Therapists in Bend, OR

Photo of Cooperative Counseling - Jordan Runk, Counselor in Bend, OR
Cooperative Counseling - Jordan Runk
Counselor, LPC
Verified Verified
Bend, OR 97701
My goal as a counselor is to help people find strength and courage to explore their challenging or adverse thoughts and feelings in depth, and to learn how to experience those thoughts and feelings in a healthy and effective way. I see the counselor and client walk alongside each other to explore these experiences, with the outcome as finding a way for the client to live authentically for themselves, and in relation to others. This is based on a belief that each individual is their own phenomenon carrying a unique and powerful interpretation of the world, one which can be utilized in healing, growth, and change.
My goal as a counselor is to help people find strength and courage to explore their challenging or adverse thoughts and feelings in depth, and to learn how to experience those thoughts and feelings in a healthy and effective way. I see the counselor and client walk alongside each other to explore these experiences, with the outcome as finding a way for the client to live authentically for themselves, and in relation to others. This is based on a belief that each individual is their own phenomenon carrying a unique and powerful interpretation of the world, one which can be utilized in healing, growth, and change.
(458) 217-8110 View (458) 217-8110
Photo of Brian T Evans, Psychologist in Bend, OR
Brian T Evans
Psychologist, PhD
Verified Verified
Bend, OR 97702
By using compassion, humor, and research-based interventions I support older teens and adults who are struggling with a variety of adjustment issues, life stressors, and mental health challenges. I believe we are all wired for wellness but sometimes life gets in our way. I used solution-focused and brief therapy approaches to help clients learn new skills quickly. I specialize in working with stress, anxiety, depression, sleep problems, trauma, grief and health issues (traumatic brain injury, new medical diagnosis, etc.).
By using compassion, humor, and research-based interventions I support older teens and adults who are struggling with a variety of adjustment issues, life stressors, and mental health challenges. I believe we are all wired for wellness but sometimes life gets in our way. I used solution-focused and brief therapy approaches to help clients learn new skills quickly. I specialize in working with stress, anxiety, depression, sleep problems, trauma, grief and health issues (traumatic brain injury, new medical diagnosis, etc.).
(458) 236-3465 View (458) 236-3465
Photo of Lauren Roberts, Licensed Professional Counselor in Bend, OR
Lauren Roberts
Licensed Professional Counselor, MS, LPC
Verified Verified
Bend, OR 97701
Waitlist for new clients
I work with individual, couples and families to gain deeper insight and awareness. My approach to therapy is diverse and individualized to best meet the needs of each person. My approach to therapy is similar to my approach to life — straightforward and compassionate. My strength lies in creating a safe environment where you can explore underlying patterns and insecurities and begin to live out of a place of healing.
I work with individual, couples and families to gain deeper insight and awareness. My approach to therapy is diverse and individualized to best meet the needs of each person. My approach to therapy is similar to my approach to life — straightforward and compassionate. My strength lies in creating a safe environment where you can explore underlying patterns and insecurities and begin to live out of a place of healing.
(458) 217-1952 View (458) 217-1952
Photo of Jordan W. Cornwell, LPC Intern in Bend, OR
Jordan W. Cornwell
LPC Intern, MS, CRC
Verified Verified
Bend, OR 97701
I enjoy working with clients who are curious and have motivation to change. I hope to be a facilitator and team member in your care and your journey to a more self-actualized you. I believe that you are the source of your healing and I can be a tool to reach YOUR goals!
I enjoy working with clients who are curious and have motivation to change. I hope to be a facilitator and team member in your care and your journey to a more self-actualized you. I believe that you are the source of your healing and I can be a tool to reach YOUR goals!
(458) 232-3708 View (458) 232-3708
Photo of Shannon M. Kearney, Marriage & Family Therapist in Bend, OR
Shannon M. Kearney
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bend, OR 97703
I believe the key to having a good therapeutic outcome, is finding a therapist who you are compatible with. I have honed my skills over the years working with Individuals, Families, Couples, and Children. As a Licensed Marriage Family Therapist, I have been specifically educated and trained in working with people on their relationships. My specialty is in treating depression, anxiety, self-esteem issues, and grief. As my client, you will unfold at your own rate. Therapy sessions will look different for each person, as we each have different needs. We will work together, towards your goals, in a safe and nonjudgemental place.
I believe the key to having a good therapeutic outcome, is finding a therapist who you are compatible with. I have honed my skills over the years working with Individuals, Families, Couples, and Children. As a Licensed Marriage Family Therapist, I have been specifically educated and trained in working with people on their relationships. My specialty is in treating depression, anxiety, self-esteem issues, and grief. As my client, you will unfold at your own rate. Therapy sessions will look different for each person, as we each have different needs. We will work together, towards your goals, in a safe and nonjudgemental place.
(541) 359-4262 View (541) 359-4262
Photo of Wendolyn Wirtz, Licensed Professional Counselor in Bend, OR
Wendolyn Wirtz
Licensed Professional Counselor, MS, LPC
Verified Verified
Bend, OR 97702
Are you ready to embody your true core self? We hold within us the innate ability to reach optimum mental health and possess the ability to create our own healing and wholeness. My goal is to provide a warm, safe and non-judgmental environment in order to help you find your way on your healing journey. I believe mind, body and spirit are intrinsically bound together and feel if we look at ourselves from a perspective of compassion, we can use this knowledge, with the help of mind/body techniques, to move toward healing and whole health.
Are you ready to embody your true core self? We hold within us the innate ability to reach optimum mental health and possess the ability to create our own healing and wholeness. My goal is to provide a warm, safe and non-judgmental environment in order to help you find your way on your healing journey. I believe mind, body and spirit are intrinsically bound together and feel if we look at ourselves from a perspective of compassion, we can use this knowledge, with the help of mind/body techniques, to move toward healing and whole health.
(541) 275-6912 View (541) 275-6912
Photo of David Larson, LPC Intern in Bend, OR
David Larson
LPC Intern, MS
Verified Verified
Bend, OR 97703
In-Person Availability-> Monday, Tuesday, Wednesday. As your therapist it is my job to make you highly aware of your purpose by deeply attuning to your true self. Often times we lose sight of who we truly are whether it be in relationships, status, external pressures. I work with young adults to retirees, business owners, women disempowered in relationships, men disempowered by the system, to restore your inherent self-worth and capabilities. My "style" is to reflect back who you are using socratic questioning and cognitive therapy, reprocessing deeply held trauma in the brain through EMDR therapy, and other methods of resourcing.
In-Person Availability-> Monday, Tuesday, Wednesday. As your therapist it is my job to make you highly aware of your purpose by deeply attuning to your true self. Often times we lose sight of who we truly are whether it be in relationships, status, external pressures. I work with young adults to retirees, business owners, women disempowered in relationships, men disempowered by the system, to restore your inherent self-worth and capabilities. My "style" is to reflect back who you are using socratic questioning and cognitive therapy, reprocessing deeply held trauma in the brain through EMDR therapy, and other methods of resourcing.
(458) 213-4309 x2 View (458) 213-4309 x2
Photo of Kathleen (Kat) Robbins, Licensed Professional Counselor in Bend, OR
Kathleen (Kat) Robbins
Licensed Professional Counselor, LPC, CMHC, CTTIII
Verified Verified
Bend, OR 97701  (Online Only)
I specialize in re-empowering women who are experiencing disconnection from the authentic self & strained mind & body connection. My work includes right-paced exploration of trauma, depression, anxiety, low self-worth, body loathing, body transitions, & life transitions. I am dedicated to supporting the exploration of health holistically: the mental, emotional, physical, & spiritual factors that impact identity & lived experience. My intentions are to support insight on when to 'sit with' and when to be in action & to offer a safe space where exploration of all aspects of self can be experienced.
I specialize in re-empowering women who are experiencing disconnection from the authentic self & strained mind & body connection. My work includes right-paced exploration of trauma, depression, anxiety, low self-worth, body loathing, body transitions, & life transitions. I am dedicated to supporting the exploration of health holistically: the mental, emotional, physical, & spiritual factors that impact identity & lived experience. My intentions are to support insight on when to 'sit with' and when to be in action & to offer a safe space where exploration of all aspects of self can be experienced.
(458) 202-6844 View (458) 202-6844
Photo of Stephanie Tadjiki, Licensed Professional Counselor in Bend, OR
Stephanie Tadjiki
Licensed Professional Counselor, NCC, MS
Verified Verified
Bend, OR 97703
Do you feel stuck? Do you want to change the way you move through the world, and do you want someone to walk alongside you on your journey? Change is deeply personal, and requires a safe place to explore the reasons why you can't figure out how to move forward. I would be honored to provide that space and to journey with you. Let me help you gain a deeper awareness of yourself and in the process, discover inner joy.
Do you feel stuck? Do you want to change the way you move through the world, and do you want someone to walk alongside you on your journey? Change is deeply personal, and requires a safe place to explore the reasons why you can't figure out how to move forward. I would be honored to provide that space and to journey with you. Let me help you gain a deeper awareness of yourself and in the process, discover inner joy.
(458) 217-5142 View (458) 217-5142
Photo of Dr. Richard Formica, Psychologist in Bend, OR
Dr. Richard Formica
Psychologist, PhD
Verified Verified
Bend, OR 97702  (Online Only)
I am a psychologist and family/parenting expert. I have over 40 years of teaching patients how to use practical psychological skills to further marriage and family life. As a parenting expert, my goals are to help you flourish psychologically and help your child develop into a psychologically healthy adult. I also work with patients who may be having problems with anxiety, depression, marriage and parenting relationships. As a psychotherapist, I have integrated multiple modalities into effective problem-solving approaches to personal, marital, family and relationship problems to help create better marriages and families.
I am a psychologist and family/parenting expert. I have over 40 years of teaching patients how to use practical psychological skills to further marriage and family life. As a parenting expert, my goals are to help you flourish psychologically and help your child develop into a psychologically healthy adult. I also work with patients who may be having problems with anxiety, depression, marriage and parenting relationships. As a psychotherapist, I have integrated multiple modalities into effective problem-solving approaches to personal, marital, family and relationship problems to help create better marriages and families.
(541) 236-9189 View (541) 236-9189
Photo of Lindsey Burke, Licensed Professional Counselor in Bend, OR
Lindsey Burke
Licensed Professional Counselor, LPC, QMHP
Verified Verified
Bend, OR 97702  (Online Only)
Hello, my name is Lindsey Burke. I am a passionate clinician who would be honored to walk alongside you in your healing journey. Life is challenging and messy, and you don’t need to do it alone. I desire to help you overcome the obstacles that get in your way of allowing you to become the best version of yourself. I offer a therapeutic space to look at your core beliefs about yourself, others, and the world; process traumatic experiences that have made you put up walls; and practice implementing new healthy patterns that allow you to thrive and be your most authentic self!
Hello, my name is Lindsey Burke. I am a passionate clinician who would be honored to walk alongside you in your healing journey. Life is challenging and messy, and you don’t need to do it alone. I desire to help you overcome the obstacles that get in your way of allowing you to become the best version of yourself. I offer a therapeutic space to look at your core beliefs about yourself, others, and the world; process traumatic experiences that have made you put up walls; and practice implementing new healthy patterns that allow you to thrive and be your most authentic self!
(458) 235-4945 View (458) 235-4945
Photo of Jessica Kieras, Psychologist in Bend, OR
Jessica Kieras
Psychologist, PhD
Verified Verified
2 Endorsed
Bend, OR 97702
Not accepting new clients
I am currently not accepting new clients. I am a Psychologist, helping adults, teens and children ages 7 and older come up with ways of looking at themselves, others and the future that help them feel better about life. Anxiety can lead to avoidance of important activities, or just make life a lot less enjoyable. By overcoming issues such as generalized anxiety, panic attacks, social anxiety, performance anxiety, anxiety about schoolwork and obsessive compulsive disorder, I help kids and adults live in ways that are more meaningful, fulfilling and enjoyable to them.
I am currently not accepting new clients. I am a Psychologist, helping adults, teens and children ages 7 and older come up with ways of looking at themselves, others and the future that help them feel better about life. Anxiety can lead to avoidance of important activities, or just make life a lot less enjoyable. By overcoming issues such as generalized anxiety, panic attacks, social anxiety, performance anxiety, anxiety about schoolwork and obsessive compulsive disorder, I help kids and adults live in ways that are more meaningful, fulfilling and enjoyable to them.
(541) 716-5196 View (541) 716-5196
Photo of Gerald Magaro, Marriage & Family Therapist in Bend, OR
Gerald Magaro
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bend, OR 97703  (Online Only)
Not accepting new clients
I provide psychotherapy and counseling to treat a range of emotional and behavioral issues for adults, couples and families. You may be seeking help with depression, anxiety, grief and loss, stress, trauma, PTSD, relationship and marital problems, and life transitions. I do my best to understand your presenting issues and concerns. By providing support, guidance and understanding I can help you to gain insight and wisdom, and work through difficult and painful feelings and conflicts. I encourage you to self-activate, understand yourself better, change unhealthy behavior and live with a greater sense of ease and well being.
I provide psychotherapy and counseling to treat a range of emotional and behavioral issues for adults, couples and families. You may be seeking help with depression, anxiety, grief and loss, stress, trauma, PTSD, relationship and marital problems, and life transitions. I do my best to understand your presenting issues and concerns. By providing support, guidance and understanding I can help you to gain insight and wisdom, and work through difficult and painful feelings and conflicts. I encourage you to self-activate, understand yourself better, change unhealthy behavior and live with a greater sense of ease and well being.
(541) 595-3560 View (541) 595-3560
Photo of Lindsay Hamilton, Licensed Professional Counselor in Bend, OR
Lindsay Hamilton
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Bend, OR 97702
Not accepting new clients
Since graduating my clinical work has spanned both acute in-patient programs and private practice, giving me experience with a broad range of mental health issues. I am excited to work with individuals who are willing to risk "going deep" and being vulnerable in order to get the long-lasting change they want for their lives, even if that sounds uncomfortable. Our work together will be defined by genuineness, authenticity and empathy. My aim is to partner with you in identifying the goals you want for your life, and helping you achieve those goals, so that you have the are enjoying the quality of life you deserve.
Since graduating my clinical work has spanned both acute in-patient programs and private practice, giving me experience with a broad range of mental health issues. I am excited to work with individuals who are willing to risk "going deep" and being vulnerable in order to get the long-lasting change they want for their lives, even if that sounds uncomfortable. Our work together will be defined by genuineness, authenticity and empathy. My aim is to partner with you in identifying the goals you want for your life, and helping you achieve those goals, so that you have the are enjoying the quality of life you deserve.
(458) 214-8882 View (458) 214-8882
Photo of Amy Weald, Licensed Professional Counselor in Bend, OR
Amy Weald
Licensed Professional Counselor, LPC, MCOUN, NBCC
Verified Verified
4 Endorsed
Bend, OR 97703  (Online Only)
Waitlist for new clients
Are you looking for a space where you can show up just the way you are and have someone meet you where you're at? Is it your first time looking for a counselor? Have you had counseling experience in the past and are looking for a new therapist or a counselor with a different approach? I work primarily with adult individuals living with trauma, anxiety, depression, OCD, and ADHD. My clients often express a desire to live life with a little more ease - I work with you to make this goal a reality. My main goal is to provide clients with an open, stigma-breaking, and supportive therapy experience. I only offer Telehealth services.
Are you looking for a space where you can show up just the way you are and have someone meet you where you're at? Is it your first time looking for a counselor? Have you had counseling experience in the past and are looking for a new therapist or a counselor with a different approach? I work primarily with adult individuals living with trauma, anxiety, depression, OCD, and ADHD. My clients often express a desire to live life with a little more ease - I work with you to make this goal a reality. My main goal is to provide clients with an open, stigma-breaking, and supportive therapy experience. I only offer Telehealth services.
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Photo of Diana Phillips-Saldana, Licensed Professional Counselor in Bend, OR
Diana Phillips-Saldana
Licensed Professional Counselor, MS, LPC
Verified Verified
Bend, OR 97702
Accepting New Patients! Welcome! I am a mental health therapist that focuses on treating mental health concerns specific to women.Women often face challenges that are unique to their gender, such as sexism, trauma, stereotyping, relationship concerns, motherhood, childbirth issues, and infertility struggles.I like to have a collaborative approach in therapy to help address these issues and help meet the goals of the women I work with. I have a particular interest in working with women who have struggled with infertility and new motherhood.
Accepting New Patients! Welcome! I am a mental health therapist that focuses on treating mental health concerns specific to women.Women often face challenges that are unique to their gender, such as sexism, trauma, stereotyping, relationship concerns, motherhood, childbirth issues, and infertility struggles.I like to have a collaborative approach in therapy to help address these issues and help meet the goals of the women I work with. I have a particular interest in working with women who have struggled with infertility and new motherhood.
(541) 325-7766 View (541) 325-7766
Photo of Rachel Frank, Clinical Social Work/Therapist in Bend, OR
Rachel Frank
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97702
I compassionately welcome those working through life transitions, experiencing depression, anxiety, and those who have been impacted by the effects of traumatic experiences. Often times individuals struggling are feeling disconnected from their authentic self, their creativity, and spirituality. As well as feeling disconnected from family/friends, romantic partners, and communities. I am passionate about working with individuals to find/regain their light, love, vitality, and connection.
I compassionately welcome those working through life transitions, experiencing depression, anxiety, and those who have been impacted by the effects of traumatic experiences. Often times individuals struggling are feeling disconnected from their authentic self, their creativity, and spirituality. As well as feeling disconnected from family/friends, romantic partners, and communities. I am passionate about working with individuals to find/regain their light, love, vitality, and connection.
(541) 610-9036 View (541) 610-9036
Photo of Taylor Henry, Clinical Social Work/Therapist in Bend, OR
Taylor Henry
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bend, OR 97703
Not accepting new clients
Choosing to face your fears can feel overwhelming and you don't have to do it alone. I believe that all people are resilient and have the internal capacity to reach their goals when provided with the right support and resources. I focus on creating a safe environment in which you can begin to form a deeper understanding of yourself and explore the root causes of your emotional distress. My hope is that you will leave therapy with a greater acceptance of yourself, increased confidence in your ability to navigate future challenges and a clearer path on how to engage in your life in a more meaningful and connected way.
Choosing to face your fears can feel overwhelming and you don't have to do it alone. I believe that all people are resilient and have the internal capacity to reach their goals when provided with the right support and resources. I focus on creating a safe environment in which you can begin to form a deeper understanding of yourself and explore the root causes of your emotional distress. My hope is that you will leave therapy with a greater acceptance of yourself, increased confidence in your ability to navigate future challenges and a clearer path on how to engage in your life in a more meaningful and connected way.
(541) 550-1302 View (541) 550-1302
Photo of Michael Long, Marriage & Family Therapist in Bend, OR
Michael Long
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Bend, OR 97703
My practice is very simple. I help individuals, families and couples get unstuck, find new options, and engage their inner strength and creativity in the pursuit of a more authentic lifestyle and more fulfilling relationships. My primary focus is working with children and families who are looking for new ways to address old issues, or couples and families who are looking to get on the same page.
My practice is very simple. I help individuals, families and couples get unstuck, find new options, and engage their inner strength and creativity in the pursuit of a more authentic lifestyle and more fulfilling relationships. My primary focus is working with children and families who are looking for new ways to address old issues, or couples and families who are looking to get on the same page.
(458) 207-2335 View (458) 207-2335
Photo of Lauren Lenahan, Licensed Professional Counselor in Bend, OR
Lauren Lenahan
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Bend, OR 97703  (Online Only)
Are you tired of not feeling good enough? Are you wanting to understand why you’re your own biggest critic? Are you seeking therapy in hopes to create a life of fulfillment, authenticity and balance? Maybe you’ve found yourself time again wondering why you feel stuck. Whether it’s your job, relationships or lifestyle, you continuously feel like something is amiss. You may wonder why fear or stress play such a heavy role in your life. Thinking about the past, or even the future, keeps you from being present in the moment. You wonder if the stories you tell yourself are holding you back from greater potential.
Are you tired of not feeling good enough? Are you wanting to understand why you’re your own biggest critic? Are you seeking therapy in hopes to create a life of fulfillment, authenticity and balance? Maybe you’ve found yourself time again wondering why you feel stuck. Whether it’s your job, relationships or lifestyle, you continuously feel like something is amiss. You may wonder why fear or stress play such a heavy role in your life. Thinking about the past, or even the future, keeps you from being present in the moment. You wonder if the stories you tell yourself are holding you back from greater potential.
(458) 243-4582 View (458) 243-4582

How does your Therapist compare?

Number of Therapists in Bend, OR

500+

Average cost per session

$165

Therapists in Bend, OR who prioritize treating:

91% Anxiety
87% Depression
81% Relationship Issues
77% Self Esteem
76% Trauma and PTSD
76% Stress
71% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

78% PacificSource
55% Oregon Health Plan (OHP)
38% Aetna

How Therapists in Bend, OR see their clients

65% In Person and Online
35% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bend?

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.