Therapists in San Diego, CA

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Photo of San Diego Kids First, Psychologist in San Diego, CA
San Diego Kids First
Psychologist, PhD
Verified Verified
1 Endorsed
San Diego, CA 92130
Every child is unique. To help children overcome social, emotional, behavioral, developmental, and/or academic challenges, we can't be preoccupied with simply signing labels. Rather, we need to identify a child's individual strengths as well as their weaknesses in order to design effective strategies that suit their needs. We work closely with parents, schools, and other professionals to establish a comprehensive picture of the whole child. It's from this highly individualized approach along with the collaboration with those that know the child/teen well, that we are able to create the most significant and dramatic change!
Every child is unique. To help children overcome social, emotional, behavioral, developmental, and/or academic challenges, we can't be preoccupied with simply signing labels. Rather, we need to identify a child's individual strengths as well as their weaknesses in order to design effective strategies that suit their needs. We work closely with parents, schools, and other professionals to establish a comprehensive picture of the whole child. It's from this highly individualized approach along with the collaboration with those that know the child/teen well, that we are able to create the most significant and dramatic change!
(858) 215-1923 View (858) 215-1923
Photo of Sylvia L. Flanagan, Marriage & Family Therapist in San Diego, CA
Sylvia L. Flanagan
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92108  (Online Only)
I have over 20 years' experience working with both individuals and couples. I create a caring, safe, challenging and motivating environment so clients can better understand their patterns and start breaking cycles that inhibit well-being and potential. All of us will encounter periods of uncertainty, difficulty or change and may respond repetitively or unproductively, leaving us frustrated, weakened or unable to effectively tackle life's challenges. I encourage clients to enhance their strengths, increase self-understanding and foster personal and relational growth. No person is broken, or needs to be fixed, but only rediscovered.
I have over 20 years' experience working with both individuals and couples. I create a caring, safe, challenging and motivating environment so clients can better understand their patterns and start breaking cycles that inhibit well-being and potential. All of us will encounter periods of uncertainty, difficulty or change and may respond repetitively or unproductively, leaving us frustrated, weakened or unable to effectively tackle life's challenges. I encourage clients to enhance their strengths, increase self-understanding and foster personal and relational growth. No person is broken, or needs to be fixed, but only rediscovered.
(619) 257-4807 View (619) 257-4807
Photo of Personal Evolution Psychotherapy - Soojin Poole, Marriage & Family Therapist in San Diego, CA
Personal Evolution Psychotherapy - Soojin Poole
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92108
Is excessive worry or sadness limiting your life? Do you want to feel better and live a life worth living? Helping our clients overcome social anxiety, depression, communication & relationship issues, panic, excessive worry & depression is our primary focus. Visit Us at www.PersonalEvolutionPsychotherapy.com. By using proven therapy methods (We are Dialectical Behavior Therapy - DBT specialists) we will focus on specific problems, solutions, skills & reachable goals. We provide much more than traditional talk therapy & help you get results to help control your emotions & your life. By doing this we can help more quickly. Call us today to schedule an appointment.
Is excessive worry or sadness limiting your life? Do you want to feel better and live a life worth living? Helping our clients overcome social anxiety, depression, communication & relationship issues, panic, excessive worry & depression is our primary focus. Visit Us at www.PersonalEvolutionPsychotherapy.com. By using proven therapy methods (We are Dialectical Behavior Therapy - DBT specialists) we will focus on specific problems, solutions, skills & reachable goals. We provide much more than traditional talk therapy & help you get results to help control your emotions & your life. By doing this we can help more quickly. Call us today to schedule an appointment.
(619) 787-6676 View (619) 787-6676
Photo of Marni Stueland, Marriage & Family Therapist in San Diego, CA
Marni Stueland
Marriage & Family Therapist, MA, MFT
Verified Verified
San Diego, CA 92129  (Online Only)
I have been working in the field of Marriage and Family Therapy for over 25 years. I graduated from The University of Southern California in 1994 and received my Master’s Degree in Marriage and Family Therapy at The University of San Diego in 1997. My focus is Cognitive Behavioral Therapy, with children, adolescents, adults, couples and families. My goal is to bring a sense of warmth and compassion to the therapy process, valuing a focus on each individual's strengths and resiliency. I bring my clinical knowledge as well as my personal life experiences to the therapy process.
I have been working in the field of Marriage and Family Therapy for over 25 years. I graduated from The University of Southern California in 1994 and received my Master’s Degree in Marriage and Family Therapy at The University of San Diego in 1997. My focus is Cognitive Behavioral Therapy, with children, adolescents, adults, couples and families. My goal is to bring a sense of warmth and compassion to the therapy process, valuing a focus on each individual's strengths and resiliency. I bring my clinical knowledge as well as my personal life experiences to the therapy process.
(858) 217-5840 View (858) 217-5840
Photo of Darlene Hourany, Marriage & Family Therapist in San Diego, CA
Darlene Hourany
Marriage & Family Therapist, LFMT
Verified Verified
San Diego, CA 92122  (Online Only)
Are you grappling with the aftermath of sexual assault? It's common to experience a range of intense and confusing emotions, from fear and anger to guilt and sadness. These feelings can deeply affect your studies, relationships, and self-image. My focus is on providing a safe, understanding space where your feelings are heard and validated. We'll work together to navigate these complex emotions, helping you regain a sense of empowerment and control over your life.
Are you grappling with the aftermath of sexual assault? It's common to experience a range of intense and confusing emotions, from fear and anger to guilt and sadness. These feelings can deeply affect your studies, relationships, and self-image. My focus is on providing a safe, understanding space where your feelings are heard and validated. We'll work together to navigate these complex emotions, helping you regain a sense of empowerment and control over your life.
(858) 786-0472 View (858) 786-0472
Photo of Fleurette McNair, Associate Professional Clinical Counselor in San Diego, CA
Fleurette McNair
Associate Professional Clinical Counselor, MHA, MA, AMFT, APCC
Verified Verified
1 Endorsed
San Diego, CA 92108
Are you feeling the pressure of stress, or maybe anxiety in your daily routine? Are there unresolved issues impacting your relationships? Have you been struggling & feel that now is the time to get support? You don't have to do this alone, let me help. Lifes challenges can stem from previous trauma, changes in family structure, life transitions, or a host of other themes. We'll work through these together, by making our sessions uniquely yours, allowing growth through confronting the threat of fear, anxiety (and any other problem which may make you feel stuck) while developing healthier coping strategies.
Are you feeling the pressure of stress, or maybe anxiety in your daily routine? Are there unresolved issues impacting your relationships? Have you been struggling & feel that now is the time to get support? You don't have to do this alone, let me help. Lifes challenges can stem from previous trauma, changes in family structure, life transitions, or a host of other themes. We'll work through these together, by making our sessions uniquely yours, allowing growth through confronting the threat of fear, anxiety (and any other problem which may make you feel stuck) while developing healthier coping strategies.
(858) 244-9616 View (858) 244-9616
Photo of Kayla Whaley, Clinical Social Work/Therapist in San Diego, CA
Kayla Whaley
Clinical Social Work/Therapist, LCSW, ADV-SEP
Verified Verified
1 Endorsed
San Diego, CA 92103
Hi, my name is Kayla and my hope is to continue to support individuals in navigating the effects of daily stress and anxiety to more complex issues of depression and post traumatic stress disorder. Whether it's learning to understand our own mental health or just gain a better understanding of our own thoughts and feelings, I believe that each of us hold the ability to heal, and in doing so, find what helps us thrive. My approach to each session is to provide a safe space for clients to be at ease in the present and gain clarity while exploring, challenging and healing core wounds, values and behaviors.
Hi, my name is Kayla and my hope is to continue to support individuals in navigating the effects of daily stress and anxiety to more complex issues of depression and post traumatic stress disorder. Whether it's learning to understand our own mental health or just gain a better understanding of our own thoughts and feelings, I believe that each of us hold the ability to heal, and in doing so, find what helps us thrive. My approach to each session is to provide a safe space for clients to be at ease in the present and gain clarity while exploring, challenging and healing core wounds, values and behaviors.
(619) 373-9421 View (619) 373-9421
Photo of Maggie Burgess, Clinical Social Work/Therapist in San Diego, CA
Maggie Burgess
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92110
There is a way to get past problems that seem insurmountable. There is a way out of the darkness and paralyzing stress. It starts by sharing with a trustworthy therapist who can guide you to think about your situation from a new angle, and approach your problems with new strategies.
There is a way to get past problems that seem insurmountable. There is a way out of the darkness and paralyzing stress. It starts by sharing with a trustworthy therapist who can guide you to think about your situation from a new angle, and approach your problems with new strategies.
(619) 468-7657 View (619) 468-7657
Photo of Claire Fox, Marriage & Family Therapist in San Diego, CA
Claire Fox
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92103
I have experience working with adults who are facing grief and loss, anxiety, trauma, and life transitions. Life can be challenging and we are not meant to navigate it alone; I believe that within a safe therapeutic space we can find peace, healing, and clarity in our lives. If you are in pain, feeling stuck, overwhelmed by emotions, or facing a life transition, I invite you to reach out. I am LGBTQ+ affirming.
I have experience working with adults who are facing grief and loss, anxiety, trauma, and life transitions. Life can be challenging and we are not meant to navigate it alone; I believe that within a safe therapeutic space we can find peace, healing, and clarity in our lives. If you are in pain, feeling stuck, overwhelmed by emotions, or facing a life transition, I invite you to reach out. I am LGBTQ+ affirming.
(619) 273-3487 View (619) 273-3487
Photo of Kirsten Badre, Clinical Social Work/Therapist in San Diego, CA
Kirsten Badre
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92108
From chemical dependency, to trauma, to helping people manage anxiety and depression that comes from grief, loss, and life, I put my clients at the center of their healing. Inspired by Fred Rogers, my practice is based on the idea that "anything that is human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone."
From chemical dependency, to trauma, to helping people manage anxiety and depression that comes from grief, loss, and life, I put my clients at the center of their healing. Inspired by Fred Rogers, my practice is based on the idea that "anything that is human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone."
(619) 537-7971 View (619) 537-7971
Photo of Jennifer McDowell, Marriage & Family Therapist in San Diego, CA
Jennifer McDowell
Marriage & Family Therapist, LMFT, BCBA
Verified Verified
1 Endorsed
San Diego, CA 92123  (Online Only)
Hi and welcome! My name is Jen and I'm a Licensed Marriage and Family therapist and BCBA. I have 12 + years of experience facilitating support to Children, Adolescents, Individuals and Families as they work towards overcoming their personal mental health/behavioral challenges. Some of these challenges have included Anxiety/Panic, Depression, Issues with Self-Esteem/ Healthy Boundaries, Family Conflict, PTSD, Childhood Trauma, Insecure Attachment Styles, Parenting, Co-Dependency and difficulties managing ADHD/ASD.
Hi and welcome! My name is Jen and I'm a Licensed Marriage and Family therapist and BCBA. I have 12 + years of experience facilitating support to Children, Adolescents, Individuals and Families as they work towards overcoming their personal mental health/behavioral challenges. Some of these challenges have included Anxiety/Panic, Depression, Issues with Self-Esteem/ Healthy Boundaries, Family Conflict, PTSD, Childhood Trauma, Insecure Attachment Styles, Parenting, Co-Dependency and difficulties managing ADHD/ASD.
(858) 264-2966 View (858) 264-2966
Dusti Romans
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92127
Dusti D. Romans is a Licensed Clinical Social Worker in California who has been practicing since 2013. She has a Masters in Social Work from USC. Change only happens during difficult times. Dusti wants to stand by you through these times while giving you the skills to be able to handle the challenges of life on your own. Dusti loves her pets and works with local shelters and rescues and fosters often.
Dusti D. Romans is a Licensed Clinical Social Worker in California who has been practicing since 2013. She has a Masters in Social Work from USC. Change only happens during difficult times. Dusti wants to stand by you through these times while giving you the skills to be able to handle the challenges of life on your own. Dusti loves her pets and works with local shelters and rescues and fosters often.
(858) 346-5673 View (858) 346-5673
Photo of Danielle Lipkin, Marriage & Family Therapist in San Diego, CA
Danielle Lipkin
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92101  (Online Only)
My therapeutic approach gives clients a space to work through their healing journey and learn how to have healthy relationships. It is important that I provide a safe space for clients to express their feelings, unpack life experiences that currently impact them, and learn effective ways of managing their emotions. My life and educational background allow me to have a level of insight that makes me well-versed in therapy and more relatable to my clients. I utilize Cognitive Behavioral Therapy, Psychodynamic, and Solution-Focused theoretical models with a compassionate approach to help my clients work toward their desired goals.
My therapeutic approach gives clients a space to work through their healing journey and learn how to have healthy relationships. It is important that I provide a safe space for clients to express their feelings, unpack life experiences that currently impact them, and learn effective ways of managing their emotions. My life and educational background allow me to have a level of insight that makes me well-versed in therapy and more relatable to my clients. I utilize Cognitive Behavioral Therapy, Psychodynamic, and Solution-Focused theoretical models with a compassionate approach to help my clients work toward their desired goals.
(619) 313-5856 View (619) 313-5856
Photo of Holly Kelley, Marriage & Family Therapist in San Diego, CA
Holly Kelley
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92103  (Online Only)
Not accepting new clients
It takes courage to show up for yourself and in your relationships and I am honored to be part of that process with clients. I work with individuals, couples and families with various challenges including trauma, depression, anxiety, substance abuse, and grief and loss. I also support couples dealing with relationship stressors, betrayals, or major life changes including families/individuals caring for loved ones near the end of life or those in the process of recovery. For clients experiencing struggles around perinatal issues, I offer specialized support during this transitional season in life.
It takes courage to show up for yourself and in your relationships and I am honored to be part of that process with clients. I work with individuals, couples and families with various challenges including trauma, depression, anxiety, substance abuse, and grief and loss. I also support couples dealing with relationship stressors, betrayals, or major life changes including families/individuals caring for loved ones near the end of life or those in the process of recovery. For clients experiencing struggles around perinatal issues, I offer specialized support during this transitional season in life.
(619) 664-4325 View (619) 664-4325
Photo of Pablo Garcia Hurtado, Marriage & Family Therapist in San Diego, CA
Pablo Garcia Hurtado
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92123
Pablo Hurtado is a Licensed Marriage and Family Therapist in California who has been practicing since 2017. Pablo is a non-judgmental person who is passionate about mental health. In his spare time, Pablo enjoys reading, listening to podcasts, and traveling.
Pablo Hurtado is a Licensed Marriage and Family Therapist in California who has been practicing since 2017. Pablo is a non-judgmental person who is passionate about mental health. In his spare time, Pablo enjoys reading, listening to podcasts, and traveling.
(858) 683-6315 View (858) 683-6315
Photo of Colleen Cambra, Clinical Social Work/Therapist in San Diego, CA
Colleen Cambra
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92154
Hi and welcome! My name is Colleen Cambra, LCSW. I have been a clinical social worker since 1992. I know how to listen and hear your thoughts and feelings with care in a supportive and warm environment. Our work together will be interactive and collaborative. I work with a blend of evidence-based therapies including CBT and DBT. I also enjoy using mindfulness and visualization techniques to help reduce stress.
Hi and welcome! My name is Colleen Cambra, LCSW. I have been a clinical social worker since 1992. I know how to listen and hear your thoughts and feelings with care in a supportive and warm environment. Our work together will be interactive and collaborative. I work with a blend of evidence-based therapies including CBT and DBT. I also enjoy using mindfulness and visualization techniques to help reduce stress.
(619) 304-6142 View (619) 304-6142
Photo of Marina Walker Rose, PhD, Marriage & Family Therapist in San Diego, CA
Marina Walker Rose, PhD
Marriage & Family Therapist, PhD, MA, LMFT
Verified Verified
San Diego, CA 92103  (Online Only)
All journeys, including epic ones like yours, require provisions and tools, and you may be longing for support that’s as kind as it is wise, safe, nurturing, and true. Whether you're struggling in the Terrible Desert or leaving the City of Stability in search of the City of Joy, YOUR path is unique, dynamic and ever unfolding. Finding perspectives that bring relief, peace, and freedom — especially in times of transition and suffering — is a part of how we heal, get to thriving and write the story of our wholeness.
All journeys, including epic ones like yours, require provisions and tools, and you may be longing for support that’s as kind as it is wise, safe, nurturing, and true. Whether you're struggling in the Terrible Desert or leaving the City of Stability in search of the City of Joy, YOUR path is unique, dynamic and ever unfolding. Finding perspectives that bring relief, peace, and freedom — especially in times of transition and suffering — is a part of how we heal, get to thriving and write the story of our wholeness.
(619) 273-0483 View (619) 273-0483
Photo of Terra Towne, Psychologist in San Diego, CA
Terra Towne
Psychologist, PhD
Verified Verified
San Diego, CA 92117
I am a licensed clinical psychologist specializing in the treatment of eating disorders. I’m passionate about providing evidenced-based care and am one of the only therapists in San Diego certified in Family-Based Treatment (FBT), the gold standard treatment for child and adolescent eating disorders. My therapeutic style is warm, authentic, and collaborative. I am deeply empathetic to the struggles that eating disorders pose for clients and their families. I strongly believe that no one chooses to have an eating disorder (nor do parents cause eating disorders) and that there is always hope for lasting recovery.
I am a licensed clinical psychologist specializing in the treatment of eating disorders. I’m passionate about providing evidenced-based care and am one of the only therapists in San Diego certified in Family-Based Treatment (FBT), the gold standard treatment for child and adolescent eating disorders. My therapeutic style is warm, authentic, and collaborative. I am deeply empathetic to the struggles that eating disorders pose for clients and their families. I strongly believe that no one chooses to have an eating disorder (nor do parents cause eating disorders) and that there is always hope for lasting recovery.
(858) 358-5909 View (858) 358-5909
Photo of Robert L Bray, Clinical Social Work/Therapist in San Diego, CA
Robert L Bray
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
San Diego, CA 92120
I use forty years of experience as a professional therapist to resolve your individual or family problems. Using cutting edge therapies in a solution oriented approach, I can identify and eliminates those blocks to personal action needed to improve your situation, expand relationships, and enhance your performance. I published a book about recovering from traumatic stress. Heal Traumatic Stress NOW, Complete Recovery with Thought Field Therapy - is available on my website, www.rlbray.com.
I use forty years of experience as a professional therapist to resolve your individual or family problems. Using cutting edge therapies in a solution oriented approach, I can identify and eliminates those blocks to personal action needed to improve your situation, expand relationships, and enhance your performance. I published a book about recovering from traumatic stress. Heal Traumatic Stress NOW, Complete Recovery with Thought Field Therapy - is available on my website, www.rlbray.com.
(619) 377-8651 View (619) 377-8651
Photo of Mayra Garcia, Clinical Social Work/Therapist in San Diego, CA
Mayra Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92154
My name is Mayra Garcia and I am a Licensed Clinical Social Worker (LCSW) based in Southern California and working with clients statewide via telehealth. I work with adolescents, adults, and older adults. I specialize in depression, anxiety, stress, grief and trauma. I use Cognitive Behavioral Therapy, Dialectal Behavioral Therapy, trauma-focused, and EMDR modalities to help my clients develop a better understanding of themselves and guide them through their healing process. I provide services in English and Spanish.
My name is Mayra Garcia and I am a Licensed Clinical Social Worker (LCSW) based in Southern California and working with clients statewide via telehealth. I work with adolescents, adults, and older adults. I specialize in depression, anxiety, stress, grief and trauma. I use Cognitive Behavioral Therapy, Dialectal Behavioral Therapy, trauma-focused, and EMDR modalities to help my clients develop a better understanding of themselves and guide them through their healing process. I provide services in English and Spanish.
(619) 633-2748 View (619) 633-2748

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in San Diego?

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.