Therapists in Seattle, WA

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Photo of Caitlin Laun, Counselor, LMHC, SUDP
Caitlin Laun
Counselor, LMHC, SUDP
2 Endorsed
Seattle, WA 98107
Are you struggling with over-functioning, perfectionism, people-pleasing, and burnout? If you invested in time and space to explore, heal, and grow, how might life be different? How might you be different? In the past, you have constantly prioritized others' needs and are now feeling exhausted, resentful, and frustrated. The perfect image you maintain for the outside world comes at the expense of yourself. Internally, you feel numb, insecure, lonely, and lost. You are tired of feeling this way and ready to change this unsustainable pattern once and for all.
Are you struggling with over-functioning, perfectionism, people-pleasing, and burnout? If you invested in time and space to explore, heal, and grow, how might life be different? How might you be different? In the past, you have constantly prioritized others' needs and are now feeling exhausted, resentful, and frustrated. The perfect image you maintain for the outside world comes at the expense of yourself. Internally, you feel numb, insecure, lonely, and lost. You are tired of feeling this way and ready to change this unsustainable pattern once and for all.
(206) 537-0024 View (206) 537-0024
Photo of Carla L. Buck, Counselor, MA, LMHC
Carla L. Buck
Counselor, MA, LMHC
9 Endorsed
Online Only
Limited sessions available - Specializing in working alongside high achievers in fast-paced industries including tech, law and the medical field. You likely feel burned out and overwhelmed by the relentless demands you are up against at work and in your personal life. If you find yourself constantly placing high expectations on yourself and feeling the weight of heavy self and external pressures; I get you. I specialize in working with high achievers just like you who have no space to recover mentally or physically, and who feel exhausted and inefficient in many areas of life.
Limited sessions available - Specializing in working alongside high achievers in fast-paced industries including tech, law and the medical field. You likely feel burned out and overwhelmed by the relentless demands you are up against at work and in your personal life. If you find yourself constantly placing high expectations on yourself and feeling the weight of heavy self and external pressures; I get you. I specialize in working with high achievers just like you who have no space to recover mentally or physically, and who feel exhausted and inefficient in many areas of life.
(206) 203-4851 View (206) 203-4851
Photo of Maria Francesca Wickersham, Marriage & Family Therapist, MA, LMFT
Maria Francesca Wickersham
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Online Only
I am an experiential therapist who supports individuals in reconnecting with their most authentic selves. I believe that meaningful transformation and integration begin when we learn to live from within—rather than from the weight of external expectations shaped by society, timelines, family roles, and other outside pressures. As a licensed marriage and family therapist, I work from a systemic and relational lens. My approach is holistic, humanistic, and trauma-informed, honoring the full context of who you are, including your relationships, sociocultural environment, attachment patterns and lived experiences.
I am an experiential therapist who supports individuals in reconnecting with their most authentic selves. I believe that meaningful transformation and integration begin when we learn to live from within—rather than from the weight of external expectations shaped by society, timelines, family roles, and other outside pressures. As a licensed marriage and family therapist, I work from a systemic and relational lens. My approach is holistic, humanistic, and trauma-informed, honoring the full context of who you are, including your relationships, sociocultural environment, attachment patterns and lived experiences.
(206) 888-6414 View (206) 888-6414
Photo of Madeline Elledge, Counselor, LMHCA, MA
Madeline Elledge
Counselor, LMHCA, MA
2 Endorsed
Seattle, WA 98107
I approach therapy first and foremost as a relationship and focus on the parts of you that may not be fully conscious. Often, meaningful change happens not by forcing it, but by allowing something deeper in you—something naturally oriented toward growth and wholeness—to lead the way.
I approach therapy first and foremost as a relationship and focus on the parts of you that may not be fully conscious. Often, meaningful change happens not by forcing it, but by allowing something deeper in you—something naturally oriented toward growth and wholeness—to lead the way.
(206) 338-6863 View (206) 338-6863
Photo of Jane Palmer, Counselor, MA, LMHC, BCPC
Jane Palmer
Counselor, MA, LMHC, BCPC
Seattle, WA 98122
Not accepting new clients
Welcome to my profile. I specialize in treating trauma, anxiety, panic, acute and chronic stress. Symptoms of anxiety, depression, avoidance, intrusive thoughts, dissociation, chronic illness, substance abuse, and relationship difficulties may be due to unresolved trauma from earlier in life.I utilize newer psychological approaches, such as EMDR, Somatic Transformation, Lifespan Integration, which are designed to change the way your brain processes information. All will involve talking about your feelings, thoughts, images, body sensations and integating conceptual knowledge with emotional and body experience. We may often "target" memories from the past to heal the present and visualize a positive future.
Welcome to my profile. I specialize in treating trauma, anxiety, panic, acute and chronic stress. Symptoms of anxiety, depression, avoidance, intrusive thoughts, dissociation, chronic illness, substance abuse, and relationship difficulties may be due to unresolved trauma from earlier in life.I utilize newer psychological approaches, such as EMDR, Somatic Transformation, Lifespan Integration, which are designed to change the way your brain processes information. All will involve talking about your feelings, thoughts, images, body sensations and integating conceptual knowledge with emotional and body experience. We may often "target" memories from the past to heal the present and visualize a positive future.
(206) 316-9594 View (206) 316-9594
Photo of Jeremy Kiskadden, Licensed Mental Health Counselor, MA, LMHC
Jeremy Kiskadden
Licensed Mental Health Counselor, MA, LMHC
Online Only
You can’t break out of a cage you’re still trying to decorate. I’ve been many people’s 4th/5th/8th/9th therapist and been told they felt like something finally clicked for them. I care about it clicking. My approach is based on self-compassion and living an integrated life. Even if you’re motivated to change, it’s still hard because negative events can shape beliefs about the world and ourselves that we often don’t even realize we hold. So we start with self-compassion, and then work on trying to bring our actions into alignment with our goals. I’ve been a therapist for over a decade now, and I promise – self-compassion is the move.
You can’t break out of a cage you’re still trying to decorate. I’ve been many people’s 4th/5th/8th/9th therapist and been told they felt like something finally clicked for them. I care about it clicking. My approach is based on self-compassion and living an integrated life. Even if you’re motivated to change, it’s still hard because negative events can shape beliefs about the world and ourselves that we often don’t even realize we hold. So we start with self-compassion, and then work on trying to bring our actions into alignment with our goals. I’ve been a therapist for over a decade now, and I promise – self-compassion is the move.
(425) 541-1578 View (425) 541-1578
Photo of Samantha Turetsky, Psychologist, PsyD
Samantha Turetsky
Psychologist, PsyD
2 Endorsed
Online Only
Are you looking for a therapist who is the same funny, sassy, sharp-witted person in the therapy room as they are in the rest of their life? You've found her! My clients say they love working with me because I'm real. None of this blank-slate therapist stuff... when you tell me about the messed up thing someone did, I'll react accordingly! Together, we will build a relationship based on trust where you will feel safe to look at the most difficult parts of you (with compassion!), and also to be called in (I like this better than called out) on your own stuff! Let me help you be the best version of you. I know they're in there!
Are you looking for a therapist who is the same funny, sassy, sharp-witted person in the therapy room as they are in the rest of their life? You've found her! My clients say they love working with me because I'm real. None of this blank-slate therapist stuff... when you tell me about the messed up thing someone did, I'll react accordingly! Together, we will build a relationship based on trust where you will feel safe to look at the most difficult parts of you (with compassion!), and also to be called in (I like this better than called out) on your own stuff! Let me help you be the best version of you. I know they're in there!
(206) 222-4386 View (206) 222-4386
Photo of Blanca Flores, Clinical Social Work/Therapist, LICSW
Blanca Flores
Clinical Social Work/Therapist, LICSW
Online Only
Life’s challenges don’t look the same for everyone. I offer therapy that respects your culture, identity, and values. My care is compassionate, inclusive, and tailored to you. Let’s navigate your journey together. If you're a young adult or adult navigating a major life transition, struggling with your sense of identity, or working to manage overwhelming emotions like anxiety or depression, you're not alone and you don’t have to figure it out all by yourself. I specialize in supporting individuals like you who are ready to explore what’s holding them back and want to move toward a more grounded, authentic version of themselves.
Life’s challenges don’t look the same for everyone. I offer therapy that respects your culture, identity, and values. My care is compassionate, inclusive, and tailored to you. Let’s navigate your journey together. If you're a young adult or adult navigating a major life transition, struggling with your sense of identity, or working to manage overwhelming emotions like anxiety or depression, you're not alone and you don’t have to figure it out all by yourself. I specialize in supporting individuals like you who are ready to explore what’s holding them back and want to move toward a more grounded, authentic version of themselves.
(509) 790-4083 View (509) 790-4083
Photo of Sunhye Choi, Clinical Social Work/Therapist, LICSW
Sunhye Choi
Clinical Social Work/Therapist, LICSW
Online Only
Many people I work with appear capable and responsible on the outside yet privately feel anxious, self-critical, or overwhelmed by expectations. They may feel caught in patterns of perfectionism, cultural or family pressure, or life transitions that leave them feeling disconnected from themselves. What they often long for is freedom from shame and the grip of harsh self-beliefs. As a first-generation Korean American clinician with over 15 yrs in psychiatric and emergency care, I offer a compassionate space to pause, explore these patterns, and gently begin letting go of self-judgment while reconnecting with the goodness within us.
Many people I work with appear capable and responsible on the outside yet privately feel anxious, self-critical, or overwhelmed by expectations. They may feel caught in patterns of perfectionism, cultural or family pressure, or life transitions that leave them feeling disconnected from themselves. What they often long for is freedom from shame and the grip of harsh self-beliefs. As a first-generation Korean American clinician with over 15 yrs in psychiatric and emergency care, I offer a compassionate space to pause, explore these patterns, and gently begin letting go of self-judgment while reconnecting with the goodness within us.
(425) 474-6659 View (425) 474-6659
Photo of David Carlile, Clinical Social Work/Therapist, MSW, CSWA, LSWAIC
David Carlile
Clinical Social Work/Therapist, MSW, CSWA, LSWAIC
3 Endorsed
Online Only
My ideal client is a person looking to improve their communication and mental health. They may have issues with accurately understanding and responding to other people, engaging with other people, or effectively analyzing and utilizing language commuinicaton skills. Their needs include efficient and accurate mental health, as well as the ability to integrate their coping skills capabilities into their existing systems and workflows. Their goals include improved satisfaction, increased productivity and efficiency, and the ability to make decisions. They want a reliable therapist to help empower them to grow.
My ideal client is a person looking to improve their communication and mental health. They may have issues with accurately understanding and responding to other people, engaging with other people, or effectively analyzing and utilizing language commuinicaton skills. Their needs include efficient and accurate mental health, as well as the ability to integrate their coping skills capabilities into their existing systems and workflows. Their goals include improved satisfaction, increased productivity and efficiency, and the ability to make decisions. They want a reliable therapist to help empower them to grow.
(360) 774-4229 View (360) 774-4229
Photo of Abby Tomlinson, Marriage & Family Therapist, MA, LMFT, ADHD, CCSP
Abby Tomlinson
Marriage & Family Therapist, MA, LMFT, ADHD, CCSP
Online Only
I work with young adults, college students, and older adults navigating life transitions, trauma, and big changes. I believe you’re capable of achieving your goals and living the life you want- sometimes you just need guidance to overcome obstacles and self-doubt. Together, we focus on building self-acceptance and creating the positive changes you want in your life.
I work with young adults, college students, and older adults navigating life transitions, trauma, and big changes. I believe you’re capable of achieving your goals and living the life you want- sometimes you just need guidance to overcome obstacles and self-doubt. Together, we focus on building self-acceptance and creating the positive changes you want in your life.
(253) 528-7031 View (253) 528-7031
Photo of Joy Holt Hilliker - Joy Holt Hilliker Psychotherapy & Consultation, Counselor, BA, MA, MACP, LMHC
Joy Holt Hilliker Psychotherapy & Consultation
Counselor, BA, MA, MACP, LMHC
1 Endorsed
Online Only
Seeking therapy can be a daunting process, while also being one step toward greater wholeness/healing. Relationship is where we are both wounded and healed. I work with individuals seeking relief from distressing symptoms such as; demanding too much of yourself, finding it hard to trust self, trust your own experience, self-soothing through addictive behaviors, pleasing others at your own expense, anxiety, depression, CPTSD. Our patterns of relating develop early within our first attachments, so our journey might include visiting some of those relationships to wonder how they impact you in the here and now.
Seeking therapy can be a daunting process, while also being one step toward greater wholeness/healing. Relationship is where we are both wounded and healed. I work with individuals seeking relief from distressing symptoms such as; demanding too much of yourself, finding it hard to trust self, trust your own experience, self-soothing through addictive behaviors, pleasing others at your own expense, anxiety, depression, CPTSD. Our patterns of relating develop early within our first attachments, so our journey might include visiting some of those relationships to wonder how they impact you in the here and now.
(206) 866-6213 View (206) 866-6213
Photo of Cherie Singer, Counselor, MA, LMHCA, LMFTA
Cherie Singer
Counselor, MA, LMHCA, LMFTA
Seattle, WA 98116
Sometimes life’s demands, stresses and challenges can feel like just too much to manage alone. I work with clients who feel depressed, anxious, overwhelmed, or maybe they’re not even sure what they’re feeling but they know something’s deeply wrong or missing in their lives. Others are experiencing a bumpy transition or feel confused, stuck or unhappy about their relationships, career, or future. I'm glad you're here seeking help and I'd love to talk to you.
Sometimes life’s demands, stresses and challenges can feel like just too much to manage alone. I work with clients who feel depressed, anxious, overwhelmed, or maybe they’re not even sure what they’re feeling but they know something’s deeply wrong or missing in their lives. Others are experiencing a bumpy transition or feel confused, stuck or unhappy about their relationships, career, or future. I'm glad you're here seeking help and I'd love to talk to you.
(425) 386-3630 View (425) 386-3630
Photo of Jessica Broadfield, Counselor, LMHC, MA
Jessica Broadfield
Counselor, LMHC, MA
1 Endorsed
Online Only
I provide therapy for adults, working on issues such as anxiety, depression, ADHD, relationships and life transitions. I also provide Reflective Parenting; Parent-Child Relationship Problems and Stress Management. We all experience great changes during our lives, evolutions in identity, shifts in how we see ourselves and how others see us. Through reflection and dialogue we can understand and make meaning of our journey.
I provide therapy for adults, working on issues such as anxiety, depression, ADHD, relationships and life transitions. I also provide Reflective Parenting; Parent-Child Relationship Problems and Stress Management. We all experience great changes during our lives, evolutions in identity, shifts in how we see ourselves and how others see us. Through reflection and dialogue we can understand and make meaning of our journey.
(509) 401-8308 View (509) 401-8308
Photo of Regan Rowell, Counselor, LMHC-S, CST
Regan Rowell
Counselor, LMHC-S, CST
2 Endorsed
Online Only
As an individual and couples therapist, with a focus on sex therapy and trauma, I work to support clients in stepping into their lives in a more embodied and authentic way. What you are experiencing is valid and as humans, connection and support can be monumental during difficult times. I bring warmth into my work and value helping my clients improve connection to themselves, their relationships with others, and their sexuality. I will work alongside you to reflect in a meaningful and validating way, beginning to heal the trauma holistically both in your mind and body.
As an individual and couples therapist, with a focus on sex therapy and trauma, I work to support clients in stepping into their lives in a more embodied and authentic way. What you are experiencing is valid and as humans, connection and support can be monumental during difficult times. I bring warmth into my work and value helping my clients improve connection to themselves, their relationships with others, and their sexuality. I will work alongside you to reflect in a meaningful and validating way, beginning to heal the trauma holistically both in your mind and body.
(206) 984-1947 View (206) 984-1947
Photo of Shawna Sullivan, Clinical Social Work/Therapist, MSW, LICSW
Shawna Sullivan
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Seattle, WA 98103
My ideal client is someone who feels overwhelmed by their current patterns—whether that’s anxiety, stress, relationship struggles, low self-esteem, or a sense of being “stuck.” They may have tried to manage things on their own for a long time, but now recognize they want support, clarity, and real change. They want to understand themselves better, learn new skills, and break long-standing cycles that no longer serve them. Most of all, they want a safe space where they can be honest, feel understood, seen, and heard.
My ideal client is someone who feels overwhelmed by their current patterns—whether that’s anxiety, stress, relationship struggles, low self-esteem, or a sense of being “stuck.” They may have tried to manage things on their own for a long time, but now recognize they want support, clarity, and real change. They want to understand themselves better, learn new skills, and break long-standing cycles that no longer serve them. Most of all, they want a safe space where they can be honest, feel understood, seen, and heard.
(206) 208-7172 View (206) 208-7172
Photo of Marlene Muller, Counselor, LMHCA
Marlene Muller
Counselor, LMHCA
Seattle, WA 98103
I meet with adults to explore together in a safe and inviting space how a person experiences life and encounters various emotional concerns along the way. With care, you and I can take a close look around to see where you are now, how you got here, and where you'd like to be. We can also notice how your ways of being in the world were useful to you in the past, how they are still useful, and how those ways may no longer help or feel true to who you are now.
I meet with adults to explore together in a safe and inviting space how a person experiences life and encounters various emotional concerns along the way. With care, you and I can take a close look around to see where you are now, how you got here, and where you'd like to be. We can also notice how your ways of being in the world were useful to you in the past, how they are still useful, and how those ways may no longer help or feel true to who you are now.
(206) 207-3883 View (206) 207-3883
Photo of Callie J Hills, Clinical Social Work/Therapist, MSW, LICSW, ADHD-, CCSP
Callie J Hills
Clinical Social Work/Therapist, MSW, LICSW, ADHD-, CCSP
1 Endorsed
Online Only
Accepting virtual clients in Washington, Oregon, Maine, DC, South Carolina, Delaware, Connecticut, Virginia, West Virginia, Alabama, Iowa, Florida & Idaho! I'm passionate about empowering you to identify and live your values through navigating relationships, careers, family dynamics and community. I'm formally certified in working with ADHD and consensual non-monogamy, and strive to support individuals and couples to realize their potential, increase relational capacity, and experience life in meaningful ways. I'd love to work together if you'd like to change how you show up for yourself and how you connect to the world around you.
Accepting virtual clients in Washington, Oregon, Maine, DC, South Carolina, Delaware, Connecticut, Virginia, West Virginia, Alabama, Iowa, Florida & Idaho! I'm passionate about empowering you to identify and live your values through navigating relationships, careers, family dynamics and community. I'm formally certified in working with ADHD and consensual non-monogamy, and strive to support individuals and couples to realize their potential, increase relational capacity, and experience life in meaningful ways. I'd love to work together if you'd like to change how you show up for yourself and how you connect to the world around you.
(206) 312-5730 View (206) 312-5730
Photo of Ali Ahmad, Marriage & Family Therapist Associate
Ali Ahmad
Marriage & Family Therapist Associate
Online Only
Hi there, I’m Ali! I am a second-generation Cambodian American who comes from a community of Muslim refugees. It goes without saying that I am intimately familiar with generational trauma, and it’s the reason I entered the field of mental health. Through my own journey of self-discovery, I’ve come to realize the importance of healing our traumas and its impact on our overall well-being. I am passionate about working with individuals and couples who come from historically marginalized communities. I believe that with the right tools and support everybody has the capability to heal and grow.
Hi there, I’m Ali! I am a second-generation Cambodian American who comes from a community of Muslim refugees. It goes without saying that I am intimately familiar with generational trauma, and it’s the reason I entered the field of mental health. Through my own journey of self-discovery, I’ve come to realize the importance of healing our traumas and its impact on our overall well-being. I am passionate about working with individuals and couples who come from historically marginalized communities. I believe that with the right tools and support everybody has the capability to heal and grow.
(509) 563-8606 View (509) 563-8606
Photo of Koral B Schademan - Alchemy Arts Therapy: EMDR, Couples & Art Thearpy , Counselor, Koral Schademan, MA, LMHC, ATR
Alchemy Arts Therapy: EMDR, Couples & Art Thearpy
Counselor, Koral Schademan, MA, LMHC, ATR
2 Endorsed
Seattle, WA 98109
My integrative approach draws from diverse, evidence-based tools to co-create a treatment plan for your unique needs. I offer a supportive, respectful space where your individuality is celebrated, helping you navigate challenges and build skills to thrive. My approach is deeply rooted in humanistic values of empathy, respect, and belief in your potential. My work aims to facilitate both insight into unconscious dynamics and an experiential process of growth and self-acceptance.
My integrative approach draws from diverse, evidence-based tools to co-create a treatment plan for your unique needs. I offer a supportive, respectful space where your individuality is celebrated, helping you navigate challenges and build skills to thrive. My approach is deeply rooted in humanistic values of empathy, respect, and belief in your potential. My work aims to facilitate both insight into unconscious dynamics and an experiential process of growth and self-acceptance.
(425) 390-8061 View (425) 390-8061

See more therapy options for Seattle

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$160

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
71% Stress
63% Grief

Average years in practice

10 Years

Top 3 insurances accepted

69% Premera Blue Cross
67% Aetna
62% Regence

How Therapists in Seattle, WA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

75% Female
20% Male
5% 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.