Therapists in Tacoma, WA

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Photo of Jenifer Nazarowski, LICSW, CMC, Clinical Social Work/Therapist
Jenifer Nazarowski
Clinical Social Work/Therapist, LICSW, CMC
Verified Verified
1 Endorsed
Tacoma, WA 98444  (Online Only)
I take a ‘client-centered’ approach to therapy and believe therapy is a partnership between the client and the therapist. I take the time to build a trusting, mutually-respectful client/therapist relationship. I provide guidance and support for clients to reach their full potential and make their own choices based on what is best for them. I strive to honor God in all that I do, which includes helping his children along life’s journey. I incorporate spiritual themes, tailored to the client’s personal belief system.
I take a ‘client-centered’ approach to therapy and believe therapy is a partnership between the client and the therapist. I take the time to build a trusting, mutually-respectful client/therapist relationship. I provide guidance and support for clients to reach their full potential and make their own choices based on what is best for them. I strive to honor God in all that I do, which includes helping his children along life’s journey. I incorporate spiritual themes, tailored to the client’s personal belief system.
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Photo of Kelly Peck, MA, LMHC, Counselor
Kelly Peck
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
(253) 292-5139 View (253) 292-5139
Photo of Jameela Muhammad - The Melanated Therapist, MSW, LSWAIC, Clinical Social Work/Therapist
The Melanated Therapist
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98408  (Online Only)
Jameela Muhammad owner of The Melanated Therapist is designed for those seeking to rebuild and heal from interpersonal and generational trauma. A focus on Black and Brown adolescents and adults struggling with stress, trauma, interpersonal relationships and life transitions. I hope to engage with individuals to build self-love, empathy and compassion for self, as well as teaching coping strategies to work through obstacles in a holistic and goal oriented way.
Jameela Muhammad owner of The Melanated Therapist is designed for those seeking to rebuild and heal from interpersonal and generational trauma. A focus on Black and Brown adolescents and adults struggling with stress, trauma, interpersonal relationships and life transitions. I hope to engage with individuals to build self-love, empathy and compassion for self, as well as teaching coping strategies to work through obstacles in a holistic and goal oriented way.
(253) 367-3866 View (253) 367-3866
Photo of Graham Murtaugh, MA, LMHC, Counselor
Graham Murtaugh
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98405  (Online Only)
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life—especially after the last year or so? Perhaps relationships aren’t working out or problematic patterns you want to quit just keep popping up. Maybe you find yourself struggling with old wounds that need care and attention. Or it could be you just don’t feel like yourself and you’re not sure why.
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life—especially after the last year or so? Perhaps relationships aren’t working out or problematic patterns you want to quit just keep popping up. Maybe you find yourself struggling with old wounds that need care and attention. Or it could be you just don’t feel like yourself and you’re not sure why.
(253) 262-0395 View (253) 262-0395
Photo of Jenna Mallon, Intern, Pre-Licensed Professional
Jenna Mallon
Pre-Licensed Professional, Intern
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Do you spend a lot of time feeling stuck, anxious, or overwhelmed? Or perhaps you feel bored, numb, or disconnected, and confused about why? I specialize in trauma treatment - whether complex/acute or childhood/adult - to help relieve the internal suffering which many people self-treat through coping strategies. These strategies which were once helpful or necessary may now feel draining or misaligned with your true nature. Much of what I offer to clients is the uncovering of and reconnection with their own innate wisdom. We do this by turning towards your experiences with compassion and acceptance, and making sense of your story.
Do you spend a lot of time feeling stuck, anxious, or overwhelmed? Or perhaps you feel bored, numb, or disconnected, and confused about why? I specialize in trauma treatment - whether complex/acute or childhood/adult - to help relieve the internal suffering which many people self-treat through coping strategies. These strategies which were once helpful or necessary may now feel draining or misaligned with your true nature. Much of what I offer to clients is the uncovering of and reconnection with their own innate wisdom. We do this by turning towards your experiences with compassion and acceptance, and making sense of your story.
(253) 465-9632 View (253) 465-9632
Photo of Daniel Pratt, PsyD, Psychologist
Daniel Pratt
Psychologist, PsyD
Verified Verified
Tacoma, WA 98405
Dr. Pratt is a Licensed Psychologist in Washington State and has been practicing since 2015. He graduated from Wheaton College's APA-accredited PsyD program in Clinical Psychology in 2014. His dissertation focused on providing a systematic review of the available research on cognitive functioning for persons experiencing homelessness. Dr. Pratt utilizes a counseling approach that integrates wisdom from multiple counseling theories, including cognitive-behavioral (for example: CBT, DBT, ACT), client- or person-centered, and contemporary relational psychodynamic.
Dr. Pratt is a Licensed Psychologist in Washington State and has been practicing since 2015. He graduated from Wheaton College's APA-accredited PsyD program in Clinical Psychology in 2014. His dissertation focused on providing a systematic review of the available research on cognitive functioning for persons experiencing homelessness. Dr. Pratt utilizes a counseling approach that integrates wisdom from multiple counseling theories, including cognitive-behavioral (for example: CBT, DBT, ACT), client- or person-centered, and contemporary relational psychodynamic.
(253) 364-4215 View (253) 364-4215
Photo of Laura Ann Johnson, MA, LMHC, Counselor
Laura Ann Johnson
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406
For 2 decades I have empowered and walked beside many clients as they have overcome difficult and stressful issues in their lives. While I am comfortable working with many mental health issues, I have developed special interest in walking beside woman in their journey with cancer, working with individuals on the gender spectrum, working with adolescents, and walking along side of people who are experiencing grief and depression. I believe that I easily hold out hope for others until they can hope for themselves.
For 2 decades I have empowered and walked beside many clients as they have overcome difficult and stressful issues in their lives. While I am comfortable working with many mental health issues, I have developed special interest in walking beside woman in their journey with cancer, working with individuals on the gender spectrum, working with adolescents, and walking along side of people who are experiencing grief and depression. I believe that I easily hold out hope for others until they can hope for themselves.
(253) 259-2931 View (253) 259-2931
Photo of Chelsey Tschosik, MSW, LSWAIC, Clinical Social Work/Therapist
Chelsey Tschosik
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
2 Endorsed
Tacoma, WA 98406  (Online Only)
As your therapist, my primary goal is to create a welcoming and safe space where you feel comfortable as we build trust. Together, we will develop a personalized treatment plan tailored to your mental health goals. I specialize in helping individuals who have experienced trauma, providing a supportive environment to process and heal. Additionally, I work with those struggling with depression and anxiety, offering the tools and strategies needed to support your well-being.
As your therapist, my primary goal is to create a welcoming and safe space where you feel comfortable as we build trust. Together, we will develop a personalized treatment plan tailored to your mental health goals. I specialize in helping individuals who have experienced trauma, providing a supportive environment to process and heal. Additionally, I work with those struggling with depression and anxiety, offering the tools and strategies needed to support your well-being.
(253) 364-5641 View (253) 364-5641
Photo of Natasha Washington, MA,  LMHCA, Marriage & Family Therapist Associate
Natasha Washington
Marriage & Family Therapist Associate, MA, LMHCA
Verified Verified
Tacoma, WA 98467
Natasha Washington is a Mental Health Counselor Associate in Washington who has been practicing since 2022. She received a Master’s Degree in Marriage and Family Therapy from Arizona State University and a Bachelor’s Degree in Human Development with an emphasis on Family Studies from Washington State University. It is Natasha’s goal to support each person in any way that she can. Natasha believes everyone is an expert of their own lives and takes a collaborative approach with her patients to help them identify their own solutions.
Natasha Washington is a Mental Health Counselor Associate in Washington who has been practicing since 2022. She received a Master’s Degree in Marriage and Family Therapy from Arizona State University and a Bachelor’s Degree in Human Development with an emphasis on Family Studies from Washington State University. It is Natasha’s goal to support each person in any way that she can. Natasha believes everyone is an expert of their own lives and takes a collaborative approach with her patients to help them identify their own solutions.
(253) 544-5703 View (253) 544-5703
Photo of Chris A Moseman, MA, LMHC, CMHS, Counselor
Chris A Moseman
Counselor, MA, LMHC, CMHS
Verified Verified
8 Endorsed
Tacoma, WA 98407
Not accepting new clients
Choosing a therapist can be difficult. To give you an idea about my work, I am a therapist who specializes in working with adults and couples who are stuck in emotional confusion and suffering and are wanting to broaden and develop their self awareness as a way out of the suffering. I help adults struggling with trauma, depression, anxiety, relational conflict, or are having problems within their emotions and thoughts.
Choosing a therapist can be difficult. To give you an idea about my work, I am a therapist who specializes in working with adults and couples who are stuck in emotional confusion and suffering and are wanting to broaden and develop their self awareness as a way out of the suffering. I help adults struggling with trauma, depression, anxiety, relational conflict, or are having problems within their emotions and thoughts.
(307) 215-7285 View (307) 215-7285
Photo of Teresa Rake, MSW, LICSW, Clinical Social Work/Therapist
Teresa Rake
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98402
As a Social Worker in the healthcare field for the past 14 years, I have seen how trauma and illness affect individuals and those that care for them. Illness, caregiving and loss change the way we see ourselves and our future. My hope as a therapy provider is to create a space for you, as a participant, to explore your capacity to cope and grow. My training in EMDR (Eye Movement Desensitization and Reprocessing) and Cognitive Behavioral Therapy will guide our work together.
As a Social Worker in the healthcare field for the past 14 years, I have seen how trauma and illness affect individuals and those that care for them. Illness, caregiving and loss change the way we see ourselves and our future. My hope as a therapy provider is to create a space for you, as a participant, to explore your capacity to cope and grow. My training in EMDR (Eye Movement Desensitization and Reprocessing) and Cognitive Behavioral Therapy will guide our work together.
(253) 364-5541 View (253) 364-5541
Photo of Anne Mauro, LMFT, DHS, CST, CSE, CST-S, Marriage & Family Therapist
Anne Mauro
Marriage & Family Therapist, LMFT, DHS, CST, CSE, CST-S
Verified Verified
47 Endorsed
Tacoma, WA 98406  (Online Only)
Are you feeling disconnected from your partner(s) or frustrated with your sexual relationship? Do breakdowns in communication around sex leave you feeling isolated or lonely? Many of my clients come to me seeking support in the "bedroom" when intimacy becomes a challenge. If you're struggling with these issues, sex therapy can be a transformative process, helping you break through barriers and develop new skills that enhance both your relationship and sex life. Together, we’ll work through your concerns and create realistic, lasting change. I work with adult individuals and those in relationships to help them achieve their goals.
Are you feeling disconnected from your partner(s) or frustrated with your sexual relationship? Do breakdowns in communication around sex leave you feeling isolated or lonely? Many of my clients come to me seeking support in the "bedroom" when intimacy becomes a challenge. If you're struggling with these issues, sex therapy can be a transformative process, helping you break through barriers and develop new skills that enhance both your relationship and sex life. Together, we’ll work through your concerns and create realistic, lasting change. I work with adult individuals and those in relationships to help them achieve their goals.
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Photo of David Ross, PhD, LMHC, CMHS, ACS, NCC, Counselor
David Ross
Counselor, PhD, LMHC, CMHS, ACS, NCC
Verified Verified
Tacoma, WA 98444
If you're searching for a therapist who just sits, nods his head, and asks: "how do you feel about that?" then we would not be a good match. While that question is important, I focus more on listening closely to your stories, engaging in active dialogue with you. Together we form a common relationship to face and overcome your fears and anxieties. I am firmly committed to a collaborative, participatory, and holistic patient/therapist relationship. As partners, we form a trusting bond to explore the problems that interfere with your ability to live a happy and healthy life.
If you're searching for a therapist who just sits, nods his head, and asks: "how do you feel about that?" then we would not be a good match. While that question is important, I focus more on listening closely to your stories, engaging in active dialogue with you. Together we form a common relationship to face and overcome your fears and anxieties. I am firmly committed to a collaborative, participatory, and holistic patient/therapist relationship. As partners, we form a trusting bond to explore the problems that interfere with your ability to live a happy and healthy life.
(253) 625-0662 View (253) 625-0662
Photo of William Mccaw, PsyD, Psychologist
William Mccaw
Psychologist, PsyD
Verified Verified
Tacoma, WA 98405
W. Kefron McCaw earned his Psy. D. in Clinical Psychology from the California School of Professional Psychology at Alliant International University in San Diego, California in 2015. He earned his Bachelor of Arts in Psychology from the University of California in Santa Barbara in 2007. He has received clinical training at Advanced Neurobehavioral Health of Southern California, San Diego State University Counseling and Psychological Services, the Catholic Charities Center for Counseling, and the Union of Pan Asian Communities (UPAC) Positive Solutions Program.
W. Kefron McCaw earned his Psy. D. in Clinical Psychology from the California School of Professional Psychology at Alliant International University in San Diego, California in 2015. He earned his Bachelor of Arts in Psychology from the University of California in Santa Barbara in 2007. He has received clinical training at Advanced Neurobehavioral Health of Southern California, San Diego State University Counseling and Psychological Services, the Catholic Charities Center for Counseling, and the Union of Pan Asian Communities (UPAC) Positive Solutions Program.
(253) 201-1591 View (253) 201-1591
Photo of Ashaniece Anderson, AAC, CPC, Counselor
Ashaniece Anderson
Counselor, AAC, CPC
Verified Verified
Tacoma, WA 98402
Let's face it, life is hard, and it doesn't seem to be getting any easier. I noticed that most people just live their lives on a day-by-day basis and struggle with finding true meaning in their lives. This may be due to the internal struggles that we all face such as anxiety, depression, grief, fear, anger, and so many other issues. We may try to deal with our issues on our own, and sometimes this works for many of us. Yet, there are some issues that may seem tougher than others, which can weigh on our moods and negatively impact our relationships with others and ourselves. Seeking help is easier said than done for most.
Let's face it, life is hard, and it doesn't seem to be getting any easier. I noticed that most people just live their lives on a day-by-day basis and struggle with finding true meaning in their lives. This may be due to the internal struggles that we all face such as anxiety, depression, grief, fear, anger, and so many other issues. We may try to deal with our issues on our own, and sometimes this works for many of us. Yet, there are some issues that may seem tougher than others, which can weigh on our moods and negatively impact our relationships with others and ourselves. Seeking help is easier said than done for most.
(253) 893-6805 x7707 View (253) 893-6805 x7707
Photo of Ashley A. Orr, LMFT, MA, MHP, CMHS, Marriage & Family Therapist
Ashley A. Orr
Marriage & Family Therapist, LMFT, MA, MHP, CMHS
Verified Verified
Tacoma, WA 98409  (Online Only)
Not accepting new clients
Everyone deserves to feel supported in their mental health journey and not everyone experiences mental health issues the same way. I would love to support you in the awareness and understanding of your own mental health needs, unique triggers, natural supports, and coping mechanisms. Counseling should be a collaborative effort between the therapist and the client, working towards developing client autonomy and confidence to manage symptoms independently. Through avenues of psychoeducation, talk-therapy, skills development, and behavioral modifications, you can do this!
Everyone deserves to feel supported in their mental health journey and not everyone experiences mental health issues the same way. I would love to support you in the awareness and understanding of your own mental health needs, unique triggers, natural supports, and coping mechanisms. Counseling should be a collaborative effort between the therapist and the client, working towards developing client autonomy and confidence to manage symptoms independently. Through avenues of psychoeducation, talk-therapy, skills development, and behavioral modifications, you can do this!
(253) 400-3936 View (253) 400-3936
Photo of Melissa Haney, LMFT, Marriage & Family Therapist
Melissa Haney
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98404  (Online Only)
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
(253) 400-5842 View (253) 400-5842
Photo of Catherine Mulhall, MSW, LICSW, Clinical Social Work/Therapist
Catherine Mulhall
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
4 Endorsed
Tacoma, WA 98402
—OPEN to NEW in-person & virtual CLIENTS— I have a passion for working with clients to heal the wounds of abuse, other traumas, or narcissism; work through family-of-origin and attachment issues; liberate from the confines of anxiety, panic, phobias, and OCD (or obsessive-compulsive tendencies); repair and/or heal from relational issues; develop effective boundary-drawing; transform self-concept/esteem; and grow to find peace, joy, purpose, and overall wellness.
—OPEN to NEW in-person & virtual CLIENTS— I have a passion for working with clients to heal the wounds of abuse, other traumas, or narcissism; work through family-of-origin and attachment issues; liberate from the confines of anxiety, panic, phobias, and OCD (or obsessive-compulsive tendencies); repair and/or heal from relational issues; develop effective boundary-drawing; transform self-concept/esteem; and grow to find peace, joy, purpose, and overall wellness.
(253) 265-5293 View (253) 265-5293
Photo of Quyen B. Nguyen, PhD, MPH, Psychologist
Quyen B. Nguyen
Psychologist, PhD, MPH
Verified Verified
2 Endorsed
Tacoma, WA 98409
Not accepting new clients
Does any of this sound / look / feel like you? Maybe you're feeling down, overwhelmed, anxious, panicky, or stressed. Or dealing with a chronic health condition like irritable bowel syndrome, other GI issues, or fibromyalgia. Or struggling to get rid of obsessions or compulsions. Or picking skin or pulling hair. Plus we live in tough, uncertain times with the (post-)pandemic, -isms, and so on. You want to be seen, to be heard, to be accepted, to be helped. We can talk story. We can build on your strengths.
Does any of this sound / look / feel like you? Maybe you're feeling down, overwhelmed, anxious, panicky, or stressed. Or dealing with a chronic health condition like irritable bowel syndrome, other GI issues, or fibromyalgia. Or struggling to get rid of obsessions or compulsions. Or picking skin or pulling hair. Plus we live in tough, uncertain times with the (post-)pandemic, -isms, and so on. You want to be seen, to be heard, to be accepted, to be helped. We can talk story. We can build on your strengths.
(253) 289-6067 View (253) 289-6067
Photo of Kristina Rundell, LMHC, SUDP
Kristina Rundell
Mental Health Counselor, LMHC, SUDP
Verified Verified
6 Endorsed
Tacoma, WA 98402
Not accepting new clients
I am a personable person, compassionate, empathetic, and understanding. I am authentic and down to earth. I have experience working in community mental health, and private practice working with clients of all ages and demographics. I assist couples and individuals work through past, current, and future stressors. My goal is to help others find their way in life, as well as overcome obstacles which keep them stuck in a cycle that continues to hinder them from living their lives to the fullest.
I am a personable person, compassionate, empathetic, and understanding. I am authentic and down to earth. I have experience working in community mental health, and private practice working with clients of all ages and demographics. I assist couples and individuals work through past, current, and future stressors. My goal is to help others find their way in life, as well as overcome obstacles which keep them stuck in a cycle that continues to hinder them from living their lives to the fullest.
(253) 242-2467 View (253) 242-2467
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How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
73% Relationship Issues
73% Self Esteem
69% Stress
66% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

75% Premera Blue Cross
66% Regence
64% Aetna

How Therapists in Tacoma, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

76% Female
20% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.