Therapists in Seattle, WA

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Photo of Whitney Mascarenas, Counselor, MEd, ACMHC
Whitney Mascarenas
Counselor, MEd, ACMHC
Seattle, WA 98112
Whitney Mascarenas, M.Ed, ACMHC (Extern), has been involved in various counseling roles within both K-12 school systems and higher education since 2018. For the past 1.5 years, she has worked in the clinical mental health field, specializing in outpatient care. Whitney holds a Bachelor’s degree in Psychology, a Master’s degree in Psychology with an emphasis in School Counseling, and a certificate in College and Career Readiness. She is also a licensed Associate Clinical Mental Health Counselor.
Whitney Mascarenas, M.Ed, ACMHC (Extern), has been involved in various counseling roles within both K-12 school systems and higher education since 2018. For the past 1.5 years, she has worked in the clinical mental health field, specializing in outpatient care. Whitney holds a Bachelor’s degree in Psychology, a Master’s degree in Psychology with an emphasis in School Counseling, and a certificate in College and Career Readiness. She is also a licensed Associate Clinical Mental Health Counselor.
(425) 979-2314 View (425) 979-2314
Photo of Dylan Borer, Counselor, MS, LMHCA
Dylan Borer
Counselor, MS, LMHCA
1 Endorsed
Online Only
Feeling weighed down by anxiety, depression, trauma, the challenges of ADHD, or navigating life as an LGBTQ+ individual in a world that isn’t always accepting can feel isolating. You deserve a space where your whole self is honored—respected, affirmed, and never judged. Together, we’ll explore what matters most to you, uncover the roots of your struggles, and create strategies that fit your needs. My goal is to help you heal, build resilience, and embrace meaningful change in a safe, supportive environment.
Feeling weighed down by anxiety, depression, trauma, the challenges of ADHD, or navigating life as an LGBTQ+ individual in a world that isn’t always accepting can feel isolating. You deserve a space where your whole self is honored—respected, affirmed, and never judged. Together, we’ll explore what matters most to you, uncover the roots of your struggles, and create strategies that fit your needs. My goal is to help you heal, build resilience, and embrace meaningful change in a safe, supportive environment.
(206) 984-2739 View (206) 984-2739
Photo of Makenzie Muilenburg, Counselor, MS, LMHC, NCC
Makenzie Muilenburg
Counselor, MS, LMHC, NCC
1 Endorsed
Online Only
Not accepting new clients
I’m so glad you’ve taken this first step to explore the counseling options available to you. I believe personal wellbeing is something we all naturally move towards and counseling can be a powerful way to gain insight, identify goals, and seek change and healing. I am experienced in working with clients facing wide range of mental health challenges, life transitions, and obstacles.
I’m so glad you’ve taken this first step to explore the counseling options available to you. I believe personal wellbeing is something we all naturally move towards and counseling can be a powerful way to gain insight, identify goals, and seek change and healing. I am experienced in working with clients facing wide range of mental health challenges, life transitions, and obstacles.
(206) 589-5362 View (206) 589-5362
Photo of Ray Findley, Clinical Social Work/Therapist, MSW, LCSW
Ray Findley
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Many folks who sit with me share the weight of being a human in a world that does not seem to honor, value, or support them. It can feel exhausting to continuing carrying our wounded selves through a sea of ongoing oppression and late stage capitalism. All the while, we continue to feel the pain of our childhood wounding and challenges with relationship and connection. It can feel overwhelming and hopeless. How do we find our way in all of this?
Many folks who sit with me share the weight of being a human in a world that does not seem to honor, value, or support them. It can feel exhausting to continuing carrying our wounded selves through a sea of ongoing oppression and late stage capitalism. All the while, we continue to feel the pain of our childhood wounding and challenges with relationship and connection. It can feel overwhelming and hopeless. How do we find our way in all of this?
(970) 364-1720 View (970) 364-1720
Photo of Stacey Dao, Pre-Licensed Professional, BS
Stacey Dao
Pre-Licensed Professional, BS
1 Endorsed
Seattle, WA 98104
You might be carrying far more than people realize—feeling overwhelmed, disconnected, or unsure how to show up for yourself while managing everything around you. Anxiety may steal your peace, depression might weigh you down, or you may feel stuck in patterns you can’t break alone. You might feel unheard in relationships, unsure how to set boundaries, or like you’ve lost your voice along the way. If you’re longing for relief, clarity, or a space where someone truly sees you, you’re not alone.
You might be carrying far more than people realize—feeling overwhelmed, disconnected, or unsure how to show up for yourself while managing everything around you. Anxiety may steal your peace, depression might weigh you down, or you may feel stuck in patterns you can’t break alone. You might feel unheard in relationships, unsure how to set boundaries, or like you’ve lost your voice along the way. If you’re longing for relief, clarity, or a space where someone truly sees you, you’re not alone.
(206) 647-5006 View (206) 647-5006
Photo of Jess Flanagan - Jess Flanagan Coaching, FNP-BC
Jess Flanagan Coaching
Verified Verified
Seattle, WA 98103
I'm a nurse practitioner turned empowerment coach. I worked in primary care for over 10 years only to find the system was failing those that really wanted to make changes to their life, physical and mental health. I started coaching to take a new perspective on healing. I believe that we are all human and cannot be confined to a diagnosis. I believe we don't need to be fixed but just need to be held in a compassionate, non judgmental light in order to see our higher potential. I am here to help you along life's journey and achieve your goals to live a happier and full life.
I'm a nurse practitioner turned empowerment coach. I worked in primary care for over 10 years only to find the system was failing those that really wanted to make changes to their life, physical and mental health. I started coaching to take a new perspective on healing. I believe that we are all human and cannot be confined to a diagnosis. I believe we don't need to be fixed but just need to be held in a compassionate, non judgmental light in order to see our higher potential. I am here to help you along life's journey and achieve your goals to live a happier and full life.
(206) 593-3099 View (206) 593-3099
Photo of Anthony Pennant Jr, Marriage & Family Therapist, LMFT, PhD, CST
Anthony Pennant Jr
Marriage & Family Therapist, LMFT, PhD, CST
2 Endorsed
Seattle, WA 98103
Anxiety, Depression, and other issues seem like they can never get any better. You might also feel like things will never change in life or that perhaps you are going backwards. When you first call, you will experience compassion and empathy from me that will assist you in making the decision to find resolution to these problems. In therapy, I provide a safe and non-judgmental space to hear your story and work to give hope to hopeless situations. Call to schedule a session and begin therapy. In addition to therapy, I reserve a portion of my practice time for clinical assessment (custody evaluations and mental health assessments).
Anxiety, Depression, and other issues seem like they can never get any better. You might also feel like things will never change in life or that perhaps you are going backwards. When you first call, you will experience compassion and empathy from me that will assist you in making the decision to find resolution to these problems. In therapy, I provide a safe and non-judgmental space to hear your story and work to give hope to hopeless situations. Call to schedule a session and begin therapy. In addition to therapy, I reserve a portion of my practice time for clinical assessment (custody evaluations and mental health assessments).
(206) 202-4866 View (206) 202-4866
Photo of Nick Duran, Counselor, LMHC
Nick Duran
Counselor, LMHC
1 Endorsed
Online Only
Many clients come to me carrying a quiet ache beneath the surface—a sense of “I’m broken” that lingers despite years of pushing through. If you’re a millennial, creative, or LGBTQIA+ adult holding more than others realize, this space is for you. I offer an integrative, trauma-focused, body-centered approach that blends EMDR therapy with somatic and mindful practices. My aim is to help you reconnect with yourself and begin to feel worthy just as you are.
Many clients come to me carrying a quiet ache beneath the surface—a sense of “I’m broken” that lingers despite years of pushing through. If you’re a millennial, creative, or LGBTQIA+ adult holding more than others realize, this space is for you. I offer an integrative, trauma-focused, body-centered approach that blends EMDR therapy with somatic and mindful practices. My aim is to help you reconnect with yourself and begin to feel worthy just as you are.
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Photo of Larisa Wade, Licensed Professional Counselor, LPCC
Larisa Wade
Licensed Professional Counselor, LPCC
Online Only
Whatever you’re struggling with- whether it’s difficult memories or emotions, numbness, stress, shame, or anxiety- I want you to know that you can get to the other side of it. I'm here to lend a listening ear and to guide you when the path is unclear. My therapeutic approach is person-centered. My goal is to deliver effective therapy in a way that’s relational and attuned to your needs. I use treatment modalities such as Eye Movement Desensitization and Reprocessing (EMDR), cognitive behavioral therapy, dialectical behavior therapy, exposure and response prevention (ERP), and art therapy.
Whatever you’re struggling with- whether it’s difficult memories or emotions, numbness, stress, shame, or anxiety- I want you to know that you can get to the other side of it. I'm here to lend a listening ear and to guide you when the path is unclear. My therapeutic approach is person-centered. My goal is to deliver effective therapy in a way that’s relational and attuned to your needs. I use treatment modalities such as Eye Movement Desensitization and Reprocessing (EMDR), cognitive behavioral therapy, dialectical behavior therapy, exposure and response prevention (ERP), and art therapy.
(206) 202-4174 View (206) 202-4174
Photo of Lyza Graham, Mental Health Counselor, MS, LMHC, NCC
Lyza Graham
Mental Health Counselor, MS, LMHC, NCC
1 Endorsed
Online Only
Are you looking for a queer and/or transgender therapist with lived experience similar to yours? Are you navigating family or relationship dynamics that feel too challenging to do alone? Are you experiencing looming anxieties that have begun to feel unmanageable? Have you been struggling with boundaries and patterns of people-pleasing? Are you wishing to build a kinder relationship with yourself? Are you seeking support along your journey of finding and embracing your authentic self? Whether you are at the beginning of your journey, have been at it for some time now, or have yet to begin, I want to support you through it.
Are you looking for a queer and/or transgender therapist with lived experience similar to yours? Are you navigating family or relationship dynamics that feel too challenging to do alone? Are you experiencing looming anxieties that have begun to feel unmanageable? Have you been struggling with boundaries and patterns of people-pleasing? Are you wishing to build a kinder relationship with yourself? Are you seeking support along your journey of finding and embracing your authentic self? Whether you are at the beginning of your journey, have been at it for some time now, or have yet to begin, I want to support you through it.
(206) 984-3297 View (206) 984-3297
Photo of Billie Bloom, Counselor, MA, LMHC
Billie Bloom
Counselor, MA, LMHC
1 Endorsed
Seattle, WA 98122
The relationship I develop with both individuals and partners seeks to prioritize and build value around your own unique identity, as well as your singular and/or cultural understanding of wellness, safety, trust, and strength. Together we will explore your perceptions of mind, body, community, and spirit to find or uncover ways of being in the world that foster a lively and meaningful life. I consider you to be the expert of the meaning you pursue, and I value time spent letting you in on the “secret” of the therapeutic process so we can bend it to your individual need.
The relationship I develop with both individuals and partners seeks to prioritize and build value around your own unique identity, as well as your singular and/or cultural understanding of wellness, safety, trust, and strength. Together we will explore your perceptions of mind, body, community, and spirit to find or uncover ways of being in the world that foster a lively and meaningful life. I consider you to be the expert of the meaning you pursue, and I value time spent letting you in on the “secret” of the therapeutic process so we can bend it to your individual need.
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Photo of Joshua Bleustar, Counselor, MA, LMHC, NCC
Joshua Bleustar
Counselor, MA, LMHC, NCC
Online Only
I provide secure and confidential online supportive care from your place of comfort and safety. We will process your life story and welcome your authentic self; Shift perspectives and learn new ways to be resilient and motivated through your healing journey. In this practice I currently welcome those with personal trauma. Influenced by decades of therapeutic training and personally living through disability diagnosis. Together we can consider disruptions in cognition, emotions, and vocation caused by disability, childhood trauma and other PTSD sources and concerns.
I provide secure and confidential online supportive care from your place of comfort and safety. We will process your life story and welcome your authentic self; Shift perspectives and learn new ways to be resilient and motivated through your healing journey. In this practice I currently welcome those with personal trauma. Influenced by decades of therapeutic training and personally living through disability diagnosis. Together we can consider disruptions in cognition, emotions, and vocation caused by disability, childhood trauma and other PTSD sources and concerns.
(253) 299-8019 View (253) 299-8019
Photo of Sherry Thomas, MA, LMHC, SUDP
Sherry Thomas
Verified Verified
2 Endorsed
Seattle, WA 98105
Are you overwhelmed, confused or held hostage by emotions? Unable to stop thinking about the past, or freaking out about the future? Do you behave in ways that don't align with your values, or how you view yourself? Is it hard to connect with others and be authentic in relationships? Real change is possible. My practice is client centered, humanistic, experiential & rooted in neuroscience. This means you're in the driver's seat; I understand there is reason behind all behavior. I work with present moment experiences to heal, instead of solely talking about pain. My interventions are backed by rigorous scientific brain research.
Are you overwhelmed, confused or held hostage by emotions? Unable to stop thinking about the past, or freaking out about the future? Do you behave in ways that don't align with your values, or how you view yourself? Is it hard to connect with others and be authentic in relationships? Real change is possible. My practice is client centered, humanistic, experiential & rooted in neuroscience. This means you're in the driver's seat; I understand there is reason behind all behavior. I work with present moment experiences to heal, instead of solely talking about pain. My interventions are backed by rigorous scientific brain research.
(206) 589-8097 View (206) 589-8097
Photo of Katrina Knutson - Katrina Knutson, Counselor, MA, LMHC
Katrina Knutson
Counselor, MA, LMHC
1 Endorsed
Seattle, WA 98116
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 Stacy A DeMar, Registered Clinical Social Worker Intern, MSW, RCSWI
Stacy A DeMar
Registered Clinical Social Worker Intern, MSW, RCSWI
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 Chandan Davis, Clinical Social Work/Therapist, LICSW, MSW
Chandan Davis
Clinical Social Work/Therapist, LICSW, MSW
1 Endorsed
Online Only
I approach therapy with warmth, a focus on collaborative relationships, a strength-based lens, and an overall focus on creating an inner calm. Clients can count on openness and a therapist who meets you where you are. I collaborate with clients and families to set and work toward goals together. In sessions we address concerns, build tools and skills (ex, calming, distress tolerance, emotion identification, self-regulation, improved relationships, harm reduction) that help you reach your goals. I am also an approved Clinical Supervisor for Washington State and accepting supervisees.
I approach therapy with warmth, a focus on collaborative relationships, a strength-based lens, and an overall focus on creating an inner calm. Clients can count on openness and a therapist who meets you where you are. I collaborate with clients and families to set and work toward goals together. In sessions we address concerns, build tools and skills (ex, calming, distress tolerance, emotion identification, self-regulation, improved relationships, harm reduction) that help you reach your goals. I am also an approved Clinical Supervisor for Washington State and accepting supervisees.
(206) 350-6018 View (206) 350-6018
Photo of Maiah Merino, Mental Health Counselor, LMHC
Maiah Merino
Mental Health Counselor, LMHC
Online Only
Welcome! Our work together will be dynamic, reflective, and creative, with dashes of humor, invitations to try new things, and together finding concrete ways to help you feel better. My main approaches to working with others are through a feminist, non-directive lens; one in which I follow the lead of the client, listen, ask questions, make observations, and also speak of the Narrative you frame your life in. As a writer and one who utilizes Narrative and Poetic therapy, language and the frames we characterize ourselves in are true for us.
Welcome! Our work together will be dynamic, reflective, and creative, with dashes of humor, invitations to try new things, and together finding concrete ways to help you feel better. My main approaches to working with others are through a feminist, non-directive lens; one in which I follow the lead of the client, listen, ask questions, make observations, and also speak of the Narrative you frame your life in. As a writer and one who utilizes Narrative and Poetic therapy, language and the frames we characterize ourselves in are true for us.
(509) 519-3380 View (509) 519-3380
Photo of Alice Bravo, PhD, BCBA-D, LBA
Alice Bravo
Verified Verified
Online Only
I am a behavior analyst and early childhood special educator licensed in Washington State. I have extensive experience supporting families of young children with autism and developmental differences. I aim to provide families with practical, research-based tools to reduce challenging behavior, support communication, and build positive daily routines. I primarily work with families of children ages 2-10, though I have experience supporting children from infancy through adolescence.
I am a behavior analyst and early childhood special educator licensed in Washington State. I have extensive experience supporting families of young children with autism and developmental differences. I aim to provide families with practical, research-based tools to reduce challenging behavior, support communication, and build positive daily routines. I primarily work with families of children ages 2-10, though I have experience supporting children from infancy through adolescence.
(206) 759-2339 View (206) 759-2339
Photo of Jon Huerta - Jon Huerta Therapy, Counselor, MA, LMHCA
Jon Huerta Therapy
Counselor, MA, LMHCA
1 Endorsed
Seattle, WA 98103
I am a neurodivergent white-passing Latino clinician. I help with adults and youth who come in with uncertainty, insecurity, deep hurt, questions about themselves, and a need to be seen and heard. Life is an array of experiences that can often leave us feeling dissatisfied and detached from ourselves and others. Regardless of age, we all experience hurt and a need for caring support. Working with me is best seen as one of the many alternative health oriented practices and will encourage more holistic collaboration with intention to facilitate towards a more thriving life.
I am a neurodivergent white-passing Latino clinician. I help with adults and youth who come in with uncertainty, insecurity, deep hurt, questions about themselves, and a need to be seen and heard. Life is an array of experiences that can often leave us feeling dissatisfied and detached from ourselves and others. Regardless of age, we all experience hurt and a need for caring support. Working with me is best seen as one of the many alternative health oriented practices and will encourage more holistic collaboration with intention to facilitate towards a more thriving life.
(206) 752-2821 View (206) 752-2821
Photo of Nicola Miller, Clinical Social Work/Therapist, MSW, LICSW
Nicola Miller
Clinical Social Work/Therapist, MSW, LICSW
Seattle, WA 98107
Welcome! I believe that curiosity and exploration are vital to understanding oneself and the world we inhabit. Within my practice, I provide a warm and nurturing environment for you to openly explore your concerns, experiences, goals, and the complexities of human connections. With genuine empathy, active listening, and thought-provoking questions, my commitment is to support you in deepening your self-awareness and finding meaningful solutions to the challenges you may face. Therapy doesn't always have to be serious. As such, I embrace and appropriately incorporate humor into our sessions, offering moments of levity and lightness.
Welcome! I believe that curiosity and exploration are vital to understanding oneself and the world we inhabit. Within my practice, I provide a warm and nurturing environment for you to openly explore your concerns, experiences, goals, and the complexities of human connections. With genuine empathy, active listening, and thought-provoking questions, my commitment is to support you in deepening your self-awareness and finding meaningful solutions to the challenges you may face. Therapy doesn't always have to be serious. As such, I embrace and appropriately incorporate humor into our sessions, offering moments of levity and lightness.
(206) 984-2369 View (206) 984-2369

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
73% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

68% Premera Blue Cross
65% Aetna
60% 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.