Therapists in Seattle, WA

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Photo of Kelly Smith, Counselor, LMHC
Kelly Smith
Counselor, LMHC
Online Only
I specialize in working with individuals experiencing depression, trauma, anxiety, and life changes. My life journey has instilled in me a deep empathy for others, and I am passionate about supporting individuals on their path toward healing and growth.
I specialize in working with individuals experiencing depression, trauma, anxiety, and life changes. My life journey has instilled in me a deep empathy for others, and I am passionate about supporting individuals on their path toward healing and growth.
(509) 281-5668 View (509) 281-5668
Photo of Marie Biddle, Marriage & Family Therapist Associate, MA , LMFTA
Marie Biddle
Marriage & Family Therapist Associate, MA , LMFTA
Online Only
Hi! I use a very honest, warm and strength based approach with my clients. I invite my clients to build on both internal and external strengths. I also encourage open and honest conversations, to support my clients while tapping into those feelings both in the past and now. My approach is collaborative, and my goal is to play a part in helping you improve all aspects of your life whether in relationships or difficult circumstances.
Hi! I use a very honest, warm and strength based approach with my clients. I invite my clients to build on both internal and external strengths. I also encourage open and honest conversations, to support my clients while tapping into those feelings both in the past and now. My approach is collaborative, and my goal is to play a part in helping you improve all aspects of your life whether in relationships or difficult circumstances.
(206) 965-8044 View (206) 965-8044
Photo of Catherine Brown, Licensed Mental Health Counselor Associate, LMHCA
Catherine Brown
Licensed Mental Health Counselor Associate, LMHCA
1 Endorsed
Seattle, WA 98105
Hi, I'm a mixed Indigenous therapist working with adults and couples. If you've been navigating trauma, anxiety, depression, grief, chronic pain, or the weight of systems that weren't built for you, you already know how much that takes. Many of us sense our patterns have roots deeper than this lifetime. Together, we work somatically and relationally, tending to the nervous system, the parts within, and the stories passed down through generations, toward feeling safer in your body, your relationships, and yourself. BIPOC, LGBTQIA+, and marginalized communities are especially welcome here.
Hi, I'm a mixed Indigenous therapist working with adults and couples. If you've been navigating trauma, anxiety, depression, grief, chronic pain, or the weight of systems that weren't built for you, you already know how much that takes. Many of us sense our patterns have roots deeper than this lifetime. Together, we work somatically and relationally, tending to the nervous system, the parts within, and the stories passed down through generations, toward feeling safer in your body, your relationships, and yourself. BIPOC, LGBTQIA+, and marginalized communities are especially welcome here.
(206) 746-5183 View (206) 746-5183
Photo of Anna Guitchounts, Licensed Mental Health Counselor, LMHC, GMHS
Anna Guitchounts
Licensed Mental Health Counselor, LMHC, GMHS
Online Only
If you’re feeling anxious, stressed, or facing life transitions, I’m here to support you. I have over 14 years of experience providing therapy to adults and older adults, helping with stress management, trauma and PTSD, relationship challenges, and adjustment difficulties. I value the importance of being genuine and authentic in the development of a therapeutic relationship. I believe that having a good support system helps us handle the challenges we face in life and I look forward to being a part of yours!
If you’re feeling anxious, stressed, or facing life transitions, I’m here to support you. I have over 14 years of experience providing therapy to adults and older adults, helping with stress management, trauma and PTSD, relationship challenges, and adjustment difficulties. I value the importance of being genuine and authentic in the development of a therapeutic relationship. I believe that having a good support system helps us handle the challenges we face in life and I look forward to being a part of yours!
Photo of Emma LaRochelle, Licensed Mental Health Counselor Associate , LMHCA
Emma LaRochelle
Licensed Mental Health Counselor Associate , LMHCA
Online Only
Many of the clients I work with are teens and young adults navigating anxiety, depression, and life transitions. Many may feel weighed down by school stress, family expectations, or significant life changes, and often struggle with self-doubt, low motivation, or emotional overwhelm. I support clients in building emotional awareness, confidence, and practical coping skills to help them navigate challenges and move forward in ways that feel meaningful and long-lasting.
Many of the clients I work with are teens and young adults navigating anxiety, depression, and life transitions. Many may feel weighed down by school stress, family expectations, or significant life changes, and often struggle with self-doubt, low motivation, or emotional overwhelm. I support clients in building emotional awareness, confidence, and practical coping skills to help them navigate challenges and move forward in ways that feel meaningful and long-lasting.
(509) 712-3161 x1 View (509) 712-3161 x1
Photo of Casey Jordan, Counselor, MA, LMHC
Casey Jordan
Counselor, MA, LMHC
6 Endorsed
Seattle, WA 98103
I work with adults and teens in the state of Washington and focus on issues of depression, anxiety, complex trauma and abuse, religious trauma, LGBTQ+ concerns, relationship concerns, and more. In therapy, we will tend to the parts of your story that feel troublesome and work toward a deepening experience of freedom, connection, and joy. We will explore the nature of your individual concerns within the context of your narrative, which may include important relationships, your past experiences, and the societal systems that have impacted you.
I work with adults and teens in the state of Washington and focus on issues of depression, anxiety, complex trauma and abuse, religious trauma, LGBTQ+ concerns, relationship concerns, and more. In therapy, we will tend to the parts of your story that feel troublesome and work toward a deepening experience of freedom, connection, and joy. We will explore the nature of your individual concerns within the context of your narrative, which may include important relationships, your past experiences, and the societal systems that have impacted you.
(206) 222-1852 View (206) 222-1852
Photo of Halley Farwood, Psychologist, PsyD
Halley Farwood
Psychologist, PsyD
Online Only
Although I specialize in working with people experiencing anxiety and depression, I also see clients for a wide variety of challenges including procrastination, perfectionism, family and relationship concerns, and self-esteem. Additionally, I often work with clients with a diverse range of sexual orientations and gender identities, and with those in non-monogamous relationships. Together we can find ways to help you feel better and live more fully, consciously, and comfortably.
Although I specialize in working with people experiencing anxiety and depression, I also see clients for a wide variety of challenges including procrastination, perfectionism, family and relationship concerns, and self-esteem. Additionally, I often work with clients with a diverse range of sexual orientations and gender identities, and with those in non-monogamous relationships. Together we can find ways to help you feel better and live more fully, consciously, and comfortably.
(206) 741-0498 View (206) 741-0498
Photo of Doug Sweaney Herrick, Counselor, LMHC
Doug Sweaney Herrick
Counselor, LMHC
Seattle, WA 98103
Do you ever wonder who you are—or why you feel so off when life looks “fine” on paper? Maybe the same fight keeps pushing you and your partner further apart. Therapy can be a place to slow down, make sense of patterns, and ease anger, sadness, anxiety, or disappointment—so you can move toward clarity, action, and connection. I help individuals and couples who feel stuck understand patterns shaped by family, culture, and neurodiversity and get with what they really want. Relationships are hard and people disappoint us. Therapy can bring acceptance, choice, and aliveness. Feel free to reach out.
Do you ever wonder who you are—or why you feel so off when life looks “fine” on paper? Maybe the same fight keeps pushing you and your partner further apart. Therapy can be a place to slow down, make sense of patterns, and ease anger, sadness, anxiety, or disappointment—so you can move toward clarity, action, and connection. I help individuals and couples who feel stuck understand patterns shaped by family, culture, and neurodiversity and get with what they really want. Relationships are hard and people disappoint us. Therapy can bring acceptance, choice, and aliveness. Feel free to reach out.
(206) 737-1462 View (206) 737-1462
Photo of Katy Richardson, Counselor, MA, LMHCA
Katy Richardson
Counselor, MA, LMHCA
Seattle, WA 98103
Therapy begins with a relationship—a confidential, collaborative space between you and me. Drawing from psychoanalytic theory, especially Lacanian ideas, we use that relationship to explore what often feels unspeakable or unclear. We are what happens to us. Our identities are shaped by early experiences and the unconscious conclusions we draw from them. To make sense of things, we often simplify: “I’m fine.” “My childhood was difficult.” But within those words—fine, difficult—there’s an entire world of words and experiences waiting to be explored.
Therapy begins with a relationship—a confidential, collaborative space between you and me. Drawing from psychoanalytic theory, especially Lacanian ideas, we use that relationship to explore what often feels unspeakable or unclear. We are what happens to us. Our identities are shaped by early experiences and the unconscious conclusions we draw from them. To make sense of things, we often simplify: “I’m fine.” “My childhood was difficult.” But within those words—fine, difficult—there’s an entire world of words and experiences waiting to be explored.
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Photo of Didem Serin, Marriage & Family Therapist, LMFT, CST, MA²
Didem Serin
Marriage & Family Therapist, LMFT, CST, MA²
5 Endorsed
Seattle, WA 98107
As a systems therapist, I consider the many contexts that make each person’s experience unique and tailor treatment to my client’s needs. I center my work on re-authoring narratives and creating new meanings. If you're curious about the messages your emotions send and are willing to uncover patterns and explore new ways of connecting, I may be the therapist you're looking for. I specialize in strengthening relationships, especially multicultural, neurodiverse/mixed neurotype, LGBTQI+, and open ones, as well as intimacy, desire discrepancy, life transitions, identity formation/exploration, attachment ruptures, and differentiation.
As a systems therapist, I consider the many contexts that make each person’s experience unique and tailor treatment to my client’s needs. I center my work on re-authoring narratives and creating new meanings. If you're curious about the messages your emotions send and are willing to uncover patterns and explore new ways of connecting, I may be the therapist you're looking for. I specialize in strengthening relationships, especially multicultural, neurodiverse/mixed neurotype, LGBTQI+, and open ones, as well as intimacy, desire discrepancy, life transitions, identity formation/exploration, attachment ruptures, and differentiation.
(425) 217-1988 View (425) 217-1988
Photo of Devin Kiessling, Clinical Social Work/Therapist, MSW, LCSW-C
Devin Kiessling
Clinical Social Work/Therapist, MSW, LCSW-C
Seattle, WA 98107
Devin Kiessling is a Licensed Certified Social Worker Clinical (LCSW-C). He is a graduate of the University of Maryland, Baltimore School of Social Work where he received his Master of Social Work with a clinical concentration in behavioral health. During his time at UMB, he completed two internships, the second of which was an international placement where he lived, interned, and studied in Kochi, Kerala, India. Devin has experience working with children and adolescents with multiple issues including behavioral problems such as ADHD, depression, anxiety, trauma, and stress related disorders.
Devin Kiessling is a Licensed Certified Social Worker Clinical (LCSW-C). He is a graduate of the University of Maryland, Baltimore School of Social Work where he received his Master of Social Work with a clinical concentration in behavioral health. During his time at UMB, he completed two internships, the second of which was an international placement where he lived, interned, and studied in Kochi, Kerala, India. Devin has experience working with children and adolescents with multiple issues including behavioral problems such as ADHD, depression, anxiety, trauma, and stress related disorders.
(443) 233-0831 View (443) 233-0831
Photo of Sara Kenny, Clinical Social Work/Therapist, LICSW, PMH-C
Sara Kenny
Clinical Social Work/Therapist, LICSW, PMH-C
Seattle, WA 98119
Life can feel really overwhelming when you’re pregnant, postpartum, caring for a new baby, or on a fertility journey. I specialize in supporting birthing people throughout the reproductive phase of life and beyond and am Perinatal Mental Health Certified (PMH-C) by Postpartum Support International. When we're overthinking, wrestling with uncontrollable thoughts, or trying to sort through worst case scenarios, it can make managing our daily lives feel impossible. You don't have to struggle with your anxiety or stresses alone.
Life can feel really overwhelming when you’re pregnant, postpartum, caring for a new baby, or on a fertility journey. I specialize in supporting birthing people throughout the reproductive phase of life and beyond and am Perinatal Mental Health Certified (PMH-C) by Postpartum Support International. When we're overthinking, wrestling with uncontrollable thoughts, or trying to sort through worst case scenarios, it can make managing our daily lives feel impossible. You don't have to struggle with your anxiety or stresses alone.
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Photo of Dr. Andrew Pereira, Psychologist, PhD, PSYPACT
Dr. Andrew Pereira
Psychologist, PhD, PSYPACT
Seattle, WA 98107
Are you ready to begin making significant changes in your life? A trained professional can help stand by and guide you; you're not alone. I typically treat depression, anxiety, trauma, stress, adjustment, and relationship issues, but I was educated to work with a broad spectrum of mental health issues. During my training, I received specialized clinical experiences for working with survivors of traumatic events, have felt marginalized by society or their family systems due to their identities, career issues, relationship problems (e.g., loneliness, insecurity, preoccupation, attachment, etc.), and issues with body image and eating.
Are you ready to begin making significant changes in your life? A trained professional can help stand by and guide you; you're not alone. I typically treat depression, anxiety, trauma, stress, adjustment, and relationship issues, but I was educated to work with a broad spectrum of mental health issues. During my training, I received specialized clinical experiences for working with survivors of traumatic events, have felt marginalized by society or their family systems due to their identities, career issues, relationship problems (e.g., loneliness, insecurity, preoccupation, attachment, etc.), and issues with body image and eating.
(206) 278-9677 View (206) 278-9677
Photo of Tania Adams - Wild Fern Counseling, Clinical Social Work/Therapist, MSW, MEd, LICSW, E-RYT
Wild Fern Counseling
Clinical Social Work/Therapist, MSW, MEd, LICSW, E-RYT
1 Endorsed
Online Only
My clients are often high-achieving professionals: executives, founders, and women carrying significant responsibility both at work and at home. Many come to me managing pressure that isn't visible to the people around them: decision fatigue, the weight of being 'the strong one,' or a sense that success hasn't brought the relief they expected. They value discretion and a therapist who can keep pace with complexity. Together, we work toward clarity, sustainable resilience, and a version of success that doesn't cost them their wellbeing
My clients are often high-achieving professionals: executives, founders, and women carrying significant responsibility both at work and at home. Many come to me managing pressure that isn't visible to the people around them: decision fatigue, the weight of being 'the strong one,' or a sense that success hasn't brought the relief they expected. They value discretion and a therapist who can keep pace with complexity. Together, we work toward clarity, sustainable resilience, and a version of success that doesn't cost them their wellbeing
(206) 589-1353 View (206) 589-1353
Photo of Camille Chapin, Marriage & Family Therapist, LMFT
Camille Chapin
Marriage & Family Therapist, LMFT
5 Endorsed
Seattle, WA 98118
Do you feel like you’re living your life for others and struggling to understand who you truly are? Are you stuck in patterns that no longer serve you? Are you ready to create meaningful change and reconnect with your own inner strength? Welcome to the brave work of therapy. My name is Camille, and I am a collaborative, relational therapist working with single women and couples. I support clients in tending to, and repairing the wounds that keep them from feeling present, grounded, and at peace in their lives.
Do you feel like you’re living your life for others and struggling to understand who you truly are? Are you stuck in patterns that no longer serve you? Are you ready to create meaningful change and reconnect with your own inner strength? Welcome to the brave work of therapy. My name is Camille, and I am a collaborative, relational therapist working with single women and couples. I support clients in tending to, and repairing the wounds that keep them from feeling present, grounded, and at peace in their lives.
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Photo of Nathaniel Amos, Clinical Social Work/Therapist, LICSW
Nathaniel Amos
Clinical Social Work/Therapist, LICSW
4 Endorsed
Online Only
Waitlist for new clients
I view therapy as a process where we leverage curiosity and creativity in service of crafting a hopeful and transformative approach to your life. I have worked with clients with a variety of concerns that are listed in my profile. Where appropriate, I integrate Eye-Movement Desensitization and Reprocessing (EMDR). My work using EMDR has focused on the treatment of trauma and post-traumatic stress disorder (PTSD) and a wide array of anxiety-based concerns. I work with clients at every stage of development in one-on-one, couples, and/or family sessions.
I view therapy as a process where we leverage curiosity and creativity in service of crafting a hopeful and transformative approach to your life. I have worked with clients with a variety of concerns that are listed in my profile. Where appropriate, I integrate Eye-Movement Desensitization and Reprocessing (EMDR). My work using EMDR has focused on the treatment of trauma and post-traumatic stress disorder (PTSD) and a wide array of anxiety-based concerns. I work with clients at every stage of development in one-on-one, couples, and/or family sessions.
(206) 589-1566 View (206) 589-1566
Photo of McKenna Cosottile, Psychologist, PhD
McKenna Cosottile
Psychologist, PhD
2 Endorsed
Seattle, WA 98116
Do you find yourself wondering whether you’re “good enough,” if this is “normal,” or how things could possibly get better? Whether you're a parent of a kid or teenager, or a teen yourself, I can help. You have known you, and/or your child, your entire life — you are the expert in you. I bring expertise in pediatric evidence-based interventions. My hope is that together, we can create a context that feels safe to explore new patterns of thinking, feeling, and behaving that improve your life in ways that are meaningful to you.
Do you find yourself wondering whether you’re “good enough,” if this is “normal,” or how things could possibly get better? Whether you're a parent of a kid or teenager, or a teen yourself, I can help. You have known you, and/or your child, your entire life — you are the expert in you. I bring expertise in pediatric evidence-based interventions. My hope is that together, we can create a context that feels safe to explore new patterns of thinking, feeling, and behaving that improve your life in ways that are meaningful to you.
(206) 565-0275 View (206) 565-0275
Photo of Grace Taylor, Counselor, MA, LMHCA
Grace Taylor
Counselor, MA, LMHCA
6 Endorsed
Online Only
I help my clients navigate their anxiety, perfectionistic tendencies, and relationship issues to build a stronger life. Are your expectations for yourself sustainable and realistic? Have you experienced trauma that has taken a negative toll on your day-to-day life? Maybe you have lost sight of who your authentic self is by trying to take care of everyone else. Many men and women struggle with honoring their personal goals and autonomy by setting too high expectations for themselves. Pushing off exploring trauma can also increase mental health barriers. You deserve a safe place to move through your trauma and anxiety.
I help my clients navigate their anxiety, perfectionistic tendencies, and relationship issues to build a stronger life. Are your expectations for yourself sustainable and realistic? Have you experienced trauma that has taken a negative toll on your day-to-day life? Maybe you have lost sight of who your authentic self is by trying to take care of everyone else. Many men and women struggle with honoring their personal goals and autonomy by setting too high expectations for themselves. Pushing off exploring trauma can also increase mental health barriers. You deserve a safe place to move through your trauma and anxiety.
(206) 594-4050 View (206) 594-4050
Photo of Jenna Park, Marriage & Family Therapist Associate, MA, LMFTA
Jenna Park
Marriage & Family Therapist Associate, MA, LMFTA
2 Endorsed
Seattle, WA 98109
You may not know exactly when it shifted, but something feels different. Midlife and later life can arrive quietly—through subtle changes in your body, relationships, or roles. Recovery takes longer. Energy feels different. Parents need care. Retirement or career recalibration comes into view. Long-standing partnerships begin navigating new terrain shaped by health changes, shifting identities, or evolving intimacy. You may feel stretched between responsibility and reflection—wanting steadiness, clarity, and a place to think deeply about what this season means for you and your relationships. You don’t have to face it alone.
You may not know exactly when it shifted, but something feels different. Midlife and later life can arrive quietly—through subtle changes in your body, relationships, or roles. Recovery takes longer. Energy feels different. Parents need care. Retirement or career recalibration comes into view. Long-standing partnerships begin navigating new terrain shaped by health changes, shifting identities, or evolving intimacy. You may feel stretched between responsibility and reflection—wanting steadiness, clarity, and a place to think deeply about what this season means for you and your relationships. You don’t have to face it alone.
(425) 654-8156 View (425) 654-8156
Photo of Tim Almquist, Marriage & Family Therapist, MA, LMFT, IMFT
Tim Almquist
Marriage & Family Therapist, MA, LMFT, IMFT
5 Endorsed
Online Only
We seek therapy because we have experienced some form of disconnection and we long for re-connection. We desire greater trust with a spouse or partner, understanding and healthier boundaries with family, or renewed courage to be our whole, authentic self. Therapy offers us a chance to take seriously the disconnection we experience, to better understand how we got here and to begin re-connecting with self and others by shifting how we think, feel and behave. My role as your therapist is to provide nonjudgmental support and professional guidance as you begin the difficult and life-giving work of re-connection.
We seek therapy because we have experienced some form of disconnection and we long for re-connection. We desire greater trust with a spouse or partner, understanding and healthier boundaries with family, or renewed courage to be our whole, authentic self. Therapy offers us a chance to take seriously the disconnection we experience, to better understand how we got here and to begin re-connecting with self and others by shifting how we think, feel and behave. My role as your therapist is to provide nonjudgmental support and professional guidance as you begin the difficult and life-giving work of re-connection.
(234) 235-4257 View (234) 235-4257

See more therapy options for Seattle

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$161

Therapists in Seattle, WA who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera Blue Cross
68% Aetna
63% Regence

How Therapists in Seattle, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
20% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.