Therapists in Capitol Hill, Seattle, WA

Photo of Chris Costa, Pre-Licensed Professional, PsyD(c)
Chris Costa
Pre-Licensed Professional, PsyD(c)
Capitol Hill, Seattle, WA 98112
Chris Costa, MA, PsyD(c) is a Clinical Psychology Doctoral Candidate at Antioch University, Seattle, in his fourth year of doctoral training. Chris has been trained in a practitioner-scholar model that emphasizes generalist clinical training and evidence-based practice, and has primarily worked in community mental health, and inpatient psychiatric settings. His clinical experience includes using relational, strengths-based, and cognitive behavioral approaches to working with children and adults struggling with various mental health issues, including neurodevelopmental disorders, mood disorders, complex trauma, and anger management.
Chris Costa, MA, PsyD(c) is a Clinical Psychology Doctoral Candidate at Antioch University, Seattle, in his fourth year of doctoral training. Chris has been trained in a practitioner-scholar model that emphasizes generalist clinical training and evidence-based practice, and has primarily worked in community mental health, and inpatient psychiatric settings. His clinical experience includes using relational, strengths-based, and cognitive behavioral approaches to working with children and adults struggling with various mental health issues, including neurodevelopmental disorders, mood disorders, complex trauma, and anger management.
(425) 842-7617 View (425) 842-7617
Photo of Rachel Loch, Counselor, MA, LMHCA, ATR-P
Rachel Loch
Counselor, MA, LMHCA, ATR-P
2 Endorsed
Capitol Hill, Seattle, WA 98112
Whether you are getting to know yourself better or are seeking support while navigating life’s challenges, I would love to come alongside your journey to offer a compassionate and empowering space to process and grow in. I enjoy working with people who may be members of the LGBTQIA+ community, neurodivergent folks, and people with systemic or religious trauma. However, you don’t need to belong to these particular communities to work with me, I hope to see clients thrive in exactly who they are.
Whether you are getting to know yourself better or are seeking support while navigating life’s challenges, I would love to come alongside your journey to offer a compassionate and empowering space to process and grow in. I enjoy working with people who may be members of the LGBTQIA+ community, neurodivergent folks, and people with systemic or religious trauma. However, you don’t need to belong to these particular communities to work with me, I hope to see clients thrive in exactly who they are.
(509) 796-7912 View (509) 796-7912
Photo of Kai Scantlin, Psychologist, MA, PsyD
Kai Scantlin
Psychologist, MA, PsyD
2 Endorsed
Online Only
I use a combination of warmth, curiosity, honesty, and respectful humor, and I take a collaborative approach to therapy – while I will always prioritize listening closely to what you’re saying, I’ll also share my own thoughts and perspectives as they arise. I work well with individuals who are actively engaged in therapy and who trust - or would like to trust - their own experience as a valid guide. I see you as the only person who can truly decide what is important to you, and I see myself as someone who can offer some insights and tools that will help you get closer to it.
I use a combination of warmth, curiosity, honesty, and respectful humor, and I take a collaborative approach to therapy – while I will always prioritize listening closely to what you’re saying, I’ll also share my own thoughts and perspectives as they arise. I work well with individuals who are actively engaged in therapy and who trust - or would like to trust - their own experience as a valid guide. I see you as the only person who can truly decide what is important to you, and I see myself as someone who can offer some insights and tools that will help you get closer to it.
(206) 674-5052 View (206) 674-5052
Photo of Michelle Bloom, Counselor, MA, LMHC
Michelle Bloom
Counselor, MA, LMHC
Online Only
You’ve worked hard to build your life, yet something still feels missing. Maybe it’s self-doubt, burnout, or the fear that you’ll never feel like enough. Maybe past traumas or painful experiences still shape the way you see yourself. I help people from all walks of life heal from the past, rebuild self-trust, and step into confidence, clarity, and deep self-worth. This isn’t about coping or fixing—it’s about transforming. I help you to break free from trauma, self-sabotage, fear and stuck patterns—so you can fully own your worth and create a life that feels deeply aligned with your true self.
You’ve worked hard to build your life, yet something still feels missing. Maybe it’s self-doubt, burnout, or the fear that you’ll never feel like enough. Maybe past traumas or painful experiences still shape the way you see yourself. I help people from all walks of life heal from the past, rebuild self-trust, and step into confidence, clarity, and deep self-worth. This isn’t about coping or fixing—it’s about transforming. I help you to break free from trauma, self-sabotage, fear and stuck patterns—so you can fully own your worth and create a life that feels deeply aligned with your true self.
(253) 364-6832 View (253) 364-6832
Photo of Edward O Greeley, Clinical Social Work/Therapist, LSWAIC
Edward O Greeley
Clinical Social Work/Therapist, LSWAIC
Capitol Hill, Seattle, WA 98122
Waitlist for new clients
I am a community-based Social Worker with a passion for providing holistic and person-centered mental health services to those seeking therapy. I meet one on one with clients to discuss personal mental health matters and collective social topics in educational, community, and clinical settings while providing a unique and individualized approach to each client. I seek to provide a safe, judgment-free space for clients to open up and share their concerns and troubles while also celebrating successes and achievements. My communication style is direct and realistic yet measured and tactful.
I am a community-based Social Worker with a passion for providing holistic and person-centered mental health services to those seeking therapy. I meet one on one with clients to discuss personal mental health matters and collective social topics in educational, community, and clinical settings while providing a unique and individualized approach to each client. I seek to provide a safe, judgment-free space for clients to open up and share their concerns and troubles while also celebrating successes and achievements. My communication style is direct and realistic yet measured and tactful.
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Photo of Ali Joy Sideroff, Marriage & Family Therapist, MA, LMFT, LMHC
Ali Joy Sideroff
Marriage & Family Therapist, MA, LMFT, LMHC
7 Endorsed
Capitol Hill, Seattle, WA 98112
Support for depression, anxiety, trauma and relationship struggles with mindfulness. Clear obstacles that obstruct authenticity and peace. We may work through past traumas that shape your experience or address present issues from a solution-focused perspective to develop tools with application to daily life. I work holistically which means I'm interested in you as a whole person, including the physical, emotional, mental, psychosocial, spiritual and other components. Expertise in LGBTQ+ communities and straight clientele. In-person Seattle, virtual anywhere in California and Washington.
Support for depression, anxiety, trauma and relationship struggles with mindfulness. Clear obstacles that obstruct authenticity and peace. We may work through past traumas that shape your experience or address present issues from a solution-focused perspective to develop tools with application to daily life. I work holistically which means I'm interested in you as a whole person, including the physical, emotional, mental, psychosocial, spiritual and other components. Expertise in LGBTQ+ communities and straight clientele. In-person Seattle, virtual anywhere in California and Washington.
(415) 799-8168 View (415) 799-8168
Photo of Sarah Stuteville, Counselor, LMHC
Sarah Stuteville
Counselor, LMHC
1 Endorsed
Capitol Hill, Seattle, WA 98122
Life is wild, being a person is hard and everyone deserves support. I am a Mental Health Counselor who works with individuals (18+), couples and polyamorous partners. As a writer and former journalist, I am compassionate, nonjudgemental and curious. I see beauty and humor in the hard and I believe our struggles can help us find meaning, build connections and foster growth.
Life is wild, being a person is hard and everyone deserves support. I am a Mental Health Counselor who works with individuals (18+), couples and polyamorous partners. As a writer and former journalist, I am compassionate, nonjudgemental and curious. I see beauty and humor in the hard and I believe our struggles can help us find meaning, build connections and foster growth.
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Photo of John Paul Gaylor, Counselor, MA, LMHCA
John Paul Gaylor
Counselor, MA, LMHCA
4 Endorsed
Online Only
Waitlist for new clients
As an individual, couples, and sex therapist, my passion lies in helping people to confront and tackle the challenges which deeply impact their personal and relational lives and leave them feeling stuck. Whether you are struggling to cope with anxiety, grief, or depression, navigating conflict or resentment in your relationship, or facing concerns about your sexual health or identity, I strive to create a non-judgmental and affirming space where clients can explore their thoughts, emotions, and experiences without the fear of rejection.
As an individual, couples, and sex therapist, my passion lies in helping people to confront and tackle the challenges which deeply impact their personal and relational lives and leave them feeling stuck. Whether you are struggling to cope with anxiety, grief, or depression, navigating conflict or resentment in your relationship, or facing concerns about your sexual health or identity, I strive to create a non-judgmental and affirming space where clients can explore their thoughts, emotions, and experiences without the fear of rejection.
(206) 472-1678 View (206) 472-1678
Photo of Danielle M Rosa, Counselor, LMHC, ATR
Danielle M Rosa
Counselor, LMHC, ATR
3 Endorsed
Capitol Hill, Seattle, WA 98112
I work with clients with wild, confusing, unchecked emotions and help them make sense and understanding. Perhaps you want to work on issues like grief and loss, your trauma history, tense relationships past or present or maybe you need more support going through transitions of gender identity, becoming a parent, relationship dynamics or becoming a person you want to be in this world. We will work together using traditional talk therapy, creative exercises, body and somatic understanding, and movement to give you understanding of the story of your life.
I work with clients with wild, confusing, unchecked emotions and help them make sense and understanding. Perhaps you want to work on issues like grief and loss, your trauma history, tense relationships past or present or maybe you need more support going through transitions of gender identity, becoming a parent, relationship dynamics or becoming a person you want to be in this world. We will work together using traditional talk therapy, creative exercises, body and somatic understanding, and movement to give you understanding of the story of your life.
(206) 569-8208 View (206) 569-8208
Photo of Katrina Herzog, Clinical Social Work/Therapist, MSW, LICSW
Katrina Herzog
Clinical Social Work/Therapist, MSW, LICSW
3 Endorsed
Online Only
Waitlist for new clients
So many issues occurring in our individual experiences, interpersonal relationships, communal tensions, and global conflicts originate from a disconnect from our human emotions. My goal is to connect you to your own emotions to help your relationships with yourself, your loved ones, and your communities at large. I have experience supporting those navigating anxiety, depression, relationship issues, grief and loss, gender exploration, LGBTQIA+ identity, religious trauma, ADHD, life transitions, and learning to recognize & process emotional experiences.
So many issues occurring in our individual experiences, interpersonal relationships, communal tensions, and global conflicts originate from a disconnect from our human emotions. My goal is to connect you to your own emotions to help your relationships with yourself, your loved ones, and your communities at large. I have experience supporting those navigating anxiety, depression, relationship issues, grief and loss, gender exploration, LGBTQIA+ identity, religious trauma, ADHD, life transitions, and learning to recognize & process emotional experiences.
(206) 803-1400 View (206) 803-1400
Photo of Makenzie Mims, Counselor, MA, LMHC, LPC
Makenzie Mims
Counselor, MA, LMHC, LPC
1 Endorsed
Online Only
Wanting to be loved and accepted doesn’t make you needy, or extra, or selfish, or weak. It makes you human. In our work together my focus is building a relationship where you feel comfortable exploring what you think and feel, want and need. My style as a therapist is warm, relaxed, and conversational. I use playfulness, curiosity, creativity, and laughter to support the therapy process and I prioritize taking time to get to know you and what's important to you.
Wanting to be loved and accepted doesn’t make you needy, or extra, or selfish, or weak. It makes you human. In our work together my focus is building a relationship where you feel comfortable exploring what you think and feel, want and need. My style as a therapist is warm, relaxed, and conversational. I use playfulness, curiosity, creativity, and laughter to support the therapy process and I prioritize taking time to get to know you and what's important to you.
(206) 752-6561 View (206) 752-6561
Photo of Lucas Peiser, Counselor, MA, LMHC
Lucas Peiser
Counselor, MA, LMHC
Capitol Hill, Seattle, WA 98102
My hope for our work together is that you can begin to process and engage the pain that we so often don’t want to make space for. Instead of ignoring or pathologizing whatever has gotten you stuck, we will explore ways to honor and grow from these realities.
My hope for our work together is that you can begin to process and engage the pain that we so often don’t want to make space for. Instead of ignoring or pathologizing whatever has gotten you stuck, we will explore ways to honor and grow from these realities.
(206) 971-6333 View (206) 971-6333
Photo of Daniel J DeVito, Counselor
Daniel J DeVito
Counselor
Capitol Hill, Seattle, WA 98112
Anxiety takes on many forms: social, obsessions and compulsions, attachments, phobias, and post-traumatic stress to name a few. Clinical research has shown all of the above to be treatable, given the right therapeutic relationship matched with the right treatment. Daniel has treated clients coping with anxiety, depression, ADHD, behavioral issues, psychosis, social difficulties, divorce, sibling relationships, unhealthy attachment styles, and various forms of trauma (including PTSD). For more information visit: SOSpsychotherapy.com .
Anxiety takes on many forms: social, obsessions and compulsions, attachments, phobias, and post-traumatic stress to name a few. Clinical research has shown all of the above to be treatable, given the right therapeutic relationship matched with the right treatment. Daniel has treated clients coping with anxiety, depression, ADHD, behavioral issues, psychosis, social difficulties, divorce, sibling relationships, unhealthy attachment styles, and various forms of trauma (including PTSD). For more information visit: SOSpsychotherapy.com .
(206) 455-9601 View (206) 455-9601
Photo of Becky Wierman, Mental Health Counselor, LMHC, LPC, LCPC
Becky Wierman
Mental Health Counselor, LMHC, LPC, LCPC
1 Endorsed
Capitol Hill, Seattle, WA 98112
Waitlist for new clients
You might be feeling “stuck”, or like a part of your story still affects you more than you’d like it to. Maybe what you’ve been doing just isn’t working anymore, and you’re struggling to move forward. In therapy, we’ll work together to help you find meaning, peace, and a more effective way out of the behaviors that just aren't working for you anymore. I’ve learned that everybody has a story, usually one of resilience, compassion, and courage— and my goal is to provide a safe, non-judgmental, space for you to share yours.
You might be feeling “stuck”, or like a part of your story still affects you more than you’d like it to. Maybe what you’ve been doing just isn’t working anymore, and you’re struggling to move forward. In therapy, we’ll work together to help you find meaning, peace, and a more effective way out of the behaviors that just aren't working for you anymore. I’ve learned that everybody has a story, usually one of resilience, compassion, and courage— and my goal is to provide a safe, non-judgmental, space for you to share yours.
(425) 474-2824 View (425) 474-2824
Photo of Ayom Ament, Licensed Mental Health Counselor Associate , MA, LMCHA, SUDPT
Ayom Ament
Licensed Mental Health Counselor Associate , MA, LMCHA, SUDPT
2 Endorsed
Capitol Hill, Seattle, WA 98112
I enjoy working with folks have felt like outsiders in family and community. I get needing a place to rest. My focus is working with gender traumas, anxiety and helping clients navigate transitions of all sorts. I use an approach that looks at how we exist in the world and examines suffering from a personal perspective, but also from a social justice, feminist and transformative justice perspective. I believe this is your time, space and story to tell. I work with plurals and systems and am often referred to clients from therapists who do not feel comfortable working with system folx.
I enjoy working with folks have felt like outsiders in family and community. I get needing a place to rest. My focus is working with gender traumas, anxiety and helping clients navigate transitions of all sorts. I use an approach that looks at how we exist in the world and examines suffering from a personal perspective, but also from a social justice, feminist and transformative justice perspective. I believe this is your time, space and story to tell. I work with plurals and systems and am often referred to clients from therapists who do not feel comfortable working with system folx.
(206) 202-0737 View (206) 202-0737
Photo of Mary Yoest, Counselor, LMHC
Mary Yoest
Counselor, LMHC
Capitol Hill, Seattle, WA 98112
Are you tired of trying to out-think your emotions? Of feeling numb and disconnected? I would love to help. I offer a trauma-informed, creative, and personalized approach which aims to center your unique experience of being a person in our sessions. Together we will approach the memories, values, and internalized narratives that have shaped your relationship to yourself and the world with curiosity and care. I find my approach is most helpful to adults 18+, existentialists, artists, and neurodivergent folks.
Are you tired of trying to out-think your emotions? Of feeling numb and disconnected? I would love to help. I offer a trauma-informed, creative, and personalized approach which aims to center your unique experience of being a person in our sessions. Together we will approach the memories, values, and internalized narratives that have shaped your relationship to yourself and the world with curiosity and care. I find my approach is most helpful to adults 18+, existentialists, artists, and neurodivergent folks.
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Photo of Joshua Cohen, Counselor, MA/LMHC
Joshua Cohen
Counselor, MA/LMHC
1 Endorsed
Capitol Hill, Seattle, WA 98112
I have been working in the mental health field for over twenty years. Throughout that time I have worked in a variety of settings, all of which have given me a wealth of experience to draw upon. I have always had a passion for the work of psychotherapy, which I feel is ultimately about inner exploration and transformation. Most people come to psychotherapy because they feel like they are stuck in some way. Having another mind and perspective can help to get things moving where they once were stuck. With a spirit of curiosity and collaboration I work with my patients to seek out what may be obstructing their continued growth.
I have been working in the mental health field for over twenty years. Throughout that time I have worked in a variety of settings, all of which have given me a wealth of experience to draw upon. I have always had a passion for the work of psychotherapy, which I feel is ultimately about inner exploration and transformation. Most people come to psychotherapy because they feel like they are stuck in some way. Having another mind and perspective can help to get things moving where they once were stuck. With a spirit of curiosity and collaboration I work with my patients to seek out what may be obstructing their continued growth.
(425) 490-5102 View (425) 490-5102
Photo of Lita Elbertson, Mental Health Counselor, LMHC, NCC, C-DBT
Lita Elbertson
Mental Health Counselor, LMHC, NCC, C-DBT
7 Endorsed
Online Only
Not accepting new clients
Aloha! I’m glad you’re here. I believe that every individual deserves a space that is wholly about them. A space where they are seen, heard, known, and validated. My approach to therapy is to assist individuals in their courageous efforts to improve themselves through unconditional positive regard and acceptance. Life presents difficult circumstances, and I am here to support you as you navigate them. I have a deep appreciation for diversity and uniqueness, a passion to learn, and you can often find me in nature, bookstores, coffee shops, and exploring novel places whether domestically or internationally.
Aloha! I’m glad you’re here. I believe that every individual deserves a space that is wholly about them. A space where they are seen, heard, known, and validated. My approach to therapy is to assist individuals in their courageous efforts to improve themselves through unconditional positive regard and acceptance. Life presents difficult circumstances, and I am here to support you as you navigate them. I have a deep appreciation for diversity and uniqueness, a passion to learn, and you can often find me in nature, bookstores, coffee shops, and exploring novel places whether domestically or internationally.
(206) 483-0462 View (206) 483-0462
Photo of David 'ted' Huynh, Counselor, LMHC
David 'ted' Huynh
Counselor, LMHC
Capitol Hill, Seattle, WA 98102
Hello! I am a Washington State licensed therapist who enjoys working with people who are struggling with depression, anxiety, and trauma through individual therapy. I primarily see adults ages 21 and up. I find pride and meaning with working with others who are a part of the LGBTQIA+ community as well as first generation Americans born in an immigrate family. If you would like to schedule a session, please note that I am partnered with Mindful Therapy Group for scheduling and billing. Please refer to the contact information listed to schedule an intake.
Hello! I am a Washington State licensed therapist who enjoys working with people who are struggling with depression, anxiety, and trauma through individual therapy. I primarily see adults ages 21 and up. I find pride and meaning with working with others who are a part of the LGBTQIA+ community as well as first generation Americans born in an immigrate family. If you would like to schedule a session, please note that I am partnered with Mindful Therapy Group for scheduling and billing. Please refer to the contact information listed to schedule an intake.
(206) 566-0963 View (206) 566-0963
Photo of John Jay Jaworski, Counselor, MA, LMHC
John Jay Jaworski
Counselor, MA, LMHC
1 Endorsed
Capitol Hill, Seattle, WA 98102
I have been a psychotherapist for 30 years. My approach is cogintive behavioral. I typically give clients "homework" to help extend therapeutic evperience and insight into their daily lives. I took Buddhist vows in 1986 and will teach clients basic meditation techniques to facilitate working with patterns of thought and emotion more productively. I use Dialectic Behavior Therapy strategies (often with homework assignments), motivational interviewing, and hypnosis (primarily for addictive behavior and trauma recovery). I work with individuals, couples, and families.
I have been a psychotherapist for 30 years. My approach is cogintive behavioral. I typically give clients "homework" to help extend therapeutic evperience and insight into their daily lives. I took Buddhist vows in 1986 and will teach clients basic meditation techniques to facilitate working with patterns of thought and emotion more productively. I use Dialectic Behavior Therapy strategies (often with homework assignments), motivational interviewing, and hypnosis (primarily for addictive behavior and trauma recovery). I work with individuals, couples, and families.
(206) 535-1830 View (206) 535-1830
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How does your Therapist compare?

Number of Therapists in Capitol Hill, Seattle, WA

800+

Average cost per session

$160

Therapists in Capitol Hill, Seattle, WA who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

73% Premera Blue Cross
64% Aetna
61% Regence

How Therapists in Capitol Hill, Seattle, WA see their clients

55% Online Only
45% In Person and Online

Gender breakdown

71% Female
22% Male
7% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Capitol Hill, 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.