Therapists in Seattle, WA

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Photo of Rachel DeBoer, Counselor in Seattle, WA
Rachel DeBoer
Counselor, LMHCA
Verified Verified
3 Endorsed
Seattle, WA 98103
Not accepting new clients
I think deep down we all want spaces where we can be totally real. Where we can say whatever we think or feel and not be judged for it. When we don't have these spaces, we learn to hide in order to protect ourselves. We don't say what we actually think or feel for so long that sometimes we stop knowing ourselves or feeling known by others. We get stuck in patterns that we don't want, but don't know how to get out of. If you're sick of feeling stuck, therapy is a great place to start. Once we make space to know ourselves, change can actually happen.
I think deep down we all want spaces where we can be totally real. Where we can say whatever we think or feel and not be judged for it. When we don't have these spaces, we learn to hide in order to protect ourselves. We don't say what we actually think or feel for so long that sometimes we stop knowing ourselves or feeling known by others. We get stuck in patterns that we don't want, but don't know how to get out of. If you're sick of feeling stuck, therapy is a great place to start. Once we make space to know ourselves, change can actually happen.
(206) 208-7050 View (206) 208-7050
Photo of Krysten Selock, Pre-Licensed Professional in Seattle, WA
Krysten Selock
Pre-Licensed Professional
Verified Verified
Seattle, WA 98102
As a therapist, I believe in the innate potential for growth and self-actualization within each individual- in whatever way that looks like for you.
As a therapist, I believe in the innate potential for growth and self-actualization within each individual- in whatever way that looks like for you.
(206) 800-8584 View (206) 800-8584
Photo of Susan Delia, Clinical Social Work/Therapist in Seattle, WA
Susan Delia
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Seattle, WA 98121
Two Chairs was founded in 2017 with a mission to build a world where everyone has access to exceptional mental healthcare. We're creating a better experience for both patients and clinicians by starting with an in-depth, research-backed matching process to ensure the ideal patient-therapist fit, offering hybrid care that gives patients and clinicians flexibility between in-person and virtual sessions, and measuring outcomes to ensure patients get better faster.
Two Chairs was founded in 2017 with a mission to build a world where everyone has access to exceptional mental healthcare. We're creating a better experience for both patients and clinicians by starting with an in-depth, research-backed matching process to ensure the ideal patient-therapist fit, offering hybrid care that gives patients and clinicians flexibility between in-person and virtual sessions, and measuring outcomes to ensure patients get better faster.
(206) 222-9428 View (206) 222-9428
Photo of Marisol Swords, LPC Intern in Seattle, WA
Marisol Swords
LPC Intern
Verified Verified
2 Endorsed
Seattle, WA 98116
Hey, y'all, I'm Marisol, and I am ecstatic to be here for you. My ideal client seeks a therapist who understands the complexities of their experiences, including generational trauma and systemic oppression. They crave a safe space to explore their root causes of distress and yearn for healing that integrates mind, body, and spirit. Their goals include finding inner peace, cultivating resilience, and reclaiming their power. They seek authenticity, compassion, and guidance on their journey toward holistic well-being.
Hey, y'all, I'm Marisol, and I am ecstatic to be here for you. My ideal client seeks a therapist who understands the complexities of their experiences, including generational trauma and systemic oppression. They crave a safe space to explore their root causes of distress and yearn for healing that integrates mind, body, and spirit. Their goals include finding inner peace, cultivating resilience, and reclaiming their power. They seek authenticity, compassion, and guidance on their journey toward holistic well-being.
(206) 202-8779 View (206) 202-8779
Photo of Madeline Nicole Schmitt, Counselor in Seattle, WA
Madeline Nicole Schmitt
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98119
Not accepting new clients
I’m a mental health counselor who believes in getting to know you and your interests first, then the healing can begin. I provide counseling services to teens and adults via telehealth or in person in Seattle, WA. I believe that being fun and interest-oriented is going to help find where you are now, so we can build the future you want to achieve-people never fail, plans fail, so let's make a new plan. You are the expert of your own life; I’m only here to help remember strengths that may have been forgotten or build new supports if helpful.
I’m a mental health counselor who believes in getting to know you and your interests first, then the healing can begin. I provide counseling services to teens and adults via telehealth or in person in Seattle, WA. I believe that being fun and interest-oriented is going to help find where you are now, so we can build the future you want to achieve-people never fail, plans fail, so let's make a new plan. You are the expert of your own life; I’m only here to help remember strengths that may have been forgotten or build new supports if helpful.
(509) 394-4585 View (509) 394-4585
Photo of Mikaela Serafin, Counselor in Seattle, WA
Mikaela Serafin
Counselor, MDiv, MA, LMHC
Verified Verified
Seattle, WA 98109
The truth is, our world is unpredictable. Our lives are jolted by circumstances that are wonderful, exciting, + lovely–circumstances that are terrible, tragic, + awful. These two opposites do not cancel each other out. Life is both incredible + hard. Therapy is a courageous choice to explore the impact these circumstances have on our lives. The goal of therapy is to help you flourish–to work from the core of who you are to equip you with the necessary skills to live the life you desire. It would be an honor to come alongside you in this aim.
The truth is, our world is unpredictable. Our lives are jolted by circumstances that are wonderful, exciting, + lovely–circumstances that are terrible, tragic, + awful. These two opposites do not cancel each other out. Life is both incredible + hard. Therapy is a courageous choice to explore the impact these circumstances have on our lives. The goal of therapy is to help you flourish–to work from the core of who you are to equip you with the necessary skills to live the life you desire. It would be an honor to come alongside you in this aim.
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Photo of Joseph Henry, Counselor in Seattle, WA
Joseph Henry
Counselor, MA, LMCH
Verified Verified
1 Endorsed
Seattle, WA 98102
We all experience great changes during our lives, evolutions in identity, shifts in how we see ourselves and how others see us. I specialize in helping people grow in the wake of significant life events and changes. Through reflection and dialogue we can understand and make meaning of our journey.
We all experience great changes during our lives, evolutions in identity, shifts in how we see ourselves and how others see us. I specialize in helping people grow in the wake of significant life events and changes. Through reflection and dialogue we can understand and make meaning of our journey.
(206) 785-2205 View (206) 785-2205
Photo of Noelle Witherow, Counselor in Seattle, WA
Noelle Witherow
Counselor, LMHCA
Verified Verified
Seattle, WA 98107
Noelle Witherow is a Licensed Mental Health Counselor in Washington who has been practicing since 2022. She has a B.S. in Psychology from Virginia Commonwealth University and an M.Ed. in Clinical Mental Health Counseling from Louisiana State University. As a clinician, Noelle strives to hold space and create bonds so clients can feel heard and understood. She is a passionate professional who works to create a sense of safety and compassion in sessions. Noelle aims to make clients feel they are agents in their recovery yet have support they need. She is greatly honored to be a part of each of her client’s journeys.
Noelle Witherow is a Licensed Mental Health Counselor in Washington who has been practicing since 2022. She has a B.S. in Psychology from Virginia Commonwealth University and an M.Ed. in Clinical Mental Health Counseling from Louisiana State University. As a clinician, Noelle strives to hold space and create bonds so clients can feel heard and understood. She is a passionate professional who works to create a sense of safety and compassion in sessions. Noelle aims to make clients feel they are agents in their recovery yet have support they need. She is greatly honored to be a part of each of her client’s journeys.
(206) 594-2485 View (206) 594-2485
Photo of Tori Loe LICSW, PLLC, Clinical Social Work/Therapist in Seattle, WA
Tori Loe LICSW, PLLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98109  (Online Only)
Not accepting new clients
I provide teletherapy in Washington state for those who are facing a wide range of challenges, growth and transitions, related to depression, anxiety, trauma, relationships, family, LGBTQIA+, neurodivergence, self-discovery, and navigating changes. Life is overwhelming, emotions feel out of control and burdensome, and relationships feel stressful, change is inevitable and hard. Asking for help and trusting someone new is tough but will be worth it. Therapy can enhance your understanding of yourself, your needs, connections with your loved ones and beyond. I want to support you and work towards success in all areas of your life.
I provide teletherapy in Washington state for those who are facing a wide range of challenges, growth and transitions, related to depression, anxiety, trauma, relationships, family, LGBTQIA+, neurodivergence, self-discovery, and navigating changes. Life is overwhelming, emotions feel out of control and burdensome, and relationships feel stressful, change is inevitable and hard. Asking for help and trusting someone new is tough but will be worth it. Therapy can enhance your understanding of yourself, your needs, connections with your loved ones and beyond. I want to support you and work towards success in all areas of your life.
(206) 888-4095 View (206) 888-4095
Photo of Crystal McGregor, Mental Health Counselor in Seattle, WA
Crystal McGregor
Mental Health Counselor, LMHC, MA
Verified Verified
3 Endorsed
Seattle, WA 98107
You are a helper, giver, or fixer who is ready to do the deep work to transform your patterns of perfectionism, overfunctioning, people-pleasing, burnout, depression, and anxiety. You and others around you have put an incredible amount of pressure and expectations on your shoulders. You want to feel more comfortable in your own skin. You want to be honest with yourself and others about who you are, your limitations, and your boundaries. You are ready to care for yourself as one of the many people you care for. You desire to experience life in a more vibrant way, take risks freely, and feel more in charge of your life.
You are a helper, giver, or fixer who is ready to do the deep work to transform your patterns of perfectionism, overfunctioning, people-pleasing, burnout, depression, and anxiety. You and others around you have put an incredible amount of pressure and expectations on your shoulders. You want to feel more comfortable in your own skin. You want to be honest with yourself and others about who you are, your limitations, and your boundaries. You are ready to care for yourself as one of the many people you care for. You desire to experience life in a more vibrant way, take risks freely, and feel more in charge of your life.
(206) 208-9495 View (206) 208-9495
Photo of Brian Cruess, Clinical Social Work/Therapist in Seattle, WA
Brian Cruess
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98122
We all find ourselves in circumstances at one time or another that call for adjusting to change or making decisions, whether it's charting a path through grief and loss, developmental transitions, job loss, recovering from trauma or the challenges of parenting. Therapy can be helpful in sorting through confusing thoughts and feelings, gaining insight, establishing a course of action amongst different choices, and building confidence through experiencing a deeper understanding of yourself, all in the context of a caring relationship.
We all find ourselves in circumstances at one time or another that call for adjusting to change or making decisions, whether it's charting a path through grief and loss, developmental transitions, job loss, recovering from trauma or the challenges of parenting. Therapy can be helpful in sorting through confusing thoughts and feelings, gaining insight, establishing a course of action amongst different choices, and building confidence through experiencing a deeper understanding of yourself, all in the context of a caring relationship.
(206) 496-0381 View (206) 496-0381
Photo of Brian Jones, Counselor in Seattle, WA
Brian Jones
Counselor, MEd, LMHC, LPC
Verified Verified
7 Endorsed
Seattle, WA 98107  (Online Only)
Did you grow up in a controlling religious environment? Did you receive shaming messages leaving you to feel divided on the inside? These experiences can be confusing, making it difficult to know who you really are or what you want out of life. Even though you’ve left the church where you grew up, you still feel shame, guilt, anger, and more. Your family relationships are strained because you no longer fit in with the family culture. These problems have negatively affected the way you interact with romantic partners, authority figures at work, and even with your own body.
Did you grow up in a controlling religious environment? Did you receive shaming messages leaving you to feel divided on the inside? These experiences can be confusing, making it difficult to know who you really are or what you want out of life. Even though you’ve left the church where you grew up, you still feel shame, guilt, anger, and more. Your family relationships are strained because you no longer fit in with the family culture. These problems have negatively affected the way you interact with romantic partners, authority figures at work, and even with your own body.
(206) 350-5344 View (206) 350-5344
Photo of Lennon Micciulla, Marriage & Family Therapist Associate in Seattle, WA
Lennon Micciulla
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Seattle, WA 98103  (Online Only)
Do you feel like your partner just doesn’t hear you? Do you have the same fight over and over without resolution? Maybe you’re desperate for more emotional and sexual intimacy and don’t know how to get your needs met. Or perhaps you feel alone even when they’re right beside you. Let’s work together to better your communication, resolve conflict, create a stronger, more secure attachment, and learn how to express and receive your emotional and sexual needs. I support all relationship dynamics and structures, especially LGBTQIA+, kink, BDSM, and polyamorous/ENM.
Do you feel like your partner just doesn’t hear you? Do you have the same fight over and over without resolution? Maybe you’re desperate for more emotional and sexual intimacy and don’t know how to get your needs met. Or perhaps you feel alone even when they’re right beside you. Let’s work together to better your communication, resolve conflict, create a stronger, more secure attachment, and learn how to express and receive your emotional and sexual needs. I support all relationship dynamics and structures, especially LGBTQIA+, kink, BDSM, and polyamorous/ENM.
(206) 759-2746 View (206) 759-2746
Photo of Eric Woodward, Counselor in Seattle, WA
Eric Woodward
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103
I am here to listen and help you find healing whether you are struggling with self confidence, negative self beliefs, anxiety, depression, trauma or trauma related stressors, conflict, identity formation, and other issues rooted in child and adolescent development. Rather than judging yourself and feeling you should be or do something different, we will seek to understand the original purpose of the thoughts, beliefs and behaviors with self compassion to better engage the world around you today.
I am here to listen and help you find healing whether you are struggling with self confidence, negative self beliefs, anxiety, depression, trauma or trauma related stressors, conflict, identity formation, and other issues rooted in child and adolescent development. Rather than judging yourself and feeling you should be or do something different, we will seek to understand the original purpose of the thoughts, beliefs and behaviors with self compassion to better engage the world around you today.
(206) 312-5745 View (206) 312-5745
Photo of Meghan Smith, Mental Health Counselor in Seattle, WA
Meghan Smith
Mental Health Counselor, MA, LMHC, E-RYT
Verified Verified
4 Endorsed
Seattle, WA 98112  (Online Only)
Are you a woman who feels overwhelmed, panicky or anxious?. Maybe you found this page because you are looking for answers and companionship on your journey with and through anxiety. I know, I’ve been there too. Anxiety can rob us of feeling safe, of our joy and connection, our vitality, and of our sense of well-being. It can leave us feeling exhausted and burnt out, unable to relax, sleep, eat well, and trust that everything is going to be okay. And as women, so much is asked of us from a culture that does little to support us, leaving us with no time to slow down, rest and care for ourselves.
Are you a woman who feels overwhelmed, panicky or anxious?. Maybe you found this page because you are looking for answers and companionship on your journey with and through anxiety. I know, I’ve been there too. Anxiety can rob us of feeling safe, of our joy and connection, our vitality, and of our sense of well-being. It can leave us feeling exhausted and burnt out, unable to relax, sleep, eat well, and trust that everything is going to be okay. And as women, so much is asked of us from a culture that does little to support us, leaving us with no time to slow down, rest and care for ourselves.
(206) 385-3846 View (206) 385-3846
Photo of Emily Bass, Social Worker Associate in Seattle, WA
Emily Bass
Social Worker Associate, LICSWA, PCC
Verified Verified
Seattle, WA 98107  (Online Only)
I believe what people need to be well in life is to feel heard, understood, and accepted for who they are. I provide this to my clients through active and reflective listening, powerful questioning to provoke deeper thinking about one's challenges, and manageable practices to help you understand your own thoughts and beliefs about your challenges. When struggling with challenging issues such as end-of-life, grief, and depression, life can feel heavy and unmanageable. Clarifying one's needs and values can be a good starting point for creating goals to work toward. Having measurable goals provides purpose when things seem hopeless.
I believe what people need to be well in life is to feel heard, understood, and accepted for who they are. I provide this to my clients through active and reflective listening, powerful questioning to provoke deeper thinking about one's challenges, and manageable practices to help you understand your own thoughts and beliefs about your challenges. When struggling with challenging issues such as end-of-life, grief, and depression, life can feel heavy and unmanageable. Clarifying one's needs and values can be a good starting point for creating goals to work toward. Having measurable goals provides purpose when things seem hopeless.
(888) 507-6531 View (888) 507-6531
Photo of Lynn Gordon, Counselor in Seattle, WA
Lynn Gordon
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
Do you feel anxious, depressed and struggle in relationships with others and with yourself? Therapy provides a safe, confidential space to share these struggles with someone who comes to know you well. I view therapy as a collaborative relationship involving listening and encouraging expression of your thoughts and feelings, sharing possible links from the past and present which can lead to insight and change in troubling areas. I have been in practice for 8 years and bring my training, life experiences and compassion to this work.
Do you feel anxious, depressed and struggle in relationships with others and with yourself? Therapy provides a safe, confidential space to share these struggles with someone who comes to know you well. I view therapy as a collaborative relationship involving listening and encouraging expression of your thoughts and feelings, sharing possible links from the past and present which can lead to insight and change in troubling areas. I have been in practice for 8 years and bring my training, life experiences and compassion to this work.
(206) 557-3715 View (206) 557-3715
Photo of Karen MacQuivey, Clinical Social Work/Therapist in Seattle, WA
Karen MacQuivey
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115
Waitlist for new clients
Are you longing for a deeply connected relationship, a sense of personal direction and enlivenment? Perhaps you struggle with parenting concerns or ways to balance a busy life? I can offer spirited, steady guidance as you build clarity, motivation and momentum. Learn to develop and trust your intuitive wisdom...Become an excellent communicator...Practice new skills that enhance your capacity to find joy and chase your dreams. I want to hear your story...a new day is closer than you think.
Are you longing for a deeply connected relationship, a sense of personal direction and enlivenment? Perhaps you struggle with parenting concerns or ways to balance a busy life? I can offer spirited, steady guidance as you build clarity, motivation and momentum. Learn to develop and trust your intuitive wisdom...Become an excellent communicator...Practice new skills that enhance your capacity to find joy and chase your dreams. I want to hear your story...a new day is closer than you think.
(206) 535-1867 View (206) 535-1867
Photo of Dr. Dottie Gill, Psychologist in Seattle, WA
Dr. Dottie Gill
Psychologist, PhD, MS, PsyPACT
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I specialize in working with and teaching about LGBTQIA+, queer, transgender, and gender-diverse adults, former members of high control religions, groups, or cults, religious trauma, those with ADHD, and on body liberation, unlearning diet culture, and Health at Every Size. My approach is rooted in Feminist therapy, social justice, and third-wave behavioral approaches. I offer virtual individual therapy and gender affirming care letters in 35 states as part of PSYPACT. This includes: AL, AZ, AR, CO, CT, DE, DC, GA, ID, IL, IN, KS, KY, ME, MD, MI, MN, MO, NE, NV, NH, NJ, NC, MP, OH, OK, PA, TN, TX, UT, VA, WA, WV, WI, and WY.
I specialize in working with and teaching about LGBTQIA+, queer, transgender, and gender-diverse adults, former members of high control religions, groups, or cults, religious trauma, those with ADHD, and on body liberation, unlearning diet culture, and Health at Every Size. My approach is rooted in Feminist therapy, social justice, and third-wave behavioral approaches. I offer virtual individual therapy and gender affirming care letters in 35 states as part of PSYPACT. This includes: AL, AZ, AR, CO, CT, DE, DC, GA, ID, IL, IN, KS, KY, ME, MD, MI, MN, MO, NE, NV, NH, NJ, NC, MP, OH, OK, PA, TN, TX, UT, VA, WA, WV, WI, and WY.
(206) 472-1220 View (206) 472-1220
Photo of David M Johnson, Counselor in Seattle, WA
David M Johnson
Counselor, EdD, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98112
Are you experiencing anxiety or depression? Perhaps you are suffering the aftermath of trauma, from years ago or recently. You might be having difficulty seeing yourself positively. Are you plagued with shame? Maybe you are having difficulties in important relationships. Grief might be overshadowing gratification in your life. You might want to set new goals for the new phase of life you are living. My decades of training and experience address all aspects of emotional, thought and personality issues.
Are you experiencing anxiety or depression? Perhaps you are suffering the aftermath of trauma, from years ago or recently. You might be having difficulty seeing yourself positively. Are you plagued with shame? Maybe you are having difficulties in important relationships. Grief might be overshadowing gratification in your life. You might want to set new goals for the new phase of life you are living. My decades of training and experience address all aspects of emotional, thought and personality issues.
(206) 899-4692 View (206) 899-4692

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.