Therapists in Vancouver, WA

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Photo of Kathy Shenk, Marriage & Family Therapist in Vancouver, WA
Kathy Shenk
Marriage & Family Therapist, MA, LMFT, LMHC, CGE
Verified Verified
2 Endorsed
Vancouver, WA 98663
Assisting individuals, couples, parents and families with the challenges of life is a privilege and a passion! Some of these challenges come from difficult and painful relationships we have with others but can even come in the relationship we have with ourselves! This can cause a loss of connection and an increase in anxiety, anger and depression. However, learning to manage and improve relationships can bring about significant satisfaction, confidence and joy. We are also often faced with the anxiety and fear of transitions and unexpected life changes. I am here to help you navigate these challenges!
Assisting individuals, couples, parents and families with the challenges of life is a privilege and a passion! Some of these challenges come from difficult and painful relationships we have with others but can even come in the relationship we have with ourselves! This can cause a loss of connection and an increase in anxiety, anger and depression. However, learning to manage and improve relationships can bring about significant satisfaction, confidence and joy. We are also often faced with the anxiety and fear of transitions and unexpected life changes. I am here to help you navigate these challenges!
(360) 226-7143 View (360) 226-7143
Photo of Endeavor Psychology & Consulting; Dr. Krista Bacon, Psychologist in Vancouver, WA
Endeavor Psychology & Consulting; Dr. Krista Bacon
Psychologist, PsyD
Verified Verified
Vancouver, WA 98663
Sometimes different parts of life can be a struggle and we may not know why. If you or your child are struggling in one or more areas of life and you're interested in a psychological evaluation to get answers, please reach out! I also perform a variety of forensic evaluations for civil, criminal, and administrative proceedings.
Sometimes different parts of life can be a struggle and we may not know why. If you or your child are struggling in one or more areas of life and you're interested in a psychological evaluation to get answers, please reach out! I also perform a variety of forensic evaluations for civil, criminal, and administrative proceedings.
(360) 302-4522 View (360) 302-4522
Photo of Angela Barnes, Counselor in Vancouver, WA
Angela Barnes
Counselor
Verified Verified
1 Endorsed
Vancouver, WA 98661
Do you have a child who is struggling with not being able to communicate with his/her peers and the adults in their life? Or do you know someone struggling with depression, anxiety, or suicidal thoughts? Are you wanting to find a way to understand where your child is coming from or come back to a healthy sense of wellbeing? I have worked with school aged children, before and after school, on social and emotion issues, along with working through difficult situations they may face or have already faced, and worked with them on how to communicate with peers and adults.
Do you have a child who is struggling with not being able to communicate with his/her peers and the adults in their life? Or do you know someone struggling with depression, anxiety, or suicidal thoughts? Are you wanting to find a way to understand where your child is coming from or come back to a healthy sense of wellbeing? I have worked with school aged children, before and after school, on social and emotion issues, along with working through difficult situations they may face or have already faced, and worked with them on how to communicate with peers and adults.
(360) 953-5912 View (360) 953-5912
Photo of The Therapy Bae, LLC, Clinical Social Work/Therapist in Vancouver, WA
The Therapy Bae, LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98665  (Online Only)
If you are feeling lost, uncertain, scared, or want to speak with someone who is knowledgeable about non-monogamous relationships, kink, BDSM, neurodivergence, or being LGBTQIA+ you may have just found the right person to talk to. You are discovering who you are as an individual, or perhaps a couple, throuple, or polycule. New diagnoses, relationships, and kinks (literal and metaphorical) are making you unsure how to move forward without stumbling or feeling stuck, possibly even moving backward. Navigating the world right now is difficult, especially with new changes and challenges arising.
If you are feeling lost, uncertain, scared, or want to speak with someone who is knowledgeable about non-monogamous relationships, kink, BDSM, neurodivergence, or being LGBTQIA+ you may have just found the right person to talk to. You are discovering who you are as an individual, or perhaps a couple, throuple, or polycule. New diagnoses, relationships, and kinks (literal and metaphorical) are making you unsure how to move forward without stumbling or feeling stuck, possibly even moving backward. Navigating the world right now is difficult, especially with new changes and challenges arising.
(360) 300-8344 View (360) 300-8344
Photo of Veteran & First Responder Mental Health, Counselor in Vancouver, WA
Veteran & First Responder Mental Health
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98663
My name is Lindsey Torres and I specialize in counseling and training for military veterans, first responders and their spouses. Located in Vancouver Washington, with telehealth availability across Washington state. I work with many uniform related concerns to include military war trauma, law enforcement critical incidents (OIS, LODD's), career stress management, relationship issues, work life balance, PCS adjustment, depression and anxiety. EMDR and Prolonged Exposure therapy offered in person. I am in the Kaiser network. We accept Tricare for telehealth only.
My name is Lindsey Torres and I specialize in counseling and training for military veterans, first responders and their spouses. Located in Vancouver Washington, with telehealth availability across Washington state. I work with many uniform related concerns to include military war trauma, law enforcement critical incidents (OIS, LODD's), career stress management, relationship issues, work life balance, PCS adjustment, depression and anxiety. EMDR and Prolonged Exposure therapy offered in person. I am in the Kaiser network. We accept Tricare for telehealth only.
(360) 773-7760 View (360) 773-7760
Photo of Pearl District Counseling, Clinical Social Work/Therapist in Vancouver, WA
Pearl District Counseling
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98660
Not accepting new clients
** NOT ACCEPTING NEW CLIENTS**I work with parents and children, married couples and individuals. I am interested in evaluating the whole person within their systems including, primary attachment relationships, implicit and explicit messages that adults received as children, the stress/ disease connection, looking at maladaptive patterns established in childhood that need to be corrected to return to the authentic self. I use the work of Gabor Mate, MD and Dan Siegel, MD in my treatment of individuals and families.
** NOT ACCEPTING NEW CLIENTS**I work with parents and children, married couples and individuals. I am interested in evaluating the whole person within their systems including, primary attachment relationships, implicit and explicit messages that adults received as children, the stress/ disease connection, looking at maladaptive patterns established in childhood that need to be corrected to return to the authentic self. I use the work of Gabor Mate, MD and Dan Siegel, MD in my treatment of individuals and families.
(503) 866-1084 View (503) 866-1084
Photo of Chanel Brown, Counselor in Vancouver, WA
Chanel Brown
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660  (Online Only)
Obsessive Compulsive Disorder (OCD) has been called "The Doubting Disease," and is characterized by unwanted and intrusive doubts, fears, “irrational” worries, and at its worst, terror and psychological torment. People with OCD experience doubts and fears which usually focus on whatever they most care about or highly value, such as their most important relationships, their moral character, their health or the health and well-being of those they care about. Sufferers use mental or behavioral rituals that provide temporary relief from the obsession, which become compulsions that can be painful in and of themselves.
Obsessive Compulsive Disorder (OCD) has been called "The Doubting Disease," and is characterized by unwanted and intrusive doubts, fears, “irrational” worries, and at its worst, terror and psychological torment. People with OCD experience doubts and fears which usually focus on whatever they most care about or highly value, such as their most important relationships, their moral character, their health or the health and well-being of those they care about. Sufferers use mental or behavioral rituals that provide temporary relief from the obsession, which become compulsions that can be painful in and of themselves.
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Photo of Laura Anne Farley, Psychologist in Vancouver, WA
Laura Anne Farley
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
(844) 397-6361 View (844) 397-6361
Photo of Angela Giacalone, Clinical Social Work/Therapist in Vancouver, WA
Angela Giacalone
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98665
Waitlist for new clients
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
(360) 826-8785 View (360) 826-8785
Photo of Bryan Ledbury, Counselor in Vancouver, WA
Bryan Ledbury
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
(360) 361-8513 View (360) 361-8513
Photo of Fulsher Therapy Services, LLC, limited openings, Clinical Social Work/Therapist in Vancouver, WA
Fulsher Therapy Services, LLC, limited openings
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98665
Email is best for contact, calling may delay response time. I see clients in WA and OR some in person, mostly virtual. My ideal client...might have anxiety, dealing with relational issues, struggling with depression, might feel isolated or lonely or might need support in other areas of life. My clients might be somewhat scared to approach change and some may be goal oriented. Some clients that I see might struggle to really know the path they wish to take or how to begin their therapeutic journey. My client/s may wish to work on self care and self love and integrate that in each of their personal goals. My clients are resilient.
Email is best for contact, calling may delay response time. I see clients in WA and OR some in person, mostly virtual. My ideal client...might have anxiety, dealing with relational issues, struggling with depression, might feel isolated or lonely or might need support in other areas of life. My clients might be somewhat scared to approach change and some may be goal oriented. Some clients that I see might struggle to really know the path they wish to take or how to begin their therapeutic journey. My client/s may wish to work on self care and self love and integrate that in each of their personal goals. My clients are resilient.
(360) 234-3288 View (360) 234-3288
Photo of Dr. David Ross, Psychologist in Vancouver, WA
Dr. David Ross
Psychologist, PsyD
Verified Verified
2 Endorsed
Vancouver, WA 98662
Hello, I am a Clinical Psychologist specializing in anxiety, depression, trauma, and relationship issues. I also support clients with a variety of health related issues including pain, anxiety, and depression. Clients often express the invaluable support they have received from having a knowledgeable professional walk with them through their life and/or medical journey. I use psychodynamic and cognitive behavioral therapies to help you overcome the anxiety, depression, and anger that negatively impact your life, work, and relationships. I would be honored to join you in working to develop the life you desire to be living right now.
Hello, I am a Clinical Psychologist specializing in anxiety, depression, trauma, and relationship issues. I also support clients with a variety of health related issues including pain, anxiety, and depression. Clients often express the invaluable support they have received from having a knowledgeable professional walk with them through their life and/or medical journey. I use psychodynamic and cognitive behavioral therapies to help you overcome the anxiety, depression, and anger that negatively impact your life, work, and relationships. I would be honored to join you in working to develop the life you desire to be living right now.
(360) 226-8227 View (360) 226-8227
Photo of Katrina L Barnes, Marriage & Family Therapist in Vancouver, WA
Katrina L Barnes
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98661
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
(360) 524-9351 View (360) 524-9351
Photo of Hannah Grabhorn, Counselor in Vancouver, WA
Hannah Grabhorn
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98684
Waitlist for new clients
I enjoy working with people who are ready to make a change, are willing to be curious, an are open to talking about hard things. I work with individuals, couples, teens, and children in a variety of settings. I enjoy working with recovering “people pleasers”, individuals with depression, anxiety, and people seeking ADHD management, and grief counseling. For couples, it is my goal to get you from a cycle of fighting to greater understanding and intimacy.
I enjoy working with people who are ready to make a change, are willing to be curious, an are open to talking about hard things. I work with individuals, couples, teens, and children in a variety of settings. I enjoy working with recovering “people pleasers”, individuals with depression, anxiety, and people seeking ADHD management, and grief counseling. For couples, it is my goal to get you from a cycle of fighting to greater understanding and intimacy.
(360) 634-0389 View (360) 634-0389
Photo of Rebecca Lomeland, Counselor in Vancouver, WA
Rebecca Lomeland
Counselor, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98662
Do you find yourself struggling to break unhealthy cycles, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
Do you find yourself struggling to break unhealthy cycles, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
(360) 383-5614 View (360) 383-5614
Photo of Samantha Gibb, Clinical Social Work/Therapist in Vancouver, WA
Samantha Gibb
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98662
We are all shaped by our life experiences, our social connections, and our individual personality traits. No one is the same, therefore as a therapist I cannot go in to a session with any agenda beyond eagerness to learn through curiosity and empathy. My Clients are the experts in their own life. My goal is for my clients to live rich, full and meaningful lives, and only my clients can decide what that means for them.
We are all shaped by our life experiences, our social connections, and our individual personality traits. No one is the same, therefore as a therapist I cannot go in to a session with any agenda beyond eagerness to learn through curiosity and empathy. My Clients are the experts in their own life. My goal is for my clients to live rich, full and meaningful lives, and only my clients can decide what that means for them.
(360) 997-1893 View (360) 997-1893
Photo of Dani Nierenberg, Psychologist in Vancouver, WA
Dani Nierenberg
Psychologist, PhD, BCB
Verified Verified
Vancouver, WA 98684
I regret I do not have any openings at this time. When I am able to accept new patients, I work as a licensed psychologist and board certified biofeedback practitioner specializing in helping individuals gain greater stability and flexibility in their lives through the use of psychophysiological regulation skill building and technology. People with medical challenges, chronic pain, and difficult life circumstances will experience an integrative approach that addresses both mind and body and focuses on wellness, health, and quality of life. When appropriate, we may use evidence supported technology to help you reach your goals.
I regret I do not have any openings at this time. When I am able to accept new patients, I work as a licensed psychologist and board certified biofeedback practitioner specializing in helping individuals gain greater stability and flexibility in their lives through the use of psychophysiological regulation skill building and technology. People with medical challenges, chronic pain, and difficult life circumstances will experience an integrative approach that addresses both mind and body and focuses on wellness, health, and quality of life. When appropriate, we may use evidence supported technology to help you reach your goals.
Photo of Traci Bigelow, LPC Intern in Vancouver, WA
Traci Bigelow
LPC Intern, LMHCA
Verified Verified
Vancouver, WA 98662
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
(360) 234-3753 View (360) 234-3753
Photo of Kelly Ryan Garrett, Counselor in Vancouver, WA
Kelly Ryan Garrett
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98683
While I might be a trained guide, the wilderness of your life belongs to you and my goal is to help you find ways to live in it well. The counseling relationship is a collaboration that will help you uncover the patterns in your life that are simply not working, so together we can discover a new way forward. The focus of my work is with MEN, COUPLES, and YOUNG ADULTS dealing with Stress, Depression, Anger, Sexual Addiction, Life Transitions, and relationship issues.
While I might be a trained guide, the wilderness of your life belongs to you and my goal is to help you find ways to live in it well. The counseling relationship is a collaboration that will help you uncover the patterns in your life that are simply not working, so together we can discover a new way forward. The focus of my work is with MEN, COUPLES, and YOUNG ADULTS dealing with Stress, Depression, Anger, Sexual Addiction, Life Transitions, and relationship issues.
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Photo of Rachel Coblentz, Counselor in Vancouver, WA
Rachel Coblentz
Counselor, MS, LMHC, CPC
Verified Verified
Vancouver, WA 98660  (Online Only)
Are you struggling with anxiety, focus, and motivation, and/or having difficulty with past experiences that are still affecting you negatively? Well, I think I can help with that. Clients seek out my services, to help them: develop better habits and skills that reduce negative symptoms of anxiety, find strategies to live well with neurodiversity, and to find relief from trauma symptoms. You being here shows that you are ready to show up for yourself & I am ready to witness that with you and be of some help on the way to reaching your goals, whatever those goals are to you!
Are you struggling with anxiety, focus, and motivation, and/or having difficulty with past experiences that are still affecting you negatively? Well, I think I can help with that. Clients seek out my services, to help them: develop better habits and skills that reduce negative symptoms of anxiety, find strategies to live well with neurodiversity, and to find relief from trauma symptoms. You being here shows that you are ready to show up for yourself & I am ready to witness that with you and be of some help on the way to reaching your goals, whatever those goals are to you!
(360) 774-4380 View (360) 774-4380

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
67% Grief
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

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

How Therapists in Vancouver, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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