Therapists in Bothell, WA

Photo of Michelle Woodward, Counselor in Bothell, WA
Michelle Woodward
Counselor, LCPC, LMHC, NCC
Verified Verified
Bothell, WA 98011
I help individuals learn to accept themselves and others as they are, manage their emotions, and improve relationships. Acceptance allows for growth. I specialize in helping individuals resolve symptoms of trauma, anxiety, depression, and insomnia. I believe we all have the capacity to heal given the right tools and environment. My work with clients is grounded in mindfulness based, cognitive behavioral theory. Counseling is provided in a private, comfortable, non-judgmental environment. Telehealth sessions are available at this time. Together, we will use your existing strengths to move you toward optimal health.
I help individuals learn to accept themselves and others as they are, manage their emotions, and improve relationships. Acceptance allows for growth. I specialize in helping individuals resolve symptoms of trauma, anxiety, depression, and insomnia. I believe we all have the capacity to heal given the right tools and environment. My work with clients is grounded in mindfulness based, cognitive behavioral theory. Counseling is provided in a private, comfortable, non-judgmental environment. Telehealth sessions are available at this time. Together, we will use your existing strengths to move you toward optimal health.
(509) 519-3089 View (509) 519-3089
Photo of Neupathway (Amber Ford), Clinical Social Work/Therapist in Bothell, WA
Neupathway (Amber Ford)
Clinical Social Work/Therapist, EdD, LCSW
Verified Verified
Bothell, WA 98011  (Online Only)
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
(425) 534-7372 View (425) 534-7372
Photo of Leia Cheyanne Bellinger, Pre-Licensed Professional in Bothell, WA
Leia Cheyanne Bellinger
Pre-Licensed Professional
Verified Verified
Bothell, WA 98012  (Online Only)
My clients are often aware of their struggles but may not possess the right skills in combatting plaguing thoughts or self-doubt. My clients can feel extremely aware of their space and understand that healing is a process that isn't always linear. I believe that my clients are able to be honest about their expectations of counseling and opportunities for us to collaborate towards care together.
My clients are often aware of their struggles but may not possess the right skills in combatting plaguing thoughts or self-doubt. My clients can feel extremely aware of their space and understand that healing is a process that isn't always linear. I believe that my clients are able to be honest about their expectations of counseling and opportunities for us to collaborate towards care together.
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Photo of Steve Dill, Counselor in Bothell, WA
Steve Dill
Counselor, LMHC, CSAT
Verified Verified
Bothell, WA 98011
Are you watching porn when you’ve tried to stop? Are you sexually “on” too much or all the time? Pursuing sexual encounters even when it violates your vows or values or it’s getting in the way of your work or other goals? These are sensitive issues and require a safe person to confide in but, if you can relate to this and your contemplating a change - call me - I can help. I’m a CSAT, Certified Sexual Addictions Therapist and I‘ve helped numerous men find their way back to peace with themselves and frequently reconciled relationships.
Are you watching porn when you’ve tried to stop? Are you sexually “on” too much or all the time? Pursuing sexual encounters even when it violates your vows or values or it’s getting in the way of your work or other goals? These are sensitive issues and require a safe person to confide in but, if you can relate to this and your contemplating a change - call me - I can help. I’m a CSAT, Certified Sexual Addictions Therapist and I‘ve helped numerous men find their way back to peace with themselves and frequently reconciled relationships.
(206) 539-1260 View (206) 539-1260
Photo of Christine Scoville, Counselor in Bothell, WA
Christine Scoville
Counselor, LMHCA
Verified Verified
Bothell, WA 98011
I am a holistic, trauma-informed therapist and my focus is working with adolescents and adults on issues related to depression, anxiety, bipolar disorder and neurodivergence (ADHD and Autism Spectrum Disorders). I also work with issues such as spiritual trauma and abuse, childhood emotional neglect and family systems. My therapeutic approach is client-centered, relational, and depth-based. I incorporate psychoanalytic depth work, existential psychotherapy, as well as somatic and mindfulness practices incorporating the body and strengthening a body-mind connection as it feels safe to do so.
I am a holistic, trauma-informed therapist and my focus is working with adolescents and adults on issues related to depression, anxiety, bipolar disorder and neurodivergence (ADHD and Autism Spectrum Disorders). I also work with issues such as spiritual trauma and abuse, childhood emotional neglect and family systems. My therapeutic approach is client-centered, relational, and depth-based. I incorporate psychoanalytic depth work, existential psychotherapy, as well as somatic and mindfulness practices incorporating the body and strengthening a body-mind connection as it feels safe to do so.
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Photo of John F Koch, Counselor in Bothell, WA
John F Koch
Counselor, PsyD, LMHC
Verified Verified
2 Endorsed
Bothell, WA 98011
"Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom." (Victor Frankel) I am a licensed mental health counselor with his PsyD from Argosy University. My training includes providing co-occurring disorder therapy meaning the simultaneous treatment of addiction and other psychiatric disorder. I treat individuals with and without addictions and specialize in the treatment of adolescents and adults with trauma, depression and anxiety disorders. Currently I am only accepting teletherapy clients.
"Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom." (Victor Frankel) I am a licensed mental health counselor with his PsyD from Argosy University. My training includes providing co-occurring disorder therapy meaning the simultaneous treatment of addiction and other psychiatric disorder. I treat individuals with and without addictions and specialize in the treatment of adolescents and adults with trauma, depression and anxiety disorders. Currently I am only accepting teletherapy clients.
(425) 230-6317 View (425) 230-6317
Photo of Aliya Zafer, Mental Health Counselor in Bothell, WA
Aliya Zafer
Mental Health Counselor, MA, LMHC
Verified Verified
Bothell, WA 98011
I am an active listener, and my goal is to listen to my clients and help them to deal with their issues. I realize the need to be heard, so I am here to listen so that we can both get along in this journey together to find unique solutions. I typically work with adult clients & however, in some instances I also take on clients who are older adolescents or older adults. Saturday appointments are available. I look forward to meeting you.
I am an active listener, and my goal is to listen to my clients and help them to deal with their issues. I realize the need to be heard, so I am here to listen so that we can both get along in this journey together to find unique solutions. I typically work with adult clients & however, in some instances I also take on clients who are older adolescents or older adults. Saturday appointments are available. I look forward to meeting you.
(425) 215-1415 View (425) 215-1415
Photo of Erin C Mullins, Pre-Licensed Professional in Bothell, WA
Erin C Mullins
Pre-Licensed Professional, ACHt, CSP, LMT
Verified Verified
1 Endorsed
Bothell, WA 98011
Accepting new clients! Life is a complex journey, and we all need skillful support along the way. As a counselor, I am oriented toward your wholeness and uniqueness. I provide individualized care based on your needs and goals. I facilitate the therapeutic process from a place of non-judgment and collaboration, navigating the path to your therapeutic goals while holding space for your long-term vision and purpose. I maintain a therapeutic container that is both strong and soft, held in compassion, activated by my commitment to supporting your development, and nourished by constant attunement to deep listening and skillful practice.
Accepting new clients! Life is a complex journey, and we all need skillful support along the way. As a counselor, I am oriented toward your wholeness and uniqueness. I provide individualized care based on your needs and goals. I facilitate the therapeutic process from a place of non-judgment and collaboration, navigating the path to your therapeutic goals while holding space for your long-term vision and purpose. I maintain a therapeutic container that is both strong and soft, held in compassion, activated by my commitment to supporting your development, and nourished by constant attunement to deep listening and skillful practice.
(425) 541-7179 View (425) 541-7179
Photo of Caroline Wartman, Counselor in Bothell, WA
Caroline Wartman
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Bothell, WA 98011
An turas is Irish for the journey. It is an honor to join you on your path toward healing and wholeness, integration, and healthy relationships with yourself and others. There are many things that can bring us to counseling - stress and anxiety, life transitions, relational challenges, experiences of trauma or loss, and a desire to live in more authentic and meaningful ways.
An turas is Irish for the journey. It is an honor to join you on your path toward healing and wholeness, integration, and healthy relationships with yourself and others. There are many things that can bring us to counseling - stress and anxiety, life transitions, relational challenges, experiences of trauma or loss, and a desire to live in more authentic and meaningful ways.
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Photo of Meier Clinics of Washington, Counselor in Bothell, WA
Meier Clinics of Washington
Counselor
Verified Verified
Bothell, WA 98021
Our 2-3 week Catalyst program is one of the most unique counseling programs available in our area. With our conscientious staff and individualized treatment plans, we find that our Day Treatment Program is the perfect opportunity for people to make great strides toward their goals in a short amount of time. Our program is a combination of group, individual, and family therapy as well as medication management as needed. Catalyst is a good fit for anyone who has been in outpatient counseling for a while and is not making the progress that they are hoping to be making.
Our 2-3 week Catalyst program is one of the most unique counseling programs available in our area. With our conscientious staff and individualized treatment plans, we find that our Day Treatment Program is the perfect opportunity for people to make great strides toward their goals in a short amount of time. Our program is a combination of group, individual, and family therapy as well as medication management as needed. Catalyst is a good fit for anyone who has been in outpatient counseling for a while and is not making the progress that they are hoping to be making.
(425) 487-1005 View (425) 487-1005
Photo of Lynette Lewis Therapy, Psychologist in Bothell, WA
Lynette Lewis Therapy
Psychologist, PsyD
Verified Verified
1 Endorsed
Bothell, WA 98011
Not accepting new clients
I might be a good fit for you if you are interested in having someone help you see what is and isn't working for you while we identify constructive approaches to your challenges based on your own values and beliefs. In our work together, we will be partners in understanding your needs and how to address them so you can live a more satisfying life. I believe that our development as individuals is influenced by the interaction of our biology, our environment, and our own specific way of interpreting our world. Our work will take into account all of these influences.
I might be a good fit for you if you are interested in having someone help you see what is and isn't working for you while we identify constructive approaches to your challenges based on your own values and beliefs. In our work together, we will be partners in understanding your needs and how to address them so you can live a more satisfying life. I believe that our development as individuals is influenced by the interaction of our biology, our environment, and our own specific way of interpreting our world. Our work will take into account all of these influences.
(425) 292-5122 View (425) 292-5122
Photo of Michelle Lechnyr, Marriage & Family Therapist in Bothell, WA
Michelle Lechnyr
Marriage & Family Therapist, MA, LMFT, CDC®
Verified Verified
3 Endorsed
Bothell, WA 98012  (Online Only)
My goal is to help you learn how to develop ways to change your thinking patterns, reduce anxious thoughts and alleviate depression. We are taught to suppress emotions and my hope is for you to feel safe in expressing your feelings and boundaries. Life is tough, but you are not alone. My areas of specialities include: anxiety, depression, postpartum depression, divorce, infidelity, life transitions, complex trauma, cognitive behavioral therapy, mindfulness and EMDR. I am a certified divorce coach and can help you make informed decisions around your relationships. I also provide support to clients experiencing a cancer diagnosis.
My goal is to help you learn how to develop ways to change your thinking patterns, reduce anxious thoughts and alleviate depression. We are taught to suppress emotions and my hope is for you to feel safe in expressing your feelings and boundaries. Life is tough, but you are not alone. My areas of specialities include: anxiety, depression, postpartum depression, divorce, infidelity, life transitions, complex trauma, cognitive behavioral therapy, mindfulness and EMDR. I am a certified divorce coach and can help you make informed decisions around your relationships. I also provide support to clients experiencing a cancer diagnosis.
(206) 590-5505 View (206) 590-5505
Photo of Barbara Ann Barnes, Counselor in Bothell, WA
Barbara Ann Barnes
Counselor, MA, RN, LMHC, CHT
Verified Verified
Bothell, WA 98011
Waitlist for new clients
Hello. If you are looking for a therapist, the most important thing is for you to work with someone who will relate specifically to you and can help you heal. I work with each client as a unique individual with a goal to heal the whole person. Real and lasting change comes not only from an understanding of your issues and concerns, but from creating corrective emotional experiences that allow you to release old and unproductive patterns of thinking and behaving.
Hello. If you are looking for a therapist, the most important thing is for you to work with someone who will relate specifically to you and can help you heal. I work with each client as a unique individual with a goal to heal the whole person. Real and lasting change comes not only from an understanding of your issues and concerns, but from creating corrective emotional experiences that allow you to release old and unproductive patterns of thinking and behaving.
(425) 224-6699 View (425) 224-6699
Photo of Paul M. Gebben, Counselor in Bothell, WA
Paul M. Gebben
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Bothell, WA 98012
Not accepting new clients
Welcome! Are you in a season of feeling stuck, dissatisfied, or frustrated? Is your most important relationship not what you hoped for? Maybe there are experiences in your past including wounding or abuse that feel like they keep getting in the way? If you are reading this, you may be looking for some relief, healing, or help making changes in how you think about yourself and the ways you relate to others. I help people move past current stress and troubles into new opportunities, and living into the hope for a better future.
Welcome! Are you in a season of feeling stuck, dissatisfied, or frustrated? Is your most important relationship not what you hoped for? Maybe there are experiences in your past including wounding or abuse that feel like they keep getting in the way? If you are reading this, you may be looking for some relief, healing, or help making changes in how you think about yourself and the ways you relate to others. I help people move past current stress and troubles into new opportunities, and living into the hope for a better future.
(616) 952-2540 View (616) 952-2540
Photo of Lucia Wang, Counselor in Bothell, WA
Lucia Wang
Counselor, LMHCA
Verified Verified
Bothell, WA 98011
As a holistic, trauma-informed therapist, I take into consideration all aspects of your personhood–physical, mental, emotional, social, and spiritual. My focus is working with adult survivors of narcissistic abuse, neglect, borderline personality disorder, relationship issues, grief, ambiguous loss, life transitions, and systemic racism and oppression.
As a holistic, trauma-informed therapist, I take into consideration all aspects of your personhood–physical, mental, emotional, social, and spiritual. My focus is working with adult survivors of narcissistic abuse, neglect, borderline personality disorder, relationship issues, grief, ambiguous loss, life transitions, and systemic racism and oppression.
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Photo of Mary Guay, Marriage & Family Therapist in Bothell, WA
Mary Guay
Marriage & Family Therapist, LMFT, CPC
Verified Verified
Bothell, WA 98011  (Online Only)
Would you like more out of life? Life has much to offer! What's the quality of your relationships, especially the one you have with yourself? I'm here to support and facilitate you living true to yourself. Going through a time of transition? This time in life may be a threshold that seems intimidating and confusing. You may be suffering from depression or anxiety. Lonliness and hurt may lead to healing and awakening to inner resource when collaborating with me.Therapy and life coaching help you to see the growth opportunities that are a part of your challenge. You can turn problems into opportunities!
Would you like more out of life? Life has much to offer! What's the quality of your relationships, especially the one you have with yourself? I'm here to support and facilitate you living true to yourself. Going through a time of transition? This time in life may be a threshold that seems intimidating and confusing. You may be suffering from depression or anxiety. Lonliness and hurt may lead to healing and awakening to inner resource when collaborating with me.Therapy and life coaching help you to see the growth opportunities that are a part of your challenge. You can turn problems into opportunities!
(425) 954-6880 View (425) 954-6880
Photo of Rebekah Hage, Clinical Social Work/Therapist in Bothell, WA
Rebekah Hage
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
7 Endorsed
Bothell, WA 98011
Welcome! Making the choice to start therapy can be overwhelming. Knowing what to expect can help. Our sessions will take place via secure Telehealth or in person, depending on your needs. I have over 15 years of experience in working with individuals dealing with depression, anxiety, chronic illness, grief/loss, motherhood, postpartum depression/anxiety and adults navigating life transitions. I utilize holistic, relational and strengths-based approaches to work with you towards growth and healing. I work with adults and couples. I am LGBTQIA+ and Neurodivergent Affirming therapist.
Welcome! Making the choice to start therapy can be overwhelming. Knowing what to expect can help. Our sessions will take place via secure Telehealth or in person, depending on your needs. I have over 15 years of experience in working with individuals dealing with depression, anxiety, chronic illness, grief/loss, motherhood, postpartum depression/anxiety and adults navigating life transitions. I utilize holistic, relational and strengths-based approaches to work with you towards growth and healing. I work with adults and couples. I am LGBTQIA+ and Neurodivergent Affirming therapist.
(425) 215-0785 View (425) 215-0785
Photo of New Leaf Counseling LLC, Counselor in Bothell, WA
New Leaf Counseling LLC
Counselor, MAC, LMHC
Verified Verified
Bothell, WA 98021  (Online Only)
Waitlist for new clients
I am a Licensed Mental Health Counselor in private practice for the past 15 years. I work with individuals, couples and families who struggle with many experiences including trauma, codependency and abandonment. My goal is to unearth your purpose and freedom, while using several modalities to address current difficulties, uncover relational patterns that cause dissatisfaction and emptiness, personal awareness for clarity, and guidance to unravel other issues that constrain you from wholehearted living. I assist clients in emotional regulation to alleviate suffering from depression and anxiety. Most importantly, I strive to understand and journey with each of you in a healthy and caring therapeutic relationship.
I am a Licensed Mental Health Counselor in private practice for the past 15 years. I work with individuals, couples and families who struggle with many experiences including trauma, codependency and abandonment. My goal is to unearth your purpose and freedom, while using several modalities to address current difficulties, uncover relational patterns that cause dissatisfaction and emptiness, personal awareness for clarity, and guidance to unravel other issues that constrain you from wholehearted living. I assist clients in emotional regulation to alleviate suffering from depression and anxiety. Most importantly, I strive to understand and journey with each of you in a healthy and caring therapeutic relationship.
(206) 565-0517 View (206) 565-0517
Photo of Matthew Burhan Ozgercin, Counselor in Bothell, WA
Matthew Burhan Ozgercin
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Bothell, WA 98011
In my approach to counseling, I listen attentively and non-judgmentally. I focus on people’s stories and the stories the world tells about them. I value these narratives, and hold them during our work together so that we may reference them in the process of creating a story that feels more in line with my clients goals and purpose. I also work with clients in exploring ways to alleviate suffering, reduce stress and increase self empowerment and enjoyment of one's life. My approach is strengths based and I believe we each have all the answers we need within us, sometimes we just need help teasing them out or trusting them.
In my approach to counseling, I listen attentively and non-judgmentally. I focus on people’s stories and the stories the world tells about them. I value these narratives, and hold them during our work together so that we may reference them in the process of creating a story that feels more in line with my clients goals and purpose. I also work with clients in exploring ways to alleviate suffering, reduce stress and increase self empowerment and enjoyment of one's life. My approach is strengths based and I believe we each have all the answers we need within us, sometimes we just need help teasing them out or trusting them.
(425) 786-2953 View (425) 786-2953
Photo of Duncan Counseling Services, Mental Health Counselor in Bothell, WA
Duncan Counseling Services
Mental Health Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bothell, WA 98021  (Online Only)
Are you suffering from PTSD, chronic pain, anxiety, depression, in need of an autism evaluation? I provide autism evaluations, as well as psychotherapy and EMDR therapy, individual counseling to teens and adults in the general population, as well as those with Autism Spectrum Disorders. You will be treated gently and with respect, and with faith that positive change is a natural outcome of a good therapeutic relationship and the application of appropriate therapeutic theories and me
Are you suffering from PTSD, chronic pain, anxiety, depression, in need of an autism evaluation? I provide autism evaluations, as well as psychotherapy and EMDR therapy, individual counseling to teens and adults in the general population, as well as those with Autism Spectrum Disorders. You will be treated gently and with respect, and with faith that positive change is a natural outcome of a good therapeutic relationship and the application of appropriate therapeutic theories and me
(425) 310-2668 View (425) 310-2668

How does your Therapist compare?

Number of Therapists in Bothell, WA

200+

Average cost per session

$150

Therapists in Bothell, WA who prioritize treating:

95% Anxiety
89% Depression
78% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
72% Coping Skills
70% Grief

Average years in practice

8 Years

Top 3 insurances accepted

81% Premera
67% Regence
63% Aetna

How Therapists in Bothell, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Bothell?

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.