Therapists in Olympia, WA

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Photo of Traverse Therapy Services, Clinical Social Work/Therapist in Olympia, WA
Traverse Therapy Services
Clinical Social Work/Therapist, LSWAIC
Verified
Olympia, WA 98502  (Online Only)
We are accepting new clients! Hello, name is Natasha Ahmed, and I am excited you are taking the first step towards tackling your mental health goals and am honored to get to be a part of that process! I work with individuals from all walks of life and specialize in working with those who have been impacted by adverse childhood experiences, anxiety, depression, domestic violence, interpersonal conflict, and burnout from the high-stress and fast-paced day to day challenges of work and life.
We are accepting new clients! Hello, name is Natasha Ahmed, and I am excited you are taking the first step towards tackling your mental health goals and am honored to get to be a part of that process! I work with individuals from all walks of life and specialize in working with those who have been impacted by adverse childhood experiences, anxiety, depression, domestic violence, interpersonal conflict, and burnout from the high-stress and fast-paced day to day challenges of work and life.
(360) 685-7334 View (360) 685-7334
Photo of Mayra Sanchez, Marriage & Family Therapist in Olympia, WA
Mayra Sanchez
Marriage & Family Therapist, LMFT
Verified
Olympia, WA 98501
Mayra has a passion working with individuals and couples with an intention of creating a space for healing through courage and authenticity. Mayra's gentle, yet direct approach intends to create a compassionate and non-judgmental therapeutic experience for clients to gain insight to healing emotional wounds, to achieve growth, and to reclaim their ability to lead a happy, authentic, fulfilling life. Mayra is honored for the opportunity to join individuals on this empowering journey, as they learn new ways of thinking, doing, and being. Life can sometimes lead us to unexpected places.
Mayra has a passion working with individuals and couples with an intention of creating a space for healing through courage and authenticity. Mayra's gentle, yet direct approach intends to create a compassionate and non-judgmental therapeutic experience for clients to gain insight to healing emotional wounds, to achieve growth, and to reclaim their ability to lead a happy, authentic, fulfilling life. Mayra is honored for the opportunity to join individuals on this empowering journey, as they learn new ways of thinking, doing, and being. Life can sometimes lead us to unexpected places.
(360) 531-7135 View (360) 531-7135
Photo of Joanna Bryan, Counselor in Olympia, WA
Joanna Bryan
Counselor, MS, LMHC
Verified
4 Endorsed
Olympia, WA 98506
Therapy is a space where you can explore the full range of your experience and have compassionate witness for whatever arises. Together we can tend to all the relationships of life, including relationship to yourself and the non-human world. We can explore deep longings, desires, and fears. We can bring care and understanding to old patterns to access choice, connection, pleasure, and new ways of being. I am comfortable exploring sexual health topics with clients, including how to have more fulfilling intimate and sensual experiences and increase awareness and acceptance of one's desire and sexuality.
Therapy is a space where you can explore the full range of your experience and have compassionate witness for whatever arises. Together we can tend to all the relationships of life, including relationship to yourself and the non-human world. We can explore deep longings, desires, and fears. We can bring care and understanding to old patterns to access choice, connection, pleasure, and new ways of being. I am comfortable exploring sexual health topics with clients, including how to have more fulfilling intimate and sensual experiences and increase awareness and acceptance of one's desire and sexuality.
(360) 667-1566 View (360) 667-1566
Photo of Judy Oliver, Counselor in Olympia, WA
Judy Oliver
Counselor, MA, LMHC
Verified
4 Endorsed
Olympia, WA 98502
Not accepting new clients
My overall approach is collaborative and client-centered, with a commitment to anti-oppression in every facet of my work. I believe, with warm, respectful, authentic support, every person has the ability to identify inner resources and acquire skills that will empower them to find healing and fulfilling relationships to self and others. My style is compassionate and appropriately direct. While I find exploration of the past useful, I prefer to use the 'here-and-now' to realize and effect change.
My overall approach is collaborative and client-centered, with a commitment to anti-oppression in every facet of my work. I believe, with warm, respectful, authentic support, every person has the ability to identify inner resources and acquire skills that will empower them to find healing and fulfilling relationships to self and others. My style is compassionate and appropriately direct. While I find exploration of the past useful, I prefer to use the 'here-and-now' to realize and effect change.
(360) 614-2875 View (360) 614-2875
Photo of Erika Laurentz, Marriage & Family Therapist in Olympia, WA
Erika Laurentz
Marriage & Family Therapist, MPsych, LMFTA
Verified
1 Endorsed
Olympia, WA 98506  (Online Only)
Therapy takes many forms. Sometimes, it is quick and transformational. Sometimes, it’s slow and gentle, so as not to overwhelm your nervous system. Together, we will craft an approach that work best for you. I have extensive training in trauma therapy, couples therapy, hypnotherapy, and Shamanic Healing. Although Shamanic Healing is typically outside of the scope of behavioral health, I use my training to work with metaphor, which is the language our limbic brains understand best. And, my experiences in Shamanic Healing inform my work in transpersonal therapy.
Therapy takes many forms. Sometimes, it is quick and transformational. Sometimes, it’s slow and gentle, so as not to overwhelm your nervous system. Together, we will craft an approach that work best for you. I have extensive training in trauma therapy, couples therapy, hypnotherapy, and Shamanic Healing. Although Shamanic Healing is typically outside of the scope of behavioral health, I use my training to work with metaphor, which is the language our limbic brains understand best. And, my experiences in Shamanic Healing inform my work in transpersonal therapy.
(844) 571-5035 View (844) 571-5035
Photo of Carmen A. Greenhouse, Licensed Professional Counselor in Olympia, WA
Carmen A. Greenhouse
Licensed Professional Counselor, MA, LMHC, LPC-S, LMFT
Verified
Olympia, WA 98504  (Online Only)
As changes and transitions happen, sometimes unexpectedly, we do the best we can to manage those interruptions when they occur. I would like to help each individual, couple, and family achieve the level of change they believe is necessary to improve, not only individually, but as they relate to others. I believe that sometimes we can become "stuck" during challenges and transitions, which may cause discomfort, but we possess the resiliency to move forward to live the life we desire.
As changes and transitions happen, sometimes unexpectedly, we do the best we can to manage those interruptions when they occur. I would like to help each individual, couple, and family achieve the level of change they believe is necessary to improve, not only individually, but as they relate to others. I believe that sometimes we can become "stuck" during challenges and transitions, which may cause discomfort, but we possess the resiliency to move forward to live the life we desire.
(318) 409-0083 View (318) 409-0083
Photo of Simon Finch Conrad, Mental Health Counselor Associate in Olympia, WA
Simon Finch Conrad
Mental Health Counselor Associate, MA, LMHCA
Verified
2 Endorsed
Olympia, WA 98501
Currently accepting new clients. Therapy can be difficult, but I hope to help the process with warmth and humor when appropriate. I am excited to work with adults, elders, youth, and children who are wanting to find a way back to themselves. In therapy we might work on building skills, gaining knowledge, or talking about current or past difficulties and experiences. I have a sliding scale from 90$-125$.
Currently accepting new clients. Therapy can be difficult, but I hope to help the process with warmth and humor when appropriate. I am excited to work with adults, elders, youth, and children who are wanting to find a way back to themselves. In therapy we might work on building skills, gaining knowledge, or talking about current or past difficulties and experiences. I have a sliding scale from 90$-125$.
(360) 485-6661 View (360) 485-6661
Photo of Kassey Baker, Marriage & Family Therapist Associate in Olympia, WA
Kassey Baker
Marriage & Family Therapist Associate, LMFTA
Verified
2 Endorsed
Olympia, WA 98506  (Online Only)
Do you feel like your symptoms of trauma and anxiety are driving your life? Do you feel like you keep making the same decisions that aren't helping you over and over again? My trauma informed approach is a colIaborative and dynamic process that works with you to recover from adversity and emerge stronger, wiser, and more resilient. I work with kids, preteens, teens, individual, and families. I join with you to develop strategies and tools to live and heal through life's challenges.
Do you feel like your symptoms of trauma and anxiety are driving your life? Do you feel like you keep making the same decisions that aren't helping you over and over again? My trauma informed approach is a colIaborative and dynamic process that works with you to recover from adversity and emerge stronger, wiser, and more resilient. I work with kids, preteens, teens, individual, and families. I join with you to develop strategies and tools to live and heal through life's challenges.
(360) 215-3709 View (360) 215-3709
Photo of Emilie Kromer, Counselor in Olympia, WA
Emilie Kromer
Counselor, MA, LMHC, NCC
Verified
1 Endorsed
Olympia, WA 98506
Not accepting new clients
MOVE FROM SUFFERING TO SERENE.....Whether you are distressed about career or depressed/anxious about life, I am here to help. I am a career specialist and family counselor, with a friendly, calm, open style. I converse back and forth with clients, often offering them feedback. Also, I frequently mention near-universals, ways in which other people might react to situations similar to those the client is experiencing. Clients frequently give me feedback that they feel comfortable, reassured, and understood when we meet and that they can talk easily with me. I have several special interests in my practice. They are the following:
MOVE FROM SUFFERING TO SERENE.....Whether you are distressed about career or depressed/anxious about life, I am here to help. I am a career specialist and family counselor, with a friendly, calm, open style. I converse back and forth with clients, often offering them feedback. Also, I frequently mention near-universals, ways in which other people might react to situations similar to those the client is experiencing. Clients frequently give me feedback that they feel comfortable, reassured, and understood when we meet and that they can talk easily with me. I have several special interests in my practice. They are the following:
(360) 389-3913 View (360) 389-3913
Photo of Mahina Johnson, Counselor in Olympia, WA
Mahina Johnson
Counselor, LMHC, DBH
Verified
Olympia, WA 98501
Dr. Mahina Johnson is a Licensed Mental Health Counselor in Washington who has been practicing since 2010. Her educational background includes an B.A. in Psychology from Hawaii Pacific University, an M. A. in Mental Health Counseling from the WA School of Professional Psychology AU, and a Doctor of Behavioral Health from Arizona State University. Dr. Johnson holds specialty training and certification in Trauma Informed Care, LGTBQIA+, Queer affirming-therapy, BIPOC therapeutic approaches, Mood Disorders, and Personality Disorders.
Dr. Mahina Johnson is a Licensed Mental Health Counselor in Washington who has been practicing since 2010. Her educational background includes an B.A. in Psychology from Hawaii Pacific University, an M. A. in Mental Health Counseling from the WA School of Professional Psychology AU, and a Doctor of Behavioral Health from Arizona State University. Dr. Johnson holds specialty training and certification in Trauma Informed Care, LGTBQIA+, Queer affirming-therapy, BIPOC therapeutic approaches, Mood Disorders, and Personality Disorders.
(360) 657-9078 View (360) 657-9078
Photo of Autumn Ruscigno, Counselor in Olympia, WA
Autumn Ruscigno
Counselor, MA, LMHC
Verified
1 Endorsed
Olympia, WA 98501  (Online Only)
I am accepting new clients. Do you want more balance and joy in your life? I am committed to listening to your struggles and helping you formulate a strategy to address what concerns you most. I focus on helping you to grow from your struggles and move forward in your life. For more information please go to my group affiliation website at www.PRN365Counseling.com.
I am accepting new clients. Do you want more balance and joy in your life? I am committed to listening to your struggles and helping you formulate a strategy to address what concerns you most. I focus on helping you to grow from your struggles and move forward in your life. For more information please go to my group affiliation website at www.PRN365Counseling.com.
(360) 667-1491 View (360) 667-1491
Photo of Brittany Sanchez-Reed, Pre-Licensed Professional in Olympia, WA
Brittany Sanchez-Reed
Pre-Licensed Professional
Verified
1 Endorsed
Olympia, WA 98506  (Online Only)
Waitlist for new clients
Do you struggle with talking about your emotions but excel at talking about the facts of your experience? When someone or something hurts you, do you try to learn everything you can about it? Maybe you’ve read articles and books, follow professionals on social media, and try to understand all the details? It can feel scary to explore our emotions, but it is possible to safely reconnect to our emotions and find healing. I love working with folks who identify within the LGBTQ+ community, as well as those who have other marginalized identities and life experiences.
Do you struggle with talking about your emotions but excel at talking about the facts of your experience? When someone or something hurts you, do you try to learn everything you can about it? Maybe you’ve read articles and books, follow professionals on social media, and try to understand all the details? It can feel scary to explore our emotions, but it is possible to safely reconnect to our emotions and find healing. I love working with folks who identify within the LGBTQ+ community, as well as those who have other marginalized identities and life experiences.
(360) 226-8233 View (360) 226-8233
Photo of Jennifer McDonald, Psychologist in Olympia, WA
Jennifer McDonald
Psychologist, PhD
Verified
Olympia, WA 98502
I provide testing services for children, teens, and adults that outline individual strengths and weaknesses. My approach is comprehensive and I evaluate for a variety of learning and behavior concerns, including ADHD, autism, dyslexia, dysgraphia, dyscalculia, etc. Please note that I am not providing therapy services at this time.
I provide testing services for children, teens, and adults that outline individual strengths and weaknesses. My approach is comprehensive and I evaluate for a variety of learning and behavior concerns, including ADHD, autism, dyslexia, dysgraphia, dyscalculia, etc. Please note that I am not providing therapy services at this time.
(360) 968-6356 View (360) 968-6356
Photo of Kez Mayers, Counselor in Olympia, WA
Kez Mayers
Counselor, MA, LMHCA, NCC, CCTP
Verified
Olympia, WA 98503  (Online Only)
Do you struggle to feel arousal or pleasure during sex? Have you lost the sexual spark and excitement in your relationship? Do you struggle with desires, thoughts, and behaviors that you feel as though you can’t share with others for fear of shame, stigma, ignorance, or violence? Have you struggled to understand yourself as a sexual being due to stigmatizing beliefs and messages? Navigating the nuances of relationships, sex, sexual health, sexual identity, and gender identity can be difficult and exhausting on its own. Through open-minded, compassionate, and culturally competent care, I am committed to help you meet your goals.
Do you struggle to feel arousal or pleasure during sex? Have you lost the sexual spark and excitement in your relationship? Do you struggle with desires, thoughts, and behaviors that you feel as though you can’t share with others for fear of shame, stigma, ignorance, or violence? Have you struggled to understand yourself as a sexual being due to stigmatizing beliefs and messages? Navigating the nuances of relationships, sex, sexual health, sexual identity, and gender identity can be difficult and exhausting on its own. Through open-minded, compassionate, and culturally competent care, I am committed to help you meet your goals.
(509) 260-7218 View (509) 260-7218
Photo of Erica Beth Merrill, Counselor in Olympia, WA
Erica Beth Merrill
Counselor, MA, LMHC, SEP, LMFTA
Verified
1 Endorsed
Olympia, WA 98506
Waitlist for new clients
I’m so glad you are here. Do you feel overwhelmed, confused, stuck, anxious, or dissociated? Find yourself shutting people out and pushing them away, or say yes for fear of being alone? Sometimes it’s just easier to do things ourselves, to hold it all. We often spend so much time protecting ourselves from pain that we feel like we are not really living. Humans are hardwired to focus on the negative aspects of life for survival; even when there is some good, we push the positive away or have a hard time accepting it.
I’m so glad you are here. Do you feel overwhelmed, confused, stuck, anxious, or dissociated? Find yourself shutting people out and pushing them away, or say yes for fear of being alone? Sometimes it’s just easier to do things ourselves, to hold it all. We often spend so much time protecting ourselves from pain that we feel like we are not really living. Humans are hardwired to focus on the negative aspects of life for survival; even when there is some good, we push the positive away or have a hard time accepting it.
(360) 300-4382 View (360) 300-4382
Photo of Jessica Morrison, Counselor in Olympia, WA
Jessica Morrison
Counselor, LMHCA, MEd
Verified
2 Endorsed
Olympia, WA 98502
YA/Adult clients: I am passionate about helping you develop coping skills to manage Anxiety/Depression/ADHD/ASD & explore the impact of later in life diagnoses (the “ohh that’s why that was so hard for me” moments). While honoring your identity, passions, & strengths! If you are experiencing life changes such as becoming a parent, heading to college, loss of a loved one, or difficulties with changes in health or aging, using mindfulness, creativity, & a bit of humor I work to support you in connecting to the wide range of feelings life brings. I am trained in Trauma Focused CBT, & Satir Family Therapy Interventions.
YA/Adult clients: I am passionate about helping you develop coping skills to manage Anxiety/Depression/ADHD/ASD & explore the impact of later in life diagnoses (the “ohh that’s why that was so hard for me” moments). While honoring your identity, passions, & strengths! If you are experiencing life changes such as becoming a parent, heading to college, loss of a loved one, or difficulties with changes in health or aging, using mindfulness, creativity, & a bit of humor I work to support you in connecting to the wide range of feelings life brings. I am trained in Trauma Focused CBT, & Satir Family Therapy Interventions.
(360) 732-8408 View (360) 732-8408
Photo of Eldercare Counseling and Guidance Services, Counselor in Olympia, WA
Eldercare Counseling and Guidance Services
Counselor, MA, LMHC, GMHS
Verified
Olympia, WA 98508
We specialize in serving folks who are caring for aging family members, older adults and those living with chronic medical conditions. Our clients report that they feel lost and alone and have a hard time seeing an end to the stress they are experiencing. We recognize the unique loss and grief that can come with aging and caring for aging loved ones. Sometimes, the right support can be a lifeline when you are navigating complex decisions. You are trying to do your best to provide care and support to your loved one and not lose yourself in the process. We understand that sometimes, even reaching out for help can feel overwhelming.
We specialize in serving folks who are caring for aging family members, older adults and those living with chronic medical conditions. Our clients report that they feel lost and alone and have a hard time seeing an end to the stress they are experiencing. We recognize the unique loss and grief that can come with aging and caring for aging loved ones. Sometimes, the right support can be a lifeline when you are navigating complex decisions. You are trying to do your best to provide care and support to your loved one and not lose yourself in the process. We understand that sometimes, even reaching out for help can feel overwhelming.
(360) 858-8159 View (360) 858-8159
Photo of Olympia Counseling, Counselor in Olympia, WA
Olympia Counseling
Counselor, MA, LMHC
Verified
Olympia, WA 98501
Not accepting new clients
All are welcome. By respecting and honoring the unique differences of every client I see, I have worked to empower people to express themselves and to challenge patterns in their lives that they have sought to change. I work to provide warm and consistent support for those who may be experiencing grief, life after trauma, or a significant change.
All are welcome. By respecting and honoring the unique differences of every client I see, I have worked to empower people to express themselves and to challenge patterns in their lives that they have sought to change. I work to provide warm and consistent support for those who may be experiencing grief, life after trauma, or a significant change.
(360) 763-4031 View (360) 763-4031
Photo of Christopher Franklin, Marriage & Family Therapist in Olympia, WA
Christopher Franklin
Marriage & Family Therapist, MS, LMFT
Verified
Olympia, WA 98506  (Online Only)
You know there is more of who you truly are, under the surface, waiting to be unlocked. You sense that you have old beliefs or conditioning or fears, picked up from other people or culture, that hold you back from feeling truly open and free and comfortable with yourself. Yet, maybe you can't quite figure out how to break free from these feelings...from these limitations that you didn't ask for. There is nothing wrong with you. Things have just happened to you in life. If you're reading this, then perhaps you're at a place where you're ready to step more fully into your self...a place where there is more compassion and freedom.
You know there is more of who you truly are, under the surface, waiting to be unlocked. You sense that you have old beliefs or conditioning or fears, picked up from other people or culture, that hold you back from feeling truly open and free and comfortable with yourself. Yet, maybe you can't quite figure out how to break free from these feelings...from these limitations that you didn't ask for. There is nothing wrong with you. Things have just happened to you in life. If you're reading this, then perhaps you're at a place where you're ready to step more fully into your self...a place where there is more compassion and freedom.
(360) 472-4795 View (360) 472-4795
Photo of Ashley Marallo Green, Clinical Social Work/Therapist in Olympia, WA
Ashley Marallo Green
Clinical Social Work/Therapist, LICSW
Verified
Olympia, WA 98513  (Online Only)
We all want to feel safe, loved, connected, and happy. This can be hard to attain when we have struggled through trauma, abandonment, rejection, shame and loss. Often these experiences create a feeling of "not good enough" that is really tough to overcome on our own. We need a healing container where we can be real, vulnerable, and messy, and be met with gentleness, compassion, and authentic acceptance. From this place of being seen and feeling safe, we can learn different ways of being with others and ourselves. This is what I am honored to offer to you, wherever you are on your path.
We all want to feel safe, loved, connected, and happy. This can be hard to attain when we have struggled through trauma, abandonment, rejection, shame and loss. Often these experiences create a feeling of "not good enough" that is really tough to overcome on our own. We need a healing container where we can be real, vulnerable, and messy, and be met with gentleness, compassion, and authentic acceptance. From this place of being seen and feeling safe, we can learn different ways of being with others and ourselves. This is what I am honored to offer to you, wherever you are on your path.
(360) 209-7466 View (360) 209-7466

See more therapy options for Olympia

How does your Therapist compare?

Number of Therapists in Olympia, WA

400+

Average cost per session

$140

Therapists in Olympia, WA who prioritize treating:

93% Anxiety
89% Depression
79% Trauma and PTSD
77% Relationship Issues
74% Self Esteem
73% Stress
68% Grief

Average years in practice

9 Years

Top 3 insurances accepted

69% Premera
67% Regence
59% Aetna

How Therapists in Olympia, WA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
18% Male
7% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Olympia?

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.