prayer and the transformation that faith brings to the therapy process along with evidence-based techques to provide you with the tools you need to promote mental, spiritual, emotional, and relational health.
Providing a safe, confidential environment where you can share your story is my first priority. I believe in using prayer and the transformation that faith brings to the therapy process along with evidence-based techques to provide you with the tools you need to promote mental, spiritual, emotional, and relational health.
(512) 960-3975 View (512) 960-3975
Photo of Thomas Sevier, LPC, Licensed Professional Counselor
Thomas Sevier
Licensed Professional Counselor, LPC
Verified Verified
Pflugerville, TX 78660  (Online Only)
He is a Licensed Professional Counselor who specializes in individual and family counseling. His primary clients are seeking help with marital or couple or family counseling. Family counseling may include children and teens, or just parenting skills. Within the marriage or couple are many dynamics, such as poor communication, lack of trust, infidelity, intimacy issues, finances, abuse or control issues, jealousy, lack of mutual interest, parenting differences, in-law issues. With families, issues cover a full range, from finances, no time for grownups, work at home not shared, how to raise kids, extended kids, extended parents.
He is a Licensed Professional Counselor who specializes in individual and family counseling. His primary clients are seeking help with marital or couple or family counseling. Family counseling may include children and teens, or just parenting skills. Within the marriage or couple are many dynamics, such as poor communication, lack of trust, infidelity, intimacy issues, finances, abuse or control issues, jealousy, lack of mutual interest, parenting differences, in-law issues. With families, issues cover a full range, from finances, no time for grownups, work at home not shared, how to raise kids, extended kids, extended parents.
(737) 352-5665 View (737) 352-5665
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How does your Therapist compare?

Number of Therapists in Pflugerville, TX

200+

Average cost per session

$130

Therapists in Pflugerville, TX who prioritize treating:

94% Anxiety
92% Depression
75% Relationship Issues
74% Self Esteem
69% Trauma and PTSD
64% Grief
63% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

83% Aetna
80% UnitedHealthcare UHC | UBH
75% Cigna and Evernorth

How Therapists in Pflugerville, TX see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pflugerville?

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.