Therapists in Columbia County, WI

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Photo of Sarah Kasten, Licensed Professional Counselor in Columbia County, WI
Sarah Kasten
Licensed Professional Counselor, MA, LPC
Verified
Wisconsin Dells, WI 53965  (Online Only)
Hello! I'm Sarah and I'm a licensed professional counselor with over 10 years of experience working with individuals struggling with depression, anxiety, trauma, and more. If you are looking for a counselor with experience, compassion, and effective skills, then give me a call. I can help you manage difficult circumstances in your life and create a sense of stability and personal meaning. I utilize a secure video system to provide online counseling sessions to conveniently fit your schedule.
Hello! I'm Sarah and I'm a licensed professional counselor with over 10 years of experience working with individuals struggling with depression, anxiety, trauma, and more. If you are looking for a counselor with experience, compassion, and effective skills, then give me a call. I can help you manage difficult circumstances in your life and create a sense of stability and personal meaning. I utilize a secure video system to provide online counseling sessions to conveniently fit your schedule.
(608) 200-2460 View (608) 200-2460
Photo of Midlands Psychological Associates, Psychologist in Columbia County, WI
Midlands Psychological Associates
Psychologist, MDiv, PhD
Verified
Lodi, WI 53555
My focus is identifying an individual's strengths in order to effectively address problems in life.
My focus is identifying an individual's strengths in order to effectively address problems in life.
(608) 509-7309 View (608) 509-7309
Photo of Midlands Psychological Associates, Licensed Professional Counselor in Columbia County, WI
Midlands Psychological Associates
Licensed Professional Counselor, PhD, LPC
Verified
Lodi, WI 53555
My best work is in assisting my clients in a dynamic combination of Self Acceptance and Understanding. Utilizing techniques from psycho-dynamic, gestalt, mindfulness and body-mind therapies I lend direction in finding personal balance.
My best work is in assisting my clients in a dynamic combination of Self Acceptance and Understanding. Utilizing techniques from psycho-dynamic, gestalt, mindfulness and body-mind therapies I lend direction in finding personal balance.
(608) 400-4595 View (608) 400-4595
Photo of Laura Jennings in Columbia County, WI
Laura Jennings
CMHC, BM
Poynette, WI 53955  (Online Only)
Overwhelmed? Tired of holding up the world around you? Shielding others (or yourself) from your pain? I know what it is to suffer and to feel lost and anxious. There is hope! If you're craving peace, joy, and true growth; if you want to be heard by someone who "gets it;" and if you’re ready to work hard in love - we could be a great fit. I combine scientific, holistic mental wellness with biblical truth to help women through anxiousness, stress, bitterness, shame, boundaries, perfectionism, identity problems, and so much more. My goal: to teach you the tools and process, to coach you through this struggle and equip you for the next.
Overwhelmed? Tired of holding up the world around you? Shielding others (or yourself) from your pain? I know what it is to suffer and to feel lost and anxious. There is hope! If you're craving peace, joy, and true growth; if you want to be heard by someone who "gets it;" and if you’re ready to work hard in love - we could be a great fit. I combine scientific, holistic mental wellness with biblical truth to help women through anxiousness, stress, bitterness, shame, boundaries, perfectionism, identity problems, and so much more. My goal: to teach you the tools and process, to coach you through this struggle and equip you for the next.
(608) 889-2902 View (608) 889-2902
Photo of Kaaren V Anderson, Licensed Professional Counselor in Columbia County, WI
Kaaren V Anderson
Licensed Professional Counselor, LPC, ATR
Verified
Wisconsin Dells, WI 53965  (Online Only)
Are you feeling "stuck" or struggling to reach your next level? Do feelings such as anxiety, depression, unresolved conflict, attachment concerns or trauma prevent you from living your best life and fully engaging in relationships?  There is a way forward and you don't have to go through this alone. I love being a therapist. I love providing a safe space and helping people find their inner tools to navigate life transitions, find true relief from mental health challenges, and reach their wellness goals.  It is my mission to help those I work with experience inner peace, fulfilling lives, and improved relationships.
Are you feeling "stuck" or struggling to reach your next level? Do feelings such as anxiety, depression, unresolved conflict, attachment concerns or trauma prevent you from living your best life and fully engaging in relationships?  There is a way forward and you don't have to go through this alone. I love being a therapist. I love providing a safe space and helping people find their inner tools to navigate life transitions, find true relief from mental health challenges, and reach their wellness goals.  It is my mission to help those I work with experience inner peace, fulfilling lives, and improved relationships.
(608) 527-0243 View (608) 527-0243
Photo of Sarah S Keyeski, Licensed Professional Counselor in Columbia County, WI
Sarah S Keyeski
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Lodi, WI 53555
To the outside world, you're seen as a pretty together person who's hard-working, accomplished and self-sufficient. When life get's tough, you buck up, soldier on, & "never let 'em see you bleed." You bottle up your pain and keep a tight lid on it. But, behind this exterior, you're actually hanging on by your fingertips. The stress on your shoulders is unbearably heavy & you're overwhelmed, stressed-out, and you feel like you're drowning under the pressure of it all. You're pain is silent, but your suffering is real and it's taking a toll on your health, productivity and your relationships with others.
To the outside world, you're seen as a pretty together person who's hard-working, accomplished and self-sufficient. When life get's tough, you buck up, soldier on, & "never let 'em see you bleed." You bottle up your pain and keep a tight lid on it. But, behind this exterior, you're actually hanging on by your fingertips. The stress on your shoulders is unbearably heavy & you're overwhelmed, stressed-out, and you feel like you're drowning under the pressure of it all. You're pain is silent, but your suffering is real and it's taking a toll on your health, productivity and your relationships with others.
(608) 765-5157 View (608) 765-5157
Photo of Samina Grimes, Licensed Professional Counselor in Columbia County, WI
Samina Grimes
Licensed Professional Counselor, MS, LPC
Verified
Wisconsin Dells, WI 53965  (Online Only)
My availability is evenings and weekends. Individuals who work Monday through Friday, and need help at a time that can be hard to find someone to connect with are a great fit for me. Those who need help coping with changes in careers, and relationships, and managing anxiety and/or depression should reach out. Together we can find the path to improve your relationship with yourself and others. I provide realistic hope-infused counseling to help create steps with an individual to reach their goals.
My availability is evenings and weekends. Individuals who work Monday through Friday, and need help at a time that can be hard to find someone to connect with are a great fit for me. Those who need help coping with changes in careers, and relationships, and managing anxiety and/or depression should reach out. Together we can find the path to improve your relationship with yourself and others. I provide realistic hope-infused counseling to help create steps with an individual to reach their goals.
(608) 623-6310 View (608) 623-6310
Photo of Ellanora Ward, Psychologist in Columbia County, WI
Ellanora Ward
Psychologist, PhD
Verified
Portage, WI 53901
I try and help people increase the "quality" of their lives which often means helping people whose thinking/behavior and feelings don't seem to connect.I use many different approaches to therapy and draw upon numerous orientations if helpful to the client's goal of change. I strongly advocate for the mind/body connection; healthy mind helps the body be healthier. Past issues are of importance but don't have to be the major focus. I can help you with depression, anxiety, relationship issues and PTSD. I am proud to be a Tricare provider.
I try and help people increase the "quality" of their lives which often means helping people whose thinking/behavior and feelings don't seem to connect.I use many different approaches to therapy and draw upon numerous orientations if helpful to the client's goal of change. I strongly advocate for the mind/body connection; healthy mind helps the body be healthier. Past issues are of importance but don't have to be the major focus. I can help you with depression, anxiety, relationship issues and PTSD. I am proud to be a Tricare provider.
(608) 729-7012 View (608) 729-7012
Photo of Darald Hanusa, Clinical Social Work/Therapist in Columbia County, WI
Darald Hanusa
Clinical Social Work/Therapist, PhD, LSCW, SAC
Verified
Portage, WI 53901
It was Ralph Waldo Emerson who once said that, "What lies behind us and what lies before us matters little compared to what lies within us". For more than 30 years I have focused on helping children and adults, individually, in couples, in families and groups achieve strength, peace and confidence by improving conflict resolution, communication, stress and anxiety, anger management skills, child and adolescent behavioral problems, and parenting skills as well as improved functioning and decreased emotional distress related to depression, self-esteem, post-traumatic stress and bipolar disorders. Through a combination of interpersonal, cognitive-behavioral and motivational approaches I have seen my clients make meaningful and lasting transformations in both emotional and behavioral dimensions. I provide evidence-based, focused, and time-limited treatment with documented results for mental health, behavioral health and substance use issues.
It was Ralph Waldo Emerson who once said that, "What lies behind us and what lies before us matters little compared to what lies within us". For more than 30 years I have focused on helping children and adults, individually, in couples, in families and groups achieve strength, peace and confidence by improving conflict resolution, communication, stress and anxiety, anger management skills, child and adolescent behavioral problems, and parenting skills as well as improved functioning and decreased emotional distress related to depression, self-esteem, post-traumatic stress and bipolar disorders. Through a combination of interpersonal, cognitive-behavioral and motivational approaches I have seen my clients make meaningful and lasting transformations in both emotional and behavioral dimensions. I provide evidence-based, focused, and time-limited treatment with documented results for mental health, behavioral health and substance use issues.
(608) 579-0529 View (608) 579-0529
Photo of Chris Sommerfield, Marriage & Family Therapist in Columbia County, WI
Chris Sommerfield
Marriage & Family Therapist, MS, LMFT
Verified
Portage, WI 53901
Are you feeling overwhelmed or struggling to relate with your significant other, spouse, adolescent, child or coworkers? Do you or a family member struggle with the effects of trauma, depression, anxiety, or other mental health condition? I have over twenty years of experience helping individuals of all ages and families who were experiencing crisis in their lives or seeking increased fulfillment in their relationships. My education and practice is based on a strong Systems Theory background where all life influences are considered important and significant others are encouraged to participate as part of the therapeutic process.
Are you feeling overwhelmed or struggling to relate with your significant other, spouse, adolescent, child or coworkers? Do you or a family member struggle with the effects of trauma, depression, anxiety, or other mental health condition? I have over twenty years of experience helping individuals of all ages and families who were experiencing crisis in their lives or seeking increased fulfillment in their relationships. My education and practice is based on a strong Systems Theory background where all life influences are considered important and significant others are encouraged to participate as part of the therapeutic process.
(608) 519-4738 View (608) 519-4738
Photo of Elizabeth Reeder, Marriage & Family Therapist in Columbia County, WI
Elizabeth Reeder
Marriage & Family Therapist, LMFT
Verified
Poynette, WI 53955
Not accepting new clients
I Have been a licensed Marriage and Family therapist providing psychotherapy at Moontree Psychotherapy since 2008, although, I have been working with adults, children and families in a variety of capacities for over 15 years. I am a Humanistic-Mindfulness based psychotherapist. Whether you are seeking treatment for mental illness or need help with managing the circumstances in your life, I pay attention to all the parts of the human system ( body, mind, emotion, spirituality, relationships) and help you bring them into balance. .
I Have been a licensed Marriage and Family therapist providing psychotherapy at Moontree Psychotherapy since 2008, although, I have been working with adults, children and families in a variety of capacities for over 15 years. I am a Humanistic-Mindfulness based psychotherapist. Whether you are seeking treatment for mental illness or need help with managing the circumstances in your life, I pay attention to all the parts of the human system ( body, mind, emotion, spirituality, relationships) and help you bring them into balance. .
(608) 291-3880 View (608) 291-3880
Photo of Kate Reedy, Counselor in Columbia County, WI
Kate Reedy
Counselor, LPC
Verified
Portage, WI 53901
Life can sometimes get out of balance or become outright overwhelming - therapy can be a powerful tool for positive change and personal growth. Working together, I can help you to develop healthier ways of coping with stress, to increase mindfulness and inner calm in your daily life, and to build better relationships - with others and with yourself.
Life can sometimes get out of balance or become outright overwhelming - therapy can be a powerful tool for positive change and personal growth. Working together, I can help you to develop healthier ways of coping with stress, to increase mindfulness and inner calm in your daily life, and to build better relationships - with others and with yourself.
(608) 422-4137 View (608) 422-4137
Photo of Samantha Sussek, Clinical Social Work/Therapist in Columbia County, WI
Samantha Sussek
Clinical Social Work/Therapist, LCSW
Verified
Portage, WI 53901
Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. - Fred Rogers. Life can be hard and overwhelming at times. Life can be heavy. Sometimes, we don't even know why it's heavy. All of those feelings are valid and okay. You don't have to carry that weight alone. I am here to meet you where you are at and help you identify realistic goals to help improve or maintain your quality of life.
Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. - Fred Rogers. Life can be hard and overwhelming at times. Life can be heavy. Sometimes, we don't even know why it's heavy. All of those feelings are valid and okay. You don't have to carry that weight alone. I am here to meet you where you are at and help you identify realistic goals to help improve or maintain your quality of life.
(608) 496-8808 View (608) 496-8808
Photo of Marisol McElroy Lopez, Marriage & Family Therapist in Columbia County, WI
Marisol McElroy Lopez
Marriage & Family Therapist, MS, LMFT
Verified
Wisconsin Dells, WI 53965  (Online Only)
As a bilingual, bicultural individual, and former police officer, I can understand the difficulty facing trauma, daily challenges, and grief. I believe in treating everyone with respect, sensitivity, compassion, and meeting you at your comfort level. Taking the first step to sign up for therapy can take courage as you are stepping into uncomfortable territory. I am here to support, guide, and empower you through this journey. As a systemic therapist, not only do I see you as an individual but every facet in your life, how they can affect you, and how we can influence them to best achieve your therapy goals.
As a bilingual, bicultural individual, and former police officer, I can understand the difficulty facing trauma, daily challenges, and grief. I believe in treating everyone with respect, sensitivity, compassion, and meeting you at your comfort level. Taking the first step to sign up for therapy can take courage as you are stepping into uncomfortable territory. I am here to support, guide, and empower you through this journey. As a systemic therapist, not only do I see you as an individual but every facet in your life, how they can affect you, and how we can influence them to best achieve your therapy goals.
(608) 912-3861 View (608) 912-3861
Photo of Kayla Seitz, Clinical Social Work/Therapist in Columbia County, WI
Kayla Seitz
Clinical Social Work/Therapist, LCSW
Verified
Waitlist for new clients
Clients deserve to have a safe space to discover options for their healing journey. Clients, regardless of needs and goals all have one thing in common; grief. The idea of losing someone, something, or a unexpected change in life brings upon the grieving process. It is not expected that everyone suffers alone and in silence; this is only the goal of stigma. Bring all of the hurt, guilt, shame, desperation, and pain to the safe space of therapy and use it as a stepping stone on your own carved path to overall health and wellness in mind, body, and spirit.
Clients deserve to have a safe space to discover options for their healing journey. Clients, regardless of needs and goals all have one thing in common; grief. The idea of losing someone, something, or a unexpected change in life brings upon the grieving process. It is not expected that everyone suffers alone and in silence; this is only the goal of stigma. Bring all of the hurt, guilt, shame, desperation, and pain to the safe space of therapy and use it as a stepping stone on your own carved path to overall health and wellness in mind, body, and spirit.
(608) 315-5992 View (608) 315-5992
Photo of S Landon Counseling LLC, Licensed Professional Counselor in Columbia County, WI
S Landon Counseling LLC
Licensed Professional Counselor, MS, LPC , NCC
Verified
Poynette, WI 53955
Congratulations on your courage to reach out for some help. Sessions are 70 minutes. The Facts: Unhappy couples wait an average of eight years before seeing a Therapist - Amazing! Individuals may crisis points or be pressured to see a Therapist! To be fair, everyone feels emotional pain at some point. Emotional pain can build slow or be an unexpected shock. I would be honored to be of help. I offer 20+ years of experience as therapist. Experience aside, I can assure you of a warm reception, a safe place to share and real solutions. I am happy to offer In Person or Virtual sessions. Come motivated - Let's improve life.
Congratulations on your courage to reach out for some help. Sessions are 70 minutes. The Facts: Unhappy couples wait an average of eight years before seeing a Therapist - Amazing! Individuals may crisis points or be pressured to see a Therapist! To be fair, everyone feels emotional pain at some point. Emotional pain can build slow or be an unexpected shock. I would be honored to be of help. I offer 20+ years of experience as therapist. Experience aside, I can assure you of a warm reception, a safe place to share and real solutions. I am happy to offer In Person or Virtual sessions. Come motivated - Let's improve life.
(608) 583-9914 View (608) 583-9914
Photo of Sarah Rosencrans Robinson, Clinical Social Work/Therapist in Columbia County, WI
Sarah Rosencrans Robinson
Clinical Social Work/Therapist, MSW, LCSW, C-DBT
Verified
1 Endorsed
Lodi, WI 53555
Positive change is possible when a person is provided the tailored support needed to draw upon their own strengths and insight. There is value in knowing and treating the whole person and I focus on the diverse set of characteristics and circumstances that can both create life challenges and be better understood to overcome personal obstacles. Skill building to address mental health needs, increasing confidence and self-esteem, and creating targeted goals are primary elements of my practice. Initial Consult: https://app2.luminello.com/sarahrobinsonlcsw/form
Positive change is possible when a person is provided the tailored support needed to draw upon their own strengths and insight. There is value in knowing and treating the whole person and I focus on the diverse set of characteristics and circumstances that can both create life challenges and be better understood to overcome personal obstacles. Skill building to address mental health needs, increasing confidence and self-esteem, and creating targeted goals are primary elements of my practice. Initial Consult: https://app2.luminello.com/sarahrobinsonlcsw/form
(608) 602-7207 View (608) 602-7207
Photo of Mind Body OT, LLC, Occupational Therapist in Columbia County, WI
Mind Body OT, LLC
Occupational Therapist, OTR, BCB
Verified
Portage, WI 53901
Heart racing, hands sweating, mouth dry, barely breathing, another tension headache with achy neck and shoulders - that's all before breakfast. Anxiety is felt emotionally, but also physically. It used to be "normal worry" about "important things". Now, more and more, you find yourself "white knuckling" through your day. You dread bedtime. Every night brings the misery of staring at the ceiling with a racing mind, knowing that you will be exhausted the next day (when you need to get a million things done). Your doctor wants to put you on medication. But you're the type of person who'd rather get a handle on this without meds.
Heart racing, hands sweating, mouth dry, barely breathing, another tension headache with achy neck and shoulders - that's all before breakfast. Anxiety is felt emotionally, but also physically. It used to be "normal worry" about "important things". Now, more and more, you find yourself "white knuckling" through your day. You dread bedtime. Every night brings the misery of staring at the ceiling with a racing mind, knowing that you will be exhausted the next day (when you need to get a million things done). Your doctor wants to put you on medication. But you're the type of person who'd rather get a handle on this without meds.
(920) 689-5157 View (920) 689-5157
Photo of 3XC Consulting , Licensed Professional Counselor in Columbia County, WI
3XC Consulting
Licensed Professional Counselor, LPC , CAATP
Verified
Kayla began her career by working for over ten years in veterinary medicine. Kayla decided to merge her two passions of helping people and interest in animals by obtaining a Masters Degree in Mental Health Counseling, with a specialty in animal assisted therapy. Along with Animal assisted therapy, Kayla has experience working with patients with behavioral needs, through integration in the school setting as well as outpatient Kayla has experience working in group home settings, the alternative schools in the area, and traditional schools previously.
Kayla began her career by working for over ten years in veterinary medicine. Kayla decided to merge her two passions of helping people and interest in animals by obtaining a Masters Degree in Mental Health Counseling, with a specialty in animal assisted therapy. Along with Animal assisted therapy, Kayla has experience working with patients with behavioral needs, through integration in the school setting as well as outpatient Kayla has experience working in group home settings, the alternative schools in the area, and traditional schools previously.
(608) 420-2081 View (608) 420-2081
Photo of Pauquette Center for Psychological Services, Clinical Social Work/Therapist in Columbia County, WI
Pauquette Center for Psychological Services
Clinical Social Work/Therapist, LCSW
Verified
Portage, WI 53901  (Online Only)
The Pauquette Center for Psychological Services is a group of experienced outpatient mental health clinicians who provide services for children, adolescents, adults, families, couples and groups in Wisconsin. We serve a wide variety of patients including individuals with high risk behaviors, adjustment difficulties, grief and loss, chronic mental health concerns, traumatic experiences, and behavioral difficulties.
The Pauquette Center for Psychological Services is a group of experienced outpatient mental health clinicians who provide services for children, adolescents, adults, families, couples and groups in Wisconsin. We serve a wide variety of patients including individuals with high risk behaviors, adjustment difficulties, grief and loss, chronic mental health concerns, traumatic experiences, and behavioral difficulties.
(608) 580-5885 View (608) 580-5885

See more therapy options for Columbia County

How does your Therapist compare?

Number of Therapists in Columbia County, WI

20+

Average cost per session

$130

Therapists in Columbia County, WI who prioritize treating:

86% Anxiety
81% Depression
76% Relationship Issues
71% Self Esteem
67% Grief
67% Trauma and PTSD
62% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
71% Other
71% Optum

How Therapists in Columbia County, WI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

78% Female
22% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Columbia County?

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.