Therapists in Portland, OR

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Photo of Marni Wilson, Clinical Social Work/Therapist in Portland, OR
Marni Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97225  (Online Only)
Hello! I'm Marni, a licensed clinical social worker who employs an individualized approach to therapy. I'm deeply passionate about assisting individuals, couples, and families in navigating life's challenges with compassion and insight. My specialization lies in addressing concerns such as self-esteem, anxiety, and depression, and I'm known for my ability to think creatively, recognizing that we all bring our unique perspectives.
Hello! I'm Marni, a licensed clinical social worker who employs an individualized approach to therapy. I'm deeply passionate about assisting individuals, couples, and families in navigating life's challenges with compassion and insight. My specialization lies in addressing concerns such as self-esteem, anxiety, and depression, and I'm known for my ability to think creatively, recognizing that we all bring our unique perspectives.
(503) 782-6299 View (503) 782-6299
Photo of Susan Yoon, Licensed Professional Counselor in Portland, OR
Susan Yoon
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Portland, OR 97215
‍‍I really am a child at heart. This is why I love creating connections with children and teens. I see individuals as part of a larger system, via family, community and culture. I believe that the therapeutic alliance I make with my clients is really the heart of therapy and I have seen positive outcomes for my clients when they live confident, happy and healthy lives. In addition to my work with children and teens, much of my practice concentrates on counseling women who have recently separated from their partners, empowering women of all ages to be the best version of themselves. I strive to be the kindest human I can be.
‍‍I really am a child at heart. This is why I love creating connections with children and teens. I see individuals as part of a larger system, via family, community and culture. I believe that the therapeutic alliance I make with my clients is really the heart of therapy and I have seen positive outcomes for my clients when they live confident, happy and healthy lives. In addition to my work with children and teens, much of my practice concentrates on counseling women who have recently separated from their partners, empowering women of all ages to be the best version of themselves. I strive to be the kindest human I can be.
(517) 994-1093 View (517) 994-1093
Photo of Wren Christine Anderson, Clinical Social Work/Therapist in Portland, OR
Wren Christine Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97214
Currently I work with people struggling with depression, anxiety, trauma, life transitions, addictions, and grief. While I have received training in a number of approaches, my goal is to offer you interventions and tools that best fit for you. I am most influenced by IFS, DBT, EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, Mindfulness, and Expressive Art Therapy. I look through the lens of trauma, and I take a behaviorally specific approach to support experiences of transformation into long term change and growth. You can expect to have tools and skills to practice in between session to support your work.
Currently I work with people struggling with depression, anxiety, trauma, life transitions, addictions, and grief. While I have received training in a number of approaches, my goal is to offer you interventions and tools that best fit for you. I am most influenced by IFS, DBT, EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, Mindfulness, and Expressive Art Therapy. I look through the lens of trauma, and I take a behaviorally specific approach to support experiences of transformation into long term change and growth. You can expect to have tools and skills to practice in between session to support your work.
(971) 414-3413 View (971) 414-3413
Photo of Katie Eichner, Psychologist in Portland, OR
Katie Eichner
Psychologist, PhD
Verified Verified
Portland, OR 97214  (Online Only)
Not accepting new clients
I identify as a queer woman and specialize with LGBT folks. Poly and kink friendly! I may be a good fit for you if you want a therapist who is genuine, transparent, warm, and friendly, who sees you as a unique individual and tailors our work to identify and meet your needs. I bring a social justice lens and understanding of systems of oppression into therapeutic work. I will tell you what I am thinking, will challenge you intellectually, and actively engage with you. I will be open and honest in answering your questions, work collaboratively with you, describe our options, and check in often.
I identify as a queer woman and specialize with LGBT folks. Poly and kink friendly! I may be a good fit for you if you want a therapist who is genuine, transparent, warm, and friendly, who sees you as a unique individual and tailors our work to identify and meet your needs. I bring a social justice lens and understanding of systems of oppression into therapeutic work. I will tell you what I am thinking, will challenge you intellectually, and actively engage with you. I will be open and honest in answering your questions, work collaboratively with you, describe our options, and check in often.
(971) 307-9562 View (971) 307-9562
Photo of The Center for Couple's & Sex Therapy , Marriage & Family Therapist in Portland, OR
The Center for Couple's & Sex Therapy
Marriage & Family Therapist, LMFT, LPC, LCSW
Verified Verified
Portland, OR 97232  (Online Only)
Our therapists are highly specialized, compassionate, and dedicated to helping you create more pleasure and connection in your life. We believe that everyone deserves access to high-quality, specialized therapeutic care. The Center stands with and supports LGBTQIA+, BIPOC, Latinx, AAPI, Immigrant and Native communities. We are gender and trans-affirming, anti-racist, and open to supporting folks in monogamous and non-mongamous relationships of any kind. We pride ourselves on providing sex positive therapy to all individuals in our community.
Our therapists are highly specialized, compassionate, and dedicated to helping you create more pleasure and connection in your life. We believe that everyone deserves access to high-quality, specialized therapeutic care. The Center stands with and supports LGBTQIA+, BIPOC, Latinx, AAPI, Immigrant and Native communities. We are gender and trans-affirming, anti-racist, and open to supporting folks in monogamous and non-mongamous relationships of any kind. We pride ourselves on providing sex positive therapy to all individuals in our community.
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Photo of Katheryn Cordova Jimenez, Clinical Social Work/Therapist in Portland, OR
Katheryn Cordova Jimenez
Clinical Social Work/Therapist, LCSW, CADC I
Verified Verified
Portland, OR 97220  (Online Only)
I have been working with pre-teens, teens, and young adults for the past 12 years. I provide individual and family therapy for both mental health and substance use concerns to teens and young adults. I use a strengths-based and trauma informed approach that is grounded in anti-racism.
I have been working with pre-teens, teens, and young adults for the past 12 years. I provide individual and family therapy for both mental health and substance use concerns to teens and young adults. I use a strengths-based and trauma informed approach that is grounded in anti-racism.
(503) 563-8111 View (503) 563-8111
Photo of Dr. Marcia Zumbahlen, Psychologist in Portland, OR
Dr. Marcia Zumbahlen
Psychologist, PhD, IMHS
Verified Verified
Portland, OR 97219
I specialize in neuro-development, with a particular focus on autism and associated conditions (e.g., sensory processing difficulties, ADHD, Nonverbal Learning Disorder, Social Pragmatic Communication Disorder). My training in Developmental Psychology, Infant Mental Health, and Clinical Neuropsychology, and my 30+ years experience, have taught me to put parents first, intervene early, and collaborate with medical doctors, developmental therapists, and schools for the strongest outcomes in these conditions.
I specialize in neuro-development, with a particular focus on autism and associated conditions (e.g., sensory processing difficulties, ADHD, Nonverbal Learning Disorder, Social Pragmatic Communication Disorder). My training in Developmental Psychology, Infant Mental Health, and Clinical Neuropsychology, and my 30+ years experience, have taught me to put parents first, intervene early, and collaborate with medical doctors, developmental therapists, and schools for the strongest outcomes in these conditions.
(503) 483-8658 View (503) 483-8658
Photo of Aaron Paul Jones, Marriage & Family Therapist in Portland, OR
Aaron Paul Jones
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97214
I offer you my kindness, respect and years of my own dedicated self work. Listening, presence and experience is a big part of what I bring to our sessions. A lot of pain and trauma becomes unconscious. I work with you to understand the sources of the problem. We aim to understand the different parts of your self. We work to activate your highest or most authentic self. I also aim to heal the trauma in the body. I am Jungian based, using EMDR, mindfulness psychology, and somatic approaches, all to deepen your relationship to yourself.
I offer you my kindness, respect and years of my own dedicated self work. Listening, presence and experience is a big part of what I bring to our sessions. A lot of pain and trauma becomes unconscious. I work with you to understand the sources of the problem. We aim to understand the different parts of your self. We work to activate your highest or most authentic self. I also aim to heal the trauma in the body. I am Jungian based, using EMDR, mindfulness psychology, and somatic approaches, all to deepen your relationship to yourself.
(415) 729-1997 View (415) 729-1997
Photo of Mindfulness Therapy Service, LLC., Clinical Social Work/Therapist in Portland, OR
Mindfulness Therapy Service, LLC.
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97216
People have an unlimited capacity for growth and change. People come to therapy for a wide range of reasons. My role as a therapist is to assist you in working towards your goals by offering support, validation, as well as practical tools that will assist you in working towards achieving those goals. Most of my training and experience has been in working with individuals who have experienced trauma. What I have learned in each of the practice settings that I have worked in is that each person is unique and requires a slightly different approach. I will routinely check in with you and shift our focus if needed in therapy.
People have an unlimited capacity for growth and change. People come to therapy for a wide range of reasons. My role as a therapist is to assist you in working towards your goals by offering support, validation, as well as practical tools that will assist you in working towards achieving those goals. Most of my training and experience has been in working with individuals who have experienced trauma. What I have learned in each of the practice settings that I have worked in is that each person is unique and requires a slightly different approach. I will routinely check in with you and shift our focus if needed in therapy.
(971) 252-5530 View (971) 252-5530
Photo of Brianne Copeland, Licensed Professional Counselor in Portland, OR
Brianne Copeland
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97217
Sometimes, as humans, we get wounded in ways that are so deep, they are difficult to name. Perhaps you have lost loved ones along the way, or can't find meaning in your story. Have you ever inventoried your life to discover that it is not what you want it to be? Do you feel haunted by memories? Maybe you engage in self-destructive or numbing behaviors that you wish you could change, but find that making those changes is easier said than done. My goal is to create a trustworthy space where we can work through whatever it is you bring in, on your search for healing, fulfillment, and wholeness.
Sometimes, as humans, we get wounded in ways that are so deep, they are difficult to name. Perhaps you have lost loved ones along the way, or can't find meaning in your story. Have you ever inventoried your life to discover that it is not what you want it to be? Do you feel haunted by memories? Maybe you engage in self-destructive or numbing behaviors that you wish you could change, but find that making those changes is easier said than done. My goal is to create a trustworthy space where we can work through whatever it is you bring in, on your search for healing, fulfillment, and wholeness.
(971) 233-2704 View (971) 233-2704
Photo of Joan Arbor, Clinical Social Work/Therapist in Portland, OR
Joan Arbor
Clinical Social Work/Therapist, LCSW, CADCI
Verified Verified
Portland, OR 97203  (Online Only)
Not accepting new clients
My approach as a mental health counselor is to support you in a collaborative process to nurture the growth and change that aligns with your goals, values, strengths, and resilience. Anxiety, depression, trauma, grief, loneliness, oppression, or addiction can stand in the way of healing from painful situations. My therapeutic style is one of respect, safety, and compassion. I incorporate many therapeutic modalities tailored to your needs to create the growth you would like to see. ​
My approach as a mental health counselor is to support you in a collaborative process to nurture the growth and change that aligns with your goals, values, strengths, and resilience. Anxiety, depression, trauma, grief, loneliness, oppression, or addiction can stand in the way of healing from painful situations. My therapeutic style is one of respect, safety, and compassion. I incorporate many therapeutic modalities tailored to your needs to create the growth you would like to see. ​
(971) 260-9315 View (971) 260-9315
Photo of Cory Miguel Cordero, Licensed Professional Counselor in Portland, OR
Cory Miguel Cordero
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Waitlist for new clients
Helping you to live a life that you value is my goal. Often in life we end up offtrack. We pay too much attention to things that don't truly matter to us... our fears, our pain, our sorrow. By themselves there is nothing wrong with them, but when they become prevailing forces in our lives, it leads to suffering. Too often we believe that we are the problem, when in truth, the problem is the problem. I believe that we can help you find your way. You can live a life where you have created your own meaning.
Helping you to live a life that you value is my goal. Often in life we end up offtrack. We pay too much attention to things that don't truly matter to us... our fears, our pain, our sorrow. By themselves there is nothing wrong with them, but when they become prevailing forces in our lives, it leads to suffering. Too often we believe that we are the problem, when in truth, the problem is the problem. I believe that we can help you find your way. You can live a life where you have created your own meaning.
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Photo of Anya Hicks, MA/Snowlion Therapy, Pre-Licensed Professional in Portland, OR
Anya Hicks, MA/Snowlion Therapy
Pre-Licensed Professional, MA, PCA
Verified Verified
Portland, OR 97221  (Online Only)
If you have experienced anxiety, you know how awful it can feel at times. Like a ghost, it can come from nowhere and you suddenly have knots in your stomach or shaky hands, chest constriction, or worse - you may feel like passing out or throwing up. There are lots of helpful skills to deal with anxiety once you know the symptoms. Yet anxiety is not always seen for what it is. It can hide behind angry outbursts, procrastination, compulsive behaviors, insecurity, self-deprecation, and tendencies to please others. Yet sometimes, anxiety is a messenger of deeper truths and hidden wounds.
If you have experienced anxiety, you know how awful it can feel at times. Like a ghost, it can come from nowhere and you suddenly have knots in your stomach or shaky hands, chest constriction, or worse - you may feel like passing out or throwing up. There are lots of helpful skills to deal with anxiety once you know the symptoms. Yet anxiety is not always seen for what it is. It can hide behind angry outbursts, procrastination, compulsive behaviors, insecurity, self-deprecation, and tendencies to please others. Yet sometimes, anxiety is a messenger of deeper truths and hidden wounds.
(971) 315-4860 View (971) 315-4860
Photo of Mary Wells Pope, Licensed Professional Counselor in Portland, OR
Mary Wells Pope
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Portland, OR 97212
For most people, strong relationships are an important indicator of health and well-being. When we feel stuck in old patterns that no longer serve us, our connection to others suffers too, which can turn up as depression, anxiety, or simply feeling alone and disconnected. By reconnecting with our essential gifts and strengths through the therapy process, we in turn can offer more to family, friends, and community.
For most people, strong relationships are an important indicator of health and well-being. When we feel stuck in old patterns that no longer serve us, our connection to others suffers too, which can turn up as depression, anxiety, or simply feeling alone and disconnected. By reconnecting with our essential gifts and strengths through the therapy process, we in turn can offer more to family, friends, and community.
(503) 836-5340 View (503) 836-5340
Photo of Megan Smith, Licensed Professional Counselor in Portland, OR
Megan Smith
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97214  (Online Only)
Welcome. I am a clinician with 24 plus years of clinical practice and extensive experience with a number of somatic therapies. I specialize in working with complex trauma but, generally speaking, my clients seek support with relationships or overwhelming emotional states that impact some aspect of their lives.
Welcome. I am a clinician with 24 plus years of clinical practice and extensive experience with a number of somatic therapies. I specialize in working with complex trauma but, generally speaking, my clients seek support with relationships or overwhelming emotional states that impact some aspect of their lives.
(503) 713-6166 View (503) 713-6166
Photo of Kellie Supriano, Licensed Professional Counselor in Portland, OR
Kellie Supriano
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97232
Waitlist for new clients
I believe that life is a journey and although it is so often wondrous and joyful, it can also present unique challenges for us as human beings. These challenges can leave us feeling confused, overwhelmed, scared and alone at times. Counseling can be supportive in helping to restore emotional balance and deepen our sense of aliveness and well being. In my work with clients, I draw on strategies that assist people in exploring ways that they can move towards self-compassion and a more integrated sense of self.
I believe that life is a journey and although it is so often wondrous and joyful, it can also present unique challenges for us as human beings. These challenges can leave us feeling confused, overwhelmed, scared and alone at times. Counseling can be supportive in helping to restore emotional balance and deepen our sense of aliveness and well being. In my work with clients, I draw on strategies that assist people in exploring ways that they can move towards self-compassion and a more integrated sense of self.
(503) 966-9759 View (503) 966-9759
Photo of Patricia G Johnson, Pre-Licensed Professional in Portland, OR
Patricia G Johnson
Pre-Licensed Professional
Verified Verified
2 Endorsed
Portland, OR 97214  (Online Only)
I hold certificates in CBT trauma for children and adults, have worked with domestic violence groups, as well as participated in parenting groups and helped lead emotionally focused groups for children ages 5 to 12. I have also counseled couples through issues of trust, dysfunction, and infidelity. In the coming months I look to complete certificate programs in Eye Movement Desensitization and Reprocessing (EMDR, a trauma/PTSD focused protocol), geriatric populations and their unique issues and challenges, as well as refine my trauma skills by continuing in trauma focused interventions through CBT as well as art therapy.
I hold certificates in CBT trauma for children and adults, have worked with domestic violence groups, as well as participated in parenting groups and helped lead emotionally focused groups for children ages 5 to 12. I have also counseled couples through issues of trust, dysfunction, and infidelity. In the coming months I look to complete certificate programs in Eye Movement Desensitization and Reprocessing (EMDR, a trauma/PTSD focused protocol), geriatric populations and their unique issues and challenges, as well as refine my trauma skills by continuing in trauma focused interventions through CBT as well as art therapy.
(503) 782-5817 View (503) 782-5817
Photo of Andrew Trelstad, Marriage & Family Therapist in Portland, OR
Andrew Trelstad
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Portland, OR 97212
My approach to counseling is to create a safe space for you and your family to build hope. We will work to raise awareness around the emotions that so often drive our behaviors. As emotional awareness increases we can choose different responses. Rather than the instantaneous reactions that plague many of us, we will be able to respond intentionally and thoughtfully. As we come to understand the emotional basis of our reactions, and choose to change our responses, we can break negative patterns of behavior with our partners, family, children, colleagues, and other people in our lives.
My approach to counseling is to create a safe space for you and your family to build hope. We will work to raise awareness around the emotions that so often drive our behaviors. As emotional awareness increases we can choose different responses. Rather than the instantaneous reactions that plague many of us, we will be able to respond intentionally and thoughtfully. As we come to understand the emotional basis of our reactions, and choose to change our responses, we can break negative patterns of behavior with our partners, family, children, colleagues, and other people in our lives.
(971) 257-5791 View (971) 257-5791
Photo of Dr. Landon Michaels, Psychologist in Portland, OR
Dr. Landon Michaels
Psychologist, PsyD
Verified Verified
Portland, OR 97222
Not accepting new clients
If you've found yourself here, you are looking for change. My therapy approach will help you build new behaviors that align with the person you want to be and get control of behaviors that no longer fit your life. Because the path towards recovery and growth is difficult, I try to make the journey as enjoyable as possible. While providing empirically supported treatments, I mix in irreverence, bad puns, and a youthful energy.
If you've found yourself here, you are looking for change. My therapy approach will help you build new behaviors that align with the person you want to be and get control of behaviors that no longer fit your life. Because the path towards recovery and growth is difficult, I try to make the journey as enjoyable as possible. While providing empirically supported treatments, I mix in irreverence, bad puns, and a youthful energy.
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Photo of Eden Swartz, LPC Intern in Portland, OR
Eden Swartz
LPC Intern, MA
Verified Verified
4 Endorsed
Portland, OR 97206
Waitlist for new clients
My favorite thing to do is support people. Being human can feel difficult and confusing at times. Communication can feel even trickier. I support my clients with lovingkindness and unlimited compassion. I am vibrant and down-to-earth. I definitely want all of my clients to feel safe, heard, and grounded. I specialize in transitions, anxiety, depression, sex, couples, parenting, divorce, insecurities, etc. I have a special place in my heart for the perinatal community. I have been working with new families for almost 20 years.
My favorite thing to do is support people. Being human can feel difficult and confusing at times. Communication can feel even trickier. I support my clients with lovingkindness and unlimited compassion. I am vibrant and down-to-earth. I definitely want all of my clients to feel safe, heard, and grounded. I specialize in transitions, anxiety, depression, sex, couples, parenting, divorce, insecurities, etc. I have a special place in my heart for the perinatal community. I have been working with new families for almost 20 years.
(503) 470-4753 View (503) 470-4753

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Portland?

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.