Therapists in Tacoma, WA

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Photo of Mary Allison Jensen, Clinical Social Work/Therapist in Tacoma, WA
Mary Allison Jensen
Clinical Social Work/Therapist, MSW, LICSW, CMHS, IMH-E
Verified
Tacoma, WA 98407
My ideal clients are motivated to explore the origin of unhelpful patterns of thought, emotion, and behavior. I am a certified clinical trauma specialist and primarily work with adults and adolescents who have experienced adversity and/or trauma. My clients often present with a feeling of being stuck and through a collaborative process of reflection and skill-building we identify the most effective personalized strategies. I am also a certified compassion fatigue specialist and work extensively with professionals around compassion fatigue and burnout.
My ideal clients are motivated to explore the origin of unhelpful patterns of thought, emotion, and behavior. I am a certified clinical trauma specialist and primarily work with adults and adolescents who have experienced adversity and/or trauma. My clients often present with a feeling of being stuck and through a collaborative process of reflection and skill-building we identify the most effective personalized strategies. I am also a certified compassion fatigue specialist and work extensively with professionals around compassion fatigue and burnout.
(253) 499-7896 View (253) 499-7896
Photo of Dr. Misty Gibson, Counselor in Tacoma, WA
Dr. Misty Gibson
Counselor, PhD ACS, LMHC, ATR-BC, CST, ATCS
Verified
4 Endorsed
Tacoma, WA 98406  (Online Only)
We offer sliding scale! The work at FlowArt Therapy focuses on EMDR, Art Therapy, and Sex Therapy. We work with folx in the kink community, people in polyamorous and alternative relationships, people who are neurodivergent, people who are LGBTQ+, and women, trans, and nonbinary folks with traumatic backgrounds to promote sex positivity. We have many therapists who offer other specializations and work with other populations. Many of the therapists at FlowArt Therapy are taking new clients. Email to be matched with a therapist suitable for your needs. Please see our website at www.flowartwa.com I am an Aasect Certified Sex Therapist.
We offer sliding scale! The work at FlowArt Therapy focuses on EMDR, Art Therapy, and Sex Therapy. We work with folx in the kink community, people in polyamorous and alternative relationships, people who are neurodivergent, people who are LGBTQ+, and women, trans, and nonbinary folks with traumatic backgrounds to promote sex positivity. We have many therapists who offer other specializations and work with other populations. Many of the therapists at FlowArt Therapy are taking new clients. Email to be matched with a therapist suitable for your needs. Please see our website at www.flowartwa.com I am an Aasect Certified Sex Therapist.
(253) 201-2436 View (253) 201-2436
Photo of Michael Lillie LMFT, Marriage & Family Therapist in Tacoma, WA
Michael Lillie LMFT
Marriage & Family Therapist, MA(ts), MA, LMFT, MHP
Verified
20 Endorsed
Tacoma, WA 98405
I love what I do for a living! I have the privilege of walking with people through chaos, change, uncertainty, ambiguity, joy, sadness, anxiety or any other time of discovery life might bring. My greatest joy is seeing people find hope, make meaningful changes in their lives, and simply live a better life. I have worked in many different settings as a therapist including hospitals, community mental health centers, a homeless shelter, and in private practice.
I love what I do for a living! I have the privilege of walking with people through chaos, change, uncertainty, ambiguity, joy, sadness, anxiety or any other time of discovery life might bring. My greatest joy is seeing people find hope, make meaningful changes in their lives, and simply live a better life. I have worked in many different settings as a therapist including hospitals, community mental health centers, a homeless shelter, and in private practice.
(206) 429-6658 View (206) 429-6658
Photo of Bonnie Harvey, Counselor in Tacoma, WA
Bonnie Harvey
Counselor, MEd, ESA, LMHCA
Verified
1 Endorsed
Tacoma, WA 98402
Not accepting new clients
**My caseload is full and I am not taking new clients at this time.** Are you missing your joy? Has your “little light” stopped shining? Does life seem harder than it used to? For 18 years, I have helped children and families cope with loss, trauma, and stressful life transitions including illness, family changes, and problems with schooling. My office is a safe space where you can share your story, explore problems, and discover solutions. When we get distracted and disconnected by stress, self-doubt, or traumatic events, we can wind up feeling confused, overwhelmed, frustrated, fearful, and alone. You are not alone.
**My caseload is full and I am not taking new clients at this time.** Are you missing your joy? Has your “little light” stopped shining? Does life seem harder than it used to? For 18 years, I have helped children and families cope with loss, trauma, and stressful life transitions including illness, family changes, and problems with schooling. My office is a safe space where you can share your story, explore problems, and discover solutions. When we get distracted and disconnected by stress, self-doubt, or traumatic events, we can wind up feeling confused, overwhelmed, frustrated, fearful, and alone. You are not alone.
(253) 650-0179 View (253) 650-0179
Photo of Pride Counseling NW, Marriage & Family Therapist in Tacoma, WA
Pride Counseling NW
Marriage & Family Therapist, MA, MEd, LMFT
Verified
13 Endorsed
Tacoma, WA 98406
Pride Counseling NW provides therapy for couples, individuals, and families of ALL kinds. If you're feeling powerless in the face of your problems, unhappy in your relationships, and "stuck" in your life, we'd like to help. Let's talk about what you're good at. Let's talk about what you want. Let's talk about how to get there.
Pride Counseling NW provides therapy for couples, individuals, and families of ALL kinds. If you're feeling powerless in the face of your problems, unhappy in your relationships, and "stuck" in your life, we'd like to help. Let's talk about what you're good at. Let's talk about what you want. Let's talk about how to get there.
(253) 201-0203 View (253) 201-0203
Photo of Janna Bushaw, Counselor in Tacoma, WA
Janna Bushaw
Counselor, MBA, MA, LMHC, NCC
Verified
1 Endorsed
Tacoma, WA 98406
There are universal experiences that can cause us to question everything we have learned about who we are within ourselves and in connection to others. It’s in these times it can be difficult to meet life on life’s terms; when looking on the bright side, persistence and grit no longer get us through the day. This has been especially true this past couple of years. The most profound change being our ability to be connected to each other and having shared experiences to look forward to.
There are universal experiences that can cause us to question everything we have learned about who we are within ourselves and in connection to others. It’s in these times it can be difficult to meet life on life’s terms; when looking on the bright side, persistence and grit no longer get us through the day. This has been especially true this past couple of years. The most profound change being our ability to be connected to each other and having shared experiences to look forward to.
(253) 262-0681 View (253) 262-0681
Photo of Jacob Morrow, LPC Intern in Tacoma, WA
Jacob Morrow
LPC Intern, LPC Int
Verified
Tacoma, WA 98404  (Online Only)
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
(253) 245-3550 View (253) 245-3550
Photo of Stronger You Counseling, Counselor in Tacoma, WA
Stronger You Counseling
Counselor, LMHC, MS, MDiv
Verified
Tacoma, WA 98409  (Online Only)
I provide quality and ethical mental health care tailored to your individual needs, values, and circumstances. Concerns about location accessibility, chemical sensitivities, or exposure for the immunocompromised, or non-traditional scheduling are things of the past. Your video counseling session will be in an environment you control. I have experience serving POC, LGBTQ+, and people in poverty. I’ve also worked with those impacted by disabilities and incarceration. I’ve experienced both trauma and the wounding and healing qualities of relationships. I understand how hard it can be, and I know there’s still hope for positive change.
I provide quality and ethical mental health care tailored to your individual needs, values, and circumstances. Concerns about location accessibility, chemical sensitivities, or exposure for the immunocompromised, or non-traditional scheduling are things of the past. Your video counseling session will be in an environment you control. I have experience serving POC, LGBTQ+, and people in poverty. I’ve also worked with those impacted by disabilities and incarceration. I’ve experienced both trauma and the wounding and healing qualities of relationships. I understand how hard it can be, and I know there’s still hope for positive change.
(253) 352-2814 View (253) 352-2814
Photo of Joanne M Marcoe in Tacoma, WA
Joanne M Marcoe
CH, BA, MPA
Verified
Tacoma, WA 98407
The Magic in Hypnosis is not what the Hypnotist does; the Magic is YOU! The "True You" is right before your eyes...Waiting to Emerge! I can help you look inside and uproot some of what binds you. We all have a story, some is known but much is unknown. We live in very stressful times built on top of past and dumped into our future trip. Inspite of the spin around us; hope can be found!
The Magic in Hypnosis is not what the Hypnotist does; the Magic is YOU! The "True You" is right before your eyes...Waiting to Emerge! I can help you look inside and uproot some of what binds you. We all have a story, some is known but much is unknown. We live in very stressful times built on top of past and dumped into our future trip. Inspite of the spin around us; hope can be found!
(253) 364-1163 View (253) 364-1163
Photo of Lindsey Moseman, Marriage & Family Therapist in Tacoma, WA
Lindsey Moseman
Marriage & Family Therapist, MA, LMFT
Verified
Tacoma, WA 98407
Not accepting new clients
Have you noticed changes within your child's behavior that leave you feeling confused as to what to do or say? Perhaps your child has been struggling with overwhelming anxiety or emotional outbursts. Or perhaps you've noticed your teenager begin to isolate, drop in their grades, and become overly self-critical. Children and teenagers are often communicating their needs through their behaviors, and it is often very difficult as a parent to know what to do. I specialize in working with children, adolescents, and adults who are struggling within difficult emotional experiences, transitions like divorce, or within relationships.
Have you noticed changes within your child's behavior that leave you feeling confused as to what to do or say? Perhaps your child has been struggling with overwhelming anxiety or emotional outbursts. Or perhaps you've noticed your teenager begin to isolate, drop in their grades, and become overly self-critical. Children and teenagers are often communicating their needs through their behaviors, and it is often very difficult as a parent to know what to do. I specialize in working with children, adolescents, and adults who are struggling within difficult emotional experiences, transitions like divorce, or within relationships.
(253) 733-0136 View (253) 733-0136
Photo of Betsy Moore, Counselor in Tacoma, WA
Betsy Moore
Counselor, MA, LMHC, MHP, CMHP
Verified
7 Endorsed
Tacoma, WA 98402
Everyone has a unique story to tell. Sometimes the story is full of joy and laughter and sometimes it has challenges and heartbreak. For most of us, it falls somewhere in between. By taking the time to share and understand your story, you are given the opportunity to understand how your past shapes your current existence and how past relationships inevitably impact current ones. By understanding and owning your story, you give yourself the opportunity to choose how you want to go forward. One's past does not have to define one's future.
Everyone has a unique story to tell. Sometimes the story is full of joy and laughter and sometimes it has challenges and heartbreak. For most of us, it falls somewhere in between. By taking the time to share and understand your story, you are given the opportunity to understand how your past shapes your current existence and how past relationships inevitably impact current ones. By understanding and owning your story, you give yourself the opportunity to choose how you want to go forward. One's past does not have to define one's future.
(253) 200-6298 View (253) 200-6298
Photo of Nathan Gordon Blackmer, Clinical Social Work/Therapist in Tacoma, WA
Nathan Gordon Blackmer
Clinical Social Work/Therapist, LSWAA
Verified
Tacoma, WA 98404  (Online Only)
Not accepting new clients
My ideal client is someone who has experienced trauma, grief, or is going through a major life transition. I believe that therapy should be trauma informed and person centered. You're a good fit for me if you want help processing past events, navigating difficult relationships, or if your trauma is getting in the way of you living your life. If you need respect, empowerment, and connection from a therapist you're in the right place - I work for you, and I follow your lead - you're the expert in your life, after all. My clients typically want clarity, to heal, and to feel like they are living a life that they find meaning in.
My ideal client is someone who has experienced trauma, grief, or is going through a major life transition. I believe that therapy should be trauma informed and person centered. You're a good fit for me if you want help processing past events, navigating difficult relationships, or if your trauma is getting in the way of you living your life. If you need respect, empowerment, and connection from a therapist you're in the right place - I work for you, and I follow your lead - you're the expert in your life, after all. My clients typically want clarity, to heal, and to feel like they are living a life that they find meaning in.
(253) 258-0038 View (253) 258-0038
Photo of Laurel Shea, Marriage & Family Therapist in Tacoma, WA
Laurel Shea
Marriage & Family Therapist, MA, LMFT
Verified
Tacoma, WA 98403
My passion is in helping people and those they love find peace as they navigate anxiety, depression, stress, and faith transitions. I enjoy working with LGBTQIA youth, individuals, couples and their families. I also have experience with compulsive eating, and self-esteem struggles. Additionally, I have training in guiding couples as they struggle to reconnect, improve their communication, and address concerns around sexual intimacy.
My passion is in helping people and those they love find peace as they navigate anxiety, depression, stress, and faith transitions. I enjoy working with LGBTQIA youth, individuals, couples and their families. I also have experience with compulsive eating, and self-esteem struggles. Additionally, I have training in guiding couples as they struggle to reconnect, improve their communication, and address concerns around sexual intimacy.
(253) 499-8669 View (253) 499-8669
Photo of Collette Bishop, Clinical Social Work/Therapist in Tacoma, WA
Collette Bishop
Clinical Social Work/Therapist, LICSW, MSW
Verified
6 Endorsed
Tacoma, WA 98406
Common to the human experience are periods of sadness, fear, anxiety, harm, and loss. Various factors may be deriving this pain, such as our most significant relationships, the ways we have learned to relate to others, and oppressive societal and cultural systems in which we live. Although relationships are often the source of our deepest wounds, they hold the possibility for our greatest healing and transformation. Therapy is a place to explore our life's story within a safe and secure relationship. It is a courageous act to begin therapy and enter onto a path towards fulfillment, freedom and wholeness.
Common to the human experience are periods of sadness, fear, anxiety, harm, and loss. Various factors may be deriving this pain, such as our most significant relationships, the ways we have learned to relate to others, and oppressive societal and cultural systems in which we live. Although relationships are often the source of our deepest wounds, they hold the possibility for our greatest healing and transformation. Therapy is a place to explore our life's story within a safe and secure relationship. It is a courageous act to begin therapy and enter onto a path towards fulfillment, freedom and wholeness.
(253) 331-2746 View (253) 331-2746
Photo of David Hodel, Counselor in Tacoma, WA
David Hodel
Counselor, MA, LMHC, EMDR
Verified
Tacoma, WA 98402
My goal is to help each of my clients experience self-acceptance, growth and healing in their particular context. I specialize in treating relationships and communication issues, anxiety, depression, grief, and emotional trauma, but welcome other areas of focus as well. My clients can expect to find a safe, judgement-free atmosphere where we can journey together toward lasting solutions. I take cues from my clients to determine how quickly we move forward and in which manner. Together, we can better understand the internal structures driving behavior, and chart a course toward growth and health.
My goal is to help each of my clients experience self-acceptance, growth and healing in their particular context. I specialize in treating relationships and communication issues, anxiety, depression, grief, and emotional trauma, but welcome other areas of focus as well. My clients can expect to find a safe, judgement-free atmosphere where we can journey together toward lasting solutions. I take cues from my clients to determine how quickly we move forward and in which manner. Together, we can better understand the internal structures driving behavior, and chart a course toward growth and health.
(253) 523-2774 View (253) 523-2774
Photo of Sean Patrick Whalen, Counselor in Tacoma, WA
Sean Patrick Whalen
Counselor, MA, MS, LMHC, CSOTP
Verified
Tacoma, WA 98402
Not accepting new clients
Not Taking New Clients- - If you are finding that worries, fears, feeling too little or feeling too much are keeping you from living the life you want help is available. Whether it's adjusting to big changes in your life, dealing with fears and worries that seem like they have always been there, or struggling to make and keep relationships help is available. Most of us get stuck at some point in our life and need someone to support and guide us to get back on track.
Not Taking New Clients- - If you are finding that worries, fears, feeling too little or feeling too much are keeping you from living the life you want help is available. Whether it's adjusting to big changes in your life, dealing with fears and worries that seem like they have always been there, or struggling to make and keep relationships help is available. Most of us get stuck at some point in our life and need someone to support and guide us to get back on track.
(253) 201-1256 View (253) 201-1256
Photo of Jessie Schooley, Counselor in Tacoma, WA
Jessie Schooley
Counselor, MS, LMHC, NCC
Verified
1 Endorsed
Tacoma, WA 98406  (Online Only)
Despite our efforts to be present in our daily life, remnants of our past and stress in our day to day can keep us from being fully able to do so. I will work collaboratively with you, valuing your life experiences and input, to achieve a life with an increased sense of satisfaction. I approach therapy from a holistic, integrative, and humanistic perspective seeking to honor each individual story for its uniqueness. My practice specializes in counseling for adults of all backgrounds seeking relief from past trauma or other life altering experiences, as well as a range of other emotional and relational concerns.
Despite our efforts to be present in our daily life, remnants of our past and stress in our day to day can keep us from being fully able to do so. I will work collaboratively with you, valuing your life experiences and input, to achieve a life with an increased sense of satisfaction. I approach therapy from a holistic, integrative, and humanistic perspective seeking to honor each individual story for its uniqueness. My practice specializes in counseling for adults of all backgrounds seeking relief from past trauma or other life altering experiences, as well as a range of other emotional and relational concerns.
(253) 262-0081 View (253) 262-0081
Photo of Olivia White, Counselor in Tacoma, WA
Olivia White
Counselor, LMHC, CCTP-II, CCATP
Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
How much of this is keeping you stuck: People-Pleasing, Perfectionism, Stress, Anxiety, Emotional Pain? You may have tried things in the past, or have been dealing with something heavy for a long time. Pushing past the feelings worked in the short term, but they keep coming back. Avoiding all your triggers leads to making your life smaller than you have dreams for. Putting your energy into your education and career leaves you wishing for greater meaning to life, and keeping busy, not allowing your mind and body to rest just makes balance less and less attainable.
How much of this is keeping you stuck: People-Pleasing, Perfectionism, Stress, Anxiety, Emotional Pain? You may have tried things in the past, or have been dealing with something heavy for a long time. Pushing past the feelings worked in the short term, but they keep coming back. Avoiding all your triggers leads to making your life smaller than you have dreams for. Putting your energy into your education and career leaves you wishing for greater meaning to life, and keeping busy, not allowing your mind and body to rest just makes balance less and less attainable.
(509) 253-1455 View (509) 253-1455
Photo of Michaela Cox, Counselor in Tacoma, WA
Michaela Cox
Counselor, LMHC, MHP, CMHS
Verified
Tacoma, WA 98406  (Online Only)
It takes courage and vulnerability to seek a therapist, and it is my goal to meet you with kindness, authenticity, and expertise. I believe there is deep goodness in sharing the broken parts of ourself with another in order to process hurts and find restoration. Together in therapy we'll create a space to tend to current symptoms while exploring the impact of past experiences and where you'd like to go from here.
It takes courage and vulnerability to seek a therapist, and it is my goal to meet you with kindness, authenticity, and expertise. I believe there is deep goodness in sharing the broken parts of ourself with another in order to process hurts and find restoration. Together in therapy we'll create a space to tend to current symptoms while exploring the impact of past experiences and where you'd like to go from here.
(253) 246-1326 View (253) 246-1326
Photo of Jill Kinney, Psychologist in Tacoma, WA
Jill Kinney
Psychologist, BSHon, MS, PhD
Verified
Tacoma, WA 98402
I have no ideal client. The best part of this job is getting to know such a wide range of people with so many types of issues. I have 30 years experience working with children, adolescents, adults and families in community as well as out-patient and in-patient settings . Geographically, I've worked with families and trained workers in Seattle, New York, Canada, Australia and New Zealand. I've done in-home work in the Bronx, and helped develop policy all over the country. I am now in private practice and address issues that can affect us all, such as, anxiety, depression, ADHD, PTSD and most mental health issues.
I have no ideal client. The best part of this job is getting to know such a wide range of people with so many types of issues. I have 30 years experience working with children, adolescents, adults and families in community as well as out-patient and in-patient settings . Geographically, I've worked with families and trained workers in Seattle, New York, Canada, Australia and New Zealand. I've done in-home work in the Bronx, and helped develop policy all over the country. I am now in private practice and address issues that can affect us all, such as, anxiety, depression, ADHD, PTSD and most mental health issues.
(206) 673-3735 View (206) 673-3735

See more therapy options for Tacoma

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

94% Anxiety
88% Depression
77% Trauma and PTSD
77% Self Esteem
76% Relationship Issues
72% Stress
68% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

77% Premera
64% Regence
59% Aetna

How Therapists in Tacoma, WA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.