Therapists in Anchorage, AK

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Photo of Jeanie Winstrom, Licensed Professional Counselor in Anchorage, AK
Jeanie Winstrom
Licensed Professional Counselor, LPC
Verified Verified
Anchorage, AK 99507  (Online Only)
As a licensed mental health therapist with many years of experience, I empower clients to help them realize the lives they desire and goals they dream. If you are looking for a safe virtual therapeutic space to explore issues, gain insight, remove blocks, and move towards a healthier, more joyful and fulfilling life, you’re in the right place. Because every client is unique, I use a collaborative therapeutic approach to help you find the solutions that work best for your life and circumstances.
As a licensed mental health therapist with many years of experience, I empower clients to help them realize the lives they desire and goals they dream. If you are looking for a safe virtual therapeutic space to explore issues, gain insight, remove blocks, and move towards a healthier, more joyful and fulfilling life, you’re in the right place. Because every client is unique, I use a collaborative therapeutic approach to help you find the solutions that work best for your life and circumstances.
(866) 990-3551 View (866) 990-3551
Chantal Cohen Therapy, LLC
Marriage & Family Therapist, MA, LMFT-S
Verified Verified
1 Endorsed
Anchorage, AK 99508
I am a LMFT Supervisor & a Registered Play Therapist Supervisor. I work with children (1 year old up), teens, families, combatants, first responders, victims of violent crimes, & others. I treat preverbal or traumatic attachment (kids/teens), complex trauma, anxiety, behavioral issues and other childhood needs. Learning to see from your child's perspective helps caregiver(s) to understand their child/ren and family. My goals are to collaborate with you & your family to restore balance, improve communication, provide neuro-divergent psychoeducation, promote more secure attachments and develop competency.
I am a LMFT Supervisor & a Registered Play Therapist Supervisor. I work with children (1 year old up), teens, families, combatants, first responders, victims of violent crimes, & others. I treat preverbal or traumatic attachment (kids/teens), complex trauma, anxiety, behavioral issues and other childhood needs. Learning to see from your child's perspective helps caregiver(s) to understand their child/ren and family. My goals are to collaborate with you & your family to restore balance, improve communication, provide neuro-divergent psychoeducation, promote more secure attachments and develop competency.
(907) 312-1269 View (907) 312-1269
Photo of Jennifer Euler, LPC w/Coastal Wellness, Licensed Professional Counselor in Anchorage, AK
Jennifer Euler, LPC w/Coastal Wellness
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Anchorage, AK 99501
I specialize in helping children, adolescents, individual adults, couples, and families through the stressors of life by supporting person-centered goals to challenge issues like depression, anxiety, poor self-concept, shame, traumatic experiences, and relationship struggles. I also have experience working with first responders and with children and families in the foster care system. We all get stuck and feel lost at times. Having a helping hand can make it easier to feel better.
I specialize in helping children, adolescents, individual adults, couples, and families through the stressors of life by supporting person-centered goals to challenge issues like depression, anxiety, poor self-concept, shame, traumatic experiences, and relationship struggles. I also have experience working with first responders and with children and families in the foster care system. We all get stuck and feel lost at times. Having a helping hand can make it easier to feel better.
(907) 917-0191 View (907) 917-0191
Photo of Ashley M Barrera, Marriage & Family Therapist in Anchorage, AK
Ashley M Barrera
Marriage & Family Therapist, MS, LMFT
Verified Verified
Anchorage, AK 99501
As a Licensed Marital and Family Therapist I work with individuals, couples, and families on a wide variety issues related to mental health and relationship concerns. I believe every person has the skills and tools to achieve a healthy and fulfilling life. However accessing these tools and applying them one's life can be a challenging process which can create dissatisfaction in life and relationships. As a therapist, I see my role as that of guiding people through the journey of identifying and harnessing the power of their unique strengths so that they may achieve satisfaction and fulfillment from life.
As a Licensed Marital and Family Therapist I work with individuals, couples, and families on a wide variety issues related to mental health and relationship concerns. I believe every person has the skills and tools to achieve a healthy and fulfilling life. However accessing these tools and applying them one's life can be a challenging process which can create dissatisfaction in life and relationships. As a therapist, I see my role as that of guiding people through the journey of identifying and harnessing the power of their unique strengths so that they may achieve satisfaction and fulfillment from life.
(907) 331-6778 View (907) 331-6778
Photo of Pierlot Counseling, Licensed Professional Counselor in Anchorage, AK
Pierlot Counseling
Licensed Professional Counselor, LPC, CDC, II
Verified Verified
Anchorage, AK 99503
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
(907) 312-2106 View (907) 312-2106
Photo of Heather Caldwell, Licensed Professional Counselor in Anchorage, AK
Heather Caldwell
Licensed Professional Counselor, MA, LPC
Verified Verified
Anchorage, AK 99503
Life can get overwhelming and it's easy to feel lost, anxious, and/or depressed, bogged down with busy schedules, work issues, childhood trauma, chronic pain, relationship/intimacy conflicts, complicated parent and/or child relationships, questioning one's identity or coming into one's sexuality - and well, it can feel like too much! These compounding stressors impact our ability to connect with ourselves and with others, as well as our ability to lead satisfying and full lives. My hope is that together, you can (re)discover your path to a fulfilled and integrated life by embodying your emotional, spiritual, and creative self.
Life can get overwhelming and it's easy to feel lost, anxious, and/or depressed, bogged down with busy schedules, work issues, childhood trauma, chronic pain, relationship/intimacy conflicts, complicated parent and/or child relationships, questioning one's identity or coming into one's sexuality - and well, it can feel like too much! These compounding stressors impact our ability to connect with ourselves and with others, as well as our ability to lead satisfying and full lives. My hope is that together, you can (re)discover your path to a fulfilled and integrated life by embodying your emotional, spiritual, and creative self.
(888) 564-0124 View (888) 564-0124
Photo of Samantha Funk, Licensed Professional Counselor in Anchorage, AK
Samantha Funk
Licensed Professional Counselor, LPC
Verified Verified
Anchorage, AK 99507  (Online Only)
The nature in Alaska is next to none, but the isolation and often inclement weather can lead to feelings of loneliness, depression, and severe anxiety. I specialize in working with individuals who are experiencing life difficulties, relationship struggles, and emotional challenges, particularly those who have experienced domestic violence and/or sexual assault. I have extensive experience with the LGBTQIA+ community, including the lived experience that helps me hold a space where you can feel seen and understood.
The nature in Alaska is next to none, but the isolation and often inclement weather can lead to feelings of loneliness, depression, and severe anxiety. I specialize in working with individuals who are experiencing life difficulties, relationship struggles, and emotional challenges, particularly those who have experienced domestic violence and/or sexual assault. I have extensive experience with the LGBTQIA+ community, including the lived experience that helps me hold a space where you can feel seen and understood.
(844) 641-0218 View (844) 641-0218
Photo of Claire Woster Coastal Wellness & Counseling, LLC, Licensed Professional Counselor in Anchorage, AK
Claire Woster Coastal Wellness & Counseling, LLC
Licensed Professional Counselor, LPC, MA, NBCC
Verified Verified
Anchorage, AK 99501
Throughout our lives we develop belief systems about how and who we 'should' be. These systems create thought, emotion, and behavior patterns that lead to an experience of separation and isolation. I view therapy as an odyssey that moves us back into intimate relationship with self and other.
Throughout our lives we develop belief systems about how and who we 'should' be. These systems create thought, emotion, and behavior patterns that lead to an experience of separation and isolation. I view therapy as an odyssey that moves us back into intimate relationship with self and other.
(907) 341-3849 View (907) 341-3849
Photo of Love and Liberation Therapy, LLC, Licensed Professional Counselor in Anchorage, AK
Love and Liberation Therapy, LLC
Licensed Professional Counselor, LPC
Verified Verified
Anchorage, AK 99507  (Online Only)
I work with individuals and couples 18 years and older experiencing challenges around sexuality, gender identity or gender roles, and within their relationships. I counsel from a framework of anti-oppression and intersectional feminism and I support people of all genders and sexual orientations. I am also happy to work with people in non-conforming relationships such as open relationships, swinging, and who are polyamorous. In addition, I work with people experiencing anxiety, depression, and who are acknowledging their trauma. I am a licensed professional counselor in the state of Alaska.
I work with individuals and couples 18 years and older experiencing challenges around sexuality, gender identity or gender roles, and within their relationships. I counsel from a framework of anti-oppression and intersectional feminism and I support people of all genders and sexual orientations. I am also happy to work with people in non-conforming relationships such as open relationships, swinging, and who are polyamorous. In addition, I work with people experiencing anxiety, depression, and who are acknowledging their trauma. I am a licensed professional counselor in the state of Alaska.
(907) 318-1167 View (907) 318-1167
Photo of Sheryl Martin, Psychological Associate in Anchorage, AK
Sheryl Martin
Psychological Associate, PhD, LPA
Verified Verified
Anchorage, AK 99522  (Online Only)
I understand the anxiety often associated with going to a therapist for the first time. There are times in life we all could benefit from talking with a professional trained to help us process difficult emotions. In a safe, nonjudgmental, and supportive therapeutic partnership, I incorporate a variety of methods to help clients problem-solve and work through challenges to a better mental health.
I understand the anxiety often associated with going to a therapist for the first time. There are times in life we all could benefit from talking with a professional trained to help us process difficult emotions. In a safe, nonjudgmental, and supportive therapeutic partnership, I incorporate a variety of methods to help clients problem-solve and work through challenges to a better mental health.
(844) 279-1926 View (844) 279-1926
Photo of Lisa Terwilliger, Licensed Professional Counselor in Anchorage, AK
Lisa Terwilliger
Licensed Professional Counselor, NCC, LPC, LPC-S
Verified Verified
Anchorage, AK 99507  (Online Only)
As an experienced and continually improving clinician, Lisa K. Terwilliger's work has included a wide range of client populations from children, youth, young adults in the college setting. Adults in crisis, elders, families in crisis, persons with developmental disabilities, and substance use disorders. And those recovering from sexual offending and victims of sexual abuse and various traumas. She brings a focus on resiliency, strengths training, feedback informed, trauma-informed and holistic care for the mind, body, and spirit to her work.
As an experienced and continually improving clinician, Lisa K. Terwilliger's work has included a wide range of client populations from children, youth, young adults in the college setting. Adults in crisis, elders, families in crisis, persons with developmental disabilities, and substance use disorders. And those recovering from sexual offending and victims of sexual abuse and various traumas. She brings a focus on resiliency, strengths training, feedback informed, trauma-informed and holistic care for the mind, body, and spirit to her work.
(855) 877-5757 View (855) 877-5757
Photo of Jake Chapman, Pre-Licensed Professional in Anchorage, AK
Jake Chapman
Pre-Licensed Professional
Verified Verified
Anchorage, AK 99501
I welcome adult clients from all walks of life who are looking for a safe and supportive environment to address their mental health needs. My goal is to help you develop the tools and strategies you need to live a fulfilling and meaningful life. Whether you are struggling with anxiety, depression, trauma, relationship issues, or any other mental health concern, I am here to help you on your journey to healing and growth. I have advanced doctoral training in working cross culturally and with rural and indigenous populations. I am also a military veteran and have chosen to focus much of my career on people who have experienced trauma.
I welcome adult clients from all walks of life who are looking for a safe and supportive environment to address their mental health needs. My goal is to help you develop the tools and strategies you need to live a fulfilling and meaningful life. Whether you are struggling with anxiety, depression, trauma, relationship issues, or any other mental health concern, I am here to help you on your journey to healing and growth. I have advanced doctoral training in working cross culturally and with rural and indigenous populations. I am also a military veteran and have chosen to focus much of my career on people who have experienced trauma.
(907) 921-2014 View (907) 921-2014
Photo of Kelsey Fox, Marriage & Family Therapist in Anchorage, AK
Kelsey Fox
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Anchorage, AK 99501
Currently accepting new clients, via tele-health. I see you as a person, someone who is trying to make life work. And then, more often than not, you experience something that shakes your core. This event can begin occurring over time, or it can be a first time experience that leaves your equilibrium off-balance. Then, your thoughts begin to overwhelm you and you begin to wonder if you will ever get back on track. In short yes you can, but it is going to take some time and effort if you are willing to work at it.
Currently accepting new clients, via tele-health. I see you as a person, someone who is trying to make life work. And then, more often than not, you experience something that shakes your core. This event can begin occurring over time, or it can be a first time experience that leaves your equilibrium off-balance. Then, your thoughts begin to overwhelm you and you begin to wonder if you will ever get back on track. In short yes you can, but it is going to take some time and effort if you are willing to work at it.
(866) 583-3514 View (866) 583-3514
Photo of Dr. Nathan Fearrington, Licensed Professional Counselor in Anchorage, AK
Dr. Nathan Fearrington
Licensed Professional Counselor, PhD, LPC-S, LCMHC, MAC
Verified Verified
Anchorage, AK 99501
Greetings friend, allow me to introduce myself. I have a Ph.D. in Psychology. I am a Licensed Professional Counselor, Licensed Clinical Mental Health Counselor, and Master Addictions Counselor. Additionally, I am credentialed as a Licensed Professional Counselor Supervisor. I have over 20 years of experience working with individuals, groups, and families. The services that I provide are tailored to service the needs of adolescents and adults. The following are some of the treatment areas that I typically address: family dynamics, mood disorders, substance use, stress, anxiety, personal growth, and other behaviors and disorders.
Greetings friend, allow me to introduce myself. I have a Ph.D. in Psychology. I am a Licensed Professional Counselor, Licensed Clinical Mental Health Counselor, and Master Addictions Counselor. Additionally, I am credentialed as a Licensed Professional Counselor Supervisor. I have over 20 years of experience working with individuals, groups, and families. The services that I provide are tailored to service the needs of adolescents and adults. The following are some of the treatment areas that I typically address: family dynamics, mood disorders, substance use, stress, anxiety, personal growth, and other behaviors and disorders.
(844) 758-0463 View (844) 758-0463
Photo of Joshua Goldstein, Clinical Social Work/Therapist in Anchorage, AK
Joshua Goldstein
Clinical Social Work/Therapist, MSSW, LCSW, CCAT, CDC II, WFR
Verified Verified
1 Endorsed
Anchorage, AK 99504
Hello! I work with teens, young adults, and adults from various backgrounds on increasing self-worth, self-compassion, processing trauma and intergenerational trauma, and reducing harms caused by co-occuring substance use. I am currently available for individual, family, and group sessions via telehealth and through outdoor adventure therapy.
Hello! I work with teens, young adults, and adults from various backgrounds on increasing self-worth, self-compassion, processing trauma and intergenerational trauma, and reducing harms caused by co-occuring substance use. I am currently available for individual, family, and group sessions via telehealth and through outdoor adventure therapy.
(844) 707-9240 View (844) 707-9240
Photo of Amy L Smith, Clinical Social Work/Therapist in Anchorage, AK
Amy L Smith
Clinical Social Work/Therapist, LCSW, CDCI
Verified Verified
1 Endorsed
Anchorage, AK 99503  (Online Only)
People seek out therapy for a wide variety of reasons. Sometimes it's an overwhelming sense of loneliness or lack of direction. Often it's a result of major life changes, loss, psychological injuries, or specific issues such as anxiety, depression, anger, or grief. I offer a private, safe, and confidential environment for you to explore your concerns, find relief and to bring joy and passion back into your life. I look forward to accompanying you on your journey of self-discovery, healing and wellness!
People seek out therapy for a wide variety of reasons. Sometimes it's an overwhelming sense of loneliness or lack of direction. Often it's a result of major life changes, loss, psychological injuries, or specific issues such as anxiety, depression, anger, or grief. I offer a private, safe, and confidential environment for you to explore your concerns, find relief and to bring joy and passion back into your life. I look forward to accompanying you on your journey of self-discovery, healing and wellness!
(855) 914-2735 View (855) 914-2735
Photo of Elke Villegas, Clinical Social Work/Therapist in Anchorage, AK
Elke Villegas
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Anchorage, AK 99515
Healing is hard work. and change comes from doing the hard things. My client would be someone who is willing to work hard to improve their life and circumstances, but who also has a good sense of humor and can laugh about the challenges and setbacks that come with life. They would be open and honest, willing to talk openly and honestly about their experiences. They would be resilient and have the ability to find humor in difficult situations, as well as the capacity to find joy in life's small moments.
Healing is hard work. and change comes from doing the hard things. My client would be someone who is willing to work hard to improve their life and circumstances, but who also has a good sense of humor and can laugh about the challenges and setbacks that come with life. They would be open and honest, willing to talk openly and honestly about their experiences. They would be resilient and have the ability to find humor in difficult situations, as well as the capacity to find joy in life's small moments.
(907) 771-0536 View (907) 771-0536
Photo of Dustin Kerrone, Marriage & Family Therapist in Anchorage, AK
Dustin Kerrone
Marriage & Family Therapist, LMFT
Verified Verified
Anchorage, AK 99501  (Online Only)
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
(907) 312-2906 View (907) 312-2906
Photo of Alisha Sarginger MFTA w/Coastal Wellness , Marriage & Family Therapist in Anchorage, AK
Alisha Sarginger MFTA w/Coastal Wellness
Marriage & Family Therapist, LMFT
Verified Verified
Anchorage, AK 99501
I specialize in working with people in relationships. The relationships we have with ourselves and others, are constantly changing. My clients include couples and individuals who want to establish their most authentic selves and ideal partnerships. I believe we are all worthy of feeling love, and having the ability to share that love with others. I am dedicated to supporting the process of connecting to gain the skills needed to develop or maintain healthy relationships. Whether you are looking to heal with a partner or individually, I welcome the opportunity to work with you.
I specialize in working with people in relationships. The relationships we have with ourselves and others, are constantly changing. My clients include couples and individuals who want to establish their most authentic selves and ideal partnerships. I believe we are all worthy of feeling love, and having the ability to share that love with others. I am dedicated to supporting the process of connecting to gain the skills needed to develop or maintain healthy relationships. Whether you are looking to heal with a partner or individually, I welcome the opportunity to work with you.
(907) 917-0191 View (907) 917-0191
Photo of Kokoro Counseling Alaska, LLC, Licensed Professional Counselor in Anchorage, AK
Kokoro Counseling Alaska, LLC
Licensed Professional Counselor, LPC, MAC
Verified Verified
2 Endorsed
Anchorage, AK 99503  (Online Only)
Evening and Weekend hours are available for Telehealth. Office Hours: Sundays through Thursdays (4:00 pm - 9:00 pm). Please send an inquiry or request to have a free 15-minute FREE phone consultation. If you are hurting, fearful, confused, sad, stressed, or surrounded by overwhelming things in life, I am here to guide you through; to cultivate and reconnect with your innate strength to heal your wounds and live a quality life. My focus is to work collaboratively with you to find a unique and individualized process or solution that would take you further along in your healing journey.
Evening and Weekend hours are available for Telehealth. Office Hours: Sundays through Thursdays (4:00 pm - 9:00 pm). Please send an inquiry or request to have a free 15-minute FREE phone consultation. If you are hurting, fearful, confused, sad, stressed, or surrounded by overwhelming things in life, I am here to guide you through; to cultivate and reconnect with your innate strength to heal your wounds and live a quality life. My focus is to work collaboratively with you to find a unique and individualized process or solution that would take you further along in your healing journey.
(907) 318-8601 View (907) 318-8601

How does your Therapist compare?

Number of Therapists in Anchorage, AK

300+

Average cost per session

$200

Therapists in Anchorage, AK who prioritize treating:

90% Anxiety
86% Depression
79% Trauma and PTSD
74% Relationship Issues
67% Self Esteem
66% Stress
62% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
66% Aetna
55% Premera

How Therapists in Anchorage, AK see their clients

60% In Person and Online
40% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Anchorage?

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.