Therapists in San Francisco, CA

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Photo of Kimberly Wheeler Rich, Marriage & Family Therapist in San Francisco, CA
Kimberly Wheeler Rich
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94129  (Online Only)
The stress of our fast-paced lives can challenge our most import relationships. Families are juggling so many responsibilities that its easy to let relationships take a back seat. Don't let stressful times derail you from living the life you always envisioned. I work with clients to manage stress, learn new problem solving tools, improve their relationships with loved ones and be the partner and/or parent you always wanted to be.
The stress of our fast-paced lives can challenge our most import relationships. Families are juggling so many responsibilities that its easy to let relationships take a back seat. Don't let stressful times derail you from living the life you always envisioned. I work with clients to manage stress, learn new problem solving tools, improve their relationships with loved ones and be the partner and/or parent you always wanted to be.
(650) 643-5319 View (650) 643-5319
Photo of Jordan Long, Marriage & Family Therapist in San Francisco, CA
Jordan Long
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
San Francisco, CA 94119
Individuals affected by cancer or other physical illnesses often do not realize the influence that the illness has on their mental health until the emotions are all consuming. This is where I step in: to help you deal with life-altering, overwhelming changes that come with the diagnosis, treatment, recovery, and grief of physical illness. I have a wealth of experience working with individuals, couples, and families impacted by physical illness, and believe that physical illness affects the entire family system in a multitude of ways. Whether you are a survivor, caregiver, are grieving, or in the midst of illness, you are not alone.
Individuals affected by cancer or other physical illnesses often do not realize the influence that the illness has on their mental health until the emotions are all consuming. This is where I step in: to help you deal with life-altering, overwhelming changes that come with the diagnosis, treatment, recovery, and grief of physical illness. I have a wealth of experience working with individuals, couples, and families impacted by physical illness, and believe that physical illness affects the entire family system in a multitude of ways. Whether you are a survivor, caregiver, are grieving, or in the midst of illness, you are not alone.
(323) 693-7814 View (323) 693-7814
Photo of Paullette Rosette, Marriage & Family Therapist in San Francisco, CA
Paullette Rosette
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94102
Paullette Rosette is a Licensed Mental and Family Therapist in California who has been practicing since 2018. She has a Master of Arts in Marital and Family Therapy from University of San Diego. Paullette believes it is crucial as an effective therapist to create a safe space for clients from a variety of backgrounds along with a range of needs. She can provide a variety of approaches such as CBT, DBT, and attachment-based therapy depending on the needs and goals of each client. Paullette is also flexible in not only providing individual therapy, but also family therapy and couples therapy.
Paullette Rosette is a Licensed Mental and Family Therapist in California who has been practicing since 2018. She has a Master of Arts in Marital and Family Therapy from University of San Diego. Paullette believes it is crucial as an effective therapist to create a safe space for clients from a variety of backgrounds along with a range of needs. She can provide a variety of approaches such as CBT, DBT, and attachment-based therapy depending on the needs and goals of each client. Paullette is also flexible in not only providing individual therapy, but also family therapy and couples therapy.
(628) 265-3819 View (628) 265-3819
Photo of Christina Li, Marriage & Family Therapist in San Francisco, CA
Christina Li
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
Finding balance and living a fulfilling life is easier said than done. The concepts may seem simple, but the reality is that it takes patience and bravery to ride out the waves. As a therapist, I encourage you to find confidence, purpose, and meaning to live authentically in the present. I have experience and passion working with those experiencing multigenerational trauma and transitions, as well as a special emphasis on creative/artistic lifestyles, and cultural competency. Prior to becoming a therapist, I was a music journalist. My roots reside in the Bay Area. I currently also serve on the Board for Donaldina Cameron House.
Finding balance and living a fulfilling life is easier said than done. The concepts may seem simple, but the reality is that it takes patience and bravery to ride out the waves. As a therapist, I encourage you to find confidence, purpose, and meaning to live authentically in the present. I have experience and passion working with those experiencing multigenerational trauma and transitions, as well as a special emphasis on creative/artistic lifestyles, and cultural competency. Prior to becoming a therapist, I was a music journalist. My roots reside in the Bay Area. I currently also serve on the Board for Donaldina Cameron House.
(415) 991-6023 View (415) 991-6023
Photo of Meagan Wesley, Pre-Licensed Professional in San Francisco, CA
Meagan Wesley
Pre-Licensed Professional, APCC
Verified Verified
San Francisco, CA 94141  (Online Only)
Hi there! I work with clients to process unresolved conflicts from the past, bringing awareness to present-day problems and symptoms. This insight can help reveal patterns of how one has developed certain defense mechanisms over time. In therapy one can learn to replace these defenses with healthy coping skills.
Hi there! I work with clients to process unresolved conflicts from the past, bringing awareness to present-day problems and symptoms. This insight can help reveal patterns of how one has developed certain defense mechanisms over time. In therapy one can learn to replace these defenses with healthy coping skills.
(415) 598-5944 x745 View (415) 598-5944 x745
Photo of Kristina Kenyon, Marriage & Family Therapist in San Francisco, CA
Kristina Kenyon
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94105  (Online Only)
Not accepting new clients
I believe we all come into this world being enough as we are but sometimes there are challenges, losses, difficulties, or behaviors that get in the way of what you want or where you want to be in your life. My goal is to help you navigate those obstacles through a compassionate, direct, and strength-based approach. I believe in creating a safe environment where we can build insight and understanding and work towards making the changes you want to see.
I believe we all come into this world being enough as we are but sometimes there are challenges, losses, difficulties, or behaviors that get in the way of what you want or where you want to be in your life. My goal is to help you navigate those obstacles through a compassionate, direct, and strength-based approach. I believe in creating a safe environment where we can build insight and understanding and work towards making the changes you want to see.
(415) 483-1987 View (415) 483-1987
Photo of Joe Lawwill, Marriage & Family Therapist in San Francisco, CA
Joe Lawwill
Marriage & Family Therapist, LMFT, MBA
Verified Verified
San Francisco, CA 94117
I work with clients to treat anxiety disorders, depression, and bipolar disorders, as well as increase their ability to regulate emotions and replace impulsive behaviors with effective ones. I also help clients to identify their own intrinsic strengths and values. The effect is an ongoing flow of positive experiences, which help to build confidence, boost self-respect, and improve interpersonal relationships. I offer clients positive regard, non-judgmental stance, and a compassionate environment, where they can feel safe expressing their experiences, thoughts and feelings.
I work with clients to treat anxiety disorders, depression, and bipolar disorders, as well as increase their ability to regulate emotions and replace impulsive behaviors with effective ones. I also help clients to identify their own intrinsic strengths and values. The effect is an ongoing flow of positive experiences, which help to build confidence, boost self-respect, and improve interpersonal relationships. I offer clients positive regard, non-judgmental stance, and a compassionate environment, where they can feel safe expressing their experiences, thoughts and feelings.
(415) 779-4505 View (415) 779-4505
Photo of Denise Stilwell, Psychologist in San Francisco, CA
Denise Stilwell
Psychologist, RN, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Denise Stilwell is a licensed clinical psychologist with seven years of experience providing psychotherapy in a variety of clinical settings. She worked as a nurse for sixteen years before she became a psychotherapist and brings that rich experience into her practice. She specializes in treating anxiety, depression, identity issues, interpersonal issues, grief, managing chronic illness, and somatic symptom disorder. Dr. Stilwell collaborates with her clients to ensure they feel seen and heard in their sessions while utilizing evidence-based therapy approaches that are culturally sensitive and individually focused.
Dr. Denise Stilwell is a licensed clinical psychologist with seven years of experience providing psychotherapy in a variety of clinical settings. She worked as a nurse for sixteen years before she became a psychotherapist and brings that rich experience into her practice. She specializes in treating anxiety, depression, identity issues, interpersonal issues, grief, managing chronic illness, and somatic symptom disorder. Dr. Stilwell collaborates with her clients to ensure they feel seen and heard in their sessions while utilizing evidence-based therapy approaches that are culturally sensitive and individually focused.
(415) 306-8574 View (415) 306-8574
Photo of Robynne Herron, Licensed Professional Clinical Counselor in San Francisco, CA
Robynne Herron
Licensed Professional Clinical Counselor, LPCC
Verified Verified
San Francisco, CA 94115
Hello, I am Robynne (Robin üòâ) Herron. I am a Licensed Profession Clinical Counselor and Licensed Marriage and Family Therapist. My approach is relaxed with a gratuitous use of humor. I favor existential and client-centered approaches. Typically, I work with clients that are focused on figuring out how to feel better; however, I have worked with many clients that weren't sure what feeling better would look like or that were stuck thinking it couldn't get better at all.
Hello, I am Robynne (Robin üòâ) Herron. I am a Licensed Profession Clinical Counselor and Licensed Marriage and Family Therapist. My approach is relaxed with a gratuitous use of humor. I favor existential and client-centered approaches. Typically, I work with clients that are focused on figuring out how to feel better; however, I have worked with many clients that weren't sure what feeling better would look like or that were stuck thinking it couldn't get better at all.
(415) 340-7922 View (415) 340-7922
Photo of Alexandra Berkman, Marriage & Family Therapist Associate in San Francisco, CA
Alexandra Berkman
Marriage & Family Therapist Associate, MA, AMFT, RYT
Verified Verified
San Francisco, CA 94118
Hello! I am a psychotherapist practicing in the Bay Area, who specializes in working with adolescents and adults. I specialize in working with anxiety, grief, and relational and systemic trauma. At the root of my work is supporting clients in connecting with their own intuition and nurturing their relationship to self. My hope is to support you in straying grounded in yourself through transitions and to build sufficient self-support to make real, lasting changes. I believe making time to get curious about your experiences in therapy may help life feel better.
Hello! I am a psychotherapist practicing in the Bay Area, who specializes in working with adolescents and adults. I specialize in working with anxiety, grief, and relational and systemic trauma. At the root of my work is supporting clients in connecting with their own intuition and nurturing their relationship to self. My hope is to support you in straying grounded in yourself through transitions and to build sufficient self-support to make real, lasting changes. I believe making time to get curious about your experiences in therapy may help life feel better.
(415) 886-0506 View (415) 886-0506
Photo of Meiyang Liu Kadaba, Psychologist in San Francisco, CA
Meiyang Liu Kadaba
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94110  (Online Only)
You deserve to feel at home within yourself, your relationships, and your environment. A psychological home is not a particular physical place. It's being at home within yourself and your life, where there's a sense of comfort and belonging that you can carry with you wherever you go. If you choose to work with me, our therapy can become a kind of “home” that we co-construct together. You'll be supported to gain more clarity around your feelings and behavioral patterns, as well as develop more freedom and agency around your choices about work, life, and relationships.
You deserve to feel at home within yourself, your relationships, and your environment. A psychological home is not a particular physical place. It's being at home within yourself and your life, where there's a sense of comfort and belonging that you can carry with you wherever you go. If you choose to work with me, our therapy can become a kind of “home” that we co-construct together. You'll be supported to gain more clarity around your feelings and behavioral patterns, as well as develop more freedom and agency around your choices about work, life, and relationships.
(415) 855-7444 View (415) 855-7444
Photo of Sinami Maxie, Marriage & Family Therapist in San Francisco, CA
Sinami Maxie
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94117
My name is Sinami Maxie, Licensed Marriage and Family Therapist (LMFT). I help adults struggling with anxiety and depression triggered by trauma and relationship issues. Through person-centered therapy combined with cognitive-behavioral therapy, my clients gain insight into their emotions and behavior patterns while learning healthier ways of coping. My goal is to understand your story. From a safe, non-judgmental, and curious perspective, I will help you move forward and break unhealthy emotional and behavioral patterns so that you can discover the best path to the life you seek.
My name is Sinami Maxie, Licensed Marriage and Family Therapist (LMFT). I help adults struggling with anxiety and depression triggered by trauma and relationship issues. Through person-centered therapy combined with cognitive-behavioral therapy, my clients gain insight into their emotions and behavior patterns while learning healthier ways of coping. My goal is to understand your story. From a safe, non-judgmental, and curious perspective, I will help you move forward and break unhealthy emotional and behavioral patterns so that you can discover the best path to the life you seek.
(415) 322-1682 View (415) 322-1682
Photo of Christina A. Rodriguez, Marriage & Family Therapist in San Francisco, CA
Christina A. Rodriguez
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94131
I welcome individual adults, parenting couples and teens into my private practice. My clients often wish to discuss improving their mood, increasing performance at work/school, identifying problems in relationships, exploring their gender identity and establishing healthy screen time/social media habits. With all clients, my initial goal is to offer a safe, non-judgemental space in which we can discover what facets of life most impact them, and how. The goal of my therapies is always to unravel with clients how they arrived in the stressful circumstances they currently inhabit, and how to work on reducing emotional pain.
I welcome individual adults, parenting couples and teens into my private practice. My clients often wish to discuss improving their mood, increasing performance at work/school, identifying problems in relationships, exploring their gender identity and establishing healthy screen time/social media habits. With all clients, my initial goal is to offer a safe, non-judgemental space in which we can discover what facets of life most impact them, and how. The goal of my therapies is always to unravel with clients how they arrived in the stressful circumstances they currently inhabit, and how to work on reducing emotional pain.
(415) 527-0414 View (415) 527-0414
Photo of Ismael de Guzman, Marriage & Family Therapist in San Francisco, CA
Ismael de Guzman
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94103  (Online Only)
I recognize seeking support can be daunting, but you don't have to face your life challenges alone. I am committed to helping individuals from marginalized communities who are seeking therapy to get help with anxiety, depression, identity exploration, or trauma-related experiences. I provide a safe and non-judgmental space to explore what might be coming up for you in these areas. Together we will work to develop resilience, a stronger self-esteem, healthier relationships, personal agency, insight, and strong coping skills.
I recognize seeking support can be daunting, but you don't have to face your life challenges alone. I am committed to helping individuals from marginalized communities who are seeking therapy to get help with anxiety, depression, identity exploration, or trauma-related experiences. I provide a safe and non-judgmental space to explore what might be coming up for you in these areas. Together we will work to develop resilience, a stronger self-esteem, healthier relationships, personal agency, insight, and strong coping skills.
(415) 942-5447 View (415) 942-5447
Photo of Daniel Jackson, Psychologist in San Francisco, CA
Daniel Jackson
Psychologist, PhD
Verified Verified
San Francisco, CA 94105  (Online Only)
My approach to therapy starts with building a foundation of collaboration, safety, and trust. Therapy works best when you are able to make a commitment to personal betterment, healing, and change. Change can apply to your ways of thinking, relationship interactions, and habits. Even small changes can make a big difference in quality of life. I also pay close to attention to what your strengths are and what you value, and encourage you to trust and use those strengths while living out those values in order to create a greater sense of well-being.
My approach to therapy starts with building a foundation of collaboration, safety, and trust. Therapy works best when you are able to make a commitment to personal betterment, healing, and change. Change can apply to your ways of thinking, relationship interactions, and habits. Even small changes can make a big difference in quality of life. I also pay close to attention to what your strengths are and what you value, and encourage you to trust and use those strengths while living out those values in order to create a greater sense of well-being.
(415) 943-2530 View (415) 943-2530
Photo of Aviva Euripides, Marriage & Family Therapist in San Francisco, CA
Aviva Euripides
Marriage & Family Therapist, LMFT, lacana
Verified Verified
San Francisco, CA 94121  (Online Only)
I am an experienced clinician and gauge our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Jacques Siboni at Lutecium Paris, www.lutecium.org.
I am an experienced clinician and gauge our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Jacques Siboni at Lutecium Paris, www.lutecium.org.
(415) 301-5219 View (415) 301-5219
Photo of Robert Waska, Counselor in San Francisco, CA
Robert Waska
Counselor, LPCC, MFT, PhD
Verified Verified
San Francisco, CA 94118  (Online Only)
Effective Anxiety Treatment. Psychotherapy can help you resolve the panic, self-doubt, nervousness, and insecurity that can cripple your day-to-day happiness, your relationships, your career, and your self-worth. Obsessive thinking, compulsive behaviors, worry patterns, and social anxiety can be managed and mastered. Working on the source of this dread can to change and lasting relief.
Effective Anxiety Treatment. Psychotherapy can help you resolve the panic, self-doubt, nervousness, and insecurity that can cripple your day-to-day happiness, your relationships, your career, and your self-worth. Obsessive thinking, compulsive behaviors, worry patterns, and social anxiety can be managed and mastered. Working on the source of this dread can to change and lasting relief.
(415) 689-1009 View (415) 689-1009
Photo of Jeanine Bourcier, Marriage & Family Therapist in San Francisco, CA
Jeanine Bourcier
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94103  (Online Only)
Hello! I am a Licensed Marriage and Family Therapist (LMFT) with over 10 years of experience in a diversity of settings (private practice, community mental health, managed care). I am passionate about helping others grow and become the best version of themselves, and above all else I believe in creating a safe space where honest conversations can lead to lasting change and an improved quality of life.
Hello! I am a Licensed Marriage and Family Therapist (LMFT) with over 10 years of experience in a diversity of settings (private practice, community mental health, managed care). I am passionate about helping others grow and become the best version of themselves, and above all else I believe in creating a safe space where honest conversations can lead to lasting change and an improved quality of life.
(415) 881-5502 View (415) 881-5502
Photo of Ilya Parizhsky, Marriage & Family Therapist in San Francisco, CA
Ilya Parizhsky
Marriage & Family Therapist, MFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
As a licensed therapist, I have dedicated my career to helping people thrive. But the uneven nature of the process always struck me as limiting the human potential. Each of my clients has an incredible power to heal other people, but they’re not being empowered to use it when they see me for 1-1 therapy. I now specialize in an innovative and transformative small-group approach called Effective Listening. This unique method is taught in groups of 6 people, and each person gets to learn to use their awesome healing power and to be an instrumental part of each other person’s transformational journey.
As a licensed therapist, I have dedicated my career to helping people thrive. But the uneven nature of the process always struck me as limiting the human potential. Each of my clients has an incredible power to heal other people, but they’re not being empowered to use it when they see me for 1-1 therapy. I now specialize in an innovative and transformative small-group approach called Effective Listening. This unique method is taught in groups of 6 people, and each person gets to learn to use their awesome healing power and to be an instrumental part of each other person’s transformational journey.
(510) 876-4835 View (510) 876-4835
Photo of Buddhist Based Cognitive Behavioral Therapy, Psychologist in San Francisco, CA
Buddhist Based Cognitive Behavioral Therapy
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94115
The type of therapy that I specialize in would likely be a good match for you if you're interested in integrating practices like meditation, mindfulness, self-compassion, and loving-kindness with contemporary psychotherapy to address current issues in your life. In the past I have successfully worked with individuals struggling with anxiety disorders, depression, trauma, anger, addiction, chronic pain, marital and other relational issues including LGBT relationships. My specialty is working with anxiety and stress related disorders.
The type of therapy that I specialize in would likely be a good match for you if you're interested in integrating practices like meditation, mindfulness, self-compassion, and loving-kindness with contemporary psychotherapy to address current issues in your life. In the past I have successfully worked with individuals struggling with anxiety disorders, depression, trauma, anger, addiction, chronic pain, marital and other relational issues including LGBT relationships. My specialty is working with anxiety and stress related disorders.
(415) 849-0064 View (415) 849-0064

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

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.