Therapists in Comstock, Spokane, WA

Melanie Morlan LMFT CouplesTherapySpokane.com
Marriage & Family Therapist, LMFT, LMHC, NCC
3 Endorsed
Comstock, Spokane, WA 99203
Are you married, dating, newlyweds, or in a long-term relationship that feels harder than it should? Are you feeling scared, stuck, exhausted, longing, or wondering if things can truly get better? I help couples stay connected, repair trust, and rediscover the secure bond that brought them together using Emotionally Focused Therapy, a time-tested, research-based approach proven to create lasting change by addressing the deeper emotional needs beneath conflict. With 16 years of experience, I work with couples navigating both major challenges and quieter forms of disconnection. I have exceptional skills and a strong track record.
Are you married, dating, newlyweds, or in a long-term relationship that feels harder than it should? Are you feeling scared, stuck, exhausted, longing, or wondering if things can truly get better? I help couples stay connected, repair trust, and rediscover the secure bond that brought them together using Emotionally Focused Therapy, a time-tested, research-based approach proven to create lasting change by addressing the deeper emotional needs beneath conflict. With 16 years of experience, I work with couples navigating both major challenges and quieter forms of disconnection. I have exceptional skills and a strong track record.
(509) 309-0672 View (509) 309-0672
Jocelyn Ribar
Marriage & Family Therapist, LMFT, LMHC, RYT
3 Endorsed
Comstock, Spokane, WA 99203
People are motivated by fulfilling needs, including the deep rooted need for connection. We are all hardwired for connection and love. In each and every one of us lies strength and resilience. We all have moments where we get off track and might need guidance and help. As your counselor, it is my role to help you feel heard and accepted, able to share your story. My goal is to meet you where you are, in your own process. I am here to walk this journey with you and help you discover a deeper awareness of your internal processes.
People are motivated by fulfilling needs, including the deep rooted need for connection. We are all hardwired for connection and love. In each and every one of us lies strength and resilience. We all have moments where we get off track and might need guidance and help. As your counselor, it is my role to help you feel heard and accepted, able to share your story. My goal is to meet you where you are, in your own process. I am here to walk this journey with you and help you discover a deeper awareness of your internal processes.
(509) 792-3530 View (509) 792-3530
Natalie Wagner
Counselor, CMHTA
Comstock, Spokane, WA 99203
Are you feeling overwhelmed by anxiety, parenting stress, emotional burnout, or relationship challenges? Maybe your child is struggling too, and you’re carrying the weight of trying to hold everything together. I work with children, adolescents, adults, parents, and families navigating anxiety, trauma, emotional overwhelm, self-esteem struggles, and connection challenges. My approach is attachment-focused and incorporates CBT, nervous system awareness, and play therapy techniques to help clients feel more understood, connected, and supported. Reaching out can feel vulnerable, but you do not have to navigate it alone.
Are you feeling overwhelmed by anxiety, parenting stress, emotional burnout, or relationship challenges? Maybe your child is struggling too, and you’re carrying the weight of trying to hold everything together. I work with children, adolescents, adults, parents, and families navigating anxiety, trauma, emotional overwhelm, self-esteem struggles, and connection challenges. My approach is attachment-focused and incorporates CBT, nervous system awareness, and play therapy techniques to help clients feel more understood, connected, and supported. Reaching out can feel vulnerable, but you do not have to navigate it alone.
(509) 436-1044 View (509) 436-1044
Randy Hendricks, LMHC at Motions Mgt
Mental Health Counselor, MS, LMHC
Comstock, Spokane, WA 99203
I have provided therapy for many (if not all) psychiatric and psychological issues in my many years of private practice. I provide a variety of individualized psychological approaches with the same goal, helping you better manage your life: Reach out to me! You can also contact me at MotionsMgt on the web. I offer Fee for Service ONLY with my scheduling and tele-health platform - SimplePractice. Also, I offer arranged Office visits and walks. Contact YOUR insurance company for info on how they cover out of network (OON) providers. I am OON, only! You will receive a SuperBill the end of EACH month for reimbursement. Simple!
I have provided therapy for many (if not all) psychiatric and psychological issues in my many years of private practice. I provide a variety of individualized psychological approaches with the same goal, helping you better manage your life: Reach out to me! You can also contact me at MotionsMgt on the web. I offer Fee for Service ONLY with my scheduling and tele-health platform - SimplePractice. Also, I offer arranged Office visits and walks. Contact YOUR insurance company for info on how they cover out of network (OON) providers. I am OON, only! You will receive a SuperBill the end of EACH month for reimbursement. Simple!
(509) 339-8054 View (509) 339-8054
Hannah Wolff
Licensed Mental Health Counselor , MS, LMHC
Comstock, Spokane, WA 99203
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 the root of their relational patterns. 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 the root of their relational patterns. 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
OCD Treatment / Theresa
Clinical Social Work/Therapist, MSSW, LICSW
2 Endorsed
Comstock, Spokane, WA 99203
If you're an adult or teen in Washington state suffering from OCD, I would love to hear from you! I specialize in treating OCD, and I am especially skilled in treating “rumination as a compulsion”—mental compulsions that are not visible to anyone else. I offer Exposure with Response Prevention (ERP), Inference-based Cognitive Behavioral Therapy (I-CBT), and Metacognitive Therapy (MCT), all of which are scientifically effective in treating OCD. I-CBT has been described as profound and a “game-changer.” This compassionate and effective psychotherapy has been changing lives in Canada and Europe for over 20 years.
If you're an adult or teen in Washington state suffering from OCD, I would love to hear from you! I specialize in treating OCD, and I am especially skilled in treating “rumination as a compulsion”—mental compulsions that are not visible to anyone else. I offer Exposure with Response Prevention (ERP), Inference-based Cognitive Behavioral Therapy (I-CBT), and Metacognitive Therapy (MCT), all of which are scientifically effective in treating OCD. I-CBT has been described as profound and a “game-changer.” This compassionate and effective psychotherapy has been changing lives in Canada and Europe for over 20 years.
(360) 565-6216 View (360) 565-6216
Meg Curtin Rey-Bear
Counselor, MA, LPCC, LMHC, NCC
Serves Area
These days, it can feel like life is moving too fast for us to keep up. Do you struggle with family or parent-child relationships? As a therapist with over 24 years of experience, I have extensive training and practice in the areas of complex trauma, PTSD, anxiety, depression, and family dynamics. I specialize in working with families and parents experiencing high tension family dynamics and struggling to connect with their loved ones. I also work with estranged parents of adult children, helping concerned family members reduce tension and foster healthy connections that motivate loved ones to seek the help and support they need.
These days, it can feel like life is moving too fast for us to keep up. Do you struggle with family or parent-child relationships? As a therapist with over 24 years of experience, I have extensive training and practice in the areas of complex trauma, PTSD, anxiety, depression, and family dynamics. I specialize in working with families and parents experiencing high tension family dynamics and struggling to connect with their loved ones. I also work with estranged parents of adult children, helping concerned family members reduce tension and foster healthy connections that motivate loved ones to seek the help and support they need.
(509) 481-9629 View (509) 481-9629
DUSTIN HALL
Pre-Licensed Professional
Comstock, Spokane, WA 99203
Waitlist for new clients
I work with people who want support in facing the challenges that are holding them back. Whether that’s improving a relationship that matters to you, figuring out who you are outside of what’s expected, or simply building a life that feels more like yours. We’ll explore together ways to build on your strengths and add new tools to your box. You take what works for your life, and leave the rest. Whether you're working through anxiety, sharpening communication, navigating conflict, or exploring relationships, dating, sex, or identity — I'm here to help you build the skills and confidence to meet life's challenges.
I work with people who want support in facing the challenges that are holding them back. Whether that’s improving a relationship that matters to you, figuring out who you are outside of what’s expected, or simply building a life that feels more like yours. We’ll explore together ways to build on your strengths and add new tools to your box. You take what works for your life, and leave the rest. Whether you're working through anxiety, sharpening communication, navigating conflict, or exploring relationships, dating, sex, or identity — I'm here to help you build the skills and confidence to meet life's challenges.
(509) 341-0216 View (509) 341-0216
Hayley Miller
Licensed Mental Health Counselor Associate , LMHCA, MACMHC, MATP, ACC
1 Endorsed
Online Only
Waitlist for new clients
Do you feel like your body has turned against you? Like your life has become an endless cycle of managing symptoms, panic, and desperately trying to just feel safe? Are you drowning in fear about the future, longing for the carefree feeling of your pre-diagnosis days? Chronic illness, medical trauma, and health anxiety can make it feel impossible to even get through the day—let alone keep up with work, relationships, and just being a human in the world we live in. On top of that, the weight of shame and feeling like a burden can be debilitating. But there IS hope. I’ve been there, and I'm here to help you find a path forward.
Do you feel like your body has turned against you? Like your life has become an endless cycle of managing symptoms, panic, and desperately trying to just feel safe? Are you drowning in fear about the future, longing for the carefree feeling of your pre-diagnosis days? Chronic illness, medical trauma, and health anxiety can make it feel impossible to even get through the day—let alone keep up with work, relationships, and just being a human in the world we live in. On top of that, the weight of shame and feeling like a burden can be debilitating. But there IS hope. I’ve been there, and I'm here to help you find a path forward.
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Lucy Lennox
Counselor, LMHC
Online Only
Welcome to my practice. Life can be difficult and full of disappointments, but it can also be satisfying and full of joy. Working together, we will build a therapeutic relationship that provides a safe place to share, grow, and build trusting relationships in your life. Successful treatment requires a commitment to the process, insight, and the ability to embrace change and improve behavior. The rewards will be worth your investment.
Welcome to my practice. Life can be difficult and full of disappointments, but it can also be satisfying and full of joy. Working together, we will build a therapeutic relationship that provides a safe place to share, grow, and build trusting relationships in your life. Successful treatment requires a commitment to the process, insight, and the ability to embrace change and improve behavior. The rewards will be worth your investment.
(509) 512-1637 View (509) 512-1637
Bea Budke
Clinical Social Work/Therapist, LSWAIC, MSW
Comstock, Spokane, WA 99203
Not accepting new clients
Have you been navigating trauma, depression, burnout, anger, questions around gender identity or sexuality, or emotions that feel hard to access? Reaching out can feel daunting when life already feels heavy, and you deserve care that is thoughtful, collaborative, and tailored to you. Let’s create space together to understand patterns and make room for healing. I value affirming, inclusive care where your voice matters and therapy can move at a pace that fits you
Have you been navigating trauma, depression, burnout, anger, questions around gender identity or sexuality, or emotions that feel hard to access? Reaching out can feel daunting when life already feels heavy, and you deserve care that is thoughtful, collaborative, and tailored to you. Let’s create space together to understand patterns and make room for healing. I value affirming, inclusive care where your voice matters and therapy can move at a pace that fits you
(509) 284-8705 View (509) 284-8705
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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Lakewood CFC, online therapy for adults
Counselor, LMHCs, LMFTs, CMHS, NBCCs
6 Endorsed
Online Only
If you've been feeling overwhelmed lately, and like things just aren't how you want them to be, you're not alone! We can help! We provides expert online therapy for adults in WA struggling with anxiety, trauma, depression & more. Together we will explore new ways to cope and untangle the stuck places. Don't navigate this stress by yourself, go to our webpage and "self-book now" with a dedicated anxiety or trauma specialist and feel better soon. Our specialized, online therapy is tailored for busy professionals in Bellevue, Sammamish, Redmond, and Mercer Island & across Washington State.
If you've been feeling overwhelmed lately, and like things just aren't how you want them to be, you're not alone! We can help! We provides expert online therapy for adults in WA struggling with anxiety, trauma, depression & more. Together we will explore new ways to cope and untangle the stuck places. Don't navigate this stress by yourself, go to our webpage and "self-book now" with a dedicated anxiety or trauma specialist and feel better soon. Our specialized, online therapy is tailored for busy professionals in Bellevue, Sammamish, Redmond, and Mercer Island & across Washington State.
(253) 400-2252 View (253) 400-2252
Dr. Erma B
Counselor, PhD, LMHC, MHP
Online Only
I earned my PhD in Psychology in 2019 and have since been dedicated to helping individuals navigate life’s challenges in a safe, compassionate, and nonjudgmental space. I work with people from diverse backgrounds and identities and strive to create an environment where clients feel supported, respected, and understood. My approach is holistic and integrative. I utilize Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT), recognizing the important connection between physical, mental, emotional, social, and spiritual well-being.
I earned my PhD in Psychology in 2019 and have since been dedicated to helping individuals navigate life’s challenges in a safe, compassionate, and nonjudgmental space. I work with people from diverse backgrounds and identities and strive to create an environment where clients feel supported, respected, and understood. My approach is holistic and integrative. I utilize Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT), recognizing the important connection between physical, mental, emotional, social, and spiritual well-being.
(509) 423-7036 View (509) 423-7036
Cesar Bustamante
Counselor, LMHC
Online Only
I welcome you to reach out whenever you feel ready to begin. I’m here to provide a safe and supportive environment where you can be yourself. I help people that have anxiety depression issues as well as helping couples heal. I also work with people that have autism and ADHD. I use cognitive-behavioral therapy (CBT) to help you identify and reshape unhelpful thought patterns. This approach is hands-on and gives you tools to feel more in control of your emotions and behaviors. Based on your unique needs, I may adapt my approach to include other practices that might interest you. Your goals and progress is my primary focus.
I welcome you to reach out whenever you feel ready to begin. I’m here to provide a safe and supportive environment where you can be yourself. I help people that have anxiety depression issues as well as helping couples heal. I also work with people that have autism and ADHD. I use cognitive-behavioral therapy (CBT) to help you identify and reshape unhelpful thought patterns. This approach is hands-on and gives you tools to feel more in control of your emotions and behaviors. Based on your unique needs, I may adapt my approach to include other practices that might interest you. Your goals and progress is my primary focus.
(509) 407-5286 View (509) 407-5286
Katrina Knizek
Counselor, LMHC
5 Endorsed
Online Only
Accepting New Clients! (WA, OR, ID) Ready to grow, heal, and feel better? I specialize in sex therapy, self-esteem, and relationships - helping you rewrite your life's story. With a mix of somatic therapy practices, I support you to find your own path and experience the feeling of deep, systemic healing. I have a soft spot for serving the 'outsiders': LGBTQIA2S+ folks, sex workers, and kink/fetish enjoyers.
Accepting New Clients! (WA, OR, ID) Ready to grow, heal, and feel better? I specialize in sex therapy, self-esteem, and relationships - helping you rewrite your life's story. With a mix of somatic therapy practices, I support you to find your own path and experience the feeling of deep, systemic healing. I have a soft spot for serving the 'outsiders': LGBTQIA2S+ folks, sex workers, and kink/fetish enjoyers.
(509) 239-7839 View (509) 239-7839
Wyatt Okeefe
Counselor, MA, LMHC, LPC
Online Only
If you're anywhere on the LGBTQIA2S+ spectrum and are undergoing gender transition, coming out, navigating relationship or career issues, or are trying to figure out how to not just cope with life but truly celebrate it ... I'm here for you. Significant life changes can feel overwhelming. They also raise important questions about who we are and who we want to be, which is why I offer individual and couples therapy to make sure you get the structured, compassionate support you need and deserve to better understand yourself, develop resilience, and create authentic, fulfilling relationships and life that's truly worth celebrating!
If you're anywhere on the LGBTQIA2S+ spectrum and are undergoing gender transition, coming out, navigating relationship or career issues, or are trying to figure out how to not just cope with life but truly celebrate it ... I'm here for you. Significant life changes can feel overwhelming. They also raise important questions about who we are and who we want to be, which is why I offer individual and couples therapy to make sure you get the structured, compassionate support you need and deserve to better understand yourself, develop resilience, and create authentic, fulfilling relationships and life that's truly worth celebrating!
(206) 207-7570 View (206) 207-7570
Wyatt Okeefe
Counselor, MA, LMHC, LPC
Online Only
If you're anywhere on the LGBTQIA2S+ spectrum and are undergoing gender transition, coming out, navigating relationship or career issues, or are trying to figure out how to not just cope with life but truly celebrate it ... I'm here for you. Significant life changes can feel overwhelming. They also raise important questions about who we are and who we want to be, which is why I offer individual and couples therapy to make sure you get the structured, compassionate support you need and deserve to better understand yourself, develop resilience, and create authentic, fulfilling relationships and life that's truly worth celebrating!
If you're anywhere on the LGBTQIA2S+ spectrum and are undergoing gender transition, coming out, navigating relationship or career issues, or are trying to figure out how to not just cope with life but truly celebrate it ... I'm here for you. Significant life changes can feel overwhelming. They also raise important questions about who we are and who we want to be, which is why I offer individual and couples therapy to make sure you get the structured, compassionate support you need and deserve to better understand yourself, develop resilience, and create authentic, fulfilling relationships and life that's truly worth celebrating!
(206) 208-9901 View (206) 208-9901
Wyatt Okeefe
Counselor, MA, LMHC, LPC
Online Only
If you're anywhere on the LGBTQIA2S+ spectrum and are undergoing gender transition, coming out, navigating relationship or career issues, or are trying to figure out how to not just cope with life but truly celebrate it ... I'm here for you. Significant life changes can feel overwhelming. They also raise important questions about who we are and who we want to be, which is why I offer individual and couples therapy to make sure you get the structured, compassionate support you need and deserve to better understand yourself, develop resilience, and create authentic, fulfilling relationships and life that's truly worth celebrating!
If you're anywhere on the LGBTQIA2S+ spectrum and are undergoing gender transition, coming out, navigating relationship or career issues, or are trying to figure out how to not just cope with life but truly celebrate it ... I'm here for you. Significant life changes can feel overwhelming. They also raise important questions about who we are and who we want to be, which is why I offer individual and couples therapy to make sure you get the structured, compassionate support you need and deserve to better understand yourself, develop resilience, and create authentic, fulfilling relationships and life that's truly worth celebrating!
(206) 535-2705 View (206) 535-2705
Caitlin Blair
Clinical Social Work/Therapist, LCSW, LICSW
11 Endorsed
Online Only
You look like you have it together. Most days, you almost believe it yourself. But underneath, you're functioning on empty, carrying anxiety, burnout, and the weight of everyone else's expectations. You've lost track of what you actually need. You might be navigating people-pleasing, perfectionism, cultural and family pressures, or an identity that feels fragmented between worlds. Nobody would guess how much you're carrying which is truly the loneliest part. You were meant for more than just getting through it. Part of you already knows that, even if you're not quite sure yet what that looks like or where to start.
You look like you have it together. Most days, you almost believe it yourself. But underneath, you're functioning on empty, carrying anxiety, burnout, and the weight of everyone else's expectations. You've lost track of what you actually need. You might be navigating people-pleasing, perfectionism, cultural and family pressures, or an identity that feels fragmented between worlds. Nobody would guess how much you're carrying which is truly the loneliest part. You were meant for more than just getting through it. Part of you already knows that, even if you're not quite sure yet what that looks like or where to start.
(707) 314-3543 View (707) 314-3543

How does your Therapist compare?

Number of Therapists in Comstock, Spokane, WA

20+

Average cost per session

$160

Therapists in Comstock, Spokane, WA who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
82% Depression
73% Relationship Issues
73% Trauma and PTSD

Average years in practice

16 Years

Top 3 insurances accepted

100% Regence
90% Premera Blue Cross
70% Aetna

How Therapists in Comstock, Spokane, WA see their clients

55% Online Only
45% In Person and Online

Gender breakdown

67% Female
19% Non-Binary
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Comstock?

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.