Therapists in Federal Way, WA

Photo of Sayaka Ashe, MA, LMHC, LPC, Counselor
Sayaka Ashe
Counselor, MA, LMHC, LPC
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I am a English/Japanese speaking therapist. I have multiple cultural backgrounds, so I can provide different perspectives and different point of views in our work together. I am grateful to navigate you searching life meanings and making sense of your life, also to support you taking courageous steps toward achieving wellness. I help you get unstuck from unhelpful thoughts, and to communicate/validate inner self. I look at therapy as riding with you on your journeys. I, as a therapist, can guide you choose a least harmful course for your journey, and the best course for that moment.
I am a English/Japanese speaking therapist. I have multiple cultural backgrounds, so I can provide different perspectives and different point of views in our work together. I am grateful to navigate you searching life meanings and making sense of your life, also to support you taking courageous steps toward achieving wellness. I help you get unstuck from unhelpful thoughts, and to communicate/validate inner self. I look at therapy as riding with you on your journeys. I, as a therapist, can guide you choose a least harmful course for your journey, and the best course for that moment.
(206) 460-1903 View (206) 460-1903
Photo of Samhar Mohammad Daoud, LICSWA, MSW, Clinical Social Work/Therapist
Samhar Mohammad Daoud
Clinical Social Work/Therapist, LICSWA, MSW
Verified Verified
1 Endorsed
Federal Way, WA 98003  (Online Only)
A lot of people come for therapy because they are not feeling good. This might be from a trauma or a difficult life changing event, or they haven’t been feeling good or something isn’t right in that moment. Therapy can be an eye opening to these aspects and a place to address what concerns you to improve your life. There are always two sides for life. You could be wonderful enjoying your life and it still could be struggling. It’s okay not to be okay. Sometimes all we need is someone to really understand what’s going on and listen to us.
A lot of people come for therapy because they are not feeling good. This might be from a trauma or a difficult life changing event, or they haven’t been feeling good or something isn’t right in that moment. Therapy can be an eye opening to these aspects and a place to address what concerns you to improve your life. There are always two sides for life. You could be wonderful enjoying your life and it still could be struggling. It’s okay not to be okay. Sometimes all we need is someone to really understand what’s going on and listen to us.
(253) 709-7244 View (253) 709-7244
Photo of Kimberly Reid, MS, LMFTA, Marriage & Family Therapist Associate
Kimberly Reid
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
1 Endorsed
Federal Way, WA 98023
When we allow ourselves to be transformed by our life’s experiences, they have valuable lessons to teach us; nothing is wasted. By leaning into our challenges, we can emerge more resilient, compassionate, and able to live a life of gratitude for all that shaped us into who we are. I take a non-judgmental holistic view honoring each person’s unique mind, body, relational, & spiritual identities. I have a sense of cultural humility and a deep appreciation for diversity. I empathetically collaborate with my clients throughout their journey, meeting them in their unique circumstances. I value authenticity, acceptance, & social justice.
When we allow ourselves to be transformed by our life’s experiences, they have valuable lessons to teach us; nothing is wasted. By leaning into our challenges, we can emerge more resilient, compassionate, and able to live a life of gratitude for all that shaped us into who we are. I take a non-judgmental holistic view honoring each person’s unique mind, body, relational, & spiritual identities. I have a sense of cultural humility and a deep appreciation for diversity. I empathetically collaborate with my clients throughout their journey, meeting them in their unique circumstances. I value authenticity, acceptance, & social justice.
(253) 400-2874 View (253) 400-2874
Photo of Jaben Houk, MA, LMHC, CSAT, Counselor
Jaben Houk
Counselor, MA, LMHC, CSAT
Verified Verified
7 Endorsed
Federal Way, WA 98003
As a Certified Sex Addiction Therapist (CSAT) I work primarily with men who have cheated, committed infidelity, compulsively use porn/sex and want to heal their relationships and live free. If any of that sounds like you or your partner's situation there is a clear path forward to heal from both the cheating and the betrayal trauma it causes. I would be honored to help you and your partner find your footing and learn to walk that path of recovery. Also am a big believer in groups as a pathway toward growth and healing therefore run a low cost group for all my Sex Addicted clients who are available on Wednesdays at 12pm via Zoom.
As a Certified Sex Addiction Therapist (CSAT) I work primarily with men who have cheated, committed infidelity, compulsively use porn/sex and want to heal their relationships and live free. If any of that sounds like you or your partner's situation there is a clear path forward to heal from both the cheating and the betrayal trauma it causes. I would be honored to help you and your partner find your footing and learn to walk that path of recovery. Also am a big believer in groups as a pathway toward growth and healing therefore run a low cost group for all my Sex Addicted clients who are available on Wednesdays at 12pm via Zoom.
(253) 753-1994 View (253) 753-1994
Photo of Barbarann Kuik, PhD, (abd), LMAFT, Marriage & Family Therapist
Barbarann Kuik
Marriage & Family Therapist, PhD, (abd), LMAFT
Verified Verified
Federal Way, WA 98003
I have a Bachelor of Science in Social Psychology from Park University, Missouri. I also have a Master of Arts in Psychology-Marriage and Family Therapy from Northcentral University, Arizona. She is an LMFTA in the State of Washington and completing her Doctorate in Philosophy-Marriage and Family Therapy at Northcentral University, California.
I have a Bachelor of Science in Social Psychology from Park University, Missouri. I also have a Master of Arts in Psychology-Marriage and Family Therapy from Northcentral University, Arizona. She is an LMFTA in the State of Washington and completing her Doctorate in Philosophy-Marriage and Family Therapy at Northcentral University, California.
(253) 600-3229 View (253) 600-3229
Photo of Julia A Boyd, MEd, Counselor
Julia A Boyd
Counselor, MEd
Verified Verified
2 Endorsed
Federal Way, WA 98003  (Online Only)
I believe that therapy is based in a philosophy of respect, trust and building a safe non-judgemental relationship. I strongly believe each person has the wisdom to understand what works for them. I want clients to know they've come to a place of hope and my role as therapist is to listen and guide by providing support and encouragement
I believe that therapy is based in a philosophy of respect, trust and building a safe non-judgemental relationship. I strongly believe each person has the wisdom to understand what works for them. I want clients to know they've come to a place of hope and my role as therapist is to listen and guide by providing support and encouragement
(253) 303-5420 View (253) 303-5420
Photo of Bonnie St George, LMHC
Bonnie St George
Mental Health Counselor, LMHC
Verified Verified
Federal Way, WA 98023  (Online Only)
Hello and welcome! My name is Bonnie St George-Ayotte, Licensed Mental Health Counselor 60996772 in the state of Washington. I specialize in trauma-informed, person-centered care for those struggling with anxiety, depression, and other performance impairments, and PSTD. Clients come to me from a variety of backgrounds and strengths. I love to hear people's stories and have a geeky sense of humor.
Hello and welcome! My name is Bonnie St George-Ayotte, Licensed Mental Health Counselor 60996772 in the state of Washington. I specialize in trauma-informed, person-centered care for those struggling with anxiety, depression, and other performance impairments, and PSTD. Clients come to me from a variety of backgrounds and strengths. I love to hear people's stories and have a geeky sense of humor.
(509) 553-0250 View (509) 553-0250
Photo of Boss White, MS, LMHCA, Counselor
Boss White
Counselor, MS, LMHCA
Verified Verified
Federal Way, WA 98003
Are you struggling with issues regarding condemnation, guilt, shame, or emptiness? Do you lack confidence or feel powerless in the face of conflict? Have relationships become hard to maintain and lack the proper communication needed to go forward? My desire is to come alongside you to help you overcome whatever challenges you have and may encounter. I consider myself to be a Person-Centered counselor who uses Rational Emotive Behavior Therapy and Solution-Focused Therapy in sessions. This includes my specialty in Faith-Based approaches for those who have a foundational Christian belief.
Are you struggling with issues regarding condemnation, guilt, shame, or emptiness? Do you lack confidence or feel powerless in the face of conflict? Have relationships become hard to maintain and lack the proper communication needed to go forward? My desire is to come alongside you to help you overcome whatever challenges you have and may encounter. I consider myself to be a Person-Centered counselor who uses Rational Emotive Behavior Therapy and Solution-Focused Therapy in sessions. This includes my specialty in Faith-Based approaches for those who have a foundational Christian belief.
(253) 358-8534 View (253) 358-8534
Photo of Katie Raser, LMHC
Katie Raser
Mental Health Counselor, LMHC
Verified Verified
Federal Way, WA 98003  (Online Only)
My name is Katie Raser and I am a licensed mental health counselor with a background in social work. I have been providing individual counseling to adults since 2017. After working with folks of all ages and in all stages of life, these days, I work with expectant and new parents, struggling with the transition to parenting, anxiety, depression, or other mood changes, or PMADS (previously referred to as post-partum depression). While I primarily work with birthing and pregnant people, I also am happy to work with non-birthing parents as well.
My name is Katie Raser and I am a licensed mental health counselor with a background in social work. I have been providing individual counseling to adults since 2017. After working with folks of all ages and in all stages of life, these days, I work with expectant and new parents, struggling with the transition to parenting, anxiety, depression, or other mood changes, or PMADS (previously referred to as post-partum depression). While I primarily work with birthing and pregnant people, I also am happy to work with non-birthing parents as well.
(509) 781-9059 View (509) 781-9059
Photo of Angela Saidybah, MSW, LICSW, Clinical Social Work/Therapist
Angela Saidybah
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Federal Way, WA 98003  (Online Only)
Therapy is a vehicle of exploration of your higher self. Clients are encouraged to assess their overall functioning across the life domains to identify their healing/wellness opportunities. Trauma exposures are often stored in the body and can manifest in maladaptive ways such as low self-esteem, shame, anger, interpersonal conflict, impulsivity, stagnation, anxiety, depression, and demoralization. Accordingly, I approach therapy from a collaborative perspective encouraging clients to discover their medicine by honoring their truth and intrinsic value.
Therapy is a vehicle of exploration of your higher self. Clients are encouraged to assess their overall functioning across the life domains to identify their healing/wellness opportunities. Trauma exposures are often stored in the body and can manifest in maladaptive ways such as low self-esteem, shame, anger, interpersonal conflict, impulsivity, stagnation, anxiety, depression, and demoralization. Accordingly, I approach therapy from a collaborative perspective encouraging clients to discover their medicine by honoring their truth and intrinsic value.
(253) 465-2844 View (253) 465-2844
Photo of Brian Ashburn, MS, LMFT, Marriage & Family Therapist
Brian Ashburn
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Federal Way, WA 98003
I am here to support and encourage clients facing hardships and life changes who desire to live as their best selves and feel unstuck. I work with clients who struggle with issues such as identity, stress, anxiety, depression, trauma, and communication. I work at a pace set by my client while providing tools and resources to aid along the way. I personally have seen the positive impact therapeutic relationships can have in the lives of youth and young adults. For this reason, I enjoy working with young adults, teens, and the LGBTQIA+ community. Please visit my website for more information about me and my work.
I am here to support and encourage clients facing hardships and life changes who desire to live as their best selves and feel unstuck. I work with clients who struggle with issues such as identity, stress, anxiety, depression, trauma, and communication. I work at a pace set by my client while providing tools and resources to aid along the way. I personally have seen the positive impact therapeutic relationships can have in the lives of youth and young adults. For this reason, I enjoy working with young adults, teens, and the LGBTQIA+ community. Please visit my website for more information about me and my work.
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Photo of Jamie Weber, MSW, LICSW, Clinical Social Work/Therapist
Jamie Weber
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Federal Way, WA 98003  (Online Only)
Do you feel like no matter how hard you try, you are stuck in the same patterns of emotions and choices? When my clients start therapy with me they often feel confused, exhausted and have difficulty making changes due to years of living in survival mode due to trauma. Sometimes, they even feel shame about who they are and the choices they are making. When they end therapy with me they feel more clear about their needs, desires and how to get both met. In therapy you can create a future that centers your assets and strengths to build a future that honors your desires and values.
Do you feel like no matter how hard you try, you are stuck in the same patterns of emotions and choices? When my clients start therapy with me they often feel confused, exhausted and have difficulty making changes due to years of living in survival mode due to trauma. Sometimes, they even feel shame about who they are and the choices they are making. When they end therapy with me they feel more clear about their needs, desires and how to get both met. In therapy you can create a future that centers your assets and strengths to build a future that honors your desires and values.
(253) 881-8272 View (253) 881-8272
Photo of Sierra Bond, MS, LMFT, Marriage & Family Therapist
Sierra Bond
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Federal Way, WA 98003
Not accepting new clients
While you can't control everything that happens to you, I will support you in managing life’s stressors by exploring your history to uncover patterns, deepen your awareness, and develop new ways to manage emotions. I believe that a positive therapeutic alliance is vital to creating the trust and safety that is necessary to be vulnerable and do the work that therapy requires. I recognize that you are the expert of your story and draw from a client-centered model to personalize treatment. I am passionate about coming alongside adolescents, families, and adults as they navigate hardships and learn to embrace life's ups and downs.
While you can't control everything that happens to you, I will support you in managing life’s stressors by exploring your history to uncover patterns, deepen your awareness, and develop new ways to manage emotions. I believe that a positive therapeutic alliance is vital to creating the trust and safety that is necessary to be vulnerable and do the work that therapy requires. I recognize that you are the expert of your story and draw from a client-centered model to personalize treatment. I am passionate about coming alongside adolescents, families, and adults as they navigate hardships and learn to embrace life's ups and downs.
(253) 544-3370 View (253) 544-3370
Photo of Ryan Akin, LMHC, CMHS, Counselor
Ryan Akin
Counselor, LMHC, CMHS
Verified Verified
Federal Way, WA 98003
As a Mental Health Counselor, I believe that life presents us challenges that we sometimes need help to overcome. My primary focus is working with people who want to feel more ok, whether it be moving through anxiety or depression, transitions, traumatic situations, or increasing healthy communication. The foundations of my approach to counseling are Existential Psychology and Jungian Analytical Psychology. I have extensive experience working in Native American and multicultural communities.
As a Mental Health Counselor, I believe that life presents us challenges that we sometimes need help to overcome. My primary focus is working with people who want to feel more ok, whether it be moving through anxiety or depression, transitions, traumatic situations, or increasing healthy communication. The foundations of my approach to counseling are Existential Psychology and Jungian Analytical Psychology. I have extensive experience working in Native American and multicultural communities.
(206) 800-7158 View (206) 800-7158
Photo of Marifel Garcia, LICSW, Clinical Social Work/Therapist
Marifel Garcia
Clinical Social Work/Therapist, LICSW
Verified Verified
Federal Way, WA 98003
I specialize in assisting therapy newcomers seeking psychoeducation and fundamental coping strategies for addressing Anxiety and Depression. With a background in working with adults in acute settings, I offer expertise in educating about depression signs, symptoms, and equipping individuals with essential coping skills for stress management.
I specialize in assisting therapy newcomers seeking psychoeducation and fundamental coping strategies for addressing Anxiety and Depression. With a background in working with adults in acute settings, I offer expertise in educating about depression signs, symptoms, and equipping individuals with essential coping skills for stress management.
(253) 352-4598 View (253) 352-4598
Photo of Jahthaime Smith - Evergreen Telecounseling, MS, Counselor
Evergreen Telecounseling
Counselor, MS
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
Jahthaime Smith MS, is a licensed counselor who specializes in Cognitive Behavioral Therapy and the Ecological Theory to help clients identify thinking patterns and societal influences contributing to imbalance. Originally from NYC, this counselor brings his diverse spiritual, cultural, and mental cultivation to therapy. With a BA from Penn State, MS from Chatham (Pittsburgh), having lived in Seattle, San Diego, and Los Angeles, and currently working on my PhD, I was fortunate to encounter, work alongside, and counsel a diverse clientele. This experience enabled me to help provide insight to clients of all backgrounds.
Jahthaime Smith MS, is a licensed counselor who specializes in Cognitive Behavioral Therapy and the Ecological Theory to help clients identify thinking patterns and societal influences contributing to imbalance. Originally from NYC, this counselor brings his diverse spiritual, cultural, and mental cultivation to therapy. With a BA from Penn State, MS from Chatham (Pittsburgh), having lived in Seattle, San Diego, and Los Angeles, and currently working on my PhD, I was fortunate to encounter, work alongside, and counsel a diverse clientele. This experience enabled me to help provide insight to clients of all backgrounds.
(206) 984-9912 View (206) 984-9912
Photo of Jeremiah Hooks, MA, LMHCA, Counselor
Jeremiah Hooks
Counselor, MA, LMHCA
Verified Verified
Federal Way, WA 98003
You may be seeking therapy for any number of reasons; struggling with stress, anxiety, depression, trauma, family/relationship issues, or just need a safe non-judgmental environment to speak and be heard. I believe that we are all unique and therefore your experience should be tailored to best benefit you.
You may be seeking therapy for any number of reasons; struggling with stress, anxiety, depression, trauma, family/relationship issues, or just need a safe non-judgmental environment to speak and be heard. I believe that we are all unique and therefore your experience should be tailored to best benefit you.
(253) 523-2336 View (253) 523-2336
Photo of Cheryl Carter, MS, LMHC, CDP, Counselor
Cheryl Carter
Counselor, MS, LMHC, CDP
Verified Verified
Federal Way, WA 98003
Are you are experiencing depression, anxiety, drug and alcohol addiction, marital and/or family conflict, grief and loss, trauma, PTSD, self-esteem issues or other mental health concerns? I will help you explore and achieve a deeper understanding of your current situation(s) to better cope and deal with them in a healthy way along with helping you gain a greater self-awareness and the strategies needed to foster and maintain these healthy changes. These strategies involve cognitive and mindfulness learning skills, in part, to change negative thinking and develop skills for living in the here and now.
Are you are experiencing depression, anxiety, drug and alcohol addiction, marital and/or family conflict, grief and loss, trauma, PTSD, self-esteem issues or other mental health concerns? I will help you explore and achieve a deeper understanding of your current situation(s) to better cope and deal with them in a healthy way along with helping you gain a greater self-awareness and the strategies needed to foster and maintain these healthy changes. These strategies involve cognitive and mindfulness learning skills, in part, to change negative thinking and develop skills for living in the here and now.
(206) 483-0727 View (206) 483-0727
Photo of Gregandkathy Moore - Moore Counseling Services, MS, LMFT, Marriage & Family Therapist
Moore Counseling Services
Marriage & Family Therapist, MS, LMFT
Verified Verified
Federal Way, WA 98003
Greg is currently accepting new clients, for in person sessions only. He works with men on life transitions, anxiety and depression, relationship challenges, work issues and spiritual questions. He also works with couples, using Prepare/Enrich as an assessment tool and a broad assortment of therapeutic techniques. Greg serves as Chaplain to the Washington State Patrol. He has specialized training in the issues faced by first responders and veterans. He offers compassion, safety, and respect to his clients. Clients for whom spiritual faith is important will find him able and happy to integrate that into their work together.
Greg is currently accepting new clients, for in person sessions only. He works with men on life transitions, anxiety and depression, relationship challenges, work issues and spiritual questions. He also works with couples, using Prepare/Enrich as an assessment tool and a broad assortment of therapeutic techniques. Greg serves as Chaplain to the Washington State Patrol. He has specialized training in the issues faced by first responders and veterans. He offers compassion, safety, and respect to his clients. Clients for whom spiritual faith is important will find him able and happy to integrate that into their work together.
(253) 785-3949 View (253) 785-3949
Photo of Sinead Byrne, LMFT, Marriage & Family Therapist
Sinead Byrne
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
I have always been drawn toward both internal experience and relational dynamics, and find nothing more enlivening than facilitating corrective bonding experiences between a couple or family members. I believe problems and solutions are best understood within their systemic context, and I see the interactional space between people as the primary arena for change. Because of this, I am most in my element when working with couples and families who are caught in chronic cycles of conflict or disconnection. There is nothing so moving as the coming together of two people in moments of true, unscripted vulnerability.
I have always been drawn toward both internal experience and relational dynamics, and find nothing more enlivening than facilitating corrective bonding experiences between a couple or family members. I believe problems and solutions are best understood within their systemic context, and I see the interactional space between people as the primary arena for change. Because of this, I am most in my element when working with couples and families who are caught in chronic cycles of conflict or disconnection. There is nothing so moving as the coming together of two people in moments of true, unscripted vulnerability.
(253) 400-3871 View (253) 400-3871
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How does your Therapist compare?

Number of Therapists in Federal Way, WA

200+

Average cost per session

$150

Therapists in Federal Way, WA who prioritize treating:

91% Anxiety
86% Depression
73% Trauma and PTSD
72% Self Esteem
70% Relationship Issues
66% Coping Skills
66% Stress

Average years in practice

9 Years

Top 3 insurances accepted

84% Premera Blue Cross
76% Aetna
76% Regence

How Therapists in Federal Way, WA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

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

How can I find a therapist in Federal Way?

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.