Therapists in Vancouver, WA

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Photo of Rachel Ryan, Licensed Professional Counselor in Vancouver, WA
Rachel Ryan
Licensed Professional Counselor, LPC
Verified Verified
Vancouver, WA 98683
Imperfections are not inadequacies; they are reminders that we're all in this together. - Brene Brown. I am here to help create a non-judgemental space for you to explore the many beautiful facets of your life. I use a Strengths-Based approach in therapy which allows for clients to recognize they are already whole, but have gotten some cracks along the way that may need to be mended. I will do my best to help you explore where your strengths already are and help you learn to be deeply connected with who you are. I help people on their path, wherever it may be.
Imperfections are not inadequacies; they are reminders that we're all in this together. - Brene Brown. I am here to help create a non-judgemental space for you to explore the many beautiful facets of your life. I use a Strengths-Based approach in therapy which allows for clients to recognize they are already whole, but have gotten some cracks along the way that may need to be mended. I will do my best to help you explore where your strengths already are and help you learn to be deeply connected with who you are. I help people on their path, wherever it may be.
(360) 564-8019 View (360) 564-8019
Photo of DrShannon Lilja/Sandalwood Counseling, Counselor in Vancouver, WA
DrShannon Lilja/Sandalwood Counseling
Counselor, DBH, LPC, LMHC, CADC, CDP
Verified Verified
1 Endorsed
Vancouver, WA 98661
Anxiety, depression, relationship issues, obsessive thoughts/behaviors…you may feel that something isn't working or doesn’t fit, or perhaps you are missing something you want (better communication, feeling heard, understanding). Perhaps you haven't found a solution to manage things quite the way you want. My goal is to help increase awareness and insight, working with you to understand what is going on now, its impact, and support efforts toward your goal to improve relationships, develop skills, resolve conflicts, increase self-esteem, heal, and grow. Therapy can offer wonderful opportunities to move toward the change you seek.
Anxiety, depression, relationship issues, obsessive thoughts/behaviors…you may feel that something isn't working or doesn’t fit, or perhaps you are missing something you want (better communication, feeling heard, understanding). Perhaps you haven't found a solution to manage things quite the way you want. My goal is to help increase awareness and insight, working with you to understand what is going on now, its impact, and support efforts toward your goal to improve relationships, develop skills, resolve conflicts, increase self-esteem, heal, and grow. Therapy can offer wonderful opportunities to move toward the change you seek.
(360) 564-5434 View (360) 564-5434
Photo of Playful Healing Counseling, LLC, Clinical Social Work/Therapist in Vancouver, WA
Playful Healing Counseling, LLC
Clinical Social Work/Therapist, LICSW, RPT-S
Verified Verified
Vancouver, WA 98660
I enjoy supporting children and families through play therapy, art therapy (and sometimes talk therapy too)! I believe in the resilience and strength of children and their families. I believe that children process the world through play, art and movement as much as, if not more than, they do through words. I believe in the power of play to help children make sense of their experiences and struggles and move toward positive change. I believe in the power of play to help families reconnect and build strong alliances with one another.
I enjoy supporting children and families through play therapy, art therapy (and sometimes talk therapy too)! I believe in the resilience and strength of children and their families. I believe that children process the world through play, art and movement as much as, if not more than, they do through words. I believe in the power of play to help children make sense of their experiences and struggles and move toward positive change. I believe in the power of play to help families reconnect and build strong alliances with one another.
(360) 328-7196 View (360) 328-7196
Photo of Kimberly Cantonwine, Counselor in Vancouver, WA
Kimberly Cantonwine
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Kimberly Cantonwine is a LMHC Graduated Western Seminary MA Counseling 2013 Kim's focus has been on bipolar, depression and anxiety with work in both residential and the hospital setting treating psychosis. Kim believes focusing on the development of a proper assessment to identify the needs of the client necessary to determine what approach will be the most effective. Usually it begin with CBT to identify thinking challenges and patterns of thought that have been developed. DBT will often be used to help the distress that comes up as one is making their way through the therapy process.
Kimberly Cantonwine is a LMHC Graduated Western Seminary MA Counseling 2013 Kim's focus has been on bipolar, depression and anxiety with work in both residential and the hospital setting treating psychosis. Kim believes focusing on the development of a proper assessment to identify the needs of the client necessary to determine what approach will be the most effective. Usually it begin with CBT to identify thinking challenges and patterns of thought that have been developed. DBT will often be used to help the distress that comes up as one is making their way through the therapy process.
(360) 615-2771 View (360) 615-2771
Photo of Blue Leaf Mental Wellness Center, Psychologist in Vancouver, WA
Blue Leaf Mental Wellness Center
Psychologist, LMFT, LMHC, LICSW
Verified Verified
Vancouver, WA 98661
Do you feel held back by worry, fear, or past trauma? Are you struggling to break free from negative patterns in your relationships? The past few years have been challenging for many of us, but we believe that everyone has the potential for growth and positive change. Blue Leaf therapists use evidence-based strategies such as EMDR to help you overcome obstacles and live your best life. Take the brave first step towards a brighter future and contact us today.
Do you feel held back by worry, fear, or past trauma? Are you struggling to break free from negative patterns in your relationships? The past few years have been challenging for many of us, but we believe that everyone has the potential for growth and positive change. Blue Leaf therapists use evidence-based strategies such as EMDR to help you overcome obstacles and live your best life. Take the brave first step towards a brighter future and contact us today.
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Photo of Maraiah Esslinger, Counselor in Vancouver, WA
Maraiah Esslinger
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98662
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and 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, finding that this supports growth, healing, and empowerment.
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and 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, finding that this supports growth, healing, and empowerment.
(360) 361-8499 View (360) 361-8499
Photo of Roberta Dianne, Counselor in Vancouver, WA
Roberta Dianne
Counselor, MC, LMHC
Verified Verified
Vancouver, WA 98661
Not accepting new clients
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
(360) 209-2470 View (360) 209-2470
Photo of Caroline Gearing, Marriage & Family Therapist in Vancouver, WA
Caroline Gearing
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vancouver, WA 98660
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
(360) 450-4373 View (360) 450-4373
Photo of Ashley Larkin, Pre-Licensed Professional in Vancouver, WA
Ashley Larkin
Pre-Licensed Professional
Verified Verified
2 Endorsed
Vancouver, WA 98684
Not accepting new clients
Do you often rehearse personal failures or replay past hurts? Do you wonder about your value or struggle to find your voice? Have you struggled in your relationships while longing to have places of meaningful connection? I would be honored to come alongside you as you share your story and struggles and assist you in moving toward your hopes for flourishing. I care deeply about cultivating safe and empathetic spaces where teens and adult individuals, as well as couples can reestablish meaningful connections and experience care and acceptance.
Do you often rehearse personal failures or replay past hurts? Do you wonder about your value or struggle to find your voice? Have you struggled in your relationships while longing to have places of meaningful connection? I would be honored to come alongside you as you share your story and struggles and assist you in moving toward your hopes for flourishing. I care deeply about cultivating safe and empathetic spaces where teens and adult individuals, as well as couples can reestablish meaningful connections and experience care and acceptance.
(360) 492-4918 View (360) 492-4918
Photo of Linda Meadows, Clinical Social Work/Therapist in Vancouver, WA
Linda Meadows
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Vancouver, WA 98664  (Online Only)
I highly respect and believe in the therapeutic process and relationship. I specialize in individual therapy with a focus on depression, anxiety, ADHD, grief, and relationships. I am a Licensed Clinical Social Worker with over 30 years’ experience working with adults of all ages. I am genuine, intuitive, and bring compassion and presence to my practice. Therapy is about self-discovery, self-acceptance, and figuring out how to get from here to there. I look forward to seeing and getting to know you. I am providing telehealth therapy to all Oregon and Washington residents.
I highly respect and believe in the therapeutic process and relationship. I specialize in individual therapy with a focus on depression, anxiety, ADHD, grief, and relationships. I am a Licensed Clinical Social Worker with over 30 years’ experience working with adults of all ages. I am genuine, intuitive, and bring compassion and presence to my practice. Therapy is about self-discovery, self-acceptance, and figuring out how to get from here to there. I look forward to seeing and getting to know you. I am providing telehealth therapy to all Oregon and Washington residents.
(360) 667-1885 View (360) 667-1885
Photo of Michael A Miller LMHC , Counselor in Vancouver, WA
Michael A Miller LMHC
Counselor, L, M, H, C
Verified Verified
1 Endorsed
Vancouver, WA 98660
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
(360) 523-7497 View (360) 523-7497
Photo of Amy M. Nuttbrock, Clinical Social Work/Therapist in Vancouver, WA
Amy M. Nuttbrock
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98660
Not accepting new clients
Amy Nuttbrock is a committed, compassionate and experienced Licensed Clinical Social Worker. For adults and adolescents struggling with anxiety and depression, she provides attentive and effective evaluation and individual therapy services. Amy believes that the key to a restorative therapeutic experience involves a partnership built on trust, empathy, and attunement; the art of really being seen and heard.
Amy Nuttbrock is a committed, compassionate and experienced Licensed Clinical Social Worker. For adults and adolescents struggling with anxiety and depression, she provides attentive and effective evaluation and individual therapy services. Amy believes that the key to a restorative therapeutic experience involves a partnership built on trust, empathy, and attunement; the art of really being seen and heard.
(360) 228-3635 View (360) 228-3635
Photo of Christopher Fraczek, Psychologist in Vancouver, WA
Christopher Fraczek
Psychologist, PsyD
Verified Verified
Vancouver, WA 98683
Dr. Christopher Fraczek is a Clinical Psychologist who has been practicing since 2001. He graduated from Alliant International University, Los Angeles with a degree in Clinical Psychology. Christopher believes in an interpersonal and systemic approach to care. His main areas of focus are individual therapy for children and adolescents to address problems defined by the child/adolescent, family members or the referring agencies. He also provides individual therapy with adults for mood/affect disorders and psycho-physiological disorders.
Dr. Christopher Fraczek is a Clinical Psychologist who has been practicing since 2001. He graduated from Alliant International University, Los Angeles with a degree in Clinical Psychology. Christopher believes in an interpersonal and systemic approach to care. His main areas of focus are individual therapy for children and adolescents to address problems defined by the child/adolescent, family members or the referring agencies. He also provides individual therapy with adults for mood/affect disorders and psycho-physiological disorders.
(360) 997-5878 View (360) 997-5878
Photo of Stephen R Black, Counselor in Vancouver, WA
Stephen R Black
Counselor, MA
Verified Verified
1 Endorsed
Vancouver, WA 98662
Sometimes we need help managing life. Sometimes emotions become so intense that they're difficult to manage, sometimes difficult things come our way and we need extra support, and sometimes our brains are wired differently than most people's and it can be tricky to navigate living in a neurotypical world. Skills training and coaching can help navigate the process of figuring out what your goals are in life - whether that's big feelings or better friendships - and implementing specific strategies for getting to where you want to be.
Sometimes we need help managing life. Sometimes emotions become so intense that they're difficult to manage, sometimes difficult things come our way and we need extra support, and sometimes our brains are wired differently than most people's and it can be tricky to navigate living in a neurotypical world. Skills training and coaching can help navigate the process of figuring out what your goals are in life - whether that's big feelings or better friendships - and implementing specific strategies for getting to where you want to be.
(360) 454-9092 View (360) 454-9092
Photo of Sarah Blanchette, Clinical Social Work/Therapist in Vancouver, WA
Sarah Blanchette
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Vancouver, WA 98665
I specialize in working with Couples, Teens/young adults and LGBTQ+ (individual & couples). My heart and passion is helping people find healing within themselves and their relationships. I have been working in Mental Health and Human Services for over 20 years. I have a strong trauma-informed approach and practice. Many of the teens/young adults who come see me LOVE my background in Expressive Art therapy. I have a heart for working with our rainbow/LGBTQ+ community, I am Kink aware, open an affirming of diverse intimate connections, there are so many ways to heal, create connection and family.
I specialize in working with Couples, Teens/young adults and LGBTQ+ (individual & couples). My heart and passion is helping people find healing within themselves and their relationships. I have been working in Mental Health and Human Services for over 20 years. I have a strong trauma-informed approach and practice. Many of the teens/young adults who come see me LOVE my background in Expressive Art therapy. I have a heart for working with our rainbow/LGBTQ+ community, I am Kink aware, open an affirming of diverse intimate connections, there are so many ways to heal, create connection and family.
(360) 392-5320 View (360) 392-5320
Photo of Tyler Moore, Marriage & Family Therapist Associate in Vancouver, WA
Tyler Moore
Marriage & Family Therapist Associate, LMHCA, MFTA
Verified Verified
1 Endorsed
Vancouver, WA 98686
Waitlist for new clients
As a therapist, my ideal client is someone open to self-exploration and change, whether they're a teen facing the trials of growing up or a couple striving to strengthen their relationship. They may struggle with anxiety, self-esteem, or communication, and their goal is to achieve a sense of well-being. They seek a safe space to be heard and understood, as well as guidance to navigate life's challenges with resilience.
As a therapist, my ideal client is someone open to self-exploration and change, whether they're a teen facing the trials of growing up or a couple striving to strengthen their relationship. They may struggle with anxiety, self-esteem, or communication, and their goal is to achieve a sense of well-being. They seek a safe space to be heard and understood, as well as guidance to navigate life's challenges with resilience.
(360) 763-0992 View (360) 763-0992
Photo of Michelle Tribe, Counselor in Vancouver, WA
Michelle Tribe
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
(360) 230-7834 View (360) 230-7834
Photo of Chris Hansson, Licensed Professional Counselor in Vancouver, WA
Chris Hansson
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Vancouver, WA 98684
New year, new you? It's time for a change: You are tired of the same issues and patterns popping up in times of stress (which seems to be all the time these days). Let's focus on the roadblocks in your life, and creating a plan to overcome them at a pace that feels comfortable to you.
New year, new you? It's time for a change: You are tired of the same issues and patterns popping up in times of stress (which seems to be all the time these days). Let's focus on the roadblocks in your life, and creating a plan to overcome them at a pace that feels comfortable to you.
(503) 966-4046 View (503) 966-4046
Photo of Craig Griffin, Counselor in Vancouver, WA
Craig Griffin
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
I treat mood disorders, depression, anxiety, Anger, OCD, trauma and addictions with Eye Movement Desensitization and Reprocessing (EMDR), Image Transformation Therapy (ImTT) and Cognitive Behavioral Therapy (CBT) I integrate faith in therapy and consider myself a Christian Counselor. I respect those that would not like faith to be a part of treatment, and I will not impose my faith or values upon you.
I treat mood disorders, depression, anxiety, Anger, OCD, trauma and addictions with Eye Movement Desensitization and Reprocessing (EMDR), Image Transformation Therapy (ImTT) and Cognitive Behavioral Therapy (CBT) I integrate faith in therapy and consider myself a Christian Counselor. I respect those that would not like faith to be a part of treatment, and I will not impose my faith or values upon you.
(360) 523-7182 View (360) 523-7182
Photo of Elana Kier, Clinical Social Work/Therapist in Vancouver, WA
Elana Kier
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vancouver, WA 98685  (Online Only)
Not accepting new clients
Are you looking for support? Do you want assistance setting and achieving goals? Through therapy we can work together to identify the root of why you might be struggling and set clear, achievable goals. I offer a warm, direct, and empowering approach to treatment. I believe that you have many of the answers and we can work together to unlock them to create positive change in your life.
Are you looking for support? Do you want assistance setting and achieving goals? Through therapy we can work together to identify the root of why you might be struggling and set clear, achievable goals. I offer a warm, direct, and empowering approach to treatment. I believe that you have many of the answers and we can work together to unlock them to create positive change in your life.
(360) 495-1668 View (360) 495-1668

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% 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.