Therapists in Seattle, WA

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Photo of Leonora P Cabrera, PhD, LMHC, MHP, Counselor
Leonora P Cabrera
Counselor, PhD, LMHC, MHP
Verified Verified
8 Endorsed
Seattle, WA 98107
Our wounds are often the openings into the best and most beautiful part of us. -David Richo. Finding a place where you can safely express pain, sorrow, vulnerability, shame, confusion, anger, etc., will allow you to work through the emotions, and come out learning how to manage your life. I am a clinically trained therapist with a Ph.D. and MA in Clinical Psychology. I have experience in providing psychological and forensic mental health evaluations and individual psychotherapy.
Our wounds are often the openings into the best and most beautiful part of us. -David Richo. Finding a place where you can safely express pain, sorrow, vulnerability, shame, confusion, anger, etc., will allow you to work through the emotions, and come out learning how to manage your life. I am a clinically trained therapist with a Ph.D. and MA in Clinical Psychology. I have experience in providing psychological and forensic mental health evaluations and individual psychotherapy.
(206) 745-3502 View (206) 745-3502
Photo of Matt Chamberlain, MA, LMFT, Marriage & Family Therapist
Matt Chamberlain
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
Hello! I am a licensed Marriage and Family Therapist in Seattle, WA. Psychotherapy is a trusting collaboration between therapist and client. In a safe and supportive environment we work together to identify problem areas, determine strategies and options that make sense to you and work toward real, immediate and long-term solutions. My goal is to provide immediate relief from a stressful situation while understanding the problem in the larger context of your life. I want to help you discover a process of working through issues that leads to a real, long-term solution--to really correct the problem!
Hello! I am a licensed Marriage and Family Therapist in Seattle, WA. Psychotherapy is a trusting collaboration between therapist and client. In a safe and supportive environment we work together to identify problem areas, determine strategies and options that make sense to you and work toward real, immediate and long-term solutions. My goal is to provide immediate relief from a stressful situation while understanding the problem in the larger context of your life. I want to help you discover a process of working through issues that leads to a real, long-term solution--to really correct the problem!
(253) 271-4133 View (253) 271-4133
Photo of Kristan Dziurzynski, PhD, MHCA, Psychologist
Kristan Dziurzynski
Psychologist, PhD, MHCA
Verified Verified
1 Endorsed
Online Only
I believe finding a therapist you genuinely trust and feel safe with is the most essential piece to gain from any therapeutic intervention. As such, I strongly encourage you to be patient with yourself and listen to how you feel when searching for that fit. I value transparency; my style is compassionately direct. Psychotherapy can be uncomfortable because the process involves approaching the barriers that restrict you. In our work, we will approach discomfort together as I believe exposure and empowerment are catalysts for true change and personal growth.
I believe finding a therapist you genuinely trust and feel safe with is the most essential piece to gain from any therapeutic intervention. As such, I strongly encourage you to be patient with yourself and listen to how you feel when searching for that fit. I value transparency; my style is compassionately direct. Psychotherapy can be uncomfortable because the process involves approaching the barriers that restrict you. In our work, we will approach discomfort together as I believe exposure and empowerment are catalysts for true change and personal growth.
(425) 217-2037 View (425) 217-2037
Photo of Ana Mays, MA, LMHC
Ana Mays
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98101
Waitlist for new clients
I see individuals and couples for all types of issues; burnout, anxiety, depression, adult diagnosis (or suspicion) of neurodiversity, trauma, relationship issues, identity issues, and more. These are all great reasons to seek out counseling. Whether you don't know where to start, or you have a specific issue you want to work on, that's okay; we'll figure it out together. So much of therapy is about the relationship between client and therapist. My clients want a space where they feel safe to explore and process their emotions, while looking for solutions to get more in touch with themselves.
I see individuals and couples for all types of issues; burnout, anxiety, depression, adult diagnosis (or suspicion) of neurodiversity, trauma, relationship issues, identity issues, and more. These are all great reasons to seek out counseling. Whether you don't know where to start, or you have a specific issue you want to work on, that's okay; we'll figure it out together. So much of therapy is about the relationship between client and therapist. My clients want a space where they feel safe to explore and process their emotions, while looking for solutions to get more in touch with themselves.
(206) 483-2701 View (206) 483-2701
Photo of Stacy A DeMar, MSW, RCSWI
Stacy A DeMar
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Online Only
To learn more, please visit my website. I am a passionate and dedicated practitioner, committed to helping individuals embark on a journey of self-discovery, healing, and personal growth. With a profound belief in the interconnectedness of mind, body, and spirit, I offer a nurturing and empathetic space where clients can explore their innermost thoughts, emotions, and spiritual dimensions. I believe in the inherent wisdom of each person and work collaboratively with my clients to uncover their unique path. My approach is holistic and eclectic which allows me to tailor my methods to suit each client's specific needs and beliefs.
To learn more, please visit my website. I am a passionate and dedicated practitioner, committed to helping individuals embark on a journey of self-discovery, healing, and personal growth. With a profound belief in the interconnectedness of mind, body, and spirit, I offer a nurturing and empathetic space where clients can explore their innermost thoughts, emotions, and spiritual dimensions. I believe in the inherent wisdom of each person and work collaboratively with my clients to uncover their unique path. My approach is holistic and eclectic which allows me to tailor my methods to suit each client's specific needs and beliefs.
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Photo of Jill Arndt, LMHCA
Jill Arndt
Lic Clinical Mental Health Counselor Associate, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98103
Do you find yourself caught in repetitive conflict that goes nowhere? You may be fed up with feeling stuck from in unpleasant thoughts and feelings, wondering if your relationship is built to last, or even if you, yourself might be broken. You might not remember a time things didn’t feel this way. But one thing is for sure: you’re ready for something to shift. You’re ready to find healing from these patterns you're stuck in. You’re ready to forge a new relationship with others and yourself. You’re ready to experience being seen, felt, and heard in a safe environment.
Do you find yourself caught in repetitive conflict that goes nowhere? You may be fed up with feeling stuck from in unpleasant thoughts and feelings, wondering if your relationship is built to last, or even if you, yourself might be broken. You might not remember a time things didn’t feel this way. But one thing is for sure: you’re ready for something to shift. You’re ready to find healing from these patterns you're stuck in. You’re ready to forge a new relationship with others and yourself. You’re ready to experience being seen, felt, and heard in a safe environment.
(206) 823-1201 View (206) 823-1201
Photo of James Oxford, LMHCA, Counselor
James Oxford
Counselor, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98109
My background in music and art has taught me to fully respect the power of creation and expression. I hold a non-judgmental stance as we honor your voice, your experiences, and your values. I believe that the first step in healing is showing up, and I look forward to working with you. I believe in empowerment and self-compassion as pillars for change and growth. Whether healing from past traumas, facing current anxiety and stress, or clarifying which direction you want to head in life, we can work as a team to find the tools best suited for your health and well-being.
My background in music and art has taught me to fully respect the power of creation and expression. I hold a non-judgmental stance as we honor your voice, your experiences, and your values. I believe that the first step in healing is showing up, and I look forward to working with you. I believe in empowerment and self-compassion as pillars for change and growth. Whether healing from past traumas, facing current anxiety and stress, or clarifying which direction you want to head in life, we can work as a team to find the tools best suited for your health and well-being.
(206) 401-8071 View (206) 401-8071
Photo of Erich Henninger, Erich Henninger, MACP, LMHCA, Counselor
Erich Henninger
Counselor, Erich Henninger, MACP, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98103
Isolation is the killer. For many, influences to pivot away from isolation and towards healing, connection, and growth are complex, challenging, and hopeful. My clients are invited to explore their “painful wounds” and discover how their pain’s influence leads to self-identity issues, certain behaviors, relationship constraints, and patterns that decrease movement toward growth. Growth towards living with a whole heart of emotions, less ambiguity, finding increased purpose, and engaged relationships. Growth towards self-compassion and employing in their lives what they value most.
Isolation is the killer. For many, influences to pivot away from isolation and towards healing, connection, and growth are complex, challenging, and hopeful. My clients are invited to explore their “painful wounds” and discover how their pain’s influence leads to self-identity issues, certain behaviors, relationship constraints, and patterns that decrease movement toward growth. Growth towards living with a whole heart of emotions, less ambiguity, finding increased purpose, and engaged relationships. Growth towards self-compassion and employing in their lives what they value most.
(206) 736-1532 View (206) 736-1532
Photo of Patrice Janda, MSW, LICSW, Clinical Social Work/Therapist
Patrice Janda
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98107
It sounds a bit funny, but many people who wind up in my office often try too hard. But, despite their best efforts, things don’t always work out as they hoped. This can lead to despair. I get it. While optimization might seem healthy or look good to others, trying too hard can sometimes be a sign that something isn't right on the inside. All that trying could mean we are misspending our energy. It might mean a lot of things. My job is to help people better understanding their own style. In our work together, clients learn to both pause and to reflect, allowing them to make choices that will change their lives for the better.
It sounds a bit funny, but many people who wind up in my office often try too hard. But, despite their best efforts, things don’t always work out as they hoped. This can lead to despair. I get it. While optimization might seem healthy or look good to others, trying too hard can sometimes be a sign that something isn't right on the inside. All that trying could mean we are misspending our energy. It might mean a lot of things. My job is to help people better understanding their own style. In our work together, clients learn to both pause and to reflect, allowing them to make choices that will change their lives for the better.
(206) 317-1973 View (206) 317-1973
Photo of Martha McNeely, MA, LMHC, Counselor
Martha McNeely
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98108
As far as anyone can tell, you’ve got it all together. But on the inside you never feel good enough and your inner critic is quick to remind you of all the ways you’re failing. You are the friend that everyone depends on and confides in, but deep down you feel like no one really knows you. You secretly feel lonely and isolated. No one knows about the anxiety you’ve been experiencing, or about how you have trouble sleeping because you can’t keep your mind from racing. You feel weak when something happens that you can’t handle.
As far as anyone can tell, you’ve got it all together. But on the inside you never feel good enough and your inner critic is quick to remind you of all the ways you’re failing. You are the friend that everyone depends on and confides in, but deep down you feel like no one really knows you. You secretly feel lonely and isolated. No one knows about the anxiety you’ve been experiencing, or about how you have trouble sleeping because you can’t keep your mind from racing. You feel weak when something happens that you can’t handle.
(206) 309-6552 View (206) 309-6552
Photo of Mysti Coccia-Eddy, LMHC, Counselor
Mysti Coccia-Eddy
Counselor, LMHC
Verified Verified
4 Endorsed
Online Only
My approach to counseling is positive, strengths-based and client-centered. Every person is capable of healing and growth, and sometimes we need some extra support to get there.
My approach to counseling is positive, strengths-based and client-centered. Every person is capable of healing and growth, and sometimes we need some extra support to get there.
(206) 673-5279 View (206) 673-5279
Photo of Scarlet Gonzalez, MA, LMFT, Marriage & Family Therapist
Scarlet Gonzalez
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
Do you feel stuck? Are you feeling numb, unable to find happiness in the things that once brought you joy? When we're struggling, it can spill out onto our relationships, showing up in ways that create more issues. In our efforts to make change, we may try to solve them by reading self-help books or talking to our closest friends, only to find the problem is still a problem. That’s where I can help. Together we’ll identify goals and collaborate on a treatment plan. The beginning of any journey or change begins with acceptance, the proper treatment, and a healthier relationship and connection with ourselves and the world around us.
Do you feel stuck? Are you feeling numb, unable to find happiness in the things that once brought you joy? When we're struggling, it can spill out onto our relationships, showing up in ways that create more issues. In our efforts to make change, we may try to solve them by reading self-help books or talking to our closest friends, only to find the problem is still a problem. That’s where I can help. Together we’ll identify goals and collaborate on a treatment plan. The beginning of any journey or change begins with acceptance, the proper treatment, and a healthier relationship and connection with ourselves and the world around us.
(509) 204-5994 View (509) 204-5994
Photo of Jenny Wang, PhD, Psychologist
Jenny Wang
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
When you decide to work with me, I keep in mind that you are seeking therapy because of your intelligence, courage, and hard work to improve your life. You have thought a lot about your concerns already, and my job is to listen closely to build upon what has been helpful and consider new strategies. With your collaboration, we would work towards increasing your sense of internal calm and connection with others.
When you decide to work with me, I keep in mind that you are seeking therapy because of your intelligence, courage, and hard work to improve your life. You have thought a lot about your concerns already, and my job is to listen closely to build upon what has been helpful and consider new strategies. With your collaboration, we would work towards increasing your sense of internal calm and connection with others.
(206) 460-1667 View (206) 460-1667
Photo of Katelynn Saunders-Kosta, LMHC
Katelynn Saunders-Kosta
Mental Health Counselor , LMHC
Verified Verified
Online Only
As a mother of three and a wife, I have firsthand experience with family dynamics and ADHD, which informs my empathetic and personalized approach. I understand the complexities of balancing personal and professional life, and I am here to support you through this journey. As a licensed therapist specializing in DBT, I am dedicated to helping individuals navigate emotional challenges and build a life worth living. DBT is an evidence-based approach that combines CBT techniques with mindfulness practices, designed to address intense emotions, relationship difficulties, and behaviors that interfere with a fulfilling life.
As a mother of three and a wife, I have firsthand experience with family dynamics and ADHD, which informs my empathetic and personalized approach. I understand the complexities of balancing personal and professional life, and I am here to support you through this journey. As a licensed therapist specializing in DBT, I am dedicated to helping individuals navigate emotional challenges and build a life worth living. DBT is an evidence-based approach that combines CBT techniques with mindfulness practices, designed to address intense emotions, relationship difficulties, and behaviors that interfere with a fulfilling life.
(509) 778-7746 View (509) 778-7746
Photo of Knox Burnett - Knox Burnett Counseling and Consulting, MA, LMHC, CPT, Counselor
Knox Burnett Counseling and Consulting
Counselor, MA, LMHC, CPT
Verified Verified
7 Endorsed
Seattle, WA 98116
The Glory of God is a human being fully alive". -Saint Irenaeus As a clinician, I work with individuals struggling with a variety of issues and ailments. I believe that most recurring mental and emotional struggles are actually indicators of larger issues in need of resolution. In our work together we will both engage the symptoms you are experiencing AND trace their historical connections so that you can access a more transformative and holistic healing.
The Glory of God is a human being fully alive". -Saint Irenaeus As a clinician, I work with individuals struggling with a variety of issues and ailments. I believe that most recurring mental and emotional struggles are actually indicators of larger issues in need of resolution. In our work together we will both engage the symptoms you are experiencing AND trace their historical connections so that you can access a more transformative and holistic healing.
(425) 358-5843 View (425) 358-5843
Photo of Tiffany Biljum, MA, MLIS, LMHC, Counselor
Tiffany Biljum
Counselor, MA, MLIS, LMHC
Verified Verified
Online Only
Not accepting new clients
I believe we're all whole and naturally seek balance. Unfortunately, emotional wounds and traumas can leave us feeling disconnected and unwell. In our work together, we'll welcome every part of you with curiosity and compassion. We’ll tap into your innate wisdom and healing capacity as we heal the parts of you that are wounded or stuck. I'll help you understand how and why your nervous system shapes your experience, so you can learn to care for it and in doing so, reshape your story. We'll map out an individualized plan for your unique system with practices to decrease stress and increase wellbeing.
I believe we're all whole and naturally seek balance. Unfortunately, emotional wounds and traumas can leave us feeling disconnected and unwell. In our work together, we'll welcome every part of you with curiosity and compassion. We’ll tap into your innate wisdom and healing capacity as we heal the parts of you that are wounded or stuck. I'll help you understand how and why your nervous system shapes your experience, so you can learn to care for it and in doing so, reshape your story. We'll map out an individualized plan for your unique system with practices to decrease stress and increase wellbeing.
View
Photo of Katrina Knutson - Katrina Knutson, MA, LMHC, Counselor
Katrina Knutson
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Online Only
Life’s challenges—whether big transitions, past wounds, or daily stressors—can leave us feeling disconnected, stuck, or overwhelmed. Therapy offers a space to process, heal, and rediscover a sense of ease and connection. My approach is grounded in mindfulness, somatic awareness, and evidence-based techniques like EMDR and Polyvagal Theory. EMDR is a powerful method that helps the brain process distressing memories, reducing their emotional intensity so you can move forward with greater freedom. Whether you’re working through trauma, anxiety, or self-limiting beliefs, EMDR can be a transformative tool in our work together.
Life’s challenges—whether big transitions, past wounds, or daily stressors—can leave us feeling disconnected, stuck, or overwhelmed. Therapy offers a space to process, heal, and rediscover a sense of ease and connection. My approach is grounded in mindfulness, somatic awareness, and evidence-based techniques like EMDR and Polyvagal Theory. EMDR is a powerful method that helps the brain process distressing memories, reducing their emotional intensity so you can move forward with greater freedom. Whether you’re working through trauma, anxiety, or self-limiting beliefs, EMDR can be a transformative tool in our work together.
(425) 243-3056 View (425) 243-3056
Photo of Mandy Parida, LMHC, ET
Mandy Parida
Mental Health Counselor, LMHC, ET
Verified Verified
Online Only
Are you a neurodiverse and/or queer identified person struggling to adapt to the pressures and expectations of our current social structure? Do you find yourself apologizing a lot to people who deem you irresponsible, lazy, dramatic, overly emotional, spaced out, or incapable of following through? Does the movement of time feel abstract and meaningless one moment and then overwhelming and stressful another? Do you ever think maybe this world was designed for others more capable than yourself? Are you struggling with who you are and how you show up? Are you stuck? Are you a creative with no inspiration?
Are you a neurodiverse and/or queer identified person struggling to adapt to the pressures and expectations of our current social structure? Do you find yourself apologizing a lot to people who deem you irresponsible, lazy, dramatic, overly emotional, spaced out, or incapable of following through? Does the movement of time feel abstract and meaningless one moment and then overwhelming and stressful another? Do you ever think maybe this world was designed for others more capable than yourself? Are you struggling with who you are and how you show up? Are you stuck? Are you a creative with no inspiration?
(206) 222-8112 View (206) 222-8112
Photo of Kristin Moore, MAC, MEd, LMHCA, Counselor
Kristin Moore
Counselor, MAC, MEd, LMHCA
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
I am currently scheduling limited daytime clients. I work with young adults who are managing difficult transitions in their life and may be struggling with stress and anxiety as they try to lay their foundations. I often see neurodiverse clients who face burnout and overwhelm and who may also be working through childhood trauma. I also work with parents of neurodiverse and capable kids seeking personal emotional support and strategies to help their families. As your therapist I will work alongside you and will be your ally and advocate, supporting you as you evaluate your strengths and move into a more authentic and happy life.
I am currently scheduling limited daytime clients. I work with young adults who are managing difficult transitions in their life and may be struggling with stress and anxiety as they try to lay their foundations. I often see neurodiverse clients who face burnout and overwhelm and who may also be working through childhood trauma. I also work with parents of neurodiverse and capable kids seeking personal emotional support and strategies to help their families. As your therapist I will work alongside you and will be your ally and advocate, supporting you as you evaluate your strengths and move into a more authentic and happy life.
(206) 759-2005 View (206) 759-2005
Photo of Chaitra Elise Devereaux - Inner Peace Counseling, PsyD, Psychologist
Inner Peace Counseling
Psychologist, PsyD
Verified Verified
Online Only
The daily struggles of life, loss, relationships, and health are real. But we are not supposed to face them alone. We may not choose the pain that comes our way, but we can choose how we respond. Inner peace and strength are gifts from God — gifts that are within our reach. I will partner with you in your journey toward healing, providing the resources and space you need to apply faith and skill in everyday life.
The daily struggles of life, loss, relationships, and health are real. But we are not supposed to face them alone. We may not choose the pain that comes our way, but we can choose how we respond. Inner peace and strength are gifts from God — gifts that are within our reach. I will partner with you in your journey toward healing, providing the resources and space you need to apply faith and skill in everyday life.
(206) 208-0278 View (206) 208-0278
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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
77% 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.