Therapists in Seattle, WA

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Photo of Kendra Appe, Counselor in Seattle, WA
Kendra Appe
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98136  (Online Only)
Who would you be if you were truly free to embrace your authentic self? In a world that often challenges us to conform, it's common to internalize beliefs that we are somehow inadequate as we are. This internal struggle can manifest as feelings of shame, resentment, hopelessness, and loneliness. As a therapist deeply committed to the principles of anti-oppression, social activism, and dismantling systemic barriers, my mission is to guide individuals on a transformative journey toward reconnecting with their genuine selves.
Who would you be if you were truly free to embrace your authentic self? In a world that often challenges us to conform, it's common to internalize beliefs that we are somehow inadequate as we are. This internal struggle can manifest as feelings of shame, resentment, hopelessness, and loneliness. As a therapist deeply committed to the principles of anti-oppression, social activism, and dismantling systemic barriers, my mission is to guide individuals on a transformative journey toward reconnecting with their genuine selves.
(206) 202-5129 View (206) 202-5129
Photo of Amy McMahan, Marriage & Family Therapist in Seattle, WA
Amy McMahan
Marriage & Family Therapist, MS, LMFT, MedFT
Verified Verified
Seattle, WA 98126
I can help you find purpose and clarity in your personal life and in your relationships. You deserve to make fulfilling changes in your life and to feel better connected to the ones you love. Whether you are attempting to gain insight individually, want to feel better connected as a couple, or wish to improve your family and interpersonal relationships, I would be honored to support you in your goals.
I can help you find purpose and clarity in your personal life and in your relationships. You deserve to make fulfilling changes in your life and to feel better connected to the ones you love. Whether you are attempting to gain insight individually, want to feel better connected as a couple, or wish to improve your family and interpersonal relationships, I would be honored to support you in your goals.
(206) 203-8639 View (206) 203-8639
Photo of Elliott McMurray, Clinical Social Work/Therapist in Seattle, WA
Elliott McMurray
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98107  (Online Only)
I am a trauma-informed practitioner and have experience working with adults and elders on a variety of concerns, including life transitions and stress, traumatic experiences, toxic and abusive relationships, chronic illness and disability, gender, sexuality, anxiety, and depression. As a person-centered practitioner, I believe that recovery is possible and that you know yourself best. I work to create an environment of unconditional acceptance as we work together to explore what's unresolved, unbalanced, and causing pain in your life. I draw from several evidence-based practices to provide individualized treatment to every client.
I am a trauma-informed practitioner and have experience working with adults and elders on a variety of concerns, including life transitions and stress, traumatic experiences, toxic and abusive relationships, chronic illness and disability, gender, sexuality, anxiety, and depression. As a person-centered practitioner, I believe that recovery is possible and that you know yourself best. I work to create an environment of unconditional acceptance as we work together to explore what's unresolved, unbalanced, and causing pain in your life. I draw from several evidence-based practices to provide individualized treatment to every client.
(360) 564-5557 View (360) 564-5557
Photo of Esther W Wanjihia, Marriage & Family Therapist in Seattle, WA
Esther W Wanjihia
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98109  (Online Only)
Do you want to build meaningful relationships with your partner/ significant other, family, friends & colleagues? Do you want to find a therapist who can help you achieve these goals? If you answered yes to any of these questions, then you are in the right place. Contact me today and get a free 15-minute consultation. I have the experience and expertise to help you break free from the patterns that are holding you back, align your actions with your desired outcomes, and restore your clarity, confidence, and inner peace.
Do you want to build meaningful relationships with your partner/ significant other, family, friends & colleagues? Do you want to find a therapist who can help you achieve these goals? If you answered yes to any of these questions, then you are in the right place. Contact me today and get a free 15-minute consultation. I have the experience and expertise to help you break free from the patterns that are holding you back, align your actions with your desired outcomes, and restore your clarity, confidence, and inner peace.
(509) 800-2613 View (509) 800-2613
Photo of Rachael Coccia, Pre-Licensed Professional in Seattle, WA
Rachael Coccia
Pre-Licensed Professional, BS
Verified Verified
1 Endorsed
Seattle, WA 98104
Life is complex and there is rarely a single issue that brings someone to therapy. From struggling with identity and purpose in life to contemplating the meaning and nature of death, human existence is challenging and often painful. These existential givens are further burdened by experiences of trauma, oppression, terminal illness, grief, and the climate crisis. In this harsh world it seems easier to hide our vulnerabilities and find ways to escape, avoid, or numb our feelings - often losing ourselves in the process. Loneliness and fear can keep us trapped in toxic cycles, but we aren't meant to struggle alone.
Life is complex and there is rarely a single issue that brings someone to therapy. From struggling with identity and purpose in life to contemplating the meaning and nature of death, human existence is challenging and often painful. These existential givens are further burdened by experiences of trauma, oppression, terminal illness, grief, and the climate crisis. In this harsh world it seems easier to hide our vulnerabilities and find ways to escape, avoid, or numb our feelings - often losing ourselves in the process. Loneliness and fear can keep us trapped in toxic cycles, but we aren't meant to struggle alone.
(425) 873-8921 View (425) 873-8921
Photo of Sarah Engelskirchen-Bugler, Counselor in Seattle, WA
Sarah Engelskirchen-Bugler
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
My approach to therapy is person-centered, holistic, and strengths-based. I believe clients are the experts of their own stories, and my role as a therapist is to create a safe space for individuals to explore intersecting aspects of their identities. Therapy is not about asking “what’s wrong” and instead about building upon existing client strengths in order to create a meaningful and rich life. My toolbox consists of a variety of counseling modalities. I am certified in Trauma-Focused Cognitive Behavioral Therapy and Dreamwork and Dream Arts Therapy.
My approach to therapy is person-centered, holistic, and strengths-based. I believe clients are the experts of their own stories, and my role as a therapist is to create a safe space for individuals to explore intersecting aspects of their identities. Therapy is not about asking “what’s wrong” and instead about building upon existing client strengths in order to create a meaningful and rich life. My toolbox consists of a variety of counseling modalities. I am certified in Trauma-Focused Cognitive Behavioral Therapy and Dreamwork and Dream Arts Therapy.
(425) 243-1430 View (425) 243-1430
Photo of Lori Mudge, Counselor in Seattle, WA
Lori Mudge
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
My philosophy toward helping people is one of collaboration and respect for your innate ability to heal and become whole. I create a warm, supportive, and challenging environment to help you explore your feelings and recognize that which may be getting in the way of living an authentic and fulfilling life. Together we will work to uncover your healthiest, fullest self.
My philosophy toward helping people is one of collaboration and respect for your innate ability to heal and become whole. I create a warm, supportive, and challenging environment to help you explore your feelings and recognize that which may be getting in the way of living an authentic and fulfilling life. Together we will work to uncover your healthiest, fullest self.
(206) 537-0568 View (206) 537-0568
Photo of Natalie Robinson, Clinical Social Work/Therapist in Seattle, WA
Natalie Robinson
Clinical Social Work/Therapist, LSWAIC, SUDPT
Verified Verified
Seattle, WA 98112  (Online Only)
Not accepting new clients
Have you ever heard the phrase “it’ll be better in the morning”? Despite our best intentions to feel refreshed and wake up with a new outlook, sometimes we find ourselves dragging through our days. Maybe you’re feeling stuck at work or school? Maybe you’re feeling dependent on a substance to get you through? I’m here to offer a strength-based approach that will get you started on a path towards clarity and lightness. Together we can identify what is already helping you get through today, so that tomorrow feels a little easier.
Have you ever heard the phrase “it’ll be better in the morning”? Despite our best intentions to feel refreshed and wake up with a new outlook, sometimes we find ourselves dragging through our days. Maybe you’re feeling stuck at work or school? Maybe you’re feeling dependent on a substance to get you through? I’m here to offer a strength-based approach that will get you started on a path towards clarity and lightness. Together we can identify what is already helping you get through today, so that tomorrow feels a little easier.
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Photo of Kacie Yost, Psychologist in Seattle, WA
Kacie Yost
Psychologist, PsyD
Verified Verified
2 Endorsed
Seattle, WA 98116  (Online Only)
As a psychologist specializing in empowering high-achieving women and emerging young adults, I have witnessed firsthand the immense pressure and expectations that can weigh heavily on their shoulders. Often, the need to excel in various aspects of their lives combined with challenges such as anxiety, trauma, depression, and role shifts (e.g. starting a new job, graduating college, becoming a mother) can come at the expense of their mental and emotional well-being. Through my practice, I aim to help my clients cultivate self-compassion and self-esteem, which in turn can lead to improved relationships and greater confidence.
As a psychologist specializing in empowering high-achieving women and emerging young adults, I have witnessed firsthand the immense pressure and expectations that can weigh heavily on their shoulders. Often, the need to excel in various aspects of their lives combined with challenges such as anxiety, trauma, depression, and role shifts (e.g. starting a new job, graduating college, becoming a mother) can come at the expense of their mental and emotional well-being. Through my practice, I aim to help my clients cultivate self-compassion and self-esteem, which in turn can lead to improved relationships and greater confidence.
(425) 470-6603 View (425) 470-6603
Photo of Jacquie Gallaway, Counselor in Seattle, WA
Jacquie Gallaway
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98119  (Online Only)
For the last 10 years, I've been working with people who are seeking relief from anxiety, depression, relationship issues, and life transitions. I work with clients who are looking for a supportive space for self-reflection and growth, with the goal of building relationship skills and coping strategies that can help them move through life in a more skillful way. I love working with people, and I use a warm and compassionate approach, not without direct and honest feedback, candor and humor. I'm often described as kind, spacious, and encouraging, providing a comfortable space for therapy.
For the last 10 years, I've been working with people who are seeking relief from anxiety, depression, relationship issues, and life transitions. I work with clients who are looking for a supportive space for self-reflection and growth, with the goal of building relationship skills and coping strategies that can help them move through life in a more skillful way. I love working with people, and I use a warm and compassionate approach, not without direct and honest feedback, candor and humor. I'm often described as kind, spacious, and encouraging, providing a comfortable space for therapy.
(206) 984-4193 View (206) 984-4193
Photo of Olivia Louko, Clinical Social Work/Therapist in Seattle, WA
Olivia Louko
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
I am a Chinese transracial adoptee raised in the Midwest. I moved to Seattle as an adult and am honored to be living on the unceded ancestral lands of the Duwamish people past and present. I enjoy hiking in nature, eating good food, and spending time with my dog. I believe that everyone can benefit from and deserves to participate in therapy. I see therapy as a process of reflection, self-discovery, and healing. My goal is to create an environment where you can see your own path forward, as well as look at your path so far. I am interested in working with adoptees, their families, and people of color.
I am a Chinese transracial adoptee raised in the Midwest. I moved to Seattle as an adult and am honored to be living on the unceded ancestral lands of the Duwamish people past and present. I enjoy hiking in nature, eating good food, and spending time with my dog. I believe that everyone can benefit from and deserves to participate in therapy. I see therapy as a process of reflection, self-discovery, and healing. My goal is to create an environment where you can see your own path forward, as well as look at your path so far. I am interested in working with adoptees, their families, and people of color.
(206) 339-6382 View (206) 339-6382
Photo of Rosalynn Recine, Clinical Social Work/Therapist in Seattle, WA
Rosalynn Recine
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Seattle, WA 98136
I use a holistic approach to healing that includes mind, body and spirit. I have a particular focus on women's health issues, sexual abuse, and PTSD. Every pain, trauma, and obstacle we experience in life has information to share with us. The most difficult times we face can be truly transformative if we know how to listen to them. Sometimes we can get lost down these turbulent roads and my job is to help you navigate the path that you are already on.
I use a holistic approach to healing that includes mind, body and spirit. I have a particular focus on women's health issues, sexual abuse, and PTSD. Every pain, trauma, and obstacle we experience in life has information to share with us. The most difficult times we face can be truly transformative if we know how to listen to them. Sometimes we can get lost down these turbulent roads and my job is to help you navigate the path that you are already on.
(844) 237-9391 View (844) 237-9391
Photo of Kelsey Gordon, Clinical Social Work/Therapist in Seattle, WA
Kelsey Gordon
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98102  (Online Only)
Waitlist for new clients
My practice focuses on youth & young adults ages 12-35. I'm especially passionate about working with BIPOC individuals. As a member of the BIPOC community, ensuring a safe, supportive space & practices that are culturally competent is a priority for me. I have several years of experience working with individuals who’ve struggled with acute & complex trauma, mood disorders, anxiety, neurodevelopmental disorders such as ADHD & ASD, and gender/sexuality exploration. My clinical skills are rooted in trauma-informed practices utilizing evidence-based principles from CBT, CPT, PE, Motivational Interviewing & Collaborative Problem Solving.
My practice focuses on youth & young adults ages 12-35. I'm especially passionate about working with BIPOC individuals. As a member of the BIPOC community, ensuring a safe, supportive space & practices that are culturally competent is a priority for me. I have several years of experience working with individuals who’ve struggled with acute & complex trauma, mood disorders, anxiety, neurodevelopmental disorders such as ADHD & ASD, and gender/sexuality exploration. My clinical skills are rooted in trauma-informed practices utilizing evidence-based principles from CBT, CPT, PE, Motivational Interviewing & Collaborative Problem Solving.
(206) 752-3472 View (206) 752-3472
Photo of Dr. Brittany King, Counselor in Seattle, WA
Dr. Brittany King
Counselor, PsyD, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98107
Not accepting new clients
I specialize in working with people with trauma, anxiety, and obsessive-compulsive disorder. The cornerstones of my approach are based upon genuineness and warmth. I am an EMDR therapist, and I completed my EMDRIA-approved EMDR training and became specialized in EMDR in 2019. For OCD, I use ERP (Exposure and Response Prevention) and I-CBT as treatment models.
I specialize in working with people with trauma, anxiety, and obsessive-compulsive disorder. The cornerstones of my approach are based upon genuineness and warmth. I am an EMDR therapist, and I completed my EMDRIA-approved EMDR training and became specialized in EMDR in 2019. For OCD, I use ERP (Exposure and Response Prevention) and I-CBT as treatment models.
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Photo of Kenneth K. Marshall, Clinical Social Work/Therapist in Seattle, WA
Kenneth K. Marshall
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
1 Endorsed
Seattle, WA 98133  (Online Only)
Waitlist for new clients
My approach to working with clients is based on building upon strengths, to generate solutions that empower the individual. I support my clients using various therapeutic modalities as they fortify their connection to themselves and others. Being multi-racial, gay, and having been raised in a bicultural household, I have learned that there are many ways to make meaning of the life that you were born into, while informing the life you create for yourself.
My approach to working with clients is based on building upon strengths, to generate solutions that empower the individual. I support my clients using various therapeutic modalities as they fortify their connection to themselves and others. Being multi-racial, gay, and having been raised in a bicultural household, I have learned that there are many ways to make meaning of the life that you were born into, while informing the life you create for yourself.
(206) 504-2608 View (206) 504-2608
Photo of Toni Aswegan, Counselor in Seattle, WA
Toni Aswegan
Counselor, LMHC, NCC
Verified Verified
6 Endorsed
Seattle, WA 98103
You're probably feeling stuck. You might be feeling unhappy, depressed, anxious, disconnected, and self-critical. You may have been through a trauma, recently or years ago. You are ready to make a change - any change - but you aren’t sure where to start or how. At this point, you might even be lost trying to find a therapist. You have probably looked at what feels like a million profiles and websites, and everyone is starting to sound the same. Take a deep breath. You WILL find what you need.
You're probably feeling stuck. You might be feeling unhappy, depressed, anxious, disconnected, and self-critical. You may have been through a trauma, recently or years ago. You are ready to make a change - any change - but you aren’t sure where to start or how. At this point, you might even be lost trying to find a therapist. You have probably looked at what feels like a million profiles and websites, and everyone is starting to sound the same. Take a deep breath. You WILL find what you need.
(425) 276-6664 View (425) 276-6664
Photo of Anna Polumiskova, Marriage & Family Therapist in Seattle, WA
Anna Polumiskova
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98144  (Online Only)
Do you struggle with maintaining focus, managing time, or staying organized? Are impulsive decisions, fluctuating energy levels, or inconsistent performance leaving you feeling frustrated or misunderstood? Living with ADHD can often bring unique challenges, including self-esteem issues that arise from misunderstood ADHD traits. Like an orchid, you possess a remarkable potential for growth and vibrancy when in the right environment; yet, when things aren't aligned, it might feel as though you're just barely getting by, struggling to tap into your true capabilities.
Do you struggle with maintaining focus, managing time, or staying organized? Are impulsive decisions, fluctuating energy levels, or inconsistent performance leaving you feeling frustrated or misunderstood? Living with ADHD can often bring unique challenges, including self-esteem issues that arise from misunderstood ADHD traits. Like an orchid, you possess a remarkable potential for growth and vibrancy when in the right environment; yet, when things aren't aligned, it might feel as though you're just barely getting by, struggling to tap into your true capabilities.
(206) 207-5231 View (206) 207-5231
Photo of Re-Story Therapy, Marriage & Family Therapist in Seattle, WA
Re-Story Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Seattle, WA 98118
Many times when people find themselves in challenging circumstances, they are able to find solutions on their own. This innovation and resourcefulness in people excites me and gives me hope. Other times, the difficulties life throws one's way may seem too overwhelming, complicated or scary to deal with. Sometimes people come up with temporary solutions to problems so they can cope in the meantime. All of these responses to adversity and challenges are normal and, in my experience, people seek out therapy when their options or their “stories” feel stuck.
Many times when people find themselves in challenging circumstances, they are able to find solutions on their own. This innovation and resourcefulness in people excites me and gives me hope. Other times, the difficulties life throws one's way may seem too overwhelming, complicated or scary to deal with. Sometimes people come up with temporary solutions to problems so they can cope in the meantime. All of these responses to adversity and challenges are normal and, in my experience, people seek out therapy when their options or their “stories” feel stuck.
(206) 495-4857 View (206) 495-4857
Photo of Leslie G Cohn, Psychologist in Seattle, WA
Leslie G Cohn
Psychologist, PhD
Verified Verified
Seattle, WA 98104  (Online Only)
I am a licensed psychologist with more than 25 years of experience treating clients with anxiety, depression, substance dependence, trauma, chronic illness, mania, and relationship concerns. My approach is eclectic, encompassing Internal Family Systems, CBT, family of origin, motivational interviewing and hypnosis. Please see my website for more comprehensive information.
I am a licensed psychologist with more than 25 years of experience treating clients with anxiety, depression, substance dependence, trauma, chronic illness, mania, and relationship concerns. My approach is eclectic, encompassing Internal Family Systems, CBT, family of origin, motivational interviewing and hypnosis. Please see my website for more comprehensive information.
(206) 745-0867 View (206) 745-0867
Photo of Elizabeth MacKenzie, Psychologist in Seattle, WA
Elizabeth MacKenzie
Psychologist, PhD
Verified Verified
Seattle, WA 98116
I provide testing services for children, adolescents, and adult students. My testing practice include learning disability assessment and ADHD/ADD diagnosis. Many of my patients have co-occurring issues such as behavior problems, depression, and anxiety. My reports are used by schools and districts to inform (I.E.P.) and 504 accommodations plans. I also attend school meetings for planning and to discuss evaluation results. My adult assessments are used to inform treatment planning as well as to determine eligibility for educational accommodations.
I provide testing services for children, adolescents, and adult students. My testing practice include learning disability assessment and ADHD/ADD diagnosis. Many of my patients have co-occurring issues such as behavior problems, depression, and anxiety. My reports are used by schools and districts to inform (I.E.P.) and 504 accommodations plans. I also attend school meetings for planning and to discuss evaluation results. My adult assessments are used to inform treatment planning as well as to determine eligibility for educational accommodations.
(206) 569-6892 View (206) 569-6892

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.