Therapists in Vancouver, WA

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Photo of Amanda Ayling, LMHC, Counselor
Amanda Ayling
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98683  (Online Only)
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based perspective allowing individuals to capitalize on already existing skillsets to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering profound meaning in our suffering. You cannot heal what you cannot feel.
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based perspective allowing individuals to capitalize on already existing skillsets to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering profound meaning in our suffering. You cannot heal what you cannot feel.
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Photo of Nicole Parsons, MA, Counselor
Nicole Parsons
Counselor, MA
Verified Verified
2 Endorsed
Vancouver, WA 98663
I believe that something powerful happens when we are seen, heard, and equipped with dignity and support. Counseling is a transformative process that can promote healing, hope, and change as we navigate the challenges that come with being human. I approach therapy through a person-centered, narrative, and family-systems framework. This means that the therapeutic process is centered around your story, your context, and your intersecting identities. I also prioritize trauma-informed care and utilize EMDR to help clients move from feeling stuck in the past to safe and empowered in the present.
I believe that something powerful happens when we are seen, heard, and equipped with dignity and support. Counseling is a transformative process that can promote healing, hope, and change as we navigate the challenges that come with being human. I approach therapy through a person-centered, narrative, and family-systems framework. This means that the therapeutic process is centered around your story, your context, and your intersecting identities. I also prioritize trauma-informed care and utilize EMDR to help clients move from feeling stuck in the past to safe and empowered in the present.
(360) 842-0669 View (360) 842-0669
Photo of Aynsley Silva - Fircrest Behavioral Health, Counselor
Fircrest Behavioral Health
Counselor
Verified Verified
Vancouver, WA 98662
Our mission is to cultivate a community of compassion and respect for clinicians, individuals, and families through behavioral and mental health services, groups, public education, and resources
Our mission is to cultivate a community of compassion and respect for clinicians, individuals, and families through behavioral and mental health services, groups, public education, and resources
(360) 926-9563 View (360) 926-9563
Photo of Diane Mundt, LICSW, Clinical Social Work/Therapist
Diane Mundt
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98660  (Online Only)
Life can give us painful challenges. Sometimes we may need to ask for help. We can feel stuck and confused in our thoughts and feelings, and know we're not living the life we really want. We may have problems with relationships, divorce, loss, health, aging, loneliness, social or work issues. I aim to form a warm, interactive connection that is safe and supportive with a focus more on the present than the past. I support you in having more awareness and understanding to solve problems, learn to cope, and to discover the person you want to be. The primary goal is for lasting change that enriches and gives meaning to your life.
Life can give us painful challenges. Sometimes we may need to ask for help. We can feel stuck and confused in our thoughts and feelings, and know we're not living the life we really want. We may have problems with relationships, divorce, loss, health, aging, loneliness, social or work issues. I aim to form a warm, interactive connection that is safe and supportive with a focus more on the present than the past. I support you in having more awareness and understanding to solve problems, learn to cope, and to discover the person you want to be. The primary goal is for lasting change that enriches and gives meaning to your life.
(360) 873-5297 View (360) 873-5297
Photo of Victoria Douglas Thoreson - Victoria Douglas Thoreson, PsyD, Psychologist
Victoria Douglas Thoreson
Psychologist, PsyD
Verified Verified
2 Endorsed
Vancouver, WA 98684
Waitlist for new clients
You want prompt solutions to today's challenges. Whether you are facing changes in your personal or work life, are dealing with trauma, illness, grief, depression or anxiety, you want support to identify and implement successful strategies to get back on line as soon as possible. I have an active approach and promote between-session homework and bibliotherapy to integrate the gains you are making. I aggressively seek continuing education for myself in support of your current issues and special concerns. My office reflects a sense of warmth comfort and security in order to create a reassuring environment.
You want prompt solutions to today's challenges. Whether you are facing changes in your personal or work life, are dealing with trauma, illness, grief, depression or anxiety, you want support to identify and implement successful strategies to get back on line as soon as possible. I have an active approach and promote between-session homework and bibliotherapy to integrate the gains you are making. I aggressively seek continuing education for myself in support of your current issues and special concerns. My office reflects a sense of warmth comfort and security in order to create a reassuring environment.
(971) 236-5142 View (971) 236-5142
Photo of Brianne Schults, MSW, LSWAIC, Clinical Social Work/Therapist
Brianne Schults
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Vancouver, WA 98663  (Online Only)
As a clinician, I provide compassionate, individualized care to adults facing challenges like anxiety, depression, trauma, and life transitions.
As a clinician, I provide compassionate, individualized care to adults facing challenges like anxiety, depression, trauma, and life transitions.
(360) 226-7340 View (360) 226-7340
Photo of Stephanie Doig, MA, LMHCA, Counselor
Stephanie Doig
Counselor, MA, LMHCA
Verified Verified
Vancouver, WA 98685
I strive to put clients at ease with a warm, casual, down-to-earth style. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation.
I strive to put clients at ease with a warm, casual, down-to-earth style. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation.
(360) 997-2074 View (360) 997-2074
Photo of Lauren Harris, MA, LMHCA, Counselor
Lauren Harris
Counselor, MA, LMHCA
Verified Verified
Vancouver, WA 98662
I believe that the therapeutic relationship is unique and sacred. This is a space for you to feel safe and free from judgement to foster growth and change throughout many aspects of your life. I am here to assist in the process of self-discovery so that you can live the best life possible with circumstances that might be hindering you.
I believe that the therapeutic relationship is unique and sacred. This is a space for you to feel safe and free from judgement to foster growth and change throughout many aspects of your life. I am here to assist in the process of self-discovery so that you can live the best life possible with circumstances that might be hindering you.
(360) 585-4959 x1 View (360) 585-4959 x1
Photo of Stacy Oxford @ Good Talk, MS LMHC, NCC, Counselor
Stacy Oxford @ Good Talk
Counselor, MS LMHC, NCC
Verified Verified
3 Endorsed
Vancouver, WA 98684
Everyone needs a person, a place where they can talk. Freely talk. And share the things that make us feel small, the things we do that we don't understand, our worries and secret hurts that have been done to us or that we have done to others. The thing is - talking doesn't always feel good. And sometimes, the things we want to talk about are downright painful. But just because it hurts - doesn't mean we shouldn't talk about it. That's why I'm here. I want to help you have a good talk... about hard things.
Everyone needs a person, a place where they can talk. Freely talk. And share the things that make us feel small, the things we do that we don't understand, our worries and secret hurts that have been done to us or that we have done to others. The thing is - talking doesn't always feel good. And sometimes, the things we want to talk about are downright painful. But just because it hurts - doesn't mean we shouldn't talk about it. That's why I'm here. I want to help you have a good talk... about hard things.
(360) 227-6829 View (360) 227-6829
Photo of Luciana Henson-Anguilla, Luciana Henson-Anguilla, LSWAIC, Clinical Social Work/Therapist
Luciana Henson-Anguilla
Clinical Social Work/Therapist, Luciana Henson-Anguilla, LSWAIC
Verified Verified
Vancouver, WA 98662  (Online Only)
Hi there. I’m Luciana (she/her). I’m a clinical social work associate in SW Washington. I’m passionate about helping folks feel seen & heard, work through trauma, and build resilience so they can live wholeheartedly. I know finding the right therapist can feel overwhelming. If you think we’d work well together, please reach out and schedule an appointment. Looking forward to meeting you!
Hi there. I’m Luciana (she/her). I’m a clinical social work associate in SW Washington. I’m passionate about helping folks feel seen & heard, work through trauma, and build resilience so they can live wholeheartedly. I know finding the right therapist can feel overwhelming. If you think we’d work well together, please reach out and schedule an appointment. Looking forward to meeting you!
(360) 467-8673 View (360) 467-8673
Photo of Maraiah Esslinger, LMHC, LPC, Counselor
Maraiah Esslinger
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98662
Maraiah is a registered art therapist, licensed mental health counselor in Washington and Oregon state, and certified ADHD-clinical services provider. She graduated from Marylhurst University with a degree in clinical art therapy counseling, holds a Master of Fine Art from Georgia State University, and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy that is compassionate and strengths-based.
Maraiah is a registered art therapist, licensed mental health counselor in Washington and Oregon state, and certified ADHD-clinical services provider. She graduated from Marylhurst University with a degree in clinical art therapy counseling, holds a Master of Fine Art from Georgia State University, and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy that is compassionate and strengths-based.
(360) 361-8499 View (360) 361-8499
Photo of Harsheen Kaur Bhatia - Sheen therapy PLLC, LMFTA, Marriage & Family Therapist Associate
Sheen therapy PLLC
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Vancouver, WA 98662
Client (ages 5-55) seeking support for anxiety, depression, low self-esteem, ADHD, childhood trauma, grief, etc. They desire a safe and welcoming space to express themselves without judgment. Their needs include effective strategies for managing emotions, coping with stress, and improving mental health. They want to develop self-awareness, self-acceptance, and practical skills for resilience. They seek strength-based therapy and CBT to challenge negative thoughts and behaviors, while embracing their unique strengths. They aspire to transform, gain control over emotions, improve relationships, and thrive in personal.
Client (ages 5-55) seeking support for anxiety, depression, low self-esteem, ADHD, childhood trauma, grief, etc. They desire a safe and welcoming space to express themselves without judgment. Their needs include effective strategies for managing emotions, coping with stress, and improving mental health. They want to develop self-awareness, self-acceptance, and practical skills for resilience. They seek strength-based therapy and CBT to challenge negative thoughts and behaviors, while embracing their unique strengths. They aspire to transform, gain control over emotions, improve relationships, and thrive in personal.
(360) 347-9045 View (360) 347-9045
Photo of Cherry Foultner, LMFT, Marriage & Family Therapist
Cherry Foultner
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98662  (Online Only)
Pursuing a better self is a challenging journey. At times, you can feel lost and unsure how to break yourself out of the never-ending cycle. Do you often feel weighed down by challenging life situations, relationship difficulties, mental health, or stress? I can help you work on strategies and inner resources that will allow you to address the root cause of your difficulties and find healing.
Pursuing a better self is a challenging journey. At times, you can feel lost and unsure how to break yourself out of the never-ending cycle. Do you often feel weighed down by challenging life situations, relationship difficulties, mental health, or stress? I can help you work on strategies and inner resources that will allow you to address the root cause of your difficulties and find healing.
(360) 860-5303 View (360) 860-5303
Photo of Cecelia Marie Engleman, LSWAIC, MSW, BSW, Clinical Social Work/Therapist
Cecelia Marie Engleman
Clinical Social Work/Therapist, LSWAIC, MSW, BSW
Verified Verified
Vancouver, WA 98662
As a therapist, I believe that it is important to develop a therapeutic alliance between myself and my client. Therapy should not be “one size fits all” and should always be a collaborative process between therapist and client. I will work with you to identify your treatment goals that will be clearly defined and mutually agreed upon to create a therapeutic process that will best fit your personality. I believe that therapy is about finding your authentic self and learning to embrace life.
As a therapist, I believe that it is important to develop a therapeutic alliance between myself and my client. Therapy should not be “one size fits all” and should always be a collaborative process between therapist and client. I will work with you to identify your treatment goals that will be clearly defined and mutually agreed upon to create a therapeutic process that will best fit your personality. I believe that therapy is about finding your authentic self and learning to embrace life.
(360) 845-6654 View (360) 845-6654
Photo of Gina Watkins, LICSW, Clinical Social Work/Therapist
Gina Watkins
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98683  (Online Only)
You are a woman navigating life's demands, feeling the weight of work, family, and self-care. You once knew what you wanted and what you enjoyed in life and now feel stuck, confused, emotionally drained and alone. But you don't have to do this alone anymore. Together, we heal past traumas, regulate your nervous system, and equip you with tools for continued growth. Picture the shift from confusion to inner peace, frustration to joy. This is your story of resilience, healing, and empowerment. Embark on a path toward self-love and the life you desire – where balance, reduced stress, and renewed energy unfold uniquely for you
You are a woman navigating life's demands, feeling the weight of work, family, and self-care. You once knew what you wanted and what you enjoyed in life and now feel stuck, confused, emotionally drained and alone. But you don't have to do this alone anymore. Together, we heal past traumas, regulate your nervous system, and equip you with tools for continued growth. Picture the shift from confusion to inner peace, frustration to joy. This is your story of resilience, healing, and empowerment. Embark on a path toward self-love and the life you desire – where balance, reduced stress, and renewed energy unfold uniquely for you
(360) 585-8329 View (360) 585-8329
Photo of Elisa Fu, MSW, LICSW, MHP, Clinical Social Work/Therapist
Elisa Fu
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
2 Endorsed
Vancouver, WA 98665  (Online Only)
Feeling lost and angry? Struggling with feeling triggered and weird things coming up? Feeling out of control and at the mercy of avoiding your triggers- or just avoiding most of life in general? Doing "that talk therapy thing" for years and seeing no results and kind of actually getting more triggered by talking about it? Still want to address your triggers and trauma? Clients that seek me out tend to be adult women of color of all ages struggling with change and identity, anxiety, social and financial worries, depression, symptoms of ADHD and autism. Results come from YOUR process, interpretation and YOUR power as a result of EMDR.
Feeling lost and angry? Struggling with feeling triggered and weird things coming up? Feeling out of control and at the mercy of avoiding your triggers- or just avoiding most of life in general? Doing "that talk therapy thing" for years and seeing no results and kind of actually getting more triggered by talking about it? Still want to address your triggers and trauma? Clients that seek me out tend to be adult women of color of all ages struggling with change and identity, anxiety, social and financial worries, depression, symptoms of ADHD and autism. Results come from YOUR process, interpretation and YOUR power as a result of EMDR.
(360) 367-4806 View (360) 367-4806
Photo of Erin Hutchinson, LICSW, Clinical Social Work/Therapist
Erin Hutchinson
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98686
Education Erin has a Master of Social Work degree from the University of New Hampshire, as well as a graduate certificate in Intellectual and Developmental Disabilities. Theoretical Orientation Erin Hutchinson is a Licensed Independent Clinical Social Worker with 6 years experience as a therapist, as well as a wide range of life experiences. She specializes in Depression, Anxiety, Autism Spectrum Disorders, and Trauma Disorders. Erin treats clients between the ages 18-65+ utilizing an eclectic approach. She has experience working with adolescents, adults, seniors, and families, in an outpatient setting.
Education Erin has a Master of Social Work degree from the University of New Hampshire, as well as a graduate certificate in Intellectual and Developmental Disabilities. Theoretical Orientation Erin Hutchinson is a Licensed Independent Clinical Social Worker with 6 years experience as a therapist, as well as a wide range of life experiences. She specializes in Depression, Anxiety, Autism Spectrum Disorders, and Trauma Disorders. Erin treats clients between the ages 18-65+ utilizing an eclectic approach. She has experience working with adolescents, adults, seniors, and families, in an outpatient setting.
(360) 685-7659 View (360) 685-7659
Photo of Julie Archer, MS, NCC, LMHC, Counselor
Julie Archer
Counselor, MS, NCC, LMHC
Verified Verified
4 Endorsed
Vancouver, WA 98663  (Online Only)
If you are reading this, you have already taken the first step towards improving the quality of your life. Counseling is the process that evokes change through vulnerability, connection, openness, trust, and bringing your inner world into the light. Discovering your purpose, meaning, dysfunctional patterns of behavior and thoughts can alleviate the weight you are carrying around. I enjoy working with people who are dealing with relationship issues (of all kinds!), anxiety, life transitions, ADHD, attachment, depression, trauma, codependency, and negative self-talk. I am also increasing my knowledge around Ketamine and Autism.
If you are reading this, you have already taken the first step towards improving the quality of your life. Counseling is the process that evokes change through vulnerability, connection, openness, trust, and bringing your inner world into the light. Discovering your purpose, meaning, dysfunctional patterns of behavior and thoughts can alleviate the weight you are carrying around. I enjoy working with people who are dealing with relationship issues (of all kinds!), anxiety, life transitions, ADHD, attachment, depression, trauma, codependency, and negative self-talk. I am also increasing my knowledge around Ketamine and Autism.
(360) 787-9355 View (360) 787-9355
Photo of Dr. Luke R. Allen, PhD, Psychologist
Dr. Luke R. Allen
Psychologist, PhD
Verified Verified
3 Endorsed
Vancouver, WA 98682  (Online Only)
My approach to therapy is based on Acceptance & Commitment Therapy (ACT). A core idea in ACT is that trying too hard to get rid of or control our emotions tends to backfire. Instead of trying to get rid of unwanted thoughts and feelings (e.g., anxiety & depression), I will help you learn to react differently to them so that you can keep your focus on living a meaningful and fulfilling life based on what’s important to you. We will work together to set meaningful goals to address your concerns–whether they relate to life transitions, depression, anxiety, body image, grief/loss, job or academic stress, or gender & sexuality.
My approach to therapy is based on Acceptance & Commitment Therapy (ACT). A core idea in ACT is that trying too hard to get rid of or control our emotions tends to backfire. Instead of trying to get rid of unwanted thoughts and feelings (e.g., anxiety & depression), I will help you learn to react differently to them so that you can keep your focus on living a meaningful and fulfilling life based on what’s important to you. We will work together to set meaningful goals to address your concerns–whether they relate to life transitions, depression, anxiety, body image, grief/loss, job or academic stress, or gender & sexuality.
(360) 654-7022 View (360) 654-7022
Photo of Tobias A. Ryan, PsyD, Psychologist
Tobias A. Ryan
Psychologist, PsyD
Verified Verified
Vancouver, WA 98660
Within our sorrows and fears is the strength needed to overcome our challenges. Hidden in the tone of your voice, in your casual movements, you are constantly leaving yourself clues to guide you. You and I will seek them together. My approach focuses on the whole experience of health through practical methods, grounded in knowledge of cultural diversity. With personalized treatment and assessment, I offer therapy for sustainable change. I also provide testing for personality functioning, cognitive abilities and learning problems. My forensic work for courts focuses on child custody and parenting time evaluations.
Within our sorrows and fears is the strength needed to overcome our challenges. Hidden in the tone of your voice, in your casual movements, you are constantly leaving yourself clues to guide you. You and I will seek them together. My approach focuses on the whole experience of health through practical methods, grounded in knowledge of cultural diversity. With personalized treatment and assessment, I offer therapy for sustainable change. I also provide testing for personality functioning, cognitive abilities and learning problems. My forensic work for courts focuses on child custody and parenting time evaluations.
(360) 657-9742 View (360) 657-9742
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How does your Therapist compare?

Number of Therapists in Vancouver, WA

900+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

92% Anxiety
85% Depression
74% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
64% Grief

Average years in practice

10 Years

Top 3 insurances accepted

73% Aetna
58% Cigna and Evernorth
55% Regence

How Therapists in Vancouver, WA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.