Therapists in Spokane, WA

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Photo of Dr. Robin Andrus, Licensed Mental Health Counselor , EdD, LMHC, CSP
Dr. Robin Andrus
Licensed Mental Health Counselor , EdD, LMHC, CSP
1 Endorsed
Spokane, WA 99205
You may be longing for a place where you feel safe, understood, and supported. I am a Licensed Mental Health Counselor and Certified School Psychologist with over 31 years of experience. In my practice you’ll find a compassionate, nonjudgmental space where your voice matters and your story is honored. Together, we’ll work at a pace that feels right for you, exploring new ways to heal, grow, and navigate challenges with greater clarity and strength. Therapy is a collaborative journey—one where you are never alone, and where each step brings you closer to the resilience and peace you deserve.
You may be longing for a place where you feel safe, understood, and supported. I am a Licensed Mental Health Counselor and Certified School Psychologist with over 31 years of experience. In my practice you’ll find a compassionate, nonjudgmental space where your voice matters and your story is honored. Together, we’ll work at a pace that feels right for you, exploring new ways to heal, grow, and navigate challenges with greater clarity and strength. Therapy is a collaborative journey—one where you are never alone, and where each step brings you closer to the resilience and peace you deserve.
(509) 384-3828 View (509) 384-3828
Photo of Angela Pham - Angela Pham Coaching, Counselor, MS, LMHC, P-MHC, RDN, CD
Angela Pham Coaching
Counselor, MS, LMHC, P-MHC, RDN, CD
3 Endorsed
Spokane, WA 99204
I work with Mothers who feel overwhelmed and anxious, but I also find that high-functioning or perfectionistic mothers work great with me as well. If motherhood is not what you expected or you are feeling burnt out, my services may be beneficial. I am a Christian and enjoy working with mothers from all backgrounds, but I would be a good fit if you want to understand how improvement in your faith can help you grow stronger in your relationship with your kids, spouse, and yourself. I absolutely believe knowledge is power and, in every session, I try to uncover where your gaps of information may be to help with forward movement.
I work with Mothers who feel overwhelmed and anxious, but I also find that high-functioning or perfectionistic mothers work great with me as well. If motherhood is not what you expected or you are feeling burnt out, my services may be beneficial. I am a Christian and enjoy working with mothers from all backgrounds, but I would be a good fit if you want to understand how improvement in your faith can help you grow stronger in your relationship with your kids, spouse, and yourself. I absolutely believe knowledge is power and, in every session, I try to uncover where your gaps of information may be to help with forward movement.
(206) 429-4704 View (206) 429-4704
Photo of Kevin Riffel, Counselor, LMHC, CMHS, RPT-S
Kevin Riffel
Counselor, LMHC, CMHS, RPT-S
Online Only
I am a Registered Play Therapist and licensed in WA and ID. I have been a therapist since 2014, primarily working with children, adolescents, and families. My clinical focus includes early intervention, caregiver support, and developmentally informed treatment. I use both play‑based and talk‑based modalities to create a safe therapeutic environment where young people can process experiences, build emotional and social skills, and increase resilience.
I am a Registered Play Therapist and licensed in WA and ID. I have been a therapist since 2014, primarily working with children, adolescents, and families. My clinical focus includes early intervention, caregiver support, and developmentally informed treatment. I use both play‑based and talk‑based modalities to create a safe therapeutic environment where young people can process experiences, build emotional and social skills, and increase resilience.
(208) 897-2011 View (208) 897-2011
Photo of Hannah Wolff, Licensed Mental Health Counselor , MS, LMHC
Hannah Wolff
Licensed Mental Health Counselor , MS, LMHC
Spokane, WA 99201
I work with adults navigating anxiety, panic attacks, relationship stress, and life transitions. Many are new to therapy and want support understanding family-of-origin patterns, past relational wounds, or why certain dynamics keep repeating. I often work with thoughtful, sensitive people who find themselves overextending in relationships or struggling to set boundaries while trying to care for others. This may show up as anxiety, panic, and relationship exhaustion. I also support twins and multiples, bringing both lived experience as an identical twin and consultation within a specialized group of therapists who work with twins.
I work with adults navigating anxiety, panic attacks, relationship stress, and life transitions. Many are new to therapy and want support understanding family-of-origin patterns, past relational wounds, or why certain dynamics keep repeating. I often work with thoughtful, sensitive people who find themselves overextending in relationships or struggling to set boundaries while trying to care for others. This may show up as anxiety, panic, and relationship exhaustion. I also support twins and multiples, bringing both lived experience as an identical twin and consultation within a specialized group of therapists who work with twins.
(509) 341-0667 View (509) 341-0667
Photo of Abdullahi Jaranow, Counselor, LMHCA
Abdullahi Jaranow
Counselor, LMHCA
Spokane, WA 99201
As a licensed therapist and clergy, my aim is to provide my clients with the utmost understanding of their diverse needs. With my background as a black, immigrant, and Muslim individual, I bring a unique perspective to the table that fosters cultural humility. My approach is personalized and family-centered, valuing the stories of each and every client. I create a supportive environment that embraces all identities, and I help my clients navigate their mental health journeys with confidence, using evidence-based practices and cultural competency.
As a licensed therapist and clergy, my aim is to provide my clients with the utmost understanding of their diverse needs. With my background as a black, immigrant, and Muslim individual, I bring a unique perspective to the table that fosters cultural humility. My approach is personalized and family-centered, valuing the stories of each and every client. I create a supportive environment that embraces all identities, and I help my clients navigate their mental health journeys with confidence, using evidence-based practices and cultural competency.
(509) 632-4247 View (509) 632-4247
Photo of Rhonda Marie Monson, Counselor, MA, LMHC
Rhonda Marie Monson
Counselor, MA, LMHC
1 Endorsed
Spokane, WA 99218
Pain and suffering are often experienced on the journey of life. This can be caused by trauma, anxiety, depression, difficult relationships and more. I am a firm believer that peace and joy are also attainable, even in the midst of the storms. I have faith in the inherent wisdom of each client to find the answers within themselves as we work together to explore current and past wounds, set meaningful goals, and take committed action towards personal values. It is an essential part of my work to create a safe non-judgmental space for my clients.
Pain and suffering are often experienced on the journey of life. This can be caused by trauma, anxiety, depression, difficult relationships and more. I am a firm believer that peace and joy are also attainable, even in the midst of the storms. I have faith in the inherent wisdom of each client to find the answers within themselves as we work together to explore current and past wounds, set meaningful goals, and take committed action towards personal values. It is an essential part of my work to create a safe non-judgmental space for my clients.
(509) 749-8865 View (509) 749-8865
Photo of Katrina Mason, Counselor, LMHC
Katrina Mason
Counselor, LMHC
Spokane, WA 99201
It is a privilege for me to hold space for individuals that are struggling. We are all in search of meaning and purpose, and sometimes we run into obstacles. My goals include helping identify your strengths and values, implementing healthy boundaries in relationships, increasing healthy coping tools, and improving outcomes. I have experience in treating individuals who struggle with anxiety, depression, crises, life transitions, relational issues, trauma and loss. Navigating spiritual views can be helpful, so I am open to working with individuals interested in integrating a Christian perspective into the counseling process.
It is a privilege for me to hold space for individuals that are struggling. We are all in search of meaning and purpose, and sometimes we run into obstacles. My goals include helping identify your strengths and values, implementing healthy boundaries in relationships, increasing healthy coping tools, and improving outcomes. I have experience in treating individuals who struggle with anxiety, depression, crises, life transitions, relational issues, trauma and loss. Navigating spiritual views can be helpful, so I am open to working with individuals interested in integrating a Christian perspective into the counseling process.
(509) 463-6925 x540 View (509) 463-6925 x540
Photo of Calla Powrie, Counselor, MS, LHMC, CMHS
Calla Powrie
Counselor, MS, LHMC, CMHS
3 Endorsed
Spokane, WA 99218
Often times, life stressors within our significant relationships are what prompt us to seek additional support in the form of therapy. Similarly, when we experience emotional distress, it typically impacts important relationships and environments, including friendships, school and work. It is my goal to help individuals and families explore and solve their relational, emotional and behavioral concerns. My style of therapy is focused on symptom reduction rather than diagnoses or labels, and on improving one's overall health and quality of life.
Often times, life stressors within our significant relationships are what prompt us to seek additional support in the form of therapy. Similarly, when we experience emotional distress, it typically impacts important relationships and environments, including friendships, school and work. It is my goal to help individuals and families explore and solve their relational, emotional and behavioral concerns. My style of therapy is focused on symptom reduction rather than diagnoses or labels, and on improving one's overall health and quality of life.
(509) 321-4061 View (509) 321-4061
Photo of Shawna Hedquist - Spokane EMDR & Counseling PLLC, Counselor
Spokane EMDR & Counseling PLLC
Counselor
2 Endorsed
Spokane, WA 99204
Sometimes, life can leave us feeling numb and hopeless. Taking the step to reach out for support takes immense strength. Finding your joy after it has been lost can be one of the most rewarding part of growth. Our goal is to create an environment where you can find healing you desire. We take the time to get to know individuals and understand their basic needs, desires, and strengths so that they can feel the support they have been longing for.
Sometimes, life can leave us feeling numb and hopeless. Taking the step to reach out for support takes immense strength. Finding your joy after it has been lost can be one of the most rewarding part of growth. Our goal is to create an environment where you can find healing you desire. We take the time to get to know individuals and understand their basic needs, desires, and strengths so that they can feel the support they have been longing for.
(509) 412-3629 View (509) 412-3629
Photo of Kate Engers, Marriage & Family Therapist, MA, LMFT
Kate Engers
Marriage & Family Therapist, MA, LMFT
Online Only
Do you find that there are unhelpful patterns in your life that you keep repeating? Maybe it's multiple unhealthy relationships, or self-sabotaging behaviors. Do you struggle with an unrelenting inner critic that makes every perceived failure feel catastrophic? Perhaps you're in the midst of a big change or transition in your life and you're struggling to adjust. You're most likely looking for a therapist who is warm and compassionate, who understands your specific struggle, and is able to help you make sense of the swarm of thoughts circling in your head.
Do you find that there are unhelpful patterns in your life that you keep repeating? Maybe it's multiple unhealthy relationships, or self-sabotaging behaviors. Do you struggle with an unrelenting inner critic that makes every perceived failure feel catastrophic? Perhaps you're in the midst of a big change or transition in your life and you're struggling to adjust. You're most likely looking for a therapist who is warm and compassionate, who understands your specific struggle, and is able to help you make sense of the swarm of thoughts circling in your head.
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Photo of Allison Morgan - Allison Morgan. Text (509) 593-0502 to schedule, Marriage & Family Therapist, MA, LMFT, LMHC
Allison Morgan. Text (509) 593-0502 to schedule
Marriage & Family Therapist, MA, LMFT, LMHC
6 Endorsed
Spokane, WA 99205
For an appointment, please text (509) 593-0502 As a Mental Health Counselor, and Marriage and Family Therapist, I have been helping couples, individuals and families with their counseling journeys for 12 years. I am warmly accepting of LGBTQ+ clients and polyamorous clients. I pride myself on providing a judgement-free zone where clients can feel empowered to process with a warm, down-to-earth provider, in a homey environment complete with plush carpet, big windows, cool beverages, and a sweet office dog! Aside of being a therapist, I am a professional musician, a mom, and have been married 23+ years to my retired-military husband.
For an appointment, please text (509) 593-0502 As a Mental Health Counselor, and Marriage and Family Therapist, I have been helping couples, individuals and families with their counseling journeys for 12 years. I am warmly accepting of LGBTQ+ clients and polyamorous clients. I pride myself on providing a judgement-free zone where clients can feel empowered to process with a warm, down-to-earth provider, in a homey environment complete with plush carpet, big windows, cool beverages, and a sweet office dog! Aside of being a therapist, I am a professional musician, a mom, and have been married 23+ years to my retired-military husband.
(509) 774-2838 View (509) 774-2838
Photo of Kylie Gonzalez, Licensed Mental Health Counselor, LMHC
Kylie Gonzalez
Licensed Mental Health Counselor, LMHC
17 Endorsed
Online Only
Do you feel exhausted and on-edge? Carrying the burden of your past, constantly replaying it in your head and watching it bleed into your present? Have you tried to tell your story, but never truly felt understood? Have you tried therapy before, but it felt like you were talking to a wall? You’ve come to the right place. As a queer, neurodivergent therapist, and a domestic violence survivor, I understand my clients because I’ve been where they are. Feeling unseen and unknown, trying to hold it all together in a neurotypical world with little compassion for your trauma.
Do you feel exhausted and on-edge? Carrying the burden of your past, constantly replaying it in your head and watching it bleed into your present? Have you tried to tell your story, but never truly felt understood? Have you tried therapy before, but it felt like you were talking to a wall? You’ve come to the right place. As a queer, neurodivergent therapist, and a domestic violence survivor, I understand my clients because I’ve been where they are. Feeling unseen and unknown, trying to hold it all together in a neurotypical world with little compassion for your trauma.
(509) 285-9341 View (509) 285-9341
Photo of Garland McCanna, Counselor, MS, LMHC
Garland McCanna
Counselor, MS, LMHC
1 Endorsed
Spokane, WA 99218
When you're struggling with anxiety and intrusive thoughts it can feel like you will never get back to your true self and that your future potential has been taken away from you. Let's work together to develop ways to conquer intrusive thoughts, stuck points, anxiety and obsessions. Hi, I'm Garland. I'm a licensed mental health counselor and I understand how overwhelming and isolating anxiety can feel.
When you're struggling with anxiety and intrusive thoughts it can feel like you will never get back to your true self and that your future potential has been taken away from you. Let's work together to develop ways to conquer intrusive thoughts, stuck points, anxiety and obsessions. Hi, I'm Garland. I'm a licensed mental health counselor and I understand how overwhelming and isolating anxiety can feel.
(509) 260-9268 View (509) 260-9268
Photo of Anna Brackett, Pre-Licensed Professional
Anna Brackett
Pre-Licensed Professional
Spokane, WA 99202
I want to honor your journey towards inner healing as we tackle various aspects of emotional, relational, spiritual, and physical realities. I believe healing begins with honesty with oneself. This can be the first step - asking yourself what do you want and what do you not want? The second step - slowing down long enough to notice. I want to help you discover your true identity. You were created to be loved, beautiful and whole. I believe every individual has the capacity to heal and rise above even the most painful pasts. I want to help you honestly confront your story.
I want to honor your journey towards inner healing as we tackle various aspects of emotional, relational, spiritual, and physical realities. I believe healing begins with honesty with oneself. This can be the first step - asking yourself what do you want and what do you not want? The second step - slowing down long enough to notice. I want to help you discover your true identity. You were created to be loved, beautiful and whole. I believe every individual has the capacity to heal and rise above even the most painful pasts. I want to help you honestly confront your story.
(509) 309-0826 View (509) 309-0826
Photo of Charlotte Harrington, Counselor, MA, LMHC, NCC
Charlotte Harrington
Counselor, MA, LMHC, NCC
4 Endorsed
Spokane, WA 99202
Not accepting new clients
Life can feel impossible to navigate alone. Sometimes it’s a lost feeling of disconnection from ourselves. Other times maybe it’s relationship patterns that feel unsustainable. Or perhaps it’s a desire to deepen your connection to your intuitive wisdom. Whatever the reason, counseling is a space for us to come together and discover what you need most. You don't have to do it alone. My framework in our work together is grounded in attachment science and the belief that connection to self and other is a basic tenant of human wellness. While leaning in can be terrifying, I'll be there every step of the way.
Life can feel impossible to navigate alone. Sometimes it’s a lost feeling of disconnection from ourselves. Other times maybe it’s relationship patterns that feel unsustainable. Or perhaps it’s a desire to deepen your connection to your intuitive wisdom. Whatever the reason, counseling is a space for us to come together and discover what you need most. You don't have to do it alone. My framework in our work together is grounded in attachment science and the belief that connection to self and other is a basic tenant of human wellness. While leaning in can be terrifying, I'll be there every step of the way.
(509) 253-5804 View (509) 253-5804
Photo of Cheri Colean - EMDR at Inner Light Counseling, Clinical Social Work/Therapist, MSW, LICSW
EMDR at Inner Light Counseling
Clinical Social Work/Therapist, MSW, LICSW
4 Endorsed
Spokane, WA 99203
Not accepting new clients
Feeling overwhelmed, stuck, or not quite like yourself can be especially hard to carry. You might be navigating something painful, or noticing your child is struggling in ways you don’t fully understand. When life shifts or something difficult happens, it can leave you feeling unsure of how to move forward. EMDR therapy can help you or your child process what’s been weighing on you and begin to feel more like yourself again. I have specialized experience supporting women and children through trauma, anxiety, depression, and life transitions.
Feeling overwhelmed, stuck, or not quite like yourself can be especially hard to carry. You might be navigating something painful, or noticing your child is struggling in ways you don’t fully understand. When life shifts or something difficult happens, it can leave you feeling unsure of how to move forward. EMDR therapy can help you or your child process what’s been weighing on you and begin to feel more like yourself again. I have specialized experience supporting women and children through trauma, anxiety, depression, and life transitions.
(509) 257-8324 View (509) 257-8324
Photo of Khadija Ewalt, Counselor, LMHC, SUDPT
Khadija Ewalt
Counselor, LMHC, SUDPT
Online Only
We ALL need a therapist, whether we like to admit it or not. We’re either struggling with our internal dialogue or external actions and behaviors. Having the space and freedom to say what we wish to but can’t/won’t goes a long way in helping us feel more like us.
We ALL need a therapist, whether we like to admit it or not. We’re either struggling with our internal dialogue or external actions and behaviors. Having the space and freedom to say what we wish to but can’t/won’t goes a long way in helping us feel more like us.
(509) 745-5651 View (509) 745-5651
Photo of John D Dunn, Clinical Social Work/Therapist, LSWAIC
John D Dunn
Clinical Social Work/Therapist, LSWAIC
1 Endorsed
Spokane, WA 99201
Are you experiencing anxiety? Have you or your child gone through a traumatic event or experienced a major loss? Are you having trouble maintaining a healthy relationship? Do you struggle from low self-esteem and/or low self-confidence? I practice client centered strengths based approaches that teach the client skills to successfully become their own therapist for the times they face barriers in their life.
Are you experiencing anxiety? Have you or your child gone through a traumatic event or experienced a major loss? Are you having trouble maintaining a healthy relationship? Do you struggle from low self-esteem and/or low self-confidence? I practice client centered strengths based approaches that teach the client skills to successfully become their own therapist for the times they face barriers in their life.
(509) 722-8405 View (509) 722-8405
Photo of Christopher Waters, Psychologist, PhD
Christopher Waters
Psychologist, PhD
Online Only
You live with contradictions that don’t make sense – feeling flooded with emotion one moment and completely numb the next. You try to function, but part of you feels detached from the world and even from yourself. Memories come in fragments, emotions feel too big to handle, and despite years of effort, the pain still feels lodged deep inside. You hear confusing terms like “complex trauma,” “PTSD,” or “dissociation,” but they don’t help you “move on.” You want relief that actually lasts – not another coping skill or surface-level fix, but real healing that reaches the roots of your trauma and restores your sense of wholeness.
You live with contradictions that don’t make sense – feeling flooded with emotion one moment and completely numb the next. You try to function, but part of you feels detached from the world and even from yourself. Memories come in fragments, emotions feel too big to handle, and despite years of effort, the pain still feels lodged deep inside. You hear confusing terms like “complex trauma,” “PTSD,” or “dissociation,” but they don’t help you “move on.” You want relief that actually lasts – not another coping skill or surface-level fix, but real healing that reaches the roots of your trauma and restores your sense of wholeness.
(509) 436-9982 View (509) 436-9982
Photo of Doreen Desmond, Counselor, MS, LMHC, NCC
Doreen Desmond
Counselor, MS, LMHC, NCC
Spokane, WA 99203
I am client centered, caring and feel a commitment towards the my client's well being and their personal goals in counseling. I have a diverse training background that includes behavioral health, addiction, sandtray, and relationship/marriage training. While I have a eclectic background, I tend to use a cognitive-behavioral approach, stress management, including relaxation/guided imagery, and supportive therapy. My clients tell me they feel cared about. I am down to earth and calm. I aim for results and enjoy working with clients who are depressed, have relationship issues/adustment/loss, anxiety/OCD,and chronic pain/medical issues.
I am client centered, caring and feel a commitment towards the my client's well being and their personal goals in counseling. I have a diverse training background that includes behavioral health, addiction, sandtray, and relationship/marriage training. While I have a eclectic background, I tend to use a cognitive-behavioral approach, stress management, including relaxation/guided imagery, and supportive therapy. My clients tell me they feel cared about. I am down to earth and calm. I aim for results and enjoy working with clients who are depressed, have relationship issues/adustment/loss, anxiety/OCD,and chronic pain/medical issues.
(509) 987-5945 View (509) 987-5945

See more therapy options for Spokane

How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$150

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
85% Depression
75% Trauma and PTSD
73% Relationship Issues
73% Self Esteem
71% Stress
59% Grief

Average years in practice

8 Years

Top 3 insurances accepted

81% Aetna
74% Regence
72% Premera Blue Cross

How Therapists in Spokane, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane?

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.