Therapists in Lake Forest Park, WA

Photo of undefined - Kim Kauffman - Thrive Child & Family Counseling, MSW, LICSW, Clinical Social Work/Therapist
Kim Kauffman - Thrive Child & Family Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Lake Forest Park, WA 98155
Not accepting new clients
Childhood is a sacred time yet our children are facing many challenges and choices as they try to navigate growing into the best and healthiest version of themselves. I provide support and a safe place for parents to be real about their hopes and fears and work with children in a way that celebrates their strengths. In our sessions together I will bring over 25 yrs of experience as a counselor serving children and families (outpatient & in schools) and 23 yrs of learning and personal growth raising two children. I have hand-picked each item in my therapy office to help meet the needs of my clients.
Childhood is a sacred time yet our children are facing many challenges and choices as they try to navigate growing into the best and healthiest version of themselves. I provide support and a safe place for parents to be real about their hopes and fears and work with children in a way that celebrates their strengths. In our sessions together I will bring over 25 yrs of experience as a counselor serving children and families (outpatient & in schools) and 23 yrs of learning and personal growth raising two children. I have hand-picked each item in my therapy office to help meet the needs of my clients.
(206) 222-1106 View (206) 222-1106
Kenneth N Asher
Psychologist, PhD
Verified Verified
Lake Forest Park, WA 98155
While my initial focus was concerns of young people through early adulthood, over the years I have extended my range, and presently work with all ages and development. I deal with problems from normal developmental issues to serious psychological disorders. My interests also include developmental disabilities, parenting, and the special concerns of very able individuals. I work with individuals, families, and groups. As appropriate, I employ a variety of treatment modalities, including behavioral, cognitive, and insight-oriented, with emphasis on understanding clearly clients' needs, collecting useful information, and coming up with positively-oriented plans that fit them as well as being most likely to work.
While my initial focus was concerns of young people through early adulthood, over the years I have extended my range, and presently work with all ages and development. I deal with problems from normal developmental issues to serious psychological disorders. My interests also include developmental disabilities, parenting, and the special concerns of very able individuals. I work with individuals, families, and groups. As appropriate, I employ a variety of treatment modalities, including behavioral, cognitive, and insight-oriented, with emphasis on understanding clearly clients' needs, collecting useful information, and coming up with positively-oriented plans that fit them as well as being most likely to work.
(206) 322-4552 View (206) 322-4552
Photo of undefined - Oasis Sex Therapy, LMFT, Marriage & Family Therapist
Oasis Sex Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
I am a sex therapist and support adults with sexual trauma, sexual shame, sexual pain, difficulty with orgasm, concerns with erection and ejaculation, and kink support. I also work with partnered folx to improve relationship dynamics and can address sexual concerns like desire discrepancy and communication challenges. I am especially passionate about collaborating with BIPOC and LGBTQIA+ folks.
I am a sex therapist and support adults with sexual trauma, sexual shame, sexual pain, difficulty with orgasm, concerns with erection and ejaculation, and kink support. I also work with partnered folx to improve relationship dynamics and can address sexual concerns like desire discrepancy and communication challenges. I am especially passionate about collaborating with BIPOC and LGBTQIA+ folks.
(425) 399-5518 View (425) 399-5518
Photo of Teresa (Terie) Clement, MEd, LMHC, CMHS, CDWF, Counselor
Teresa (Terie) Clement
Counselor, MEd, LMHC, CMHS, CDWF
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
Everyone has the capacity to change no matter what their present difficulty, and adversity can offer a new chance for growth. I am an experienced, non-judgmental clinical therapist devoted to helping my clients improve their quality of life.
Everyone has the capacity to change no matter what their present difficulty, and adversity can offer a new chance for growth. I am an experienced, non-judgmental clinical therapist devoted to helping my clients improve their quality of life.
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Photo of Clarissa Garza, MA, LPC-A, LMHC-A, Counselor
Clarissa Garza
Counselor, MA, LPC-A, LMHC-A
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
Former Roman emperor, Marcus Aurelius, once wrote, “The impediment to action advances action. What stands in the way becomes the way.” As a mental health therapist associate from South Texas, I realize that therapy goes beyond the diagnosis realm and into a wider space of understanding, attunement, and healing. Renowned physician, Gabor Mate asserted that healing does not rely on getting rid of the pain but in increasing one’s capacity to be resilient to it. I honor you as a human, with many parts and crevices that showcase your authentic self. My approach is geared toward helping you feel seen, heard, and empowered; Be Here Now.
Former Roman emperor, Marcus Aurelius, once wrote, “The impediment to action advances action. What stands in the way becomes the way.” As a mental health therapist associate from South Texas, I realize that therapy goes beyond the diagnosis realm and into a wider space of understanding, attunement, and healing. Renowned physician, Gabor Mate asserted that healing does not rely on getting rid of the pain but in increasing one’s capacity to be resilient to it. I honor you as a human, with many parts and crevices that showcase your authentic self. My approach is geared toward helping you feel seen, heard, and empowered; Be Here Now.
(206) 502-4340 View (206) 502-4340
Photo of Rebecca Foglietti, MA, LMHC, Counselor
Rebecca Foglietti
Counselor, MA, LMHC
Verified Verified
Lake Forest Park, WA 98155
Not accepting new clients
I believe that every human being has the right to move towards their hopes and dreams to achieve the best quality of life and all it has to offer.
I believe that every human being has the right to move towards their hopes and dreams to achieve the best quality of life and all it has to offer.
(206) 966-6071 View (206) 966-6071
Photo of Rachel Kathleen Ramondetta, MA, LMFTA, MHP, Marriage & Family Therapist Associate
Rachel Kathleen Ramondetta
Marriage & Family Therapist Associate, MA, LMFTA, MHP
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
I am passionate about supporting individuals, couples, and families as they navigate life's challenges and transitions. My practice focuses on helping clients develop effective coping strategies to overcome challenges related to anxiety, depression, relationships, and family dynamics. As an Associate Marriage and Family Therapist, my primary areas of focus include: distress related to attachment, identity, and adjustment issues, as well as communication difficulties, relationship concerns, healing from traumatic experiences, and family dynamics.
I am passionate about supporting individuals, couples, and families as they navigate life's challenges and transitions. My practice focuses on helping clients develop effective coping strategies to overcome challenges related to anxiety, depression, relationships, and family dynamics. As an Associate Marriage and Family Therapist, my primary areas of focus include: distress related to attachment, identity, and adjustment issues, as well as communication difficulties, relationship concerns, healing from traumatic experiences, and family dynamics.
(206) 207-6622 View (206) 207-6622
Photo of Mollie Yates, OTR/L, Occupational Therapist
Mollie Yates
Occupational Therapist, OTR/L
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
As an occupational therapist, I am specially qualified to help clients with mental health challenges and neurodivergence live their lives to the fullest. From the beginning of treatment, we will work together to formulate goals that are meaningful to you and to select personalized strategies backed by evidence to work towards those goals. I am passionate about clients rediscovering their strengths and learning new ones. While the process of growth and change can be painful and take a lot of work, my clients find hope and renewal in the journey.
As an occupational therapist, I am specially qualified to help clients with mental health challenges and neurodivergence live their lives to the fullest. From the beginning of treatment, we will work together to formulate goals that are meaningful to you and to select personalized strategies backed by evidence to work towards those goals. I am passionate about clients rediscovering their strengths and learning new ones. While the process of growth and change can be painful and take a lot of work, my clients find hope and renewal in the journey.
(425) 414-3389 View (425) 414-3389
Photo of undefined - Cassady Kintner PLLC, MS, LMFT, MDFT, Marriage & Family Therapist
Cassady Kintner PLLC
Marriage & Family Therapist, MS, LMFT, MDFT
Verified Verified
4 Endorsed
Lake Forest Park, WA 98155
I am passionate about helping people with complex, highly demanding medical conditions, particularly diabetes, to face the emotional and behavioral challenges that so often accompany chronic health problems. I also enjoy working with 15+ teens and young women struggling with feelings of being "too much" and still "not enough". There is hope, and I can help you overcome frustration and discouragement to find peace, balance and a sense of purpose. You are not alone, and you don't have to do this alone.
I am passionate about helping people with complex, highly demanding medical conditions, particularly diabetes, to face the emotional and behavioral challenges that so often accompany chronic health problems. I also enjoy working with 15+ teens and young women struggling with feelings of being "too much" and still "not enough". There is hope, and I can help you overcome frustration and discouragement to find peace, balance and a sense of purpose. You are not alone, and you don't have to do this alone.
(206) 202-6615 View (206) 202-6615
Photo of Dan Keusal, MS, LMFT, Marriage & Family Therapist
Dan Keusal
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Lake Forest Park, WA 98155  (Online Only)
The problems and desires you bring to therapy are invitations to heal and grow. I'll help you respond to those invitations with creativity, vitality, and hope. Jung wrote that "The greatest and most important problems in life can never be solved, only outgrown." Such problems, he continued, "fade when confronted with a new and stronger life urge." I'll help you find those new, stronger, deeper, more authentic parts of yourself, and bring them to life.
The problems and desires you bring to therapy are invitations to heal and grow. I'll help you respond to those invitations with creativity, vitality, and hope. Jung wrote that "The greatest and most important problems in life can never be solved, only outgrown." Such problems, he continued, "fade when confronted with a new and stronger life urge." I'll help you find those new, stronger, deeper, more authentic parts of yourself, and bring them to life.
(206) 981-5958 View (206) 981-5958
Photo of undefined - Wayfinder Counseling, MSW, LICSW, CMHS, Clinical Social Work/Therapist
Wayfinder Counseling
Clinical Social Work/Therapist, MSW, LICSW, CMHS
Verified Verified
4 Endorsed
Lake Forest Park, WA 98155  (Online Only)
I'm an individual and family therapist who enjoys helping adolescents and adults cope with life changes and traumatic experiences. Some issues I help clients with include: healing from abuse, divorce, school difficulties, parenting challenges, domestic violence, behavioral problems, anxiety, depression, and coping with chronic illness. I work to provide my clients with a safe and comfortable space to talk as well as to provide them with tools to help get through difficult times and situations. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures.
I'm an individual and family therapist who enjoys helping adolescents and adults cope with life changes and traumatic experiences. Some issues I help clients with include: healing from abuse, divorce, school difficulties, parenting challenges, domestic violence, behavioral problems, anxiety, depression, and coping with chronic illness. I work to provide my clients with a safe and comfortable space to talk as well as to provide them with tools to help get through difficult times and situations. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures.
(253) 343-1613 View (253) 343-1613
Photo of undefined - Mark E. Mirante LMFT, Counseling on Green Lake, MA, LMFT, CMHS, Marriage & Family Therapist
Mark E. Mirante LMFT, Counseling on Green Lake
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
1 Endorsed
Lake Forest Park, WA 98155
I am a licensed Marriage (Couple) and Family Therapist and an American Association for Marriage and Family Therapy Clinical Fellow and Approved Supervisor with over 30 years of experience helping individuals, couples, and families from a broad range of ethnic, cultural, physical health, gender, socio-economic and sexual diversity. My experience includes many persons and families challenged by high conflict and multiple interlaced problems. I have extensive experience helping children, teens, and adults struggling with anxiety, depression, and the impact of grief, trauma and challenging relationships and/or a family member's chemical dependency.
I am a licensed Marriage (Couple) and Family Therapist and an American Association for Marriage and Family Therapy Clinical Fellow and Approved Supervisor with over 30 years of experience helping individuals, couples, and families from a broad range of ethnic, cultural, physical health, gender, socio-economic and sexual diversity. My experience includes many persons and families challenged by high conflict and multiple interlaced problems. I have extensive experience helping children, teens, and adults struggling with anxiety, depression, and the impact of grief, trauma and challenging relationships and/or a family member's chemical dependency.
(253) 214-3229 View (253) 214-3229
Photo of John A. DeNinno, Psychologist
John A. DeNinno
Psychologist
Verified Verified
Lake Forest Park, WA 98155
In psychotherapy much depends upon the rapport. You must feel comfortable with the therapist and hopeful about the therapy. When you feel this way, therapy is more likely to be helpful to you. I have been practicing clinical psychology since 1977. I focus on the interplay between our internal world and our relations with others. Not restricted to one approach, I integrate a range of useful change strategies including interpersonal and cognitive-behavioral. Psychotherapy is both an educational process and an interpersonal process. Each person’s experience is unique. I have special interest in eating disorders, relationship disturbances, depression, and stress.
In psychotherapy much depends upon the rapport. You must feel comfortable with the therapist and hopeful about the therapy. When you feel this way, therapy is more likely to be helpful to you. I have been practicing clinical psychology since 1977. I focus on the interplay between our internal world and our relations with others. Not restricted to one approach, I integrate a range of useful change strategies including interpersonal and cognitive-behavioral. Psychotherapy is both an educational process and an interpersonal process. Each person’s experience is unique. I have special interest in eating disorders, relationship disturbances, depression, and stress.
(253) 220-6257 View (253) 220-6257
Photo of Claire Lieberman, LCSW, RD, Clinical Social Work/Therapist
Claire Lieberman
Clinical Social Work/Therapist, LCSW, RD
Verified Verified
Lake Forest Park, WA 98155
I believe that when you have compassion for yourself, a better understanding of your motivations, and a safe place to process your feelings, you can make positive changes and reclaim your mental and physical health. I was trained as a therapist and a dietitian. My training and experience equips me to help you achieve your health goals.
I believe that when you have compassion for yourself, a better understanding of your motivations, and a safe place to process your feelings, you can make positive changes and reclaim your mental and physical health. I was trained as a therapist and a dietitian. My training and experience equips me to help you achieve your health goals.
(206) 488-0815 View (206) 488-0815
Photo of Jennifer A Kittleson, MA, LMHC, Counselor
Jennifer A Kittleson
Counselor, MA, LMHC
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
Not accepting new clients
*Full and not taking clients at this time*Welcome! I am a licensed mental health counselor. My practice area of focus is on women and caregivers. Issues I work with include life transitions, relationship dynamics, parenting, pregnancy and postpartum. I often work with caregivers and individuals who may identify with patterns of being emotionally sensitive and highly attuned to others. Clients who come to me are motivated to learn more about themselves and to notice repeating patterns and dynamics in their life. The therapy frameworks I turn to most often include psychodynamic, existential and mindfulness approaches.
*Full and not taking clients at this time*Welcome! I am a licensed mental health counselor. My practice area of focus is on women and caregivers. Issues I work with include life transitions, relationship dynamics, parenting, pregnancy and postpartum. I often work with caregivers and individuals who may identify with patterns of being emotionally sensitive and highly attuned to others. Clients who come to me are motivated to learn more about themselves and to notice repeating patterns and dynamics in their life. The therapy frameworks I turn to most often include psychodynamic, existential and mindfulness approaches.
(206) 929-4409 View (206) 929-4409
Photo of Nicole Ruttenberg, MS, LMFT, CST, Marriage & Family Therapist
Nicole Ruttenberg
Marriage & Family Therapist, MS, LMFT, CST
Verified Verified
1 Endorsed
Lake Forest Park, WA 98155
I view therapy as a collaborative relationship. By providing a respectful, judgment-free atmosphere, I hope you will feel comfortable sharing the thoughts, feelings and behaviors that are concerning to you. Through this cooperative and supportive process, my goal is that you will better understand and have compassion for yourself. It is my privilege to work with couples, individuals, families and clients in nontraditional relationships to help navigate life's challenges. I believe in a holistic approach to therapy and I use a variety of techniques from biological, psychosocial, sexual and spiritual perspectives.
I view therapy as a collaborative relationship. By providing a respectful, judgment-free atmosphere, I hope you will feel comfortable sharing the thoughts, feelings and behaviors that are concerning to you. Through this cooperative and supportive process, my goal is that you will better understand and have compassion for yourself. It is my privilege to work with couples, individuals, families and clients in nontraditional relationships to help navigate life's challenges. I believe in a holistic approach to therapy and I use a variety of techniques from biological, psychosocial, sexual and spiritual perspectives.
(206) 429-6596 View (206) 429-6596
Photo of Ivko Pejovic, LMHC, Counselor
Ivko Pejovic
Counselor, LMHC
Verified Verified
Lake Forest Park, WA 98155
I have over 20 years of experience working as a mental health counselor in the State of Washington. My areas of expertise include individual, couple, and family therapy. My specialties are PTSD, trauma, anxiety, depression, eating disorders, and substance abuse. Also, I have been facilitating different groups for 20 years and a DBT group for 9 years. All of the clients who have committed themself to this DBT class have learned some specific DBT skills that they can apply in their daily lives when they feel depressed or anxious.
I have over 20 years of experience working as a mental health counselor in the State of Washington. My areas of expertise include individual, couple, and family therapy. My specialties are PTSD, trauma, anxiety, depression, eating disorders, and substance abuse. Also, I have been facilitating different groups for 20 years and a DBT group for 9 years. All of the clients who have committed themself to this DBT class have learned some specific DBT skills that they can apply in their daily lives when they feel depressed or anxious.
(206) 207-8707 View (206) 207-8707
Photo of Olivia Dorn, Counselor
Olivia Dorn
Counselor
Verified Verified
Lake Forest Park, WA 98155
Hello, I’m Dr. Olivia! I am a psychologist who specializes in working with adolescents and young adults that have been through traumatic events. For those who want to move towards healing, you shouldn't have to do it alone. For those tired of barely holding it together or those who have lost their self, my goal is to empower you to re-discover a "you" that's worth the fight. Therapy takes courage, and since you're here on this page, you've already started your journey and should be proud.
Hello, I’m Dr. Olivia! I am a psychologist who specializes in working with adolescents and young adults that have been through traumatic events. For those who want to move towards healing, you shouldn't have to do it alone. For those tired of barely holding it together or those who have lost their self, my goal is to empower you to re-discover a "you" that's worth the fight. Therapy takes courage, and since you're here on this page, you've already started your journey and should be proud.
(425) 357-7452 View (425) 357-7452
Photo of Sarah Fletcher, LMHCA, CN, Counselor
Sarah Fletcher
Counselor, LMHCA, CN
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
Are you tired of diet culture ruling your food choices and body image? I collaborate with clients on rebuilding safe relationships with their bodies. I am a weight-neutral, Health At Every Size (HAES), and Intuitive Eating provider that specializes in Binge Eating Disorder and Orthorexia. I also enjoy supporting women with anxiety and chronic health conditions. As a holistic therapist grounded in feminist and systems theories, I identify and treat underlying concerns rather than masking symptoms. I aim to create a courageous space for you to explore and reconnect with your mind, body, and spirit.
Are you tired of diet culture ruling your food choices and body image? I collaborate with clients on rebuilding safe relationships with their bodies. I am a weight-neutral, Health At Every Size (HAES), and Intuitive Eating provider that specializes in Binge Eating Disorder and Orthorexia. I also enjoy supporting women with anxiety and chronic health conditions. As a holistic therapist grounded in feminist and systems theories, I identify and treat underlying concerns rather than masking symptoms. I aim to create a courageous space for you to explore and reconnect with your mind, body, and spirit.
(253) 242-8417 View (253) 242-8417
Photo of Janelle R Eckhardt, PhD, FIPA, Psychologist
Janelle R Eckhardt
Psychologist, PhD, FIPA
Verified Verified
Lake Forest Park, WA 98155
People seek help for many reasons such as depressed mood, chronic loneliness, dread and isolation, stormy relationships, and loss. I strongly believe that an under-the-surface approach most effectively alleviates suffering, promotes growth, healing and self-understanding. Parents may bring their child for treatment because of disruptions in the home or school. Through play therapy (and supporting the parents) the behaviors and symptoms can be understood and worked with, leading to change and ultimately, a return to the normal developmental path.
People seek help for many reasons such as depressed mood, chronic loneliness, dread and isolation, stormy relationships, and loss. I strongly believe that an under-the-surface approach most effectively alleviates suffering, promotes growth, healing and self-understanding. Parents may bring their child for treatment because of disruptions in the home or school. Through play therapy (and supporting the parents) the behaviors and symptoms can be understood and worked with, leading to change and ultimately, a return to the normal developmental path.
(425) 842-7081 View (425) 842-7081

See more therapy options for Lake Forest Park

How does your Therapist compare?

Number of Therapists in Lake Forest Park, WA

20+

Average cost per session

$150

Therapists in Lake Forest Park, WA who prioritize treating:

91% Anxiety
87% Self Esteem
83% Depression
78% Stress
74% Life Transitions
70% Relationship Issues
70% Grief

Average years in practice

7 Years

Top 3 insurances accepted

85% Premera
54% Aetna
54% Kaiser (Out-of-Network)

How Therapists in Lake Forest Park, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lake Forest Park?

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.