Therapists in Central District, Seattle, WA

Photo of Rena Marie Brisentine, Counselor in Central District, Seattle, WA
Rena Marie Brisentine
Counselor, MS, LPC, LMHC, CST
Verified
Central District, Seattle, WA 98122  (Online Only)
Waitlist for new clients
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
(360) 382-2894 View (360) 382-2894
Photo of Tracy C. Bryan, Counselor in Central District, Seattle, WA
Tracy C. Bryan
Counselor, PsyD
Verified
Central District, Seattle, WA 98122  (Online Only)
My practice is focused on helping individuals understand and heal from the profound wounds caused by emotional or physical violence/neglect in close personal relationships. This includes adults who've experienced childhood abuse, neglect, and/or abandonment, as well as sexual assault, violence, and betrayal trauma. By conceptualizing complex forms of trauma from a feminist perspective, I investigate issues of gender, power, and culture, and identify them as the center of oppression, distress, and dysfunction in a person's life. Relational trauma often creates isolation, and I believe it is only in relationship that we heal.
My practice is focused on helping individuals understand and heal from the profound wounds caused by emotional or physical violence/neglect in close personal relationships. This includes adults who've experienced childhood abuse, neglect, and/or abandonment, as well as sexual assault, violence, and betrayal trauma. By conceptualizing complex forms of trauma from a feminist perspective, I investigate issues of gender, power, and culture, and identify them as the center of oppression, distress, and dysfunction in a person's life. Relational trauma often creates isolation, and I believe it is only in relationship that we heal.
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Photo of Joan Golston, Clinical Social Work/Therapist in Central District, Seattle, WA
Joan Golston
Clinical Social Work/Therapist, DCSW, LICSW
Verified
Central District, Seattle, WA 98122
In my experience, things can start getting better fast, long before the problem is solved. Rated in the top 1% of psychotherapists on LinkedIn, I'm warm, practical, experienced & hard-working. I'll help you tackle problems related to trauma, difficult childhoods, bad bosses, relationships of all sorts that just don't work well, and the distress of having repeated disappointments in life. I'm interested in helping make real change, and not just developing interesting insights (although they can be useful too.)
In my experience, things can start getting better fast, long before the problem is solved. Rated in the top 1% of psychotherapists on LinkedIn, I'm warm, practical, experienced & hard-working. I'll help you tackle problems related to trauma, difficult childhoods, bad bosses, relationships of all sorts that just don't work well, and the distress of having repeated disappointments in life. I'm interested in helping make real change, and not just developing interesting insights (although they can be useful too.)
(206) 759-5877 View (206) 759-5877
Photo of Anna Clark Miller, Licensed Professional Counselor in Central District, Seattle, WA
Anna Clark Miller
Licensed Professional Counselor, LPC-S, LMHC-S, NCC
Verified
Central District, Seattle, WA 98122  (Online Only)
I’m a licensed mental health counselor offering virtual therapy in Washington and Texas to adult individuals and couples who are looking for empathy, insight, and healing. I love working with clients who, like me, are neurodivergent, queer, cross-cultural, or just looking for a place to feel safe and understood. I'm curious, logical, and honest. My goal as a therapist is to be a trauma-informed, non-judgmental guide who discovers things alongside my clients.
I’m a licensed mental health counselor offering virtual therapy in Washington and Texas to adult individuals and couples who are looking for empathy, insight, and healing. I love working with clients who, like me, are neurodivergent, queer, cross-cultural, or just looking for a place to feel safe and understood. I'm curious, logical, and honest. My goal as a therapist is to be a trauma-informed, non-judgmental guide who discovers things alongside my clients.
(360) 858-8173 View (360) 858-8173
Photo of Jennifer Spektor, Counselor in Central District, Seattle, WA
Jennifer Spektor
Counselor, MA, LMHCA, MHP
Verified
1 Endorsed
Central District, Seattle, WA 98133  (Online Only)
Are you seeking your truth? Feeling stuck? Do you want a therapist who really gets you? Or perhaps you are part of a relationship or polycule, seeking to work on your communication in a non-judgemental environment. I am an art therapist and counselor working with individuals (both adults & teens 16+) and relationships from a person-centered lense. I am an artist and a DJ. I am a queer, anti-Zionist, Jewish trans woman. I know how important it can be to have a therapist with lived experience off the beaten path. I support people in the process of living their truths, creating the life and relationships that are genuine to them.
Are you seeking your truth? Feeling stuck? Do you want a therapist who really gets you? Or perhaps you are part of a relationship or polycule, seeking to work on your communication in a non-judgemental environment. I am an art therapist and counselor working with individuals (both adults & teens 16+) and relationships from a person-centered lense. I am an artist and a DJ. I am a queer, anti-Zionist, Jewish trans woman. I know how important it can be to have a therapist with lived experience off the beaten path. I support people in the process of living their truths, creating the life and relationships that are genuine to them.
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Photo of Ian K Hagemann, Clinical Social Work/Therapist in Central District, Seattle, WA
Ian K Hagemann
Clinical Social Work/Therapist, MSW
Verified
Central District, Seattle, WA 98122  (Online Only)
I work with adolescent and adult individuals, couples, and polycules.
I work with adolescent and adult individuals, couples, and polycules.
(206) 488-1720 View (206) 488-1720
Photo of Chris Sande, Pre-Licensed Professional in Central District, Seattle, WA
Chris Sande
Pre-Licensed Professional
Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
It’s important to me, as a human and therapist, that you are understood. One of the first things they teach counselors is that you must truly engage with clients through listening. My goal is to meet you with compassion and curiosity in order to tackle life’s challenges with unconditional positive regard. Without this baseline of curious, active listening, there’s no room to build an invaluable therapeutic relationship, where the best healing and growth takes place. Once there we will set goals, uncover patterns and values, identify how you make meaning, and - by the end of our time together - have you closer to who you want to be.
It’s important to me, as a human and therapist, that you are understood. One of the first things they teach counselors is that you must truly engage with clients through listening. My goal is to meet you with compassion and curiosity in order to tackle life’s challenges with unconditional positive regard. Without this baseline of curious, active listening, there’s no room to build an invaluable therapeutic relationship, where the best healing and growth takes place. Once there we will set goals, uncover patterns and values, identify how you make meaning, and - by the end of our time together - have you closer to who you want to be.
(206) 312-4464 View (206) 312-4464
Photo of Jason Chug, Counselor in Central District, Seattle, WA
Jason Chug
Counselor, MA, LMHC
Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
I work with clients struggling with anxiety and depression with focuses in existential issues, low self-esteem, men's issues and life transitions. The individuals I work with look to gain understanding and develop the ability to make decisions towards living a happier life.
I work with clients struggling with anxiety and depression with focuses in existential issues, low self-esteem, men's issues and life transitions. The individuals I work with look to gain understanding and develop the ability to make decisions towards living a happier life.
(206) 312-7087 View (206) 312-7087
Photo of Benjamin Rhodes, Counselor in Central District, Seattle, WA
Benjamin Rhodes
Counselor, MA, LMHC, MHP, BCPC, DAPA
Verified
Central District, Seattle, WA 98122
I am a Clinical Psychotherapist,Board Certified Professional Counselor, Diplomate of the American Psychotherapy Association and Licensed Mental Health Counselor in the State of Washington I'm committed to grounding my work in a spirit of curiosity and collaboration. .I use an integrative/relational approach in therapy. I actively help my clients to better understand and gain clarity of their concerns in order to make necessary changes to facilitate personal growth. Psychotherapy can improve the quality and intimacy of your relationships, provide solutions to specific life problems, and significantly reduce feelings of distress.
I am a Clinical Psychotherapist,Board Certified Professional Counselor, Diplomate of the American Psychotherapy Association and Licensed Mental Health Counselor in the State of Washington I'm committed to grounding my work in a spirit of curiosity and collaboration. .I use an integrative/relational approach in therapy. I actively help my clients to better understand and gain clarity of their concerns in order to make necessary changes to facilitate personal growth. Psychotherapy can improve the quality and intimacy of your relationships, provide solutions to specific life problems, and significantly reduce feelings of distress.
(206) 429-4741 View (206) 429-4741
Photo of Miro Colcha, Counselor in Central District, Seattle, WA
Miro Colcha
Counselor, MA, LMHC
Verified
Central District, Seattle, WA 98122
I believe therapy is most effective when clinicians welcome the expertise clients have about their own lives. Treatment is collaborative! My hope is to take the relationship we build and extend it to the rest of your life outside of the therapy room. I approach therapy with the assumption that clients aren’t trying to make their lives harder, but often that our attempts to manage distress may increase suffering. Through our work together, we will focus on identifying strengths and values that are guiding behavior, and then challenging and changing the unhelpful aspects and thought patterns that make reaching your goals difficult.
I believe therapy is most effective when clinicians welcome the expertise clients have about their own lives. Treatment is collaborative! My hope is to take the relationship we build and extend it to the rest of your life outside of the therapy room. I approach therapy with the assumption that clients aren’t trying to make their lives harder, but often that our attempts to manage distress may increase suffering. Through our work together, we will focus on identifying strengths and values that are guiding behavior, and then challenging and changing the unhelpful aspects and thought patterns that make reaching your goals difficult.
(425) 517-3328 View (425) 517-3328
Photo of Madeline Kilpatrick, Clinical Social Work/Therapist in Central District, Seattle, WA
Madeline Kilpatrick
Clinical Social Work/Therapist, MSW, LCSW
Verified
15 Endorsed
Central District, Seattle, WA 98122  (Online Only)
In my therapeutic practice I seek to motivate clients to build the brain they want rather than feeling stuck with the one they have. By harnessing the power of cognitive restructuring, we can excel at tackling complex issues like dealing with stress, managing emotions, changing habits, controlling impulses and navigating complicated relationships in the same way that we would get better at any other skill; through dedication and practice! I use Dialectical Behavior Therapy techniques and skills to help clients set and achieve their own therapeutic goals and try to instil a sense of hopefulness and resolve in every session.
In my therapeutic practice I seek to motivate clients to build the brain they want rather than feeling stuck with the one they have. By harnessing the power of cognitive restructuring, we can excel at tackling complex issues like dealing with stress, managing emotions, changing habits, controlling impulses and navigating complicated relationships in the same way that we would get better at any other skill; through dedication and practice! I use Dialectical Behavior Therapy techniques and skills to help clients set and achieve their own therapeutic goals and try to instil a sense of hopefulness and resolve in every session.
(425) 598-0503 View (425) 598-0503
Photo of James Paul Nole, Counselor in Central District, Seattle, WA
James Paul Nole
Counselor, MA, LMHC
Verified
3 Endorsed
Central District, Seattle, WA 98122
Trauma leaves us feeling broken, ashamed, and disconnected from our true selves. You may be fed up with feeling triggered in everyday situations, isolated from friends who can’t understand, or guilt over what happened to you. It may even feel like this will last forever. Either way, you’re ready for some relief and actual change. You’re ready to enjoy deep relationships without your past getting in the way. You’re ready to rediscover your true self. Most of all, you’re ready to love yourself again & to face your future with a sense of hope.
Trauma leaves us feeling broken, ashamed, and disconnected from our true selves. You may be fed up with feeling triggered in everyday situations, isolated from friends who can’t understand, or guilt over what happened to you. It may even feel like this will last forever. Either way, you’re ready for some relief and actual change. You’re ready to enjoy deep relationships without your past getting in the way. You’re ready to rediscover your true self. Most of all, you’re ready to love yourself again & to face your future with a sense of hope.
(206) 809-7518 View (206) 809-7518
Photo of Nicole Waters, Counselor in Central District, Seattle, WA
Nicole Waters
Counselor, MA, LMHC, NCC
Verified
Central District, Seattle, WA 98122  (Online Only)
Many people can feel they have become “stuck” at a certain point in their life, such as a challenging life adjustment, communication difficulties in a relationship, or getting caught up in negative thoughts and behaviors. My goal in therapy is to establish a safe and supportive environment to freely express your inner thoughts and concerns, while providing resources and a platform for you to advocate for yourself. We will work together as a team to establish goals and to help you overcome life’s demands, difficulties and barriers.
Many people can feel they have become “stuck” at a certain point in their life, such as a challenging life adjustment, communication difficulties in a relationship, or getting caught up in negative thoughts and behaviors. My goal in therapy is to establish a safe and supportive environment to freely express your inner thoughts and concerns, while providing resources and a platform for you to advocate for yourself. We will work together as a team to establish goals and to help you overcome life’s demands, difficulties and barriers.
(206) 385-5955 View (206) 385-5955
Photo of Craig Santerre, Psychologist in Central District, Seattle, WA
Craig Santerre
Psychologist, PhD
Verified
1 Endorsed
Central District, Seattle, WA 98122
Waitlist for new clients
I enjoy working with people from a wide variety of backgrounds and concerns. Are you experiencing depression, anxiety, life stressors, work or relationship dissatisfaction, grief, the impact from trauma, trouble adjusting to life transitions or illness, sleep problems, OCD, phobias, substance use issues or some other problem? I want to help you reach your optimal health, which may include both mental and physical health goals. I know it can be difficult to share such personal experiences with a new person, so it’s important to me to create a trusting bond to work on your concerns.
I enjoy working with people from a wide variety of backgrounds and concerns. Are you experiencing depression, anxiety, life stressors, work or relationship dissatisfaction, grief, the impact from trauma, trouble adjusting to life transitions or illness, sleep problems, OCD, phobias, substance use issues or some other problem? I want to help you reach your optimal health, which may include both mental and physical health goals. I know it can be difficult to share such personal experiences with a new person, so it’s important to me to create a trusting bond to work on your concerns.
(206) 567-1117 View (206) 567-1117
Photo of Dr. Taylor Nolan, Counselor in Central District, Seattle, WA
Dr. Taylor Nolan
Counselor, MS, LMHC
Verified
3 Endorsed
Central District, Seattle, WA 98178  (Online Only)
Have you found yourself, and your partner(s), wanting some extra support? Needing to reflect on and better understand your relationships, with both yourself and the people in your life? I provide a safe place for you, and your partner(s), to talk through life's problems. I offer the support, understanding, and objectivity that most friends and family cannot. Some words clients have used to describe their experience, our work together, and my approach include: relatable, honest with humor, collaborative, supportive, and conversational.
Have you found yourself, and your partner(s), wanting some extra support? Needing to reflect on and better understand your relationships, with both yourself and the people in your life? I provide a safe place for you, and your partner(s), to talk through life's problems. I offer the support, understanding, and objectivity that most friends and family cannot. Some words clients have used to describe their experience, our work together, and my approach include: relatable, honest with humor, collaborative, supportive, and conversational.
(206) 593-3795 View (206) 593-3795
Photo of Mary Elizabeth Hubert, Clinical Social Work/Therapist in Central District, Seattle, WA
Mary Elizabeth Hubert
Clinical Social Work/Therapist, MSW, MPH, LSWAIC
Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
I come to this work with a background in social work and public health, and am passionate about creating a space where my clients feel seen, heard, and validated. I have had experience both as a client and as a therapist with DBT (Dialectical Behavior Therapy), and this informs the work that I do. As someone with a background both personally and professionally shaped by trauma, I am dedicated to practicing therapy in a strengths-based and trauma-informed manner. I bring my queer and neurodivergent identities to this work and feel at home working with queer clients and non-monogamous relationships.
I come to this work with a background in social work and public health, and am passionate about creating a space where my clients feel seen, heard, and validated. I have had experience both as a client and as a therapist with DBT (Dialectical Behavior Therapy), and this informs the work that I do. As someone with a background both personally and professionally shaped by trauma, I am dedicated to practicing therapy in a strengths-based and trauma-informed manner. I bring my queer and neurodivergent identities to this work and feel at home working with queer clients and non-monogamous relationships.
(206) 785-2984 View (206) 785-2984
Photo of Karee Powers, Clinical Social Work/Therapist in Central District, Seattle, WA
Karee Powers
Clinical Social Work/Therapist, MSW, LCSW
Verified
Central District, Seattle, WA 98122  (Online Only)
I specialize in helping adults and adolescents who are struggling through difficult life situations. My hope is that my clients will begin to emerge from the experience with strength, insight and a sense of empowerment to address the next challenge with grace. Using a strengths-based approach, I employ concepts of cognitive therapy and mindfulness to increase self-awareness and choice within life's challenges. I also use EMDR, an evidence-based approach, to help release the impact of past experiences on current emotions, thoughts and behaviors including traumatic events and childhood trauma.
I specialize in helping adults and adolescents who are struggling through difficult life situations. My hope is that my clients will begin to emerge from the experience with strength, insight and a sense of empowerment to address the next challenge with grace. Using a strengths-based approach, I employ concepts of cognitive therapy and mindfulness to increase self-awareness and choice within life's challenges. I also use EMDR, an evidence-based approach, to help release the impact of past experiences on current emotions, thoughts and behaviors including traumatic events and childhood trauma.
(206) 899-4897 View (206) 899-4897
Photo of Audrey Oliver, Clinical Social Work/Therapist in Central District, Seattle, WA
Audrey Oliver
Clinical Social Work/Therapist, LICSW
Verified
Central District, Seattle, WA 98122  (Online Only)
Do you spend all your time/energy anxiously taking care of everyone else or feel the need to work for people’s love and approval? Do you crave softness, a slower pace, more peace? Are you tired of being a perfectionist or people pleaser? Are you ready to break free from enmeshed and toxic relationship dynamics? Then you've come to the right place! As a radical, anti-oppressive and trauma-informed psychotherapist, I focus a lot on decolonization, fluidity and flexibility; and avoid applying bandaids and rigid, outdated protocols to your healing process. Together, our sessions will involve a lot of deconstruction and inner child work.
Do you spend all your time/energy anxiously taking care of everyone else or feel the need to work for people’s love and approval? Do you crave softness, a slower pace, more peace? Are you tired of being a perfectionist or people pleaser? Are you ready to break free from enmeshed and toxic relationship dynamics? Then you've come to the right place! As a radical, anti-oppressive and trauma-informed psychotherapist, I focus a lot on decolonization, fluidity and flexibility; and avoid applying bandaids and rigid, outdated protocols to your healing process. Together, our sessions will involve a lot of deconstruction and inner child work.
(206) 800-6156 View (206) 800-6156
Photo of Alexis Kimball, Counselor in Central District, Seattle, WA
Alexis Kimball
Counselor, MA, LMHCA
Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
My approach counseling is to promote hope, healing, contentment, and lasting growth, for the clients I have the privilege of serving. My mission is to provide a safe, nonjudgemental, and empathetic space, to dive deeper into the inevitable ebb and flow of our collective human experience. While at the same time, I'll introduce tools to help you enhance your strengths and uncover your greatest potential to evolve and heal from within. I'll utilize contextual, historical, intersectional, and cross-cultural techniques, in order to uniquely foster sustainable and transformative change to achieve and maintain holistic wellness.
My approach counseling is to promote hope, healing, contentment, and lasting growth, for the clients I have the privilege of serving. My mission is to provide a safe, nonjudgemental, and empathetic space, to dive deeper into the inevitable ebb and flow of our collective human experience. While at the same time, I'll introduce tools to help you enhance your strengths and uncover your greatest potential to evolve and heal from within. I'll utilize contextual, historical, intersectional, and cross-cultural techniques, in order to uniquely foster sustainable and transformative change to achieve and maintain holistic wellness.
(425) 243-1418 View (425) 243-1418
Photo of Nancy Haver, Counselor in Central District, Seattle, WA
Nancy Haver
Counselor, MA, LMHC
Verified
8 Endorsed
Central District, Seattle, WA 98122  (Online Only)
From all appearances, you've got it so good. Lying in wait, just under the surface, are the life traumas that wounded you deeply but were never addressed. And those secrets have you turning to substances more and more. One weekly drink becomes a daily bottle, and you're making excuses to your boss, your friends, your family. Do you want to quit but you don't know how? I can help you find your way out of this despair and into the life you want. You can do this. Let's talk.
From all appearances, you've got it so good. Lying in wait, just under the surface, are the life traumas that wounded you deeply but were never addressed. And those secrets have you turning to substances more and more. One weekly drink becomes a daily bottle, and you're making excuses to your boss, your friends, your family. Do you want to quit but you don't know how? I can help you find your way out of this despair and into the life you want. You can do this. Let's talk.
(206) 258-7825 View (206) 258-7825

See more therapy options for Central District, Seattle

How does your Therapist compare?

Number of Therapists in Central District, Seattle, WA

200+

Average cost per session

$160

Therapists in Central District, Seattle, WA who prioritize treating:

93% Anxiety
90% Depression
86% Relationship Issues
80% Self Esteem
76% Trauma and PTSD
72% Grief
72% Stress

Average years in practice

9 Years

Top 3 insurances accepted

76% Premera
49% First Choice Health | FCH
46% Aetna

How Therapists in Central District, Seattle, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

65% Female
29% Male
6% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Central District, 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.