Therapists in Seattle, WA

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Photo of Joshua Magallanes, Counselor in Seattle, WA
Joshua Magallanes
Counselor, MA, LMHC, NCC
Verified
3 Endorsed
Seattle, WA 98112
Many clients come to therapy for multiple reasons; most clients are seeking when the "anxiety" is too much to endure. I provide therapy for individuals-(children, adolescents and adults), couples, and facilitate process groups. I also am a multicultural educator. I help individuals cope with mechanisms that will help find ways to make different choices and re-invent ourselves; so we then become the architect, the planner and the builder of our lives, throughout our lives. I provide workshops and presentations that deal with undoing multiple oppressions in both queer and communities of color.
Many clients come to therapy for multiple reasons; most clients are seeking when the "anxiety" is too much to endure. I provide therapy for individuals-(children, adolescents and adults), couples, and facilitate process groups. I also am a multicultural educator. I help individuals cope with mechanisms that will help find ways to make different choices and re-invent ourselves; so we then become the architect, the planner and the builder of our lives, throughout our lives. I provide workshops and presentations that deal with undoing multiple oppressions in both queer and communities of color.
(206) 922-4202 View (206) 922-4202
Photo of Christina Forsythe, Counselor in Seattle, WA
Christina Forsythe
Counselor, MS, LMHC
Verified
Seattle, WA 98106  (Online Only)
I believe each of us, deep down, hold our own answers to the issues we face. Sometimes we need an objective listener to ask new questions, suggest new skills, be supportive and coach us through tough times. Humans have a tremendous ability to handle the traumatic events in life. We build strategies to get us through the day. At some point, we might realize that these strategies no longer work and may even be causing more problems than they solve. This is when the support of a caring professional can help us find more efficient strategies to handle our lives.
I believe each of us, deep down, hold our own answers to the issues we face. Sometimes we need an objective listener to ask new questions, suggest new skills, be supportive and coach us through tough times. Humans have a tremendous ability to handle the traumatic events in life. We build strategies to get us through the day. At some point, we might realize that these strategies no longer work and may even be causing more problems than they solve. This is when the support of a caring professional can help us find more efficient strategies to handle our lives.
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Photo of Nicholas G Jzyk, Counselor in Seattle, WA
Nicholas G Jzyk
Counselor, LMHCA, MA
Verified
7 Endorsed
Seattle, WA 98125
We all experience struggles in life. I believe sometimes we just need a bit of help to overcome them. I am an authentic strength-based and solution-focused counselor who aims to assist my clients in them using strengths to find solutions and overcome whatever those struggles may be. I value staying open-minded, warm, authentic, and honest with my clients. I want to give you space to express yourself and feel safe. I see the world in "grey” not black and white. When facing challenges I believe there are many paths to improvement. As your counselor, I aim to help and empower you to explore them so you can move toward a better place.
We all experience struggles in life. I believe sometimes we just need a bit of help to overcome them. I am an authentic strength-based and solution-focused counselor who aims to assist my clients in them using strengths to find solutions and overcome whatever those struggles may be. I value staying open-minded, warm, authentic, and honest with my clients. I want to give you space to express yourself and feel safe. I see the world in "grey” not black and white. When facing challenges I believe there are many paths to improvement. As your counselor, I aim to help and empower you to explore them so you can move toward a better place.
(360) 615-3429 View (360) 615-3429
Photo of Dr. Brittany King, Counselor in Seattle, WA
Dr. Brittany King
Counselor, PsyD, LMHC
Verified
2 Endorsed
Seattle, WA 98107
Not accepting new clients
I specialize in working with people with trauma, anxiety, and obsessive-compulsive disorder. The cornerstones of my approach are based upon genuineness and warmth. I am an EMDR therapist, and I completed my EMDRIA-approved EMDR training and became specialized in EMDR in 2019. For OCD, I use ERP (Exposure and Response Prevention) and I-CBT as treatment models.
I specialize in working with people with trauma, anxiety, and obsessive-compulsive disorder. The cornerstones of my approach are based upon genuineness and warmth. I am an EMDR therapist, and I completed my EMDRIA-approved EMDR training and became specialized in EMDR in 2019. For OCD, I use ERP (Exposure and Response Prevention) and I-CBT as treatment models.
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Photo of Dr. Dawn Marie Loerch, Counselor in Seattle, WA
Dr. Dawn Marie Loerch
Counselor, PhD, LMHC
Verified
Seattle, WA 98103
Life can feel overwhelming, confusing, and difficult; relationships can be challenging. I help you make sense of your experience and navigate through your struggles. With self-awareness, you achieve a greater sense of purpose, freedom, flexibility, and choice in your life. The therapeutic relationship is the healing container in which self-exploration and discovery takes place. As a depth psychotherapist, I work with you collaboratively which provides a vehicle for understanding and resolving the feelings, thoughts, behaviors, and relationship patterns that interfere with your development and well being.
Life can feel overwhelming, confusing, and difficult; relationships can be challenging. I help you make sense of your experience and navigate through your struggles. With self-awareness, you achieve a greater sense of purpose, freedom, flexibility, and choice in your life. The therapeutic relationship is the healing container in which self-exploration and discovery takes place. As a depth psychotherapist, I work with you collaboratively which provides a vehicle for understanding and resolving the feelings, thoughts, behaviors, and relationship patterns that interfere with your development and well being.
(253) 245-1803 View (253) 245-1803
Photo of Melissa Stoker, Counselor in Seattle, WA
Melissa Stoker
Counselor, MS, LMHC
Verified
Seattle, WA 98112
I work with adults who come to therapy with a variety of concerns, including but not limited to: depression, anxiety, trauma and PTSD, problems with relationships, sexual trauma, family-of-origin issues, struggles with self-esteem, inhibitions and fears, childhood trauma, phobias, social anxieties, and separation issues. I work with individuals in both short- and long-term therapy, meeting varying frequencies, depending upon the goals of therapy.
I work with adults who come to therapy with a variety of concerns, including but not limited to: depression, anxiety, trauma and PTSD, problems with relationships, sexual trauma, family-of-origin issues, struggles with self-esteem, inhibitions and fears, childhood trauma, phobias, social anxieties, and separation issues. I work with individuals in both short- and long-term therapy, meeting varying frequencies, depending upon the goals of therapy.
(206) 237-5269 View (206) 237-5269
Photo of Jackie Young, Counselor in Seattle, WA
Jackie Young
Counselor, MSEd, MEd, LPCC, LMHC
Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
With more than 20 years of experience as an educator and therapist, Jackie specializes in helping parents interact compassionately and effectively with their children. Her training and experience is rooted in evidence based therapies with a focus on creating and maintaining authentic, healing relationships. Jackie has advanced and intensive training in DBT and offers individualized coaching sessions for parents with children of all ages struggling with regulating intense emotions. She also runs DBT skills groups for parents, providing them with the skills and support to effectively manage parenting and family challenges.
With more than 20 years of experience as an educator and therapist, Jackie specializes in helping parents interact compassionately and effectively with their children. Her training and experience is rooted in evidence based therapies with a focus on creating and maintaining authentic, healing relationships. Jackie has advanced and intensive training in DBT and offers individualized coaching sessions for parents with children of all ages struggling with regulating intense emotions. She also runs DBT skills groups for parents, providing them with the skills and support to effectively manage parenting and family challenges.
(206) 207-5209 View (206) 207-5209
Photo of Nicole Waters, Counselor in Seattle, WA
Nicole Waters
Counselor, MA, LMHC, NCC
Verified
Seattle, WA 98122  (Online Only)
Many people can feel they have become “stuck” at a certain point in their life, such as a challenging life adjustment, communication difficulties in a relationship, or getting caught up in negative thoughts and behaviors. My goal in therapy is to establish a safe and supportive environment to freely express your inner thoughts and concerns, while providing resources and a platform for you to advocate for yourself. We will work together as a team to establish goals and to help you overcome life’s demands, difficulties and barriers.
Many people can feel they have become “stuck” at a certain point in their life, such as a challenging life adjustment, communication difficulties in a relationship, or getting caught up in negative thoughts and behaviors. My goal in therapy is to establish a safe and supportive environment to freely express your inner thoughts and concerns, while providing resources and a platform for you to advocate for yourself. We will work together as a team to establish goals and to help you overcome life’s demands, difficulties and barriers.
(206) 385-5955 View (206) 385-5955
Photo of Scott Renschler, Psychologist in Seattle, WA
Scott Renschler
Psychologist, PsyD
Verified
1 Endorsed
Seattle, WA 98103
Not accepting new clients
I am a licensed clinical psychologist working with adults in individual therapy through a relational and psychodynamic approach. These modalities hold that the past informs the present, often setting the template for unconscious patterns of thought, behavior, and relating to others that impact our current relationships, as well as our ability to be productive and fulfilled. Developing deeper understanding about the nature of our problems within the context of an empathic, collaborative therapeutic relationship can lead to increased intellectual and emotional flexibility, healthier relationships, and richer, more satisfying lives.
I am a licensed clinical psychologist working with adults in individual therapy through a relational and psychodynamic approach. These modalities hold that the past informs the present, often setting the template for unconscious patterns of thought, behavior, and relating to others that impact our current relationships, as well as our ability to be productive and fulfilled. Developing deeper understanding about the nature of our problems within the context of an empathic, collaborative therapeutic relationship can lead to increased intellectual and emotional flexibility, healthier relationships, and richer, more satisfying lives.
(206) 632-2873 View (206) 632-2873
Photo of Anna Shwab Eidelson, Mental Health Counselor Associate in Seattle, WA
Anna Shwab Eidelson
Mental Health Counselor Associate, MA, LMHCA
Verified
1 Endorsed
Seattle, WA 98121
Not accepting new clients
I believe you are the expert of your own life. I am grateful for the opportunity to collaborate with you, and create a space where you are able to reconnect with yourself and your strengths in order to live the best version of your life. I am passionate about supporting women who are navigating life transitions and are discovering their identity and belonging in a new city, relationships, career, or are transitioning into motherhood. I work with women who experience anxiety and depression, and women who feel disconnected from their bodies, struggle with disordered eating, or are experiencing negative body image.
I believe you are the expert of your own life. I am grateful for the opportunity to collaborate with you, and create a space where you are able to reconnect with yourself and your strengths in order to live the best version of your life. I am passionate about supporting women who are navigating life transitions and are discovering their identity and belonging in a new city, relationships, career, or are transitioning into motherhood. I work with women who experience anxiety and depression, and women who feel disconnected from their bodies, struggle with disordered eating, or are experiencing negative body image.
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Photo of Marisa McCann, Counselor in Seattle, WA
Marisa McCann
Counselor, MA, LMHCA
Verified
1 Endorsed
Seattle, WA 98103
Please email me for a faster response- I am a licensed mental health counselor associate who specializes in working with children, adolescents, students and young adults. My approach is to serve client needs through the holistic and innovative services that foster hope and recovery through evidenced-based treatments such as cognitive behavioral therapy, dialectical behavioral therapy, trauma-focused behavior therapy, play therapy and behavioral activation. I have devoted time to families and have learned to effectively collaborate with them to help my client reach their goals and lead meaningful and purposeful lives.
Please email me for a faster response- I am a licensed mental health counselor associate who specializes in working with children, adolescents, students and young adults. My approach is to serve client needs through the holistic and innovative services that foster hope and recovery through evidenced-based treatments such as cognitive behavioral therapy, dialectical behavioral therapy, trauma-focused behavior therapy, play therapy and behavioral activation. I have devoted time to families and have learned to effectively collaborate with them to help my client reach their goals and lead meaningful and purposeful lives.
(360) 743-3225 View (360) 743-3225
Photo of Dav Monet, Counselor in Seattle, WA
Dav Monet
Counselor, MACP, LMHC
Verified
Seattle, WA 98119  (Online Only)
Living with untreated mental health concerns can be as blaring as crisis or subtle as the feeling that something is "off". However it shows up, counseling can help you start working with your pain and processing your experiences with professional aid. My style of counseling engages clients' unique inner worlds via practices like art therapy, dreamwork and attention to somatic signals, without neglecting the impacts of outer circumstances and systemic harms.
Living with untreated mental health concerns can be as blaring as crisis or subtle as the feeling that something is "off". However it shows up, counseling can help you start working with your pain and processing your experiences with professional aid. My style of counseling engages clients' unique inner worlds via practices like art therapy, dreamwork and attention to somatic signals, without neglecting the impacts of outer circumstances and systemic harms.
(360) 526-0200 View (360) 526-0200
Photo of Deb Montgomery, Counselor in Seattle, WA
Deb Montgomery
Counselor, MA, LMHC
Verified
Seattle, WA 98107  (Online Only)
It's a difficult journey sometimes and Relationships are hard. It can be so helpful to talk to someone and have a relationship outside your family and friends to process some of the hard stuff .. Sometimes your anxiety is hard to understand. Sometimes you wish you understood what keeps you stuck. Sometimes life can feel overwhelming or sometimes you just want company sorting through some issues and feelings. I also work with client's around their questions related to faith, family and church.
It's a difficult journey sometimes and Relationships are hard. It can be so helpful to talk to someone and have a relationship outside your family and friends to process some of the hard stuff .. Sometimes your anxiety is hard to understand. Sometimes you wish you understood what keeps you stuck. Sometimes life can feel overwhelming or sometimes you just want company sorting through some issues and feelings. I also work with client's around their questions related to faith, family and church.
(206) 535-1358 View (206) 535-1358
Photo of Erica Ewart, Counselor in Seattle, WA
Erica Ewart
Counselor, MA, LMHC
Verified
Seattle, WA 98119  (Online Only)
I've spent 10 years in a private practice working with folks who are seeking help with anxiety, depression, relationship issues, and life transitions. I work with clients who are seeking a space for self-reflection and growth, and help in building relationship skills and coping strategies that can help them move through life in a more skillful way. I love working with people, and I use a warm and compassionate approach, not without direct and honest feedback. I'm often described as gentle and grounding, providing a comfortable space for the work of therapy.
I've spent 10 years in a private practice working with folks who are seeking help with anxiety, depression, relationship issues, and life transitions. I work with clients who are seeking a space for self-reflection and growth, and help in building relationship skills and coping strategies that can help them move through life in a more skillful way. I love working with people, and I use a warm and compassionate approach, not without direct and honest feedback. I'm often described as gentle and grounding, providing a comfortable space for the work of therapy.
(206) 472-1536 View (206) 472-1536
Photo of Judith Vanessa Hutton Levenson, Counselor in Seattle, WA
Judith Vanessa Hutton Levenson
Counselor, LMHC
Verified
Seattle, WA 98125  (Online Only)
I have learned almost everything of importance about mental health from working with my patients. Though I consider that I had excellent training, as with many things in life, nothing prepared me for the intensity of my patients' life-stories. It was a trial by immersion, but as with such journeys, it was also one of discovery. Patients set before me stories of grief, longing, despair, addiction, obsession, but also of surprise, joy, and abundance. At times, they were overtaken by the force of events swirling around them, losing their bearings and sense of agency.
I have learned almost everything of importance about mental health from working with my patients. Though I consider that I had excellent training, as with many things in life, nothing prepared me for the intensity of my patients' life-stories. It was a trial by immersion, but as with such journeys, it was also one of discovery. Patients set before me stories of grief, longing, despair, addiction, obsession, but also of surprise, joy, and abundance. At times, they were overtaken by the force of events swirling around them, losing their bearings and sense of agency.
(206) 203-3595 View (206) 203-3595
Photo of Devorah Verburg-Sachs, Counselor in Seattle, WA
Devorah Verburg-Sachs
Counselor, MA, LMHC
Verified
Seattle, WA 98107  (Online Only)
When we find ourselves in the midst of change as we are now, we can feel anxious, overwhelmed, scared, and isolated. We can learn however, to be flexible and resilient and to use these times as a way to strengthen ourselves. The urge to minimize our pain and power through, as though everything is the same, can lead to feelings of isolation, and fear. We may find we are lacking confidence in our ability to move forward, or we may find ourselves at a crossroads, not knowing which direction to take. Alternatively, we can develop our internal resiliency, broaden our perspectives and meet the challenges we face, and grow stronger.
When we find ourselves in the midst of change as we are now, we can feel anxious, overwhelmed, scared, and isolated. We can learn however, to be flexible and resilient and to use these times as a way to strengthen ourselves. The urge to minimize our pain and power through, as though everything is the same, can lead to feelings of isolation, and fear. We may find we are lacking confidence in our ability to move forward, or we may find ourselves at a crossroads, not knowing which direction to take. Alternatively, we can develop our internal resiliency, broaden our perspectives and meet the challenges we face, and grow stronger.
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Photo of Jessica Wendling in Seattle, WA
Jessica Wendling
ND
1 Endorsed
Seattle, WA 98107
Stuck in a pattern that's no longer serving you? I offer neurofeedback treatments that can break you out of maladaptive cycles (anxiety, pain, depression, etc) in as little as one session. Whether you've been stuck for a couple of weeks or a few decades, you can expect to feel more energy, motivation, and focus, a stabilized mood, reduction in pain, better sleep, and/or fewer social barriers. These treatments are safe and effective for any age group and can also optimize athletic, school, or work performance.
Stuck in a pattern that's no longer serving you? I offer neurofeedback treatments that can break you out of maladaptive cycles (anxiety, pain, depression, etc) in as little as one session. Whether you've been stuck for a couple of weeks or a few decades, you can expect to feel more energy, motivation, and focus, a stabilized mood, reduction in pain, better sleep, and/or fewer social barriers. These treatments are safe and effective for any age group and can also optimize athletic, school, or work performance.
(206) 279-1091 View (206) 279-1091
Photo of James R Kinskey, Clinical Social Work/Therapist in Seattle, WA
James R Kinskey
Clinical Social Work/Therapist, MSW, LICSW
Verified
Seattle, WA 98118
I work with teens, couples, and adults. I believe that psychotherapy offers unique possibilities for healing and growth. The first step in therapy is to understand your needs and develop an approach and plan that will help achieve your goals. I will listen carefully and thoughtfully to you. This opens up new ways of approaching problems. Working together lightens the load.
I work with teens, couples, and adults. I believe that psychotherapy offers unique possibilities for healing and growth. The first step in therapy is to understand your needs and develop an approach and plan that will help achieve your goals. I will listen carefully and thoughtfully to you. This opens up new ways of approaching problems. Working together lightens the load.
(206) 207-4558 View (206) 207-4558
Photo of Will Dowd Counseling Services, Clinical Social Work/Therapist in Seattle, WA
Will Dowd Counseling Services
Clinical Social Work/Therapist, LICSW
Verified
Seattle, WA 98109
Hi, I'm Will. I'm glad you are here. Seeking help can be overwhelming when you are struggling just to get through the day. I hope to make the process a little easier for you. I have lots of experience working with all kinds of people suffering from depression, anxiety, ADHD, trauma, unwanted substance use, bipolar disorder, relationship issues and more. You want to feel better, to stop worrying about the future and rehashing the past, to move through what keeps you stuck in distress, to feel freedom, and some measure of peace. I am confident that therapy can help.
Hi, I'm Will. I'm glad you are here. Seeking help can be overwhelming when you are struggling just to get through the day. I hope to make the process a little easier for you. I have lots of experience working with all kinds of people suffering from depression, anxiety, ADHD, trauma, unwanted substance use, bipolar disorder, relationship issues and more. You want to feel better, to stop worrying about the future and rehashing the past, to move through what keeps you stuck in distress, to feel freedom, and some measure of peace. I am confident that therapy can help.
(206) 312-2326 View (206) 312-2326
Photo of Madison Drury, Pre-Licensed Professional in Seattle, WA
Madison Drury
Pre-Licensed Professional, BS, BA
Verified
1 Endorsed
Seattle, WA 98104
I believe we humans all have inherent goodness, beauty, and resiliency to us. Unfortunately life leaves none of us unscathed whether it be from harmful systems, family of origin dynamics, life circumstances, toxic relationships, traumatic events, or even our own self sabotaging behaviors. Regardless of how it happens, we can find ourselves feeling stuck or in pieces. While there are many wonderful healing practices out there, I believe that therapy is a great way to start understanding how we got to where we are and to begin to grow in new directions, with the hope of living a more vibrant, grounded, and creative life.
I believe we humans all have inherent goodness, beauty, and resiliency to us. Unfortunately life leaves none of us unscathed whether it be from harmful systems, family of origin dynamics, life circumstances, toxic relationships, traumatic events, or even our own self sabotaging behaviors. Regardless of how it happens, we can find ourselves feeling stuck or in pieces. While there are many wonderful healing practices out there, I believe that therapy is a great way to start understanding how we got to where we are and to begin to grow in new directions, with the hope of living a more vibrant, grounded, and creative life.
(425) 276-7204 View (425) 276-7204

See more therapy options for Seattle

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
77% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
46% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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