Therapists in Seattle, WA

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Photo of Tami Morgan in Seattle, WA
Tami Morgan
ARNP, FNP
Verified Verified
1 Endorsed
Seattle, WA 98134
Anxiety and depression have become epidemic in today's society, only made worse by the Covid-19 pandemic. In a world of constant motion, various forces competing for your time and energy, and ever-increasing professional demands, it is no wonder we end up ill. But you don't have to succumb to a state of illness! I offer medication management and lifestyle coaching. Diagnoses I treat include depression, anxiety, panic disorder, PTSD, OCD and ADHD.
Anxiety and depression have become epidemic in today's society, only made worse by the Covid-19 pandemic. In a world of constant motion, various forces competing for your time and energy, and ever-increasing professional demands, it is no wonder we end up ill. But you don't have to succumb to a state of illness! I offer medication management and lifestyle coaching. Diagnoses I treat include depression, anxiety, panic disorder, PTSD, OCD and ADHD.
(206) 258-6057 View (206) 258-6057
Photo of Mindful Sessions, Marriage & Family Therapist in Seattle, WA
Mindful Sessions
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98117  (Online Only)
Waitlist for new clients
Are you feeling stuck? Do you feel numb, unable to find joy in things that once made you happy? When we're struggling, it can spill out, onto our relationships, showing up in ways that create more issues. In our efforts to make change, we may try to solve them by reading self-help books or talking to our closest friends, only to find the problem is still a problem. That’s where I can help. Together we’ll identify goals and collaborate on a treatment plan. The beginning of any journey or change begins with acceptance, the proper treatment, and a healthier relationship and connection with ourselves and the world around us.
Are you feeling stuck? Do you feel numb, unable to find joy in things that once made you happy? When we're struggling, it can spill out, onto our relationships, showing up in ways that create more issues. In our efforts to make change, we may try to solve them by reading self-help books or talking to our closest friends, only to find the problem is still a problem. That’s where I can help. Together we’ll identify goals and collaborate on a treatment plan. The beginning of any journey or change begins with acceptance, the proper treatment, and a healthier relationship and connection with ourselves and the world around us.
(509) 204-5994 View (509) 204-5994
Photo of Joshua Germain, Counselor in Seattle, WA
Joshua Germain
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98112  (Online Only)
Waitlist for new clients
Have you ever felt like there are parts of your identity and your relationships that you have lost touch with? Many of us live our lives disconnected from the current moment, from those around us, and from our true self. The truth is, we cannot numb one part of ourselves without numbing who we are as a whole. I am passionate about partnering alongside individuals, couples, and families in the pursuit of discovering wholeness. My approach is holistic, systemic, and collaborative, as I seek to promote long-lasting change through the safety and trust that is formed within the therapeutic relationship.
Have you ever felt like there are parts of your identity and your relationships that you have lost touch with? Many of us live our lives disconnected from the current moment, from those around us, and from our true self. The truth is, we cannot numb one part of ourselves without numbing who we are as a whole. I am passionate about partnering alongside individuals, couples, and families in the pursuit of discovering wholeness. My approach is holistic, systemic, and collaborative, as I seek to promote long-lasting change through the safety and trust that is formed within the therapeutic relationship.
(206) 558-4746 View (206) 558-4746
Photo of Jennifer Rough, Psychologist in Seattle, WA
Jennifer Rough
Psychologist, PhD
Verified Verified
Seattle, WA 98119  (Online Only)
In my therapy practice, I help people embrace their challenges with compassion and awareness, and move toward personal growth and valued living. My practice is rooted in evidence-based principles, drawing upon my training in Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Compassion-Focused Therapy, and mindfulness-based therapies. I value person-centered care and tailor the therapy to fit the specific needs of my clients. I help people suffering from anxiety, depression, insomnia, trauma, life stress, life transitions, and relationships.
In my therapy practice, I help people embrace their challenges with compassion and awareness, and move toward personal growth and valued living. My practice is rooted in evidence-based principles, drawing upon my training in Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Compassion-Focused Therapy, and mindfulness-based therapies. I value person-centered care and tailor the therapy to fit the specific needs of my clients. I help people suffering from anxiety, depression, insomnia, trauma, life stress, life transitions, and relationships.
(206) 460-1581 View (206) 460-1581
Photo of Erika Eichelberger, Counselor in Seattle, WA
Erika Eichelberger
Counselor, LMHCA
Verified Verified
Seattle, WA 98121  (Online Only)
I love working with people who sense that talk therapy alone isn't enough to transform those places in their life where they feel stuck—whether this be due to persistent anxiety or depression, trauma, childhood abuse or neglect, or trouble with relationships or self-worth. As a somatic (body-based) psychotherapist, I can support you in learning to listen to the embodied cues that live beneath your thoughts and follow them towards more vitality, ease, and resilience—and a deeper sense of who you really are. While our work together will of course involve verbal exploration of your story, we will always keep the body in mind.
I love working with people who sense that talk therapy alone isn't enough to transform those places in their life where they feel stuck—whether this be due to persistent anxiety or depression, trauma, childhood abuse or neglect, or trouble with relationships or self-worth. As a somatic (body-based) psychotherapist, I can support you in learning to listen to the embodied cues that live beneath your thoughts and follow them towards more vitality, ease, and resilience—and a deeper sense of who you really are. While our work together will of course involve verbal exploration of your story, we will always keep the body in mind.
(206) 984-8721 View (206) 984-8721
Photo of Kaitlyn Sheridan, Counselor in Seattle, WA
Kaitlyn Sheridan
Counselor, MA, LMHC, MHP
Verified Verified
2 Endorsed
Seattle, WA 98112
We live in an absurd world, running into expected narratives about how life should be and how we should feel and think. These experiences can lead to suffering: overwhelm, feelings of isolation, meaninglessness, and permanence, leaving us feeling broken. We cannot change our experiences, but we can change our relationship with those experiences, what they mean, and how we approach them. I have extensive experience working with emotional laborers, adolescents, women, LGBT+ challenges, body and sex/kink positive, identity difficulties, and attachment wounds.
We live in an absurd world, running into expected narratives about how life should be and how we should feel and think. These experiences can lead to suffering: overwhelm, feelings of isolation, meaninglessness, and permanence, leaving us feeling broken. We cannot change our experiences, but we can change our relationship with those experiences, what they mean, and how we approach them. I have extensive experience working with emotional laborers, adolescents, women, LGBT+ challenges, body and sex/kink positive, identity difficulties, and attachment wounds.
(206) 208-2314 View (206) 208-2314
Photo of Vivian Dregely, Marriage & Family Therapist in Seattle, WA
Vivian Dregely
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Not accepting new clients
I firmly believe that therapy should be a transformative and empowering experience. I am dedicated to supporting the mental well-being, personal growth, and fulfilling relationships of millennial adults and couples in Washington State. With authenticity and compassion, I listen, ask the tough questions, and help you uncover new perspectives so that you can grow out of the limiting belief systems and maladaptive behaviors that are holding you back from the life and relationships that you crave.
I firmly believe that therapy should be a transformative and empowering experience. I am dedicated to supporting the mental well-being, personal growth, and fulfilling relationships of millennial adults and couples in Washington State. With authenticity and compassion, I listen, ask the tough questions, and help you uncover new perspectives so that you can grow out of the limiting belief systems and maladaptive behaviors that are holding you back from the life and relationships that you crave.
(206) 737-3182 View (206) 737-3182
Photo of Seattle EMDR Associates, Counselor in Seattle, WA
Seattle EMDR Associates
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98109
Many of us are feeling overwhelmed and stressed out right now. Recent and ongoing events are likely to trigger things that have happened in our past and can make it even more difficult to get through the day. Maybe you're feeling guilty because you feel like you "should" be grateful right now, but you really just feel awful. Whatever you are going through, talking to a therapist can be a lifesaver. We can help you make sense of what is going on in the world and your life, and help you feel supported and empowered in this time of uncertainty. We are here to be your non-judgemental support.
Many of us are feeling overwhelmed and stressed out right now. Recent and ongoing events are likely to trigger things that have happened in our past and can make it even more difficult to get through the day. Maybe you're feeling guilty because you feel like you "should" be grateful right now, but you really just feel awful. Whatever you are going through, talking to a therapist can be a lifesaver. We can help you make sense of what is going on in the world and your life, and help you feel supported and empowered in this time of uncertainty. We are here to be your non-judgemental support.
(206) 785-1539 View (206) 785-1539
Photo of Ashley Sedlacek, Counselor in Seattle, WA
Ashley Sedlacek
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98112
Not accepting new clients
Experiencing anxiety is a normal part of life, but sometimes it can start taking over your life, and this is when therapy can help. Sometimes it is hard to know what to do, or hard to do what we want when we are overwhelmed by certain fears, feelings or ideas. This too is when therapy can help. Whether you or your child is experiencing anxiety that is causing distress and limiting life, I would love to work with you. I believe therapy is a collaborative process, which will be driven by your needs, desires, and motivations.
Experiencing anxiety is a normal part of life, but sometimes it can start taking over your life, and this is when therapy can help. Sometimes it is hard to know what to do, or hard to do what we want when we are overwhelmed by certain fears, feelings or ideas. This too is when therapy can help. Whether you or your child is experiencing anxiety that is causing distress and limiting life, I would love to work with you. I believe therapy is a collaborative process, which will be driven by your needs, desires, and motivations.
(206) 785-3607 View (206) 785-3607
Photo of Jessie Thuy Brooks-Janzen, Clinical Social Work/Therapist in Seattle, WA
Jessie Thuy Brooks-Janzen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Seattle, WA 98119
As the partner affected by the addictive behavior of a loved one, you often find yourself asking what you can do to help them? You have tried many approaches, but none have been long-lasting. Your loved one's addictive behavior is unpredictable, and you are fearful it might get worse. You love your partner, but not their addictive behavior. Reaching out for help can be scary, as you want to be sure that you find a counselor that you can connect with and one that understands addictive behavior.
As the partner affected by the addictive behavior of a loved one, you often find yourself asking what you can do to help them? You have tried many approaches, but none have been long-lasting. Your loved one's addictive behavior is unpredictable, and you are fearful it might get worse. You love your partner, but not their addictive behavior. Reaching out for help can be scary, as you want to be sure that you find a counselor that you can connect with and one that understands addictive behavior.
(206) 717-8536 View (206) 717-8536
Photo of Molly Coffin Therapy, Clinical Social Work/Therapist in Seattle, WA
Molly Coffin Therapy
Clinical Social Work/Therapist, LSWAIC, PMH-C
Verified Verified
3 Endorsed
Seattle, WA 98118
We can never be fully prepared for how life changes once we have children. Learning how to be a parent without losing other important relationships and parts of ourselves can be even more challenging if we’re dealing with a traumatic birth, unexpected medical diagnoses, or an increase in anxiety, overwhelm, or anger. I am a therapist who listens closely and with curiosity, who will support you in processing loss and rebuilding your sense of self and your relationships. With humor and compassion, I can guide you in strengthening your confidence and identity as a parent and a partner.
We can never be fully prepared for how life changes once we have children. Learning how to be a parent without losing other important relationships and parts of ourselves can be even more challenging if we’re dealing with a traumatic birth, unexpected medical diagnoses, or an increase in anxiety, overwhelm, or anger. I am a therapist who listens closely and with curiosity, who will support you in processing loss and rebuilding your sense of self and your relationships. With humor and compassion, I can guide you in strengthening your confidence and identity as a parent and a partner.
(206) 589-1740 View (206) 589-1740
Photo of Amy Bloom LICSW, Clinical Social Work/Therapist in Seattle, WA
Amy Bloom LICSW
Clinical Social Work/Therapist, LICSW, CSAT, CMAT, CCBRT-C
Verified Verified
Seattle, WA 98109
I have been treating clients and couples for two decades. I specialized in bi-polar and other mood disorders before becoming a certified multiple addictions, sex addiction therapist and couple's counselor. I was certified by the International Institute for Trauma and Addiction Professionals with Patrick Carnes in 2008. I treat those who suffer from mood, sexual addiction/compulsion issues, I treat spouses/partners who have betrayal trauma and help couples find their way back to each other. I am able to offer insight, compassion, levity and support. I do not treat sex offenders. I am not certified in sex offender treatment
I have been treating clients and couples for two decades. I specialized in bi-polar and other mood disorders before becoming a certified multiple addictions, sex addiction therapist and couple's counselor. I was certified by the International Institute for Trauma and Addiction Professionals with Patrick Carnes in 2008. I treat those who suffer from mood, sexual addiction/compulsion issues, I treat spouses/partners who have betrayal trauma and help couples find their way back to each other. I am able to offer insight, compassion, levity and support. I do not treat sex offenders. I am not certified in sex offender treatment
(425) 600-1339 View (425) 600-1339
Photo of Nova Rivera, Clinical Social Work/Therapist in Seattle, WA
Nova Rivera
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Are you currently facing difficulties? Are you looking for support in processing a difficult or painful time in your past? Searching for general therapeutic support? I am available to provide the support you seek at any stage in your journey. I am passionate about providing my services to a diverse clientele including individuals of various racial/ethnic backgrounds, sexual orientations, gender identities, and abilities. I believe that all clients have their strengths and are resilient. Part of my role is to encourage you to see your strengths as well. Maybe that doesn't come easy to you and that is okay! Let's practice together.
Are you currently facing difficulties? Are you looking for support in processing a difficult or painful time in your past? Searching for general therapeutic support? I am available to provide the support you seek at any stage in your journey. I am passionate about providing my services to a diverse clientele including individuals of various racial/ethnic backgrounds, sexual orientations, gender identities, and abilities. I believe that all clients have their strengths and are resilient. Part of my role is to encourage you to see your strengths as well. Maybe that doesn't come easy to you and that is okay! Let's practice together.
(206) 735-3478 View (206) 735-3478
Photo of Ka Tonya McGirt, Clinical Social Work/Therapist in Seattle, WA
Ka Tonya McGirt
Clinical Social Work/Therapist, PhD, LICSW, CCHt
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Not accepting new clients
Life is way too short to feel like your best isn't good enough. Too short to fear you will not be accepted as you are and feel as though you have to live in your own shadow. You do not have to avoid certain people, places, or feelings to feel in control of your body. Could you be holding yourself back from being your best self? Kind of like self-sabotage? Do you have difficulty trusting others or building bonds out of fear they are just going to leave you? This could lead to experiencing difficulty maintaining any type of relationship.
Life is way too short to feel like your best isn't good enough. Too short to fear you will not be accepted as you are and feel as though you have to live in your own shadow. You do not have to avoid certain people, places, or feelings to feel in control of your body. Could you be holding yourself back from being your best self? Kind of like self-sabotage? Do you have difficulty trusting others or building bonds out of fear they are just going to leave you? This could lead to experiencing difficulty maintaining any type of relationship.
(253) 244-3446 View (253) 244-3446
Photo of Stefanie Robbins, Counselor in Seattle, WA
Stefanie Robbins
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98122
Not accepting new clients
Self-improvement. Relationship issues. Anxiety. Unhelpful thoughts or behaviors. These are some of the concerns that bring people, just like you, to my counseling practice. I value and work with the strengths, imperfections, gifts, genetics, history and humanity of each person or family, as these aspects inform and shape who we are. I support clients in identifying a values-based direction for positive change and explore both what motivates change and the barriers that are getting in the way. Together, we create a road map to a healthier life for you or your family.
Self-improvement. Relationship issues. Anxiety. Unhelpful thoughts or behaviors. These are some of the concerns that bring people, just like you, to my counseling practice. I value and work with the strengths, imperfections, gifts, genetics, history and humanity of each person or family, as these aspects inform and shape who we are. I support clients in identifying a values-based direction for positive change and explore both what motivates change and the barriers that are getting in the way. Together, we create a road map to a healthier life for you or your family.
(425) 629-0074 View (425) 629-0074
Photo of Shakira Cruz, Clinical Social Work/Therapist in Seattle, WA
Shakira Cruz
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98109  (Online Only)
Not accepting new clients
I enjoy working with supervisees as a thought partner, coach, supervisor, and mentor. I believe growth happens when we are rooted in our integrity, engaging curiosity, leaning into discomfort, and embracing humor. I have extensive experience supervising clinical and macro social workers, advocates, counselors and clinicians in community health, non-profit, and private practice settings.
I enjoy working with supervisees as a thought partner, coach, supervisor, and mentor. I believe growth happens when we are rooted in our integrity, engaging curiosity, leaning into discomfort, and embracing humor. I have extensive experience supervising clinical and macro social workers, advocates, counselors and clinicians in community health, non-profit, and private practice settings.
(206) 339-4581 View (206) 339-4581
Photo of Gretchen DeHart, Clinical Social Work/Therapist in Seattle, WA
Gretchen DeHart
Clinical Social Work/Therapist, MSW, LICSW, RYT 200
Verified Verified
Seattle, WA 98102
My approach to therapeutic work comes out of radical love for humans and their healing. Therapy is a place to build strong relationships through authentic connection. When people are able to be fully seen as who they are, in their truth, we can start to think about changes and tap into our personal wisdom; our bodies, minds, and spirits have wisdom that I hope we will find in our work together. As a therapist, I show up as myself and hope to encourage my clients to show up as who they are and connect on that level. I approach my work aligned with my core values: connection, compassion, curiosity, creativity, and community.
My approach to therapeutic work comes out of radical love for humans and their healing. Therapy is a place to build strong relationships through authentic connection. When people are able to be fully seen as who they are, in their truth, we can start to think about changes and tap into our personal wisdom; our bodies, minds, and spirits have wisdom that I hope we will find in our work together. As a therapist, I show up as myself and hope to encourage my clients to show up as who they are and connect on that level. I approach my work aligned with my core values: connection, compassion, curiosity, creativity, and community.
(509) 260-8578 View (509) 260-8578
Photo of Heidi Gray, Marriage & Family Therapist in Seattle, WA
Heidi Gray
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98136
I work with all types of couples to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact my practice are usually seeking counseling because they are struggling with a disconnected relationship, working toward healing after betrayal, having sexual difficulties, or contemplating separation. Through the use of research-supported approaches to couple therapy, relational wounds can be healed and a deeper connection in our most important relationships is possible.
I work with all types of couples to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact my practice are usually seeking counseling because they are struggling with a disconnected relationship, working toward healing after betrayal, having sexual difficulties, or contemplating separation. Through the use of research-supported approaches to couple therapy, relational wounds can be healed and a deeper connection in our most important relationships is possible.
(206) 858-8169 View (206) 858-8169
Photo of Maiah A Merino, Counselor in Seattle, WA
Maiah A Merino
Counselor, LMHC
Verified Verified
Seattle, WA 98116  (Online Only)
I am here to support you in creating a vibrant Story for yourself. Our sessions will be interactive, reflective, have humor and hopefully bring you new tools and resources. We will practice ways of being that move you toward standing with more of yourself in the world. Come join me!
I am here to support you in creating a vibrant Story for yourself. Our sessions will be interactive, reflective, have humor and hopefully bring you new tools and resources. We will practice ways of being that move you toward standing with more of yourself in the world. Come join me!
(206) 502-1877 View (206) 502-1877
Photo of Taylor Evans, Counselor in Seattle, WA
Taylor Evans
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98101
My work empowers clients by helping them find clarity amidst the chaos of distractions that impede engagement in their present experience. I believe the fundamental vehicle of change is the relationship between the counselor and the client. For me, therapy is a collaborative approach in which the therapist helps clients confront issues by staying present and exploring their narratives and relationships through different dynamics and perspectives.
My work empowers clients by helping them find clarity amidst the chaos of distractions that impede engagement in their present experience. I believe the fundamental vehicle of change is the relationship between the counselor and the client. For me, therapy is a collaborative approach in which the therapist helps clients confront issues by staying present and exploring their narratives and relationships through different dynamics and perspectives.
(206) 590-5273 View (206) 590-5273

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

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

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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