Therapists in Seattle, WA

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Photo of Dakotah Cole, Clinical Social Work/Therapist in Seattle, WA
Dakotah Cole
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Seattle, WA 98104
I enjoy working with individuals, adolescents and families and have a theoretical orientation that is client-centered and systemic, meaning that client’s goals, beliefs, values are honored, and respected. My approach is integrative, holistic, and considers the whole person which includes mind, body, and spirit. I take an individualized approach with each and every client to ensure their goals, hopes, and dreams are realized.
I enjoy working with individuals, adolescents and families and have a theoretical orientation that is client-centered and systemic, meaning that client’s goals, beliefs, values are honored, and respected. My approach is integrative, holistic, and considers the whole person which includes mind, body, and spirit. I take an individualized approach with each and every client to ensure their goals, hopes, and dreams are realized.
(206) 222-7063 View (206) 222-7063
Photo of Dr. Peter Matthew Rivera, Marriage & Family Therapist in Seattle, WA
Dr. Peter Matthew Rivera
Marriage & Family Therapist, PhD, LMFT
Verified Verified
3 Endorsed
Seattle, WA 98119
I am taking new clients and have 10+ years of experience helping individuals and couples strengthen their relationships, improve communication, and find healthy ways to cope with stress. Together, we will work to identify the root causes of your challenges and develop practical strategies to address them. I want you to know that there is no judgment here. Therapy is a safe space where you can express your thoughts, feelings, and concerns without fear. My goal is to create an atmosphere of trust, where you can open up and explore your thoughts and emotions openly and honestly.
I am taking new clients and have 10+ years of experience helping individuals and couples strengthen their relationships, improve communication, and find healthy ways to cope with stress. Together, we will work to identify the root causes of your challenges and develop practical strategies to address them. I want you to know that there is no judgment here. Therapy is a safe space where you can express your thoughts, feelings, and concerns without fear. My goal is to create an atmosphere of trust, where you can open up and explore your thoughts and emotions openly and honestly.
(253) 214-3142 View (253) 214-3142
Photo of Suzie Lyons, Clinical Social Work/Therapist in Seattle, WA
Suzie Lyons
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98101
My goal is to reconnect you with the wisdom and depth in your life that make all problems workable. In fact, the worst symptoms and problems that we wrestle with often hold the seed for growth and transformation as a person. The focus of my work is with adults and couples. My practice is LGBTQ-affirmative and welcomes diversity of all kinds. I have two offices. One is located in the cozy, historical neighborhood of Wilburton and the other is located in Wallingford on Lake Union on houseboat Grace.
My goal is to reconnect you with the wisdom and depth in your life that make all problems workable. In fact, the worst symptoms and problems that we wrestle with often hold the seed for growth and transformation as a person. The focus of my work is with adults and couples. My practice is LGBTQ-affirmative and welcomes diversity of all kinds. I have two offices. One is located in the cozy, historical neighborhood of Wilburton and the other is located in Wallingford on Lake Union on houseboat Grace.
(425) 903-8953 View (425) 903-8953
Photo of Patrick J Rettig, Counselor in Seattle, WA
Patrick J Rettig
Counselor, MA, LMHCA, LPC
Verified Verified
Seattle, WA 98125  (Online Only)
Have you been struggling through life lately? Or maybe you feel stuck, like something is preventing you from becoming you really are, or who you really want to be? Maybe you've been feeling worried or overwhelmed, lost meaning and purpose in life, or more distant from the people you care about. Maybe you've tried to make changes to make your life better, or maybe you don't even know where to begin. That's okay, you're in the right spot. I help people just like you overcome the struggles and setbacks in their life. Together we can get you from feeling overwhelmed, unmotivated, and disconnected to calm, confident, and centered.
Have you been struggling through life lately? Or maybe you feel stuck, like something is preventing you from becoming you really are, or who you really want to be? Maybe you've been feeling worried or overwhelmed, lost meaning and purpose in life, or more distant from the people you care about. Maybe you've tried to make changes to make your life better, or maybe you don't even know where to begin. That's okay, you're in the right spot. I help people just like you overcome the struggles and setbacks in their life. Together we can get you from feeling overwhelmed, unmotivated, and disconnected to calm, confident, and centered.
(206) 202-7447 View (206) 202-7447
Photo of Katie Leask, Marriage & Family Therapist in Seattle, WA
Katie Leask
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Considering therapy or a life change? You've already begun your journey. I work with individuals and couples, using Cognitive Behavioral, Solution Focused, and Acceptance and Commitment therapy. My approach blends humanistic, experiential, and systemic methods, infused with humor and mindfulness. If you're experiencing issues with life transitions, depression, anxiety, or relationship stressors, I'm here to help.
Considering therapy or a life change? You've already begun your journey. I work with individuals and couples, using Cognitive Behavioral, Solution Focused, and Acceptance and Commitment therapy. My approach blends humanistic, experiential, and systemic methods, infused with humor and mindfulness. If you're experiencing issues with life transitions, depression, anxiety, or relationship stressors, I'm here to help.
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Photo of Brenna Christensen, Counselor in Seattle, WA
Brenna Christensen
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98102
I approach my therapeutic work with an emphasis on relationship-building, playfulness, and respect. Rooted firmly in evidenced-based treatment approaches, my clients and I then collaborate, designing goals and adapting treatment to best fit an individual's needs. I aim to provide trauma-informed care which includes both an understanding of how trauma impacts the brain and body as well as the ongoing trauma of being in a marginalized community. I am committed to providing antiracist and anticolonial, Queer and Trans-affirming, and neurodiverse affirming care.
I approach my therapeutic work with an emphasis on relationship-building, playfulness, and respect. Rooted firmly in evidenced-based treatment approaches, my clients and I then collaborate, designing goals and adapting treatment to best fit an individual's needs. I aim to provide trauma-informed care which includes both an understanding of how trauma impacts the brain and body as well as the ongoing trauma of being in a marginalized community. I am committed to providing antiracist and anticolonial, Queer and Trans-affirming, and neurodiverse affirming care.
(425) 428-5063 View (425) 428-5063
Photo of Elizabeth Anderson, Counselor in Seattle, WA
Elizabeth Anderson
Counselor, MA, LMHC, CHT
Verified Verified
Seattle, WA 98126  (Online Only)
Welcome to Creative Guidance, PLLC. I believe that our ability to stay in the moment, especially when things are difficult, can be tough. Wanting to escape the present moment is a normal human response. When we are able to remain present, that is where healing, wisdom and change truly lies. When we can stay with what we are feeling and experiencing, both good and challenging, we are then awake and empowered to change our lives. I am here to help you become present and unfold the YOU that has always been there from the start.
Welcome to Creative Guidance, PLLC. I believe that our ability to stay in the moment, especially when things are difficult, can be tough. Wanting to escape the present moment is a normal human response. When we are able to remain present, that is where healing, wisdom and change truly lies. When we can stay with what we are feeling and experiencing, both good and challenging, we are then awake and empowered to change our lives. I am here to help you become present and unfold the YOU that has always been there from the start.
(206) 495-6147 View (206) 495-6147
Photo of Ritsu Itoi, Licensed Mental Health Counselor in Seattle, WA
Ritsu Itoi
Licensed Mental Health Counselor, MEd, LMHC, NCC
Verified Verified
Seattle, WA 98119  (Online Only)
Waitlist for new clients
Welcome! Looking for a therapist can be daunting. I applaud you for taking steps to help yourself. My clients typically come to me because they are suffering from high levels of stress or anxiety. They feel overwhelmed and panicky, are not able to stop worrying, or feel irritable and angry. Often they are puzzled by the intensity of their own emotional responses and they blame themselves for “overreacting”. Sounds familiar? There is nothing wrong with you. Your past memories, likely traumatic ones, may be intensifying your responses.
Welcome! Looking for a therapist can be daunting. I applaud you for taking steps to help yourself. My clients typically come to me because they are suffering from high levels of stress or anxiety. They feel overwhelmed and panicky, are not able to stop worrying, or feel irritable and angry. Often they are puzzled by the intensity of their own emotional responses and they blame themselves for “overreacting”. Sounds familiar? There is nothing wrong with you. Your past memories, likely traumatic ones, may be intensifying your responses.
(206) 483-1125 View (206) 483-1125
Photo of Dr. Helena Soholm, Counselor in Seattle, WA
Dr. Helena Soholm
Counselor, PhD, LMHC
Verified Verified
Seattle, WA 98107
Healing through Science and Spirituality. I help talented professionals and creatives discover their life purpose and find meaning. We live in an increasingly complex and stressful world. Many people are suffering under the weight of societal pressures and expectations, which separate us from the heart of what it means to be human living an intentional life. I work with people who struggle to make sense of themselves and their lives. Many have achieved a secure and abundant life, having gained success in careers and fields that provide for their material needs, but their souls are feeling restless and craving real nourishment.
Healing through Science and Spirituality. I help talented professionals and creatives discover their life purpose and find meaning. We live in an increasingly complex and stressful world. Many people are suffering under the weight of societal pressures and expectations, which separate us from the heart of what it means to be human living an intentional life. I work with people who struggle to make sense of themselves and their lives. Many have achieved a secure and abundant life, having gained success in careers and fields that provide for their material needs, but their souls are feeling restless and craving real nourishment.
(206) 745-3416 View (206) 745-3416
Photo of Tom Parsons, Clinical Social Work/Therapist in Seattle, WA
Tom Parsons
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Seattle, WA 98118  (Online Only)
Not accepting new clients
Are you feeling anxious, tired, irritable, or having difficulty concentrating? Have you been avoiding social events, arguing with your partner, or falling behind at work? You may be experiencing an episode of anxiety. The great news is anxiety tends to be very responsive to therapy. I specialize in treating anxiety and stressor related problems such as generalized anxiety, social anxiety, phobias, and PTSD. I have been recognized as a Northwest Leader in Behavioral Health and I stay up to date with the latest research backed methods for treating anxiety.
Are you feeling anxious, tired, irritable, or having difficulty concentrating? Have you been avoiding social events, arguing with your partner, or falling behind at work? You may be experiencing an episode of anxiety. The great news is anxiety tends to be very responsive to therapy. I specialize in treating anxiety and stressor related problems such as generalized anxiety, social anxiety, phobias, and PTSD. I have been recognized as a Northwest Leader in Behavioral Health and I stay up to date with the latest research backed methods for treating anxiety.
(206) 752-4159 View (206) 752-4159
Photo of Ellen Mariko Roney, Pre-Licensed Professional in Seattle, WA
Ellen Mariko Roney
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Seattle, WA 98105  (Online Only)
Hello and welcome to my page! As a mixed POC (Asian) practitioner, I am passionate about healing work that is rooted in anti-oppression and collective liberation. It brings me joy to help people access more freedom, peace, and connection in their lives. My approach to therapy is collaborative and one in which we will honor who you are as a person. I specialize in working with people of color, women/AFAB/non-binary folks, and adults roughly ages 18-35. Note: In addition to talk therapy, I offer Brainspotting, a brain-body therapy developed out of EMDR which helps to release trauma and symptoms of anxiety and depression.
Hello and welcome to my page! As a mixed POC (Asian) practitioner, I am passionate about healing work that is rooted in anti-oppression and collective liberation. It brings me joy to help people access more freedom, peace, and connection in their lives. My approach to therapy is collaborative and one in which we will honor who you are as a person. I specialize in working with people of color, women/AFAB/non-binary folks, and adults roughly ages 18-35. Note: In addition to talk therapy, I offer Brainspotting, a brain-body therapy developed out of EMDR which helps to release trauma and symptoms of anxiety and depression.
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Photo of Marissa M Grasmick, Counselor in Seattle, WA
Marissa M Grasmick
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
Marissa M. Grasmick, MA, LMHC is a Licensed Mental Health Counselor in Seattle, Washington. In her private practice she focuses on working with adults addressing trauma, sexual abuse/assault, anxiety, self worth, relationships/attachment, and organization. Marissa's Masters degrees in both Art Therapy and Counseling allow her to weave art-based interventions with her knowledge of working with trauma and the body. Marissa is highly skilled in her ability to integrate her experience with meditation and Zen philosophy to bridge the gap between such things as cutting-edge neuroscience and our need to create meaning from suffering.
Marissa M. Grasmick, MA, LMHC is a Licensed Mental Health Counselor in Seattle, Washington. In her private practice she focuses on working with adults addressing trauma, sexual abuse/assault, anxiety, self worth, relationships/attachment, and organization. Marissa's Masters degrees in both Art Therapy and Counseling allow her to weave art-based interventions with her knowledge of working with trauma and the body. Marissa is highly skilled in her ability to integrate her experience with meditation and Zen philosophy to bridge the gap between such things as cutting-edge neuroscience and our need to create meaning from suffering.
(206) 338-3588 View (206) 338-3588
Photo of Joyce Baker, Counselor in Seattle, WA
Joyce Baker
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
Your surroundings began to shrink as time went on due to what unfolded. You were jolted as a direct result of this event. As a child, you were a completely different person you're today; you're paralyzed by anxiety, unable to cope with stress, fearing you are losing control and feeling isolated. There was a time when you could deal with stress better than you can now. Or maybe you thought you were doing well even after what happened to you as a child, but now things started to feel overwhelmed, and you are tired of hiding your emotions as it takes too much energy most of the time.
Your surroundings began to shrink as time went on due to what unfolded. You were jolted as a direct result of this event. As a child, you were a completely different person you're today; you're paralyzed by anxiety, unable to cope with stress, fearing you are losing control and feeling isolated. There was a time when you could deal with stress better than you can now. Or maybe you thought you were doing well even after what happened to you as a child, but now things started to feel overwhelmed, and you are tired of hiding your emotions as it takes too much energy most of the time.
(206) 752-3590 View (206) 752-3590
Photo of Elisa Kristine, Counselor in Seattle, WA
Elisa Kristine
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98102
I offer psychoanalysis/psychoanalytic therapy for overcoming anxiety, depression and emotional difficulties at all phases of life. For many, a starting place in therapy may be describing concrete symptoms of pain and illness in your body, and/or life stressors such as finances, bills, piles of mail and household clutter. Addressing money stress, and beliefs about money in therapy can be transformative. Braving to ask for help with panic attacks and insomnia, chronic pain, disease/chronic conditions is also transformative. These topical, real-world struggles are important entry points to your emotional world and your inner life.
I offer psychoanalysis/psychoanalytic therapy for overcoming anxiety, depression and emotional difficulties at all phases of life. For many, a starting place in therapy may be describing concrete symptoms of pain and illness in your body, and/or life stressors such as finances, bills, piles of mail and household clutter. Addressing money stress, and beliefs about money in therapy can be transformative. Braving to ask for help with panic attacks and insomnia, chronic pain, disease/chronic conditions is also transformative. These topical, real-world struggles are important entry points to your emotional world and your inner life.
(206) 203-7081 View (206) 203-7081
Photo of Anna McConnell, Clinical Social Work/Therapist in Seattle, WA
Anna McConnell
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98103
I view therapy as a means of connection and an opportunity to explore growth and healing through relating. I have worked with people experiencing a range of challenges, and my non-judgmental nature resonates especially well with folks impacted by individual and collective trauma, encountering a significant life transition, or living with anxious/depressive feelings and thought patterns. In process together, we will explore impacts and understandings of past narratives, meaningful relationships, current events, emotional/behavioral awareness, overall mental wellness, and ways to integrate insights into change and transformation.
I view therapy as a means of connection and an opportunity to explore growth and healing through relating. I have worked with people experiencing a range of challenges, and my non-judgmental nature resonates especially well with folks impacted by individual and collective trauma, encountering a significant life transition, or living with anxious/depressive feelings and thought patterns. In process together, we will explore impacts and understandings of past narratives, meaningful relationships, current events, emotional/behavioral awareness, overall mental wellness, and ways to integrate insights into change and transformation.
(206) 237-5740 View (206) 237-5740
Photo of Whitney Losee, Counselor in Seattle, WA
Whitney Losee
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98199  (Online Only)
Our inner worlds are complex & influenced by a myriad of experiences & relationships. Some of these highjack our security in who we are & limit our ability to authentically participate in our own lives. Therapy is an invitation to examine the stories that shape who you are & grow an imagination for what kind of life you want to live as a result. Developing a more expansive understanding of yourself enables the resiliency, emotional flexibility & courage needed to live with more creativity & freedom. We come to know ourselves best in relationship & my hope is ours becomes a safe home base as you live out the hard questions of life.
Our inner worlds are complex & influenced by a myriad of experiences & relationships. Some of these highjack our security in who we are & limit our ability to authentically participate in our own lives. Therapy is an invitation to examine the stories that shape who you are & grow an imagination for what kind of life you want to live as a result. Developing a more expansive understanding of yourself enables the resiliency, emotional flexibility & courage needed to live with more creativity & freedom. We come to know ourselves best in relationship & my hope is ours becomes a safe home base as you live out the hard questions of life.
(206) 210-1871 View (206) 210-1871
Photo of Will Vitale, Counselor in Seattle, WA
Will Vitale
Counselor, LMHC, MA, MEd
Verified Verified
2 Endorsed
Seattle, WA 98107
I work with young adults in their 20s and 30s who are navigating the transitions and tasks of early adulthood such as moves, breakups, career issues, and processing past traumas; teens dealing with the pressures of highschool; and parents who want to decrease conflict and improve their relationships with their kids. I also help people process past experiences of living in residential treatment settings, especially "troubled teen industry" survivors. While not all of my clients have ADHD, I specialize in working with both adults and youth who are diagnosed with ADHD.
I work with young adults in their 20s and 30s who are navigating the transitions and tasks of early adulthood such as moves, breakups, career issues, and processing past traumas; teens dealing with the pressures of highschool; and parents who want to decrease conflict and improve their relationships with their kids. I also help people process past experiences of living in residential treatment settings, especially "troubled teen industry" survivors. While not all of my clients have ADHD, I specialize in working with both adults and youth who are diagnosed with ADHD.
(206) 825-5669 View (206) 825-5669
Photo of Karla T Mancero, Marriage & Family Therapist in Seattle, WA
Karla T Mancero
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98112
I enjoy helping children learn to self regulate and express their feelings and experiences through play and the therapeutic relationship. Children in my office will be given a safe space to be themselves and express all the parts of themselves that they bring in the room. I will work with parents on linking goals with growth and attunement for their child. Together we will collaborate on the best way to help your child heal in the areas that they are struggling to process and understand better.
I enjoy helping children learn to self regulate and express their feelings and experiences through play and the therapeutic relationship. Children in my office will be given a safe space to be themselves and express all the parts of themselves that they bring in the room. I will work with parents on linking goals with growth and attunement for their child. Together we will collaborate on the best way to help your child heal in the areas that they are struggling to process and understand better.
(206) 312-1764 View (206) 312-1764
Photo of Meredith Cone, Clinical Social Work/Therapist in Seattle, WA
Meredith Cone
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98109  (Online Only)
I believe in a strengths and collaborative approach to therapy. I aim to create a safe environment, free from judgment, to allow for both individual growth and the growth of a strong therapeutic relationship.
I believe in a strengths and collaborative approach to therapy. I aim to create a safe environment, free from judgment, to allow for both individual growth and the growth of a strong therapeutic relationship.
(206) 888-4894 View (206) 888-4894
Photo of Jess Flynn, Marriage & Family Therapist in Seattle, WA
Jess Flynn
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98125  (Online Only)
I have a conversational approach and welcome humor alongside the deep emotional work of therapy. I come alongside adults and relationships to support you in your healing and connection mainly through the lens of Attachment Theory, Psychodynamic therapy, and Internal Family Systems, but most importantly, I pull from many wise teachers to find what works for you.
I have a conversational approach and welcome humor alongside the deep emotional work of therapy. I come alongside adults and relationships to support you in your healing and connection mainly through the lens of Attachment Theory, Psychodynamic therapy, and Internal Family Systems, but most importantly, I pull from many wise teachers to find what works for you.
(206) 944-3959 View (206) 944-3959

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
54% Aetna
48% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.