Therapists in Seattle, WA

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Photo of Sam Sundberg, Clinical Social Work/Therapist, LICSW
Sam Sundberg
Clinical Social Work/Therapist, LICSW
Online Only
Hello! My name is Sam and I work with adults (18+) providing LGBTQIA+ and gender affirming mental health therapy focusing on anxiety, depression, grief, chronic illness, life transitions, family of origin, relationships, body neutrality, and neurodivergence. If you feel tired or fed up with your current situation or even the state of the world, I want to work with you. If you need to set yourself free from what's holding you back, I want to work with you. Liberation is knowing yourself - being able to see the structures that form our society, how those structures either prop you up or suppress you.
Hello! My name is Sam and I work with adults (18+) providing LGBTQIA+ and gender affirming mental health therapy focusing on anxiety, depression, grief, chronic illness, life transitions, family of origin, relationships, body neutrality, and neurodivergence. If you feel tired or fed up with your current situation or even the state of the world, I want to work with you. If you need to set yourself free from what's holding you back, I want to work with you. Liberation is knowing yourself - being able to see the structures that form our society, how those structures either prop you up or suppress you.
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Photo of Pam Dell Fitzgerald, Psychologist, PhD
Pam Dell Fitzgerald
Psychologist, PhD
Seattle, WA 98119
I work with people of all ages—child, adolescent, and adult. I have strengths in working with children, with people experiencing depression, anxiety, and trauma reactions, and with people who have been abused in the past. My goals are to help you make the changes you are ready to make, and to help relieve the struggles you are having.
I work with people of all ages—child, adolescent, and adult. I have strengths in working with children, with people experiencing depression, anxiety, and trauma reactions, and with people who have been abused in the past. My goals are to help you make the changes you are ready to make, and to help relieve the struggles you are having.
(425) 428-6894 x1167 View (425) 428-6894 x1167
Photo of Cheryl L Strayer, Clinical Social Work/Therapist, LCSW
Cheryl L Strayer
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Many times in life we feel stuck or overwhelmed by decisions and tasks. Coping skills that may have worked as a child or young adult are not be working anymore. Drinking, drugs, overeating? Pandemic fatigue has set in! Depression, anxiety, divorce, life transitions, and health challenges can be difficult to manage alone. Most people benefit from professional support. Lets talk about healthy ways to manage the stress, anxiety, and challenges we are all facing. I will join with you as you strive towards health and well being.
Many times in life we feel stuck or overwhelmed by decisions and tasks. Coping skills that may have worked as a child or young adult are not be working anymore. Drinking, drugs, overeating? Pandemic fatigue has set in! Depression, anxiety, divorce, life transitions, and health challenges can be difficult to manage alone. Most people benefit from professional support. Lets talk about healthy ways to manage the stress, anxiety, and challenges we are all facing. I will join with you as you strive towards health and well being.
(425) 475-2844 View (425) 475-2844
Photo of Amanda Fields, Pre-Licensed Professional, BS
Amanda Fields
Pre-Licensed Professional, BS
1 Endorsed
Online Only
I work with adults and couples facing post-traumatic stress, grief, depression, anxiety, and anger, offering compassionate support through life transitions, illness or pain, and relationship challenges. I offer a peaceful space where clients feel safe enough to slow down and begin making sense of their experiences. Therapy, especially trauma work, requires more than techniques—it requires an environment built on trust, respect, and genuine human connection. My approach is human-centered, meaning I meet each person where they are, honor their lived experience, and move at a pace that feels supportive rather than overwhelming.
I work with adults and couples facing post-traumatic stress, grief, depression, anxiety, and anger, offering compassionate support through life transitions, illness or pain, and relationship challenges. I offer a peaceful space where clients feel safe enough to slow down and begin making sense of their experiences. Therapy, especially trauma work, requires more than techniques—it requires an environment built on trust, respect, and genuine human connection. My approach is human-centered, meaning I meet each person where they are, honor their lived experience, and move at a pace that feels supportive rather than overwhelming.
(206) 519-5750 View (206) 519-5750
Photo of Dr. Kristy Carangi, Counselor, LMHCA, NCC
Dr. Kristy Carangi
Counselor, LMHCA, NCC
Online Only
I see a wide range of clients, although I specialize in childhood trauma and CPTSD, relationships, anxiety, ADHD, and LGBTQ issues. I work with adults, children, and adolescents. Therapy focus may include relationship conflict, anxiety control, satisfaction in both your personal life and work, focus and motivation, and building a sense of "feeling whole" or "complete." I've helped countless clients move from a place of feeling stuck and dissatisfied, to one of happiness and flourishing. I also offer specialized care to transgender and questioning clients, including transition-related counseling.
I see a wide range of clients, although I specialize in childhood trauma and CPTSD, relationships, anxiety, ADHD, and LGBTQ issues. I work with adults, children, and adolescents. Therapy focus may include relationship conflict, anxiety control, satisfaction in both your personal life and work, focus and motivation, and building a sense of "feeling whole" or "complete." I've helped countless clients move from a place of feeling stuck and dissatisfied, to one of happiness and flourishing. I also offer specialized care to transgender and questioning clients, including transition-related counseling.
(206) 208-6954 View (206) 208-6954
Photo of Jessica Valladares, Mental Health Counselor
Jessica Valladares
Mental Health Counselor
Online Only
Becoming a mom, or even just the journey of trying to conceive, can come with a lot of emotional baggage. It's a mix of excitement, anxiety, and maybe even moments of feeling like you’ve lost your identity. Whether you’re struggling with infertility, processing a pregnancy loss, or finding it tough to adjust to life after having a baby, I completely get how overwhelming it can be. I'm here to offer a place where you can feel safe and heard, while we work through all the complex emotions that come with these experiences.
Becoming a mom, or even just the journey of trying to conceive, can come with a lot of emotional baggage. It's a mix of excitement, anxiety, and maybe even moments of feeling like you’ve lost your identity. Whether you’re struggling with infertility, processing a pregnancy loss, or finding it tough to adjust to life after having a baby, I completely get how overwhelming it can be. I'm here to offer a place where you can feel safe and heard, while we work through all the complex emotions that come with these experiences.
(915) 233-6339 View (915) 233-6339
Photo of Lydia Carrick - Lydia Carrick: EMDR Intensives, Counselor, LMHC, LPC, NCC
Lydia Carrick: EMDR Intensives
Counselor, LMHC, LPC, NCC
Seattle, WA 98118
If you’ve done years of therapy and old triggers still hijack your day, there’s usually a nervous-system pattern that hasn’t been fully processed. I help adults with complex PTSD and dissociation who feel anxious, shut down, or pulled between parts of themselves. My work blends EMDR with parts therapy so you can process what happened and relate to yourself with more safety, compassion, and choice.
If you’ve done years of therapy and old triggers still hijack your day, there’s usually a nervous-system pattern that hasn’t been fully processed. I help adults with complex PTSD and dissociation who feel anxious, shut down, or pulled between parts of themselves. My work blends EMDR with parts therapy so you can process what happened and relate to yourself with more safety, compassion, and choice.
(206) 222-9144 View (206) 222-9144
Photo of Rebekah Wyse, Clinical Social Work/Therapist, MSW , LICSW
Rebekah Wyse
Clinical Social Work/Therapist, MSW , LICSW
1 Endorsed
Seattle, WA 98103
For over a decade, I’ve worked in oncology supporting patients and their caregivers throughout their cancer treatment and bearing witness to some of the most challenging moments of their lives. In addition to offering support around illness and grief and loss, I support adults coping with anxiety, navigating planned or complicated life transitions such as parenting or retirement, managing workplace stress, existential identity challenges, and supporting the enhancement of healthy interpersonal and intrapersonal relationships.
For over a decade, I’ve worked in oncology supporting patients and their caregivers throughout their cancer treatment and bearing witness to some of the most challenging moments of their lives. In addition to offering support around illness and grief and loss, I support adults coping with anxiety, navigating planned or complicated life transitions such as parenting or retirement, managing workplace stress, existential identity challenges, and supporting the enhancement of healthy interpersonal and intrapersonal relationships.
(206) 759-2195 View (206) 759-2195
Photo of Ellen Cline, Counselor, MA, LMHC-A
Ellen Cline
Counselor, MA, LMHC-A
3 Endorsed
Online Only
We all need communities of support to be well, and systems in our world make supportive relating pretty hard. Even though we need relationship with safe and trusted others who see us, help us see ourselves, and hold our work with us, building those kind of relationships is no simple task (especially when past experience makes us wary). Working together to build a supportive relationship in therapy is often the most impactful part of the process, and I treat it that way. As we go, I'm guided by a combination of depth-oriented models including psychodynamic and somatic approaches, through a de-pathologizing, anti-oppression lens.
We all need communities of support to be well, and systems in our world make supportive relating pretty hard. Even though we need relationship with safe and trusted others who see us, help us see ourselves, and hold our work with us, building those kind of relationships is no simple task (especially when past experience makes us wary). Working together to build a supportive relationship in therapy is often the most impactful part of the process, and I treat it that way. As we go, I'm guided by a combination of depth-oriented models including psychodynamic and somatic approaches, through a de-pathologizing, anti-oppression lens.
(206) 258-6973 View (206) 258-6973
Photo of Gustavo A Parra, Marriage & Family Therapist, LMFT
Gustavo A Parra
Marriage & Family Therapist, LMFT
Online Only
I am a compassionate, culturally sensitive, solution-oriented mental health professional. I am dedicated to providing exceptional care and implementing effective treatment plans for individuals, couples and families. With an inherent ability to manage different types of personalities I am able to diffuse stressful situations to proactively resolve issues and meet challenging goals and objectives. As a client-oriented therapist I possess the innate ability to establish a genuine rapport and build the necessary trust for a solid client/therapist relationship. It is my belief that engaging communication and client advocacy can provide the motivation for growth and change.
I am a compassionate, culturally sensitive, solution-oriented mental health professional. I am dedicated to providing exceptional care and implementing effective treatment plans for individuals, couples and families. With an inherent ability to manage different types of personalities I am able to diffuse stressful situations to proactively resolve issues and meet challenging goals and objectives. As a client-oriented therapist I possess the innate ability to establish a genuine rapport and build the necessary trust for a solid client/therapist relationship. It is my belief that engaging communication and client advocacy can provide the motivation for growth and change.
(855) 759-4904 View (855) 759-4904
Photo of Nina Lane, Counselor, MA, LMHC
Nina Lane
Counselor, MA, LMHC
Seattle, WA 98101
Do you feel stuck? Are you sad or anxious? Are you having difficulty managing your relationships or experiencing self-esteem issues? My psychotherapy practice can help you rediscover and expand your personal strengths and self-knowledge in order to deal with the challenges in your life. I understand the courage it takes to make the first step into therapy and I focus on creating a safe environment for you to build towards a happier life. I have extensive training in issues related to loss and grief, anxiety, depression, relationship issues, and trauma.
Do you feel stuck? Are you sad or anxious? Are you having difficulty managing your relationships or experiencing self-esteem issues? My psychotherapy practice can help you rediscover and expand your personal strengths and self-knowledge in order to deal with the challenges in your life. I understand the courage it takes to make the first step into therapy and I focus on creating a safe environment for you to build towards a happier life. I have extensive training in issues related to loss and grief, anxiety, depression, relationship issues, and trauma.
(206) 504-3014 View (206) 504-3014
Photo of Tamara Harrison - Tamara Harrison | OCD, Anxiety, & BFRB's, Counselor, MA, LMHC, CMHS, ADHDCSP
Tamara Harrison | OCD, Anxiety, & BFRB's
Counselor, MA, LMHC, CMHS, ADHDCSP
3 Endorsed
Online Only
I specialize in getting you unstuck from anxiety, OCD, phobias, panic, BFRBs (skin-picking/hair-pulling) & ADHD. The result? No longer being scared of your own mind, freedom from behaviors you hate, getting out of your head and into an amazing life. You'll learn to stop fighting HARDER & instead, fight BETTER. You'll know relief from fear & panic, freedom from obsessive cycles, and feel safe to be in your own body & mind again. You can learn how to stop intrusive thoughts & urges from stealing your values & goals. My services are for you if you want a therapist with the expertise, understanding, and tools that actually work.
I specialize in getting you unstuck from anxiety, OCD, phobias, panic, BFRBs (skin-picking/hair-pulling) & ADHD. The result? No longer being scared of your own mind, freedom from behaviors you hate, getting out of your head and into an amazing life. You'll learn to stop fighting HARDER & instead, fight BETTER. You'll know relief from fear & panic, freedom from obsessive cycles, and feel safe to be in your own body & mind again. You can learn how to stop intrusive thoughts & urges from stealing your values & goals. My services are for you if you want a therapist with the expertise, understanding, and tools that actually work.
(360) 526-8824 View (360) 526-8824
Photo of Elana Kupor, Counselor, LMHC
Elana Kupor
Counselor, LMHC
Seattle, WA 98136
Have you ever re-potted a plant and seen the way the roots have snarled into a tangle as tight as a clenched fist? These plants are "root bound": they have outgrown their containers, and are no longer able to absorb water or nutrients. I think of therapy as akin to freeing these root bound plants. In therapy, we work together to loosen the grip of old habits, patterns, and beliefs that constrict you. I help clients with a variety of issues, including anxiety, depression, relationships, and life transitions. I especially enjoy working with people on food and body issues, climate-related distress, and dealing with hearing loss.
Have you ever re-potted a plant and seen the way the roots have snarled into a tangle as tight as a clenched fist? These plants are "root bound": they have outgrown their containers, and are no longer able to absorb water or nutrients. I think of therapy as akin to freeing these root bound plants. In therapy, we work together to loosen the grip of old habits, patterns, and beliefs that constrict you. I help clients with a variety of issues, including anxiety, depression, relationships, and life transitions. I especially enjoy working with people on food and body issues, climate-related distress, and dealing with hearing loss.
(206) 535-2031 x659 View (206) 535-2031 x659
Photo of Miranda Sullivan, Clinical Social Work/Therapist, MSW, LICSW, SUDPT, MHP
Miranda Sullivan
Clinical Social Work/Therapist, MSW, LICSW, SUDPT, MHP
2 Endorsed
Seattle, WA 98133
I am a licensed independent clinical social worker in the Seattle area. I have been in the mental health and social services field for 10 years My approach to therapy is holistic and client-centered, focusing on creating a safe and compassionate space where individuals can explore their experiences. I am deeply committed to advocating for my clients and empowering them to reclaim their lives.
I am a licensed independent clinical social worker in the Seattle area. I have been in the mental health and social services field for 10 years My approach to therapy is holistic and client-centered, focusing on creating a safe and compassionate space where individuals can explore their experiences. I am deeply committed to advocating for my clients and empowering them to reclaim their lives.
(206) 339-5562 View (206) 339-5562
Photo of Blake Ellert, Counselor, LMHC
Blake Ellert
Counselor, LMHC
2 Endorsed
Online Only
I am very passionate about working with the LGBTQ+ and Trans+ populations. One of the reasons I became a counselor was after working with a transgender friend in the military, learning about their transition process, and helping them with the social challenges they had to face. We work together on committing to actions that align with their values, fostering a more meaningful and fulfilling life. Incorporating Acceptance and Commitment Therapy (ACT), I guide clients in accepting their thoughts and feelings rather than fighting them or feeling guilty about them.
I am very passionate about working with the LGBTQ+ and Trans+ populations. One of the reasons I became a counselor was after working with a transgender friend in the military, learning about their transition process, and helping them with the social challenges they had to face. We work together on committing to actions that align with their values, fostering a more meaningful and fulfilling life. Incorporating Acceptance and Commitment Therapy (ACT), I guide clients in accepting their thoughts and feelings rather than fighting them or feeling guilty about them.
(206) 558-1462 View (206) 558-1462
Photo of Suzanne Shoemaker, Clinical Social Work/Therapist, MSW , LSWAIC
Suzanne Shoemaker
Clinical Social Work/Therapist, MSW , LSWAIC
1 Endorsed
Online Only
I am skilled at supporting young adults, adults or seniors who feel lost, resigned or overwhelmed by their current life circumstances or the state of the world and do not see a clear pathway to happiness and peace of mind. I have experience providing a compassionate therapeutic space for individuals navigating illness, grief, loss or other major life transitions. After many years of providing empowering and transformative coaching to those I supervised and worked closely with at a nonprofit training and consulting firm, in 2019, I enthusiastically launched my second chapter as a therapist and medical social worker.
I am skilled at supporting young adults, adults or seniors who feel lost, resigned or overwhelmed by their current life circumstances or the state of the world and do not see a clear pathway to happiness and peace of mind. I have experience providing a compassionate therapeutic space for individuals navigating illness, grief, loss or other major life transitions. After many years of providing empowering and transformative coaching to those I supervised and worked closely with at a nonprofit training and consulting firm, in 2019, I enthusiastically launched my second chapter as a therapist and medical social worker.
(206) 759-5653 View (206) 759-5653
Photo of Dr. Maryetta T Healy, Psychologist, PsyD, MA, MS
Dr. Maryetta T Healy
Psychologist, PsyD, MA, MS
Seattle, WA 98107
The stress of everyday life can often feel overwhelming to us, creating confusion and fear. I believe that our early relationships and past experiences offer the key that can unlock the mysteries of why we often feel at odds with the world around us. I also believe the body and brain hold onto traumatic events and affect our current functioning. I approach therapy from a psychodynamic perspective, creating a safe holding environment to explore those relationships and influences. I would be honored to help you achieve your goals and assist you in creating increased contentment in your life.
The stress of everyday life can often feel overwhelming to us, creating confusion and fear. I believe that our early relationships and past experiences offer the key that can unlock the mysteries of why we often feel at odds with the world around us. I also believe the body and brain hold onto traumatic events and affect our current functioning. I approach therapy from a psychodynamic perspective, creating a safe holding environment to explore those relationships and influences. I would be honored to help you achieve your goals and assist you in creating increased contentment in your life.
(206) 745-6014 View (206) 745-6014
Photo of Yuleisy You-Lacey Cardoso, MA, RMHCI
Yuleisy You-Lacey Cardoso
Verified Verified
1 Endorsed
Online Only
Hi thank you for taking the first step in your healing journey. Often reaching out for help can seem like an uncomfortable or frightening experience. As a therapist, I can tell you that some therapeutic sessions may be more difficult than others, but the healing and transformation is worth the journey. It's a journey you will not have to walk alone. During our time together, you will learn tools that will help you live a life that is filled with calm and joy while still navigating the lows of life with wisdom, courage, and strength. If you're ready to take this journey together, please reach out.
Hi thank you for taking the first step in your healing journey. Often reaching out for help can seem like an uncomfortable or frightening experience. As a therapist, I can tell you that some therapeutic sessions may be more difficult than others, but the healing and transformation is worth the journey. It's a journey you will not have to walk alone. During our time together, you will learn tools that will help you live a life that is filled with calm and joy while still navigating the lows of life with wisdom, courage, and strength. If you're ready to take this journey together, please reach out.
(253) 478-8668 View (253) 478-8668
Photo of Emily Rohrdanz, Clinical Social Work/Therapist, LSWAIC
Emily Rohrdanz
Clinical Social Work/Therapist, LSWAIC
1 Endorsed
Seattle, WA 98136
Life can feel overwhelming, especially during times of transition and uncertainty. Whether you're navigating changes in relationships, identity, career, or simply feeling stuck or unsettled, therapy can be a space to reflect and reconnect with yourself. In a collaborative and safe environment, we can work together to uncover your unique strengths and insights that support growth and healing.
Life can feel overwhelming, especially during times of transition and uncertainty. Whether you're navigating changes in relationships, identity, career, or simply feeling stuck or unsettled, therapy can be a space to reflect and reconnect with yourself. In a collaborative and safe environment, we can work together to uncover your unique strengths and insights that support growth and healing.
(206) 460-1360 View (206) 460-1360
Photo of Samara Vachss Serotkin, Psychologist, PsyD
Samara Vachss Serotkin
Psychologist, PsyD
2 Endorsed
Online Only
With over 20 years of experience in the field of mental health and behavior change, I will help you identify and implement the changes you need to reduce your suffering and truly thrive. While you can't control what life throws at you, you can improve your ability to respond to the present moment in a skillful way, find your balance again and get back up on your feet. From a present, strengths-based perspective, we can look ahead and explore where you would like the path ahead of you to lead. I will walk alongside you on that path to celebrate what we uncover and to support you through any obstacles you may encounter along the way.
With over 20 years of experience in the field of mental health and behavior change, I will help you identify and implement the changes you need to reduce your suffering and truly thrive. While you can't control what life throws at you, you can improve your ability to respond to the present moment in a skillful way, find your balance again and get back up on your feet. From a present, strengths-based perspective, we can look ahead and explore where you would like the path ahead of you to lead. I will walk alongside you on that path to celebrate what we uncover and to support you through any obstacles you may encounter along the way.
(206) 387-5183 View (206) 387-5183

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
74% Self Esteem
73% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

67% Premera Blue Cross
66% Aetna
60% Regence

How Therapists in Seattle, WA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

76% Female
20% 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.