Therapists in Seattle, WA

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Photo of James E Bederaux-Cayne, Counselor in Seattle, WA
James E Bederaux-Cayne
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98116
I will actively use my training and experience to help you meet your needs & goals. Successful treatment is a direct result of mutual efforts, honesty, respect, and collaboration. Life is full of transitions. Many transitions require skill to navigate. Some happen easily and others require thought, planning and occasionally outside help. I regularly help people manage depression, anxiety, life & work transitions, relationship problems, the processing of and recovery from trauma, and developmental issues throughout the lifespan.
I will actively use my training and experience to help you meet your needs & goals. Successful treatment is a direct result of mutual efforts, honesty, respect, and collaboration. Life is full of transitions. Many transitions require skill to navigate. Some happen easily and others require thought, planning and occasionally outside help. I regularly help people manage depression, anxiety, life & work transitions, relationship problems, the processing of and recovery from trauma, and developmental issues throughout the lifespan.
(253) 220-6158 View (253) 220-6158
Photo of Makenzie Muilenburg, Counselor in Seattle, WA
Makenzie Muilenburg
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
Not accepting new clients
I’m so glad you’ve taken this first step to explore the counseling options available to you. I believe personal wellbeing is something we all naturally move towards and counseling can be a powerful way to gain insight, identify goals, and seek change and healing. I am experienced in working with clients facing wide range of mental health challenges, life transitions, and obstacles.
I’m so glad you’ve taken this first step to explore the counseling options available to you. I believe personal wellbeing is something we all naturally move towards and counseling can be a powerful way to gain insight, identify goals, and seek change and healing. I am experienced in working with clients facing wide range of mental health challenges, life transitions, and obstacles.
(206) 589-5362 View (206) 589-5362
Photo of Brenda Xu, Counselor in Seattle, WA
Brenda Xu
Counselor, MA, LMHCA, NCC
Verified Verified
4 Endorsed
Seattle, WA 98103  (Online Only)
I work with individuals who would like to explore how their upbringing has influenced the way they relate to others. Perhaps you’ve noticed the same patterns emerging in your romantic relationships or friendships, and you’d like to understand why. Do you struggle to establish and maintain boundaries? Is there something holding you back from asking for what you need and being vulnerable? Your parents may not have provided you with much emotional support due to generational and/or cultural differences. You’d like to understand whether the survival mechanisms that you’ve learned as a child are still serving you.
I work with individuals who would like to explore how their upbringing has influenced the way they relate to others. Perhaps you’ve noticed the same patterns emerging in your romantic relationships or friendships, and you’d like to understand why. Do you struggle to establish and maintain boundaries? Is there something holding you back from asking for what you need and being vulnerable? Your parents may not have provided you with much emotional support due to generational and/or cultural differences. You’d like to understand whether the survival mechanisms that you’ve learned as a child are still serving you.
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Photo of Anxiety & OCD Treatment Services, Psychologist in Seattle, WA
Anxiety & OCD Treatment Services
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
Anxiety & OCD Treatment Services is a specialty clinic that strives to provide high-quality, evidence-based treatment for those who are suffering from anxiety and OCD, and who otherwise may not have access to specialized therapy services. We work with individuals who struggle with OCD- and anxiety-related concerns, including: OCD, panic and agoraphobia, health anxiety, social anxiety, specific phobias, separation anxiety, generalized anxiety, body-focused repetitive behaviors, body dysmorphic disorder, trauma and PTSD, depression and mood-related issues, and sleep dysregulation, among others.
Anxiety & OCD Treatment Services is a specialty clinic that strives to provide high-quality, evidence-based treatment for those who are suffering from anxiety and OCD, and who otherwise may not have access to specialized therapy services. We work with individuals who struggle with OCD- and anxiety-related concerns, including: OCD, panic and agoraphobia, health anxiety, social anxiety, specific phobias, separation anxiety, generalized anxiety, body-focused repetitive behaviors, body dysmorphic disorder, trauma and PTSD, depression and mood-related issues, and sleep dysregulation, among others.
(206) 401-9829 View (206) 401-9829
Psychological Testing At Seattle Counseling And Wellness
Psychologist, PhD, PMH-C
Verified Verified
Seattle, WA 98105
We specialize in testing for adult autism, ADHD, mood, and anxiety, offering thorough assessments to understand how these issues impact your life. Our gold standard assessments provide tailored recommendations for your occupational, academic, or social needs, helping you gain insight and navigate daily challenges effectively.
We specialize in testing for adult autism, ADHD, mood, and anxiety, offering thorough assessments to understand how these issues impact your life. Our gold standard assessments provide tailored recommendations for your occupational, academic, or social needs, helping you gain insight and navigate daily challenges effectively.
(206) 737-3458 View (206) 737-3458
Photo of Sarah R Orihu, Marriage & Family Therapist Associate in Seattle, WA
Sarah R Orihu
Marriage & Family Therapist Associate, MFTA
Verified Verified
4 Endorsed
Seattle, WA 98118  (Online Only)
As people of color, we have not always been given the opportunity to address the intricacies of our mental health. We need to remind ourselves that we deserve to have a voice and tend to the vulnerable parts of who we are and what we experience in our life. I focus my work on the lived experiences of my clients as I aim to decolonize therapy with a justice-oriented and strengths-based approach. I work with individuals to develop positive tools and resources to help improve their relational and individual wellbeing.
As people of color, we have not always been given the opportunity to address the intricacies of our mental health. We need to remind ourselves that we deserve to have a voice and tend to the vulnerable parts of who we are and what we experience in our life. I focus my work on the lived experiences of my clients as I aim to decolonize therapy with a justice-oriented and strengths-based approach. I work with individuals to develop positive tools and resources to help improve their relational and individual wellbeing.
(206) 210-3859 View (206) 210-3859
Photo of Caleb Joshua Williams, Counselor in Seattle, WA
Caleb Joshua Williams
Counselor, MACP, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98109
Psychotherapy involves entering into the stuck places of your life and listening for how you struggle to live freely and authentically. It involves discovering, caring for, and reshaping the parts of your mind that are related to the problems you experience. This may involve learning to recognize unhelpful responses to pain that have themselves evolved into addictive or compulsive behaviors, addressing problematic relational patterns or making room to feel the deep hurts of loss or trauma and learning how to live well with the wounds that have shaped you.
Psychotherapy involves entering into the stuck places of your life and listening for how you struggle to live freely and authentically. It involves discovering, caring for, and reshaping the parts of your mind that are related to the problems you experience. This may involve learning to recognize unhelpful responses to pain that have themselves evolved into addictive or compulsive behaviors, addressing problematic relational patterns or making room to feel the deep hurts of loss or trauma and learning how to live well with the wounds that have shaped you.
(206) 538-2889 View (206) 538-2889
Photo of Maki Park, Counselor in Seattle, WA
Maki Park
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98108
Society, family, culture, and other systems often send us mixed messages about how we should move in the world, creating dissonance and internal conflict. At times, we may lose sight of what we want for ourselves in the midst of competing voices and priorities that pull for our attention. I strive to create a safe space and work collaboratively with clients to step into the driver’s seat in discovering and reaching their own goals. Through shared exploration, we can clarify your understanding of yourself, your identity, and your story, and foster greater self-compassion and confidence to carry you through life's challenges.
Society, family, culture, and other systems often send us mixed messages about how we should move in the world, creating dissonance and internal conflict. At times, we may lose sight of what we want for ourselves in the midst of competing voices and priorities that pull for our attention. I strive to create a safe space and work collaboratively with clients to step into the driver’s seat in discovering and reaching their own goals. Through shared exploration, we can clarify your understanding of yourself, your identity, and your story, and foster greater self-compassion and confidence to carry you through life's challenges.
(206) 594-4269 View (206) 594-4269
Photo of Alex Koenig, Psychologist in Seattle, WA
Alex Koenig
Psychologist, PhD, PMH-C
Verified Verified
Seattle, WA 98119  (Online Only)
Not accepting new clients
I am a licensed clinical psychologist offering online individual therapy to clients located anywhere in OR, NM, and Washington state. I am passionate about supporting my clients through life's transitions and helping them to build authentic connections in their communities. I consider it an honor to be part of that journey. I often work with individuals who are willing to try new things, value growth, and appreciate honest feedback. I tailor my approach to the needs of each client and work collaboratively with clients to develop treatment plans that highlight each individual’s unique goals.
I am a licensed clinical psychologist offering online individual therapy to clients located anywhere in OR, NM, and Washington state. I am passionate about supporting my clients through life's transitions and helping them to build authentic connections in their communities. I consider it an honor to be part of that journey. I often work with individuals who are willing to try new things, value growth, and appreciate honest feedback. I tailor my approach to the needs of each client and work collaboratively with clients to develop treatment plans that highlight each individual’s unique goals.
(206) 222-9512 View (206) 222-9512
Photo of Julie Hall, Counselor in Seattle, WA
Julie Hall
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98102  (Online Only)
I offer a warm, nonjudgmental environment, specializing in adult individual counseling. We all experience times where we get stuck, when we experience crisis, when we need help. I seek to collaborate with my clients in exploring what has happened in their life and how it affects what is currently happening; and together discover possible paths to greater self-awareness, and increased capacity to love, to work, and to live with wellness and fullness.
I offer a warm, nonjudgmental environment, specializing in adult individual counseling. We all experience times where we get stuck, when we experience crisis, when we need help. I seek to collaborate with my clients in exploring what has happened in their life and how it affects what is currently happening; and together discover possible paths to greater self-awareness, and increased capacity to love, to work, and to live with wellness and fullness.
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Photo of Hannah C Paine, Counselor in Seattle, WA
Hannah C Paine
Counselor, LMHC, MA, NCC
Verified Verified
7 Endorsed
Seattle, WA 98109  (Online Only)
Accepting new clients for early May 2024! I believe that everyone can develop the skills necessary to live the life they’ve always wanted, and it begins with their mental health. My goal as a therapist is to help clients explore their past, their patterns of thinking, and their behaviors in order to adapt and overcome their trauma. Using an individualized and integrative approach, clients will develop the skills needed to reach their goals and become drivers of change.
Accepting new clients for early May 2024! I believe that everyone can develop the skills necessary to live the life they’ve always wanted, and it begins with their mental health. My goal as a therapist is to help clients explore their past, their patterns of thinking, and their behaviors in order to adapt and overcome their trauma. Using an individualized and integrative approach, clients will develop the skills needed to reach their goals and become drivers of change.
(206) 567-7177 View (206) 567-7177
Photo of Dr. Gary Bell, Marriage & Family Therapist in Seattle, WA
Dr. Gary Bell
Marriage & Family Therapist, Ed D, LMFT
Verified Verified
Seattle, WA 98115
I have worked with tens of thousands of clients with issues ranging from trauma, relationship issues, anxiety, depression, communication, parenting, work frustrations, suicidality, sudden life change, and more. My goal is for you to experience peace in your life, stop merely coping, and start thriving in the present. I believe in the importance of living in this moment that we’ve been given, and I want you to experience the abundant joy and freedom that comes from God. Don’t wait another day; invest in yourself today. I look forward to working with you to overcome past barriers so you can fully enjoy your life each moment.
I have worked with tens of thousands of clients with issues ranging from trauma, relationship issues, anxiety, depression, communication, parenting, work frustrations, suicidality, sudden life change, and more. My goal is for you to experience peace in your life, stop merely coping, and start thriving in the present. I believe in the importance of living in this moment that we’ve been given, and I want you to experience the abundant joy and freedom that comes from God. Don’t wait another day; invest in yourself today. I look forward to working with you to overcome past barriers so you can fully enjoy your life each moment.
(206) 426-0376 View (206) 426-0376
Photo of Hayden Hamilton, MD, Sealevel Pllc in Seattle, WA
Hayden Hamilton, MD, Sealevel Pllc
MD, MA, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98115
I work with adolescents and adults with anxiety, depression, grief, chronic pain, issues of personal identity (race/gender/sexuality orientation), and life transitions (relational/ academic/professional). Navigating into the depths of who we are reveals we are so much more than what we sense at the surface. Having support on our journey can allow us to develop tolerance for our full range of emotions, gain awareness of what we feel in our bodies, discover new insights into past events, expand our ability to discuss fears, increase empathy for ourselves, experience more meaningful relationships.
I work with adolescents and adults with anxiety, depression, grief, chronic pain, issues of personal identity (race/gender/sexuality orientation), and life transitions (relational/ academic/professional). Navigating into the depths of who we are reveals we are so much more than what we sense at the surface. Having support on our journey can allow us to develop tolerance for our full range of emotions, gain awareness of what we feel in our bodies, discover new insights into past events, expand our ability to discuss fears, increase empathy for ourselves, experience more meaningful relationships.
(206) 737-1027 View (206) 737-1027
Photo of Emily Grogan, Counselor in Seattle, WA
Emily Grogan
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98102
As a Level 3 trained therapist in the Gottman Method and EFT, I provide couples therapy focused on repairing bonds, and strengthening connections. I also love working with couples who would like to build strong skills before their relationship is in crisis. I offer pre-marital counseling for couples wanting to start their marriage with strong skills for healthy communication. I am trained in EMDR for adult individuals struggling with anxiety, depression, and distressing life changes.
As a Level 3 trained therapist in the Gottman Method and EFT, I provide couples therapy focused on repairing bonds, and strengthening connections. I also love working with couples who would like to build strong skills before their relationship is in crisis. I offer pre-marital counseling for couples wanting to start their marriage with strong skills for healthy communication. I am trained in EMDR for adult individuals struggling with anxiety, depression, and distressing life changes.
(425) 386-7630 View (425) 386-7630
Photo of Scott Shiebler, Psychologist in Seattle, WA
Scott Shiebler
Psychologist, PhD, LICSW
Verified Verified
Seattle, WA 98103
Welcome to my therapy practice. As a licensed psychologist and clinical social worker, it has been my privilege to have served clients from a wide range of backgrounds for almost three decades. I focus my work on helping clients reach their potential in their self-worth, close relationships, and work roles. I specialize in encouraging clients to gain a greater sense of purpose as they create a life that is in alignment with their values. Drawing on an eclectic array of research-based best practices, I see myself as a consultant and companion as my clients pursue meaningful changes in their thoughts, actions, and connections.
Welcome to my therapy practice. As a licensed psychologist and clinical social worker, it has been my privilege to have served clients from a wide range of backgrounds for almost three decades. I focus my work on helping clients reach their potential in their self-worth, close relationships, and work roles. I specialize in encouraging clients to gain a greater sense of purpose as they create a life that is in alignment with their values. Drawing on an eclectic array of research-based best practices, I see myself as a consultant and companion as my clients pursue meaningful changes in their thoughts, actions, and connections.
(206) 589-1878 View (206) 589-1878
Photo of Erjing Cui, Counselor in Seattle, WA
Erjing Cui
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98155
Erjing Cui, MA, LMHC, specializes in working with Obsessive-Compulsive Disorder (OCD) and related disorders, depression, trauma, and culturally diverse populations. Some of her training included: exposure and response prevention therapy (ERP) from McLean Hospital, a psychiatric affiliate of Harvard Medical School; Emotional Focused Therapy (EFT) Level 1 and Level II Training by founder and co-founder Dr. Les Greenberg and Dr. Robert Elliott; Advanced Empathy Training by co-founder Dr. Robert Elliott; Mastering ACT III etc.
Erjing Cui, MA, LMHC, specializes in working with Obsessive-Compulsive Disorder (OCD) and related disorders, depression, trauma, and culturally diverse populations. Some of her training included: exposure and response prevention therapy (ERP) from McLean Hospital, a psychiatric affiliate of Harvard Medical School; Emotional Focused Therapy (EFT) Level 1 and Level II Training by founder and co-founder Dr. Les Greenberg and Dr. Robert Elliott; Advanced Empathy Training by co-founder Dr. Robert Elliott; Mastering ACT III etc.
(206) 759-5624 View (206) 759-5624
Photo of Jim Porter, Counselor in Seattle, WA
Jim Porter
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98144  (Online Only)
My name is Jim Porter and I'm a Psychotherapist based in the Seattle area. My approach to therapy is relational with an emphasis on the creation of a safe setting where you will be heard well enough that you begin to hear your own voice in a new way. Therapy can be a partnership where we examine the issues and distress that brought you here in the present as well as possible contributing events and ideas from the past, all with an eye on what you want your future to look and feel like. My goal is to help you identify what is most important to you, organize and tolerate any feelings that arise in order to be your most authentic self.
My name is Jim Porter and I'm a Psychotherapist based in the Seattle area. My approach to therapy is relational with an emphasis on the creation of a safe setting where you will be heard well enough that you begin to hear your own voice in a new way. Therapy can be a partnership where we examine the issues and distress that brought you here in the present as well as possible contributing events and ideas from the past, all with an eye on what you want your future to look and feel like. My goal is to help you identify what is most important to you, organize and tolerate any feelings that arise in order to be your most authentic self.
(206) 785-3812 View (206) 785-3812
Photo of Pape Psychological Services, LLC, Psychologist in Seattle, WA
Pape Psychological Services, LLC
Psychologist, PsyD
Verified Verified
3 Endorsed
Seattle, WA 98122
As a licensed psychologist, I have been providing therapy for over 20 years helping individuals and couples to heal, and to create joyful, meaningful lives. Informed by psychological theory and research-supported treatments, such as DBT, and EMDR, as well as alternative methods, such as yoga, spirituality, and mind-body approaches, I will help you access and utilize your own deep wisdom and understanding to address your unique struggles and needs. After treatment, my clients report not only a reduction of symptoms but also an increase in motivation, ease, purpose, and connection.
As a licensed psychologist, I have been providing therapy for over 20 years helping individuals and couples to heal, and to create joyful, meaningful lives. Informed by psychological theory and research-supported treatments, such as DBT, and EMDR, as well as alternative methods, such as yoga, spirituality, and mind-body approaches, I will help you access and utilize your own deep wisdom and understanding to address your unique struggles and needs. After treatment, my clients report not only a reduction of symptoms but also an increase in motivation, ease, purpose, and connection.
(253) 343-1088 View (253) 343-1088
Photo of Christine Gomes, Psychologist in Seattle, WA
Christine Gomes
Psychologist, PsyD
Verified Verified
Seattle, WA 98107  (Online Only)
Have you been struggling with difficult thoughts or feelings? Ever feel stuck or like you're living on auto-pilot? If so, I can help. I believe that we are healthiest when we allow ourselves to be exactly who we are. I have special interests in relational and religious trauma, as well as working with people with addiction issues, severe depression, anxiety disorders, and suicidal thoughts and actions. No matter where you are in your healing journey, I hope to join you and help you see that you are not alone in the struggle. You are your greatest healer, and I will be your guide along the way.
Have you been struggling with difficult thoughts or feelings? Ever feel stuck or like you're living on auto-pilot? If so, I can help. I believe that we are healthiest when we allow ourselves to be exactly who we are. I have special interests in relational and religious trauma, as well as working with people with addiction issues, severe depression, anxiety disorders, and suicidal thoughts and actions. No matter where you are in your healing journey, I hope to join you and help you see that you are not alone in the struggle. You are your greatest healer, and I will be your guide along the way.
(206) 203-0815 View (206) 203-0815
Photo of Lisa C Knisely, Clinical Social Work/Therapist in Seattle, WA
Lisa C Knisely
Clinical Social Work/Therapist, PhD, LICSWA
Verified Verified
Seattle, WA 98101  (Online Only)
Not accepting new clients
I help adults (18+) find deeper satisfaction in their lives and relationships through awareness-based and attachment-based interventions. All of us need support as we move through our lives because living inevitably brings suffering as part of the process. If you're experiencing distress and dissatisfaction, I want you to know you're doing nothing wrong. Let's explore how you can experiment with shifting your fixed habits so you can have new experiences that restore your hope, vitality, and ease. I bring an anti-oppressive lens to my work that considers social identities and systems of power as integral to your psychic life.
I help adults (18+) find deeper satisfaction in their lives and relationships through awareness-based and attachment-based interventions. All of us need support as we move through our lives because living inevitably brings suffering as part of the process. If you're experiencing distress and dissatisfaction, I want you to know you're doing nothing wrong. Let's explore how you can experiment with shifting your fixed habits so you can have new experiences that restore your hope, vitality, and ease. I bring an anti-oppressive lens to my work that considers social identities and systems of power as integral to your psychic life.
(206) 203-8322 View (206) 203-8322

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.