Therapists in Seattle, WA

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Stefanie Talmadge
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98118
I believe that every individual has the ability to make change, heal and grow. I will create a supportive environment where you will be heard, new skills can be learned and also practiced. My treatment methods are grounded in evidence-based models, while allowing for the flexibility to individualize to best meet your needs. I want to make therapy work for you and know that no approach is perfect for everyone. I primarily use Cognitive Behavioral Therapy (CBT), exposure, Mindfulness techniques and Acceptance and Commitment Therapy (ACT). Together we will decide what works for you.
I believe that every individual has the ability to make change, heal and grow. I will create a supportive environment where you will be heard, new skills can be learned and also practiced. My treatment methods are grounded in evidence-based models, while allowing for the flexibility to individualize to best meet your needs. I want to make therapy work for you and know that no approach is perfect for everyone. I primarily use Cognitive Behavioral Therapy (CBT), exposure, Mindfulness techniques and Acceptance and Commitment Therapy (ACT). Together we will decide what works for you.
(206) 207-4676 View (206) 207-4676
Photo of Paige Jones, MA, LMHC, Counselor
Paige Jones
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98109
You may be seeking change, healing, or understanding as you exist in the relationships and situations around you. Whatever your reasons may be, my hope is to provide a safe space for transformation to occur. I work within the context of relationship, believing they are what shape us, harm us, and ultimately heal us. Therefore we will work together as we explore opportunities for you to step further into your own voice and longings, finding freedom from anxiety, stress, depression, and fear. Making the decision to enter therapy is admirable. I look forward to meeting you wherever you may be.
You may be seeking change, healing, or understanding as you exist in the relationships and situations around you. Whatever your reasons may be, my hope is to provide a safe space for transformation to occur. I work within the context of relationship, believing they are what shape us, harm us, and ultimately heal us. Therefore we will work together as we explore opportunities for you to step further into your own voice and longings, finding freedom from anxiety, stress, depression, and fear. Making the decision to enter therapy is admirable. I look forward to meeting you wherever you may be.
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Photo of Sien Mendez, Intern, Pre-Licensed Professional
Sien Mendez
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Seattle, WA 98105
Do you feel like the world wasn’t built with you in mind? You might be navigating the complexities of neurodivergence, anxiety, or chronic illness, struggling to live authentically in a world that pushes you toward disconnection and shame. Perhaps you feel misunderstood in your daily interactions and disconnected from your body. Therapy is a space to reconnect with your authentic self, and reclaim joy. As a queer, neurodivergent, and disabled therapist, I bring lived experience to our work, offering understanding and support as we break free from patterns of disconnection and build the community and self-compassion you deserve.
Do you feel like the world wasn’t built with you in mind? You might be navigating the complexities of neurodivergence, anxiety, or chronic illness, struggling to live authentically in a world that pushes you toward disconnection and shame. Perhaps you feel misunderstood in your daily interactions and disconnected from your body. Therapy is a space to reconnect with your authentic self, and reclaim joy. As a queer, neurodivergent, and disabled therapist, I bring lived experience to our work, offering understanding and support as we break free from patterns of disconnection and build the community and self-compassion you deserve.
(425) 600-1934 x1 View (425) 600-1934 x1
Photo of Valquiria Molina Siqueira, LMHCA, Counselor
Valquiria Molina Siqueira
Counselor, LMHCA
Verified Verified
Seattle, WA 98125
I believe that improving our quality of life can take many forms and starting therapy is one of the most transformative. The therapeutic journey requires courage and commitment. It is not easy or fast, but the outcomes can be life-changing. Gaining a deeper understanding of your emotions and discovering your true self in the process is invaluable.
I believe that improving our quality of life can take many forms and starting therapy is one of the most transformative. The therapeutic journey requires courage and commitment. It is not easy or fast, but the outcomes can be life-changing. Gaining a deeper understanding of your emotions and discovering your true self in the process is invaluable.
(425) 966-2192 View (425) 966-2192
Photo of Aaron Parker, PsyD, Psychologist
Aaron Parker
Psychologist, PsyD
Verified Verified
Seattle, WA 98101
Waitlist for new clients
You are on the verge of taking a brave step. Perhaps you have encountered a new challenge, or have realized you need a new way of coping with an old problem. Often this is a moment of crisis, and at the same time, an opportunity to learn and to grow. I am passionate about working with clients who are coping with major life changes. If a medical condition (e.g. brain injury, post-concussion syndrome, stroke, spinal injury, chronic dizziness/pain, chronic illness or critical illness/COVID) has affected you or your loved one, or if your quality of life is impacted by treatable conditions such as PTSD or anxiety, we may be a good fit.
You are on the verge of taking a brave step. Perhaps you have encountered a new challenge, or have realized you need a new way of coping with an old problem. Often this is a moment of crisis, and at the same time, an opportunity to learn and to grow. I am passionate about working with clients who are coping with major life changes. If a medical condition (e.g. brain injury, post-concussion syndrome, stroke, spinal injury, chronic dizziness/pain, chronic illness or critical illness/COVID) has affected you or your loved one, or if your quality of life is impacted by treatable conditions such as PTSD or anxiety, we may be a good fit.
(833) 950-1872 View (833) 950-1872
Photo of Lashon D. Watson, MA, LMHC
Lashon D. Watson
Mental Health Counselor, MA, LMHC
Verified Verified
3 Endorsed
Online Only
Not accepting new clients
Lashon specializes in anxiety, depression, and adjustment disorders. Lashon believes that our family and social interactions have influence as we fall into unhealthy and sometimes very comfortable patterns. Exploring your communication style and how you create relationships, Lashon will help to identify the areas where you feel stuck to begin the change process for an improved quality of living. A client who understands and participates in their care, works in partnership to hopefully achieve their desired outcome(s).
Lashon specializes in anxiety, depression, and adjustment disorders. Lashon believes that our family and social interactions have influence as we fall into unhealthy and sometimes very comfortable patterns. Exploring your communication style and how you create relationships, Lashon will help to identify the areas where you feel stuck to begin the change process for an improved quality of living. A client who understands and participates in their care, works in partnership to hopefully achieve their desired outcome(s).
(425) 441-3492 View (425) 441-3492
Photo of Zane Behnke, LICSW, CDP, Clinical Social Work/Therapist
Zane Behnke
Clinical Social Work/Therapist, LICSW, CDP
Verified Verified
Seattle, WA 98104
Sometimes life feels too big, too complex, and too messy to get your head around. If you're ready to make changes in your life, but aren't sure where to start, I can help you develop a plan to make it happen. I can support you in your desire to stop destructive behaviors and create new, healthier ways of living. We go at a pace that is comfortable for you, taking on problems one-at-a-time. Together we tackle the things that are keeping you from the kind of life you want to live.
Sometimes life feels too big, too complex, and too messy to get your head around. If you're ready to make changes in your life, but aren't sure where to start, I can help you develop a plan to make it happen. I can support you in your desire to stop destructive behaviors and create new, healthier ways of living. We go at a pace that is comfortable for you, taking on problems one-at-a-time. Together we tackle the things that are keeping you from the kind of life you want to live.
(206) 350-9540 View (206) 350-9540
Photo of Miro Colcha, MA, LMHC, Counselor
Miro Colcha
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98122
Not accepting new clients
I believe therapy is most effective when clinicians welcome the expertise clients have about their own lives. Treatment is collaborative! My hope is to take the relationship we build and extend it to the rest of your life outside of the therapy room. I approach therapy with the assumption that clients aren’t trying to make their lives harder, but often that our attempts to manage distress may increase suffering. Through our work together, we will focus on identifying strengths and values that are guiding behavior, and then challenging and changing the unhelpful aspects and thought patterns that make reaching your goals difficult.
I believe therapy is most effective when clinicians welcome the expertise clients have about their own lives. Treatment is collaborative! My hope is to take the relationship we build and extend it to the rest of your life outside of the therapy room. I approach therapy with the assumption that clients aren’t trying to make their lives harder, but often that our attempts to manage distress may increase suffering. Through our work together, we will focus on identifying strengths and values that are guiding behavior, and then challenging and changing the unhelpful aspects and thought patterns that make reaching your goals difficult.
(425) 517-3328 View (425) 517-3328
Adriene Taulbee
Counselor, LMHC
Verified Verified
Online Only
Adriene is an integrative and holistic therapist with an MA in Marriage and Family Therapy. She has a wealth of experience utilizing evidenced-based interventions/protocols including the use of individual, family or group .
Adriene is an integrative and holistic therapist with an MA in Marriage and Family Therapy. She has a wealth of experience utilizing evidenced-based interventions/protocols including the use of individual, family or group .
(206) 666-2832 View (206) 666-2832
Photo of Claire Hipkens, LICSW, Clinical Social Work/Therapist
Claire Hipkens
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
Immediate availability. I'm open to a broad client base but most often work with college students, pro athletes/entertainers & their family members. I ran the mental health services for UW athletics & am the consulting clinician for the MLB and the NHL. I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.
Immediate availability. I'm open to a broad client base but most often work with college students, pro athletes/entertainers & their family members. I ran the mental health services for UW athletics & am the consulting clinician for the MLB and the NHL. I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.
(206) 752-2461 View (206) 752-2461
Photo of Ashley Lacy, MA, Marriage & Family Therapist
Ashley Lacy
Marriage & Family Therapist, MA
Verified Verified
2 Endorsed
Seattle, WA 98134
Whatever the reason you are here, welcome. I’m glad that you are taking steps toward prioritizing you and your health. We all deserve health, happiness, and aliveness and therapy can be a part of that journey. You might be dissatisfied with your life or relationships and want change. Your experience of dissatisfaction can look like anxiety, depression, disconnection from your desire or pleasure, identity confusion, or feelings of self-hatred or worthlessness. I work with clients from a variety of backgrounds, religions, cultures, and communities, including the queer community, and with people in all types of relationship styles.
Whatever the reason you are here, welcome. I’m glad that you are taking steps toward prioritizing you and your health. We all deserve health, happiness, and aliveness and therapy can be a part of that journey. You might be dissatisfied with your life or relationships and want change. Your experience of dissatisfaction can look like anxiety, depression, disconnection from your desire or pleasure, identity confusion, or feelings of self-hatred or worthlessness. I work with clients from a variety of backgrounds, religions, cultures, and communities, including the queer community, and with people in all types of relationship styles.
(206) 590-7399 View (206) 590-7399
Photo of Melany Grout, MA, JD, LMHC, Counselor
Melany Grout
Counselor, MA, JD, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98102
Do you want to feel confident, at peace, trusting of yourself, and more connected in relationships, but feel stuck in some of this instead?: if I stop pushing myself so hard, I won’t be good enough; if I share my feelings or ask for what I need it'll be too much; I can't show the real me; I should be able to just handle this myself. Folks I work with are often seeking support with things underpinning or accompanying such feelings, including: anxiety, stress, negative thought loops, difficulty with self-esteem, trauma, challenges with boundary setting, and feeling disconnected.
Do you want to feel confident, at peace, trusting of yourself, and more connected in relationships, but feel stuck in some of this instead?: if I stop pushing myself so hard, I won’t be good enough; if I share my feelings or ask for what I need it'll be too much; I can't show the real me; I should be able to just handle this myself. Folks I work with are often seeking support with things underpinning or accompanying such feelings, including: anxiety, stress, negative thought loops, difficulty with self-esteem, trauma, challenges with boundary setting, and feeling disconnected.
(206) 736-4033 View (206) 736-4033
Photo of Kaitlin Bryant, LMHCA, Counselor
Kaitlin Bryant
Counselor, LMHCA
Verified Verified
2 Endorsed
Online Only
As a relational psychodynamic therapist, I specialize in working with LGBTQIA+ individuals, people navigating developmental trauma, and those struggling with relationship difficulties. I understand that your identity and experiences, particularly in relationships, can deeply influence how you see yourself and relate to others. We’ll look at the patterns that may be impacting your well-being, working together to better understand them. We will also explore how past experiences shape your current thoughts, feelings, and behaviors, so you can gain deeper insight and make meaningful changes.
As a relational psychodynamic therapist, I specialize in working with LGBTQIA+ individuals, people navigating developmental trauma, and those struggling with relationship difficulties. I understand that your identity and experiences, particularly in relationships, can deeply influence how you see yourself and relate to others. We’ll look at the patterns that may be impacting your well-being, working together to better understand them. We will also explore how past experiences shape your current thoughts, feelings, and behaviors, so you can gain deeper insight and make meaningful changes.
(206) 594-3148 View (206) 594-3148
Photo of Jennifer Alsdorf, MA, LMHC
Jennifer Alsdorf
Mental Health Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98107
Not accepting new clients
“Just because no one else can heal or do your inner work for you doesn’t mean you need to do it alone.” - Lisa Olivera. Change isn’t easy—I don’t need to tell you that. You’ve been trying to do this on your own for a while now. You may feel stuck, wondering how you can get out of your self-defeating patterns, move forward from trauma or grief, or gain more self-confidence to reach your goals. If you face systemic oppression due to being BIPOC, LGBTQ, an immigrant, or disabled, you have probably faced even more obstacles to your healing, including in the therapy room. I’m here to help with culturally informed, compassionate care.
“Just because no one else can heal or do your inner work for you doesn’t mean you need to do it alone.” - Lisa Olivera. Change isn’t easy—I don’t need to tell you that. You’ve been trying to do this on your own for a while now. You may feel stuck, wondering how you can get out of your self-defeating patterns, move forward from trauma or grief, or gain more self-confidence to reach your goals. If you face systemic oppression due to being BIPOC, LGBTQ, an immigrant, or disabled, you have probably faced even more obstacles to your healing, including in the therapy room. I’m here to help with culturally informed, compassionate care.
(206) 593-3089 View (206) 593-3089
Photo of Leah Cantor, Pre-Licensed Professional
Leah Cantor
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98103
My approach to therapy is authentic, warm, and honest. I use a collaborative and non-judgmental approach with my clients to support them in discovering their goals for therapy, finding new perspectives, and disrupting harmful patterns that may be showing up. I draw from a number of evidence-based treatment styles and tailor my approach to each individual but am inherently person-centered and strengths-based.
My approach to therapy is authentic, warm, and honest. I use a collaborative and non-judgmental approach with my clients to support them in discovering their goals for therapy, finding new perspectives, and disrupting harmful patterns that may be showing up. I draw from a number of evidence-based treatment styles and tailor my approach to each individual but am inherently person-centered and strengths-based.
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Photo of Alison Draisin, PsyD,  LMHC, Counselor
Alison Draisin
Counselor, PsyD, LMHC
Verified Verified
2 Endorsed
Online Only
** I am ONLY accepting new patients seeking cannabis or psychedelic psychotherapy.** I do have supervisees (MA level and LMHCA) that work under me with availability for talk therapy. I work with clients of all ages who are open minded and looking to explore alternative modalities of treatment for depression, anxiety, or trauma. I work in an integrative medical clinic where there is collaboration with medical (palliative care) doctors, naturopathic doctors, and psychiatric nurse practitioners. Our clinic offers advanced cutting edge integrative medical care.
** I am ONLY accepting new patients seeking cannabis or psychedelic psychotherapy.** I do have supervisees (MA level and LMHCA) that work under me with availability for talk therapy. I work with clients of all ages who are open minded and looking to explore alternative modalities of treatment for depression, anxiety, or trauma. I work in an integrative medical clinic where there is collaboration with medical (palliative care) doctors, naturopathic doctors, and psychiatric nurse practitioners. Our clinic offers advanced cutting edge integrative medical care.
(206) 420-1321 View (206) 420-1321
Photo of Terri Lechnyr, PhD, Psychologist
Terri Lechnyr
Psychologist, PhD
Verified Verified
3 Endorsed
Online Only
Weekend & Evening options- Do you struggle with people pleasing and wonder about your attachment style? Are you a codependent and have anxiety? Are you wanting to improve your self confidence and empowerment? I will work with you to be happy, calm, brave, and take your power back!
Weekend & Evening options- Do you struggle with people pleasing and wonder about your attachment style? Are you a codependent and have anxiety? Are you wanting to improve your self confidence and empowerment? I will work with you to be happy, calm, brave, and take your power back!
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Photo of Lauren Osborne - Lauren Osborne Counseling - Religious Trauma, MA, LMHC-A, ART-P, Counselor
Lauren Osborne Counseling - Religious Trauma
Counselor, MA, LMHC-A, ART-P
Verified Verified
Online Only
Not accepting new clients
In my practice, I specialize in addressing the profound and intricate challenges associated with Religious Trauma, Spiritual Abuse, and Faith Crisis, as well as the various issues that often accompany these experiences. These challenges can manifest as depression, anxiety, trauma and abuse-related symptoms, attachment injuries, and adjustment disorders, among others. I recognize the profound impact that pivotal life transitions and the resulting emotional upheaval can have on one's well-being. My therapeutic approach is designed to help clients navigate these complexities, fostering healing, growth, and a renewed sense of self.
In my practice, I specialize in addressing the profound and intricate challenges associated with Religious Trauma, Spiritual Abuse, and Faith Crisis, as well as the various issues that often accompany these experiences. These challenges can manifest as depression, anxiety, trauma and abuse-related symptoms, attachment injuries, and adjustment disorders, among others. I recognize the profound impact that pivotal life transitions and the resulting emotional upheaval can have on one's well-being. My therapeutic approach is designed to help clients navigate these complexities, fostering healing, growth, and a renewed sense of self.
(206) 312-1739 View (206) 312-1739
Photo of Bonnie Amdur, MA, Counselor
Bonnie Amdur
Counselor, MA
Verified Verified
2 Endorsed
Online Only
Feeling overwhelmed by job pressures or struggling to stay aligned with your purpose? In today’s climate of constant stress and uncertainty, developing resilience is key to navigating burnout and reclaiming clarity. I’ll help you strengthen your ability to adapt, harness your unique strengths, and reconnect with your most meaningful goals. I specialize in working with creative, high-intensity professionals, especially those with ADHD, high sensitivity, or neurodivergent traits. I also offer support for those facing disorienting midlife transitions.
Feeling overwhelmed by job pressures or struggling to stay aligned with your purpose? In today’s climate of constant stress and uncertainty, developing resilience is key to navigating burnout and reclaiming clarity. I’ll help you strengthen your ability to adapt, harness your unique strengths, and reconnect with your most meaningful goals. I specialize in working with creative, high-intensity professionals, especially those with ADHD, high sensitivity, or neurodivergent traits. I also offer support for those facing disorienting midlife transitions.
(206) 752-2125 View (206) 752-2125
Photo of Amie Shipley, MSW, LMHC
Amie Shipley
MSW, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98103
I see therapy as an opportunity to work toward growth, self-discovery, and healing. I believe that people come to me not only with where they may be stuck or hurting, but also with incredible strengths and abilities. Through warmth, collaboration, and direct communication I hope to help uncover patterns that are getting in the way of living well. I use an experiential, emotion + body focused approach along with art therapy and practical tools to develop new ways of experiencing and approaching the hard stuff in life.
I see therapy as an opportunity to work toward growth, self-discovery, and healing. I believe that people come to me not only with where they may be stuck or hurting, but also with incredible strengths and abilities. Through warmth, collaboration, and direct communication I hope to help uncover patterns that are getting in the way of living well. I use an experiential, emotion + body focused approach along with art therapy and practical tools to develop new ways of experiencing and approaching the hard stuff in life.
(425) 310-4095 View (425) 310-4095
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$153

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
76% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
70% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera Blue Cross
63% Aetna
56% Regence

How Therapists in Seattle, WA see their clients

53% Online Only
47% 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.