Therapists in Sacramento County, CA

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Photo of Tania Pearson Salazar, LCSW, Clinical Social Work/Therapist
Tania Pearson Salazar
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95819
Not accepting new clients
Do you feel stuck in old patterns that no longer serve you? Are you overwhelmed by life stress, & having trouble seeing the light at the end of the tunnel? The good news is we are extremely resilient beings. We have the capacity to heal from past wounds, to grow, to set limits, and to cultivate our best lives. Each of us deserves to live honestly and authentically, and free from suffering!
Do you feel stuck in old patterns that no longer serve you? Are you overwhelmed by life stress, & having trouble seeing the light at the end of the tunnel? The good news is we are extremely resilient beings. We have the capacity to heal from past wounds, to grow, to set limits, and to cultivate our best lives. Each of us deserves to live honestly and authentically, and free from suffering!
(916) 877-6210 View (916) 877-6210
Photo of Emily Kaiser, Clinical Social Work/Therapist
Emily Kaiser
Clinical Social Work/Therapist
Verified Verified
Citrus Heights, CA 95610  (Online Only)
Not accepting new clients
Navigating the challenging parts of life's journey requires support and healing. Since 2008, my focus has been on assisting families and youth affected by foster care, adoption, and kinship placement. Parenting young individuals who have endured trauma can be overwhelming and filled with uncertainty. My approach involves understanding your unique needs to provide tailored support. My ultimate aim is to empower you with confidence and equip you with essential skills. I would be honored to collaborate with you and create a safe space to address the challenges you h
Navigating the challenging parts of life's journey requires support and healing. Since 2008, my focus has been on assisting families and youth affected by foster care, adoption, and kinship placement. Parenting young individuals who have endured trauma can be overwhelming and filled with uncertainty. My approach involves understanding your unique needs to provide tailored support. My ultimate aim is to empower you with confidence and equip you with essential skills. I would be honored to collaborate with you and create a safe space to address the challenges you h
(916) 665-0354 View (916) 665-0354
Photo of Susan B O'Connell, MA, MEd, Counselor
Susan B O'Connell
Counselor, MA, MEd
Verified Verified
Sacramento, CA 95866  (Online Only)
When you need help - and all of us need help sometime - you want to tell your story to someone who is warm and supportive. Someone who is intelligent, trained, and familiar with the problems you face. These problems may involve family or marital relationships, insecurity, anxiety, depression, loss, or grief. Or the problems may be specific to people undergoing divorce, immigrants struggling with American language and culture, or artists striving to make their mark. All of us want someone on our side who is caring and helpful, someone who can clarify and show the way. My goal is to be that person for my clients.
When you need help - and all of us need help sometime - you want to tell your story to someone who is warm and supportive. Someone who is intelligent, trained, and familiar with the problems you face. These problems may involve family or marital relationships, insecurity, anxiety, depression, loss, or grief. Or the problems may be specific to people undergoing divorce, immigrants struggling with American language and culture, or artists striving to make their mark. All of us want someone on our side who is caring and helpful, someone who can clarify and show the way. My goal is to be that person for my clients.
(916) 318-3663 View (916) 318-3663
Photo of Heather Marie Colquhoun, LMFT, Marriage & Family Therapist
Heather Marie Colquhoun
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95811  (Online Only)
During times of life changes, trauma, grief, and loss it is easy to forget about your inherent strengths and resilience when you are struggling to function in your daily activities and create inner peace. Your experiences may feel like they are piling up against you, you may feel unbalanced, and may be are struggling to find a way to maintain safety and security for yourself. During times of need, you may forget how to navigate through life's challenges and take care of yourself. I work with individuals who are trying to create stability and wellness in all areas of their lives with a supportive guide by their side.
During times of life changes, trauma, grief, and loss it is easy to forget about your inherent strengths and resilience when you are struggling to function in your daily activities and create inner peace. Your experiences may feel like they are piling up against you, you may feel unbalanced, and may be are struggling to find a way to maintain safety and security for yourself. During times of need, you may forget how to navigate through life's challenges and take care of yourself. I work with individuals who are trying to create stability and wellness in all areas of their lives with a supportive guide by their side.
(916) 237-1932 View (916) 237-1932
Photo of Rainie Tabish, PsyD, Psychologist
Rainie Tabish
Psychologist, PsyD
Verified Verified
1 Endorsed
Folsom, CA 95630
I work with adults of all ages experiencing anxiety, depression, stress associated with trauma, grief/loss, relationship problems, and life transitions related to aging and older adulthood. My belief is that when people move towards approaching their painful experiences with compassion and curiosity it allows space for making meaningful changes in their lives. In our work together, you will be provided with a supportive environment that honors safety and acceptance. Collaboratively, we will explore healthy strategies for dealing with stress that are consistent with your goals and values.
I work with adults of all ages experiencing anxiety, depression, stress associated with trauma, grief/loss, relationship problems, and life transitions related to aging and older adulthood. My belief is that when people move towards approaching their painful experiences with compassion and curiosity it allows space for making meaningful changes in their lives. In our work together, you will be provided with a supportive environment that honors safety and acceptance. Collaboratively, we will explore healthy strategies for dealing with stress that are consistent with your goals and values.
(916) 297-4097 View (916) 297-4097
Photo of Ned Butler, MFT, PhD, Marriage & Family Therapist
Ned Butler
Marriage & Family Therapist, MFT, PhD
Verified Verified
Sacramento, CA 95814
I specialize in relationships. Does your mate cause you to suffer? Is your relationship one of intolerable conflict or quiet desperation? People with such suffering often rush to breakup or divorce. Don't. Back away slowly instead. In leaving, not only do you waste the chance to save this relationship but also the chance to know yourself better. If you rush, you will likely repeat these problems in the next relationship.
I specialize in relationships. Does your mate cause you to suffer? Is your relationship one of intolerable conflict or quiet desperation? People with such suffering often rush to breakup or divorce. Don't. Back away slowly instead. In leaving, not only do you waste the chance to save this relationship but also the chance to know yourself better. If you rush, you will likely repeat these problems in the next relationship.
(916) 678-0941 View (916) 678-0941
Photo of Joy Muraki Castrejon, LCSW, Clinical Social Work/Therapist
Joy Muraki Castrejon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95816
Not accepting new clients
Please know that you are meant for more and deserve to live a fulfilling life that is free from suffering. Hello, I'm Joy, a holistic therapist who helps people shift from exhaustion and isolation to expansion and connection by utilizing balancing and somatic techniques. For over 15 years, I have shared my knowledge of Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), and embodiment techniques with my clients to promote their transformation in becoming centered, empowered, revitalized, and aligned with their values, desires, and goals.
Please know that you are meant for more and deserve to live a fulfilling life that is free from suffering. Hello, I'm Joy, a holistic therapist who helps people shift from exhaustion and isolation to expansion and connection by utilizing balancing and somatic techniques. For over 15 years, I have shared my knowledge of Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), and embodiment techniques with my clients to promote their transformation in becoming centered, empowered, revitalized, and aligned with their values, desires, and goals.
(916) 406-5849 View (916) 406-5849
Photo of Erica Romero, LMFT, Marriage & Family Therapist
Erica Romero
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95820
My name is Erica Romero, and I am a Licensed Marriage and Family Therapist based in San Mateo, California. I work with individuals from different backgrounds facing a broad range of matters. I demonstrate a multicultural and trauma-focused perspective. My approach to therapy varies based on the needs of each client I work with. I utilize techniques from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution Focused Brief Therapy (SFBT).
My name is Erica Romero, and I am a Licensed Marriage and Family Therapist based in San Mateo, California. I work with individuals from different backgrounds facing a broad range of matters. I demonstrate a multicultural and trauma-focused perspective. My approach to therapy varies based on the needs of each client I work with. I utilize techniques from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution Focused Brief Therapy (SFBT).
(916) 382-7409 View (916) 382-7409
Photo of Jon Preiss, PhD, Psychologist
Jon Preiss
Psychologist, PhD
Verified Verified
1 Endorsed
Sacramento, CA 95822  (Online Only)
Currently accepting new clients for telehealth only. The only thing constant in life is change and with that change comes new challenges. At times our past can make it difficult to cope and adapt with new realities. Relationships, work, parenthood, the loss of loved ones, and other life transitions can force us to redefine ourselves. If you are finding yourself off course, therapy is a place to learn how to cope with change and find support in the journey. You have the ability to change and improve your well-being by taking the first step in asking for help.
Currently accepting new clients for telehealth only. The only thing constant in life is change and with that change comes new challenges. At times our past can make it difficult to cope and adapt with new realities. Relationships, work, parenthood, the loss of loved ones, and other life transitions can force us to redefine ourselves. If you are finding yourself off course, therapy is a place to learn how to cope with change and find support in the journey. You have the ability to change and improve your well-being by taking the first step in asking for help.
(916) 764-3784 View (916) 764-3784
Photo of Jennifer Miller - Jennifer Miller MFT, LMFT, Marriage & Family Therapist
Jennifer Miller MFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Folsom, CA 95630
Waitlist for new clients
To seek the help of a therapist involves great strength. Life's experiences often challenge us. As an Adult and Adolescent Therapist, it is my experience that facing these obstacles provides an opportunity to create change in yourself. Allow me to support you in this process. As your therapist, I will take time to get to know the individual you are and help you identify internal strengths. I will actively guide you through exploring past wounds, help you reframe thoughts for a deeper understanding, and teach you concrete skills to improve your quality of life.
To seek the help of a therapist involves great strength. Life's experiences often challenge us. As an Adult and Adolescent Therapist, it is my experience that facing these obstacles provides an opportunity to create change in yourself. Allow me to support you in this process. As your therapist, I will take time to get to know the individual you are and help you identify internal strengths. I will actively guide you through exploring past wounds, help you reframe thoughts for a deeper understanding, and teach you concrete skills to improve your quality of life.
(916) 512-1793 View (916) 512-1793
Photo of Toni Onkka, LCSW, Clinical Social Work/Therapist
Toni Onkka
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmichael, CA 95608
My name is Toni Onkka, and I am a Licensed Clinical Social Worker, based in Fresno, California. I work with clients throughout California via telehealth. I work with adults over 18 years old. My practice includes a large number of clients over 65 years old. The conditions that are most commonly presented by my clients include depression, anxiety, stress, sexual identity, and aging issues.
My name is Toni Onkka, and I am a Licensed Clinical Social Worker, based in Fresno, California. I work with clients throughout California via telehealth. I work with adults over 18 years old. My practice includes a large number of clients over 65 years old. The conditions that are most commonly presented by my clients include depression, anxiety, stress, sexual identity, and aging issues.
(916) 461-1827 View (916) 461-1827
Photo of Kamal Ahmed, LMFT, Marriage & Family Therapist
Kamal Ahmed
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95843  (Online Only)
Hello, I specialize in working with the following: Teen/Young Adult Issues- I help teens/young adults learn valuable skills that help them make sense of their thoughts, feelings, and values; this helps them be better equipped and empowered to make better decisions in their relationships, school, and work. Counseling with me can help teens and young adults build their confidence, bounce back from setbacks, focus on their goals, manage stress, and have healthy relationships.
Hello, I specialize in working with the following: Teen/Young Adult Issues- I help teens/young adults learn valuable skills that help them make sense of their thoughts, feelings, and values; this helps them be better equipped and empowered to make better decisions in their relationships, school, and work. Counseling with me can help teens and young adults build their confidence, bounce back from setbacks, focus on their goals, manage stress, and have healthy relationships.
(510) 674-0481 View (510) 674-0481
Photo of Kristen Crichton, MA, LMFT, Marriage & Family Therapist
Kristen Crichton
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Fair Oaks, CA 95628
You are making a huge step in reaching out for help right now! I understand how overwhelming it can be choosing the right therapist for you. My hope is that in choosing to work with me, you will find a safe and supportive environment where you can work through some of life's toughest issues. I feel confident that I can give you the tools you need to get through this trial. I have been successfully helping individuals, couples and families get un-stuck for over a decade. I hope you will give me the chance to help you too!
You are making a huge step in reaching out for help right now! I understand how overwhelming it can be choosing the right therapist for you. My hope is that in choosing to work with me, you will find a safe and supportive environment where you can work through some of life's toughest issues. I feel confident that I can give you the tools you need to get through this trial. I have been successfully helping individuals, couples and families get un-stuck for over a decade. I hope you will give me the chance to help you too!
(916) 226-4738 View (916) 226-4738
Photo of Harvey Hyman, LPCC
Harvey Hyman
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Sacramento, CA 95816
Hi. I am a licensed professional clinical counselor in California. I have extensive training and clinical experience in trauma therapies. My perspective is that childhood trauma has a lifelong impact on the ability of people to like, accept, and have compassion for themselves; to feel, express, and regulate their emotions; to be vulnerable, honest, and communicative in relationships; to take risks at work and in relationships; and to find meaning, satisfaction, and joy in life.
Hi. I am a licensed professional clinical counselor in California. I have extensive training and clinical experience in trauma therapies. My perspective is that childhood trauma has a lifelong impact on the ability of people to like, accept, and have compassion for themselves; to feel, express, and regulate their emotions; to be vulnerable, honest, and communicative in relationships; to take risks at work and in relationships; and to find meaning, satisfaction, and joy in life.
(916) 758-9349 View (916) 758-9349
Photo of Fara Izadi, LCSW, Clinical Social Work/Therapist
Fara Izadi
Clinical Social Work/Therapist, LCSW
Verified Verified
Folsom, CA 95630
How able are you to manage stress and crisis as they strike? How wide is your window of tolerance? Would you like to learn some tools and techniques to assist you managing stressful events more effectively? Would you like to work on becoming a better version of yourself? Call me and let us find out how can I be of a help. I am a Trauma-Wise-Therapist and I specialize in treating individuals with anxiety, depression, and trauma. I work with individuals and groups focusing on different issues such as stress management, Distress Tolerance, emotional regulation,communication issues, and interpersonal relationships.
How able are you to manage stress and crisis as they strike? How wide is your window of tolerance? Would you like to learn some tools and techniques to assist you managing stressful events more effectively? Would you like to work on becoming a better version of yourself? Call me and let us find out how can I be of a help. I am a Trauma-Wise-Therapist and I specialize in treating individuals with anxiety, depression, and trauma. I work with individuals and groups focusing on different issues such as stress management, Distress Tolerance, emotional regulation,communication issues, and interpersonal relationships.
(916) 866-8244 View (916) 866-8244
Photo of Karessa Kelly, LMFT, Marriage & Family Therapist
Karessa Kelly
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Sacramento, CA 95864
Not accepting new clients
The therapeutic journey begins internally by listening to the heart when it tells us there is a need for change in our lives. Second is having the courage to admit when we need outside support to begin this change, and finally being bold enough to use our voices to seek out the assistance of a therapist. Therapy with the right therapist can be helpful to everyone. my preferred theoretical approach is client-centered. A client-centered therapeutic approach allows me to meet my clients where they are at and together develop the appropriate path forward. Other theoretical approaches include; CBT, DBT, experiential, & psychodynamic.
The therapeutic journey begins internally by listening to the heart when it tells us there is a need for change in our lives. Second is having the courage to admit when we need outside support to begin this change, and finally being bold enough to use our voices to seek out the assistance of a therapist. Therapy with the right therapist can be helpful to everyone. my preferred theoretical approach is client-centered. A client-centered therapeutic approach allows me to meet my clients where they are at and together develop the appropriate path forward. Other theoretical approaches include; CBT, DBT, experiential, & psychodynamic.
(916) 237-1619 View (916) 237-1619
Photo of Mary Valtierra, PhD, Psychologist
Mary Valtierra
Psychologist, PhD
Verified Verified
1 Endorsed
Sacramento, CA 95825
I believe that each of us feels most alive and fulfilled when actively pursuing the genuine expression of one's self. My role as therapist is to assist you in attaining this expression. Many symptoms such as depression, anxiety or self-destructiveness, arise when one is not acting in accordance with one's authentic self. Therapy will help identify what blocks this self-expression and gently challenge you toward greater self knowledge. We'll work together to identify your unique path toward self realization.
I believe that each of us feels most alive and fulfilled when actively pursuing the genuine expression of one's self. My role as therapist is to assist you in attaining this expression. Many symptoms such as depression, anxiety or self-destructiveness, arise when one is not acting in accordance with one's authentic self. Therapy will help identify what blocks this self-expression and gently challenge you toward greater self knowledge. We'll work together to identify your unique path toward self realization.
(916) 226-4579 View (916) 226-4579
Photo of Harvey M Stabbe, PhD, Psychologist
Harvey M Stabbe
Psychologist, PhD
Verified Verified
Folsom, CA 95630
Change is one of the most difficult things that we do. Whether you're beginning your change or in the middle of change it can feel like you're moving heaven and earth. We act out of old, familiar ways, many of which we took on as children to protect us from the traumas of those times. Giving up those old coping mechanisms is like asking us to put down our shields in the middle of a battle although those circumstances have past long ago. They still feel real at some level so we hold onto those old ways of being even if they create more problems than they protect us from.
Change is one of the most difficult things that we do. Whether you're beginning your change or in the middle of change it can feel like you're moving heaven and earth. We act out of old, familiar ways, many of which we took on as children to protect us from the traumas of those times. Giving up those old coping mechanisms is like asking us to put down our shields in the middle of a battle although those circumstances have past long ago. They still feel real at some level so we hold onto those old ways of being even if they create more problems than they protect us from.
(916) 461-8597 View (916) 461-8597
Andrea Colegrove
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95825
Through the use of self-exploration and awareness"“together we can unfold the hang-ups making you feel stuck and holding you back from feeling your best. I utilize a humanistic approach, emphasizing the value of compassion, to provide my clients the opportunity to feel seen and allow for healing. I work to teach individuals how to utilize mindfulness skills and cognitive behavioral techniques to break away from the pain and fear they may be experiencing. I have found my passion in working with women and individuals experiencing life transitions.
Through the use of self-exploration and awareness"“together we can unfold the hang-ups making you feel stuck and holding you back from feeling your best. I utilize a humanistic approach, emphasizing the value of compassion, to provide my clients the opportunity to feel seen and allow for healing. I work to teach individuals how to utilize mindfulness skills and cognitive behavioral techniques to break away from the pain and fear they may be experiencing. I have found my passion in working with women and individuals experiencing life transitions.
(916) 347-4849 View (916) 347-4849
Photo of Joshua L Collver, LCSW, MHA, Clinical Social Work/Therapist
Joshua L Collver
Clinical Social Work/Therapist, LCSW, MHA
Verified Verified
1 Endorsed
Fair Oaks, CA 95628  (Online Only)
My intention as a licensed clinical social worker (LCSW) is to help individuals achieve optimal health, safety, and wellness. By reaching out and seeking help, you are taking a courageous step towards change. I offer a collaborative and supportive partnership in the service of addressing your struggles and life challenges. Services include: individual and family therapy, brief and long-term therapy, and clinical supervision of ASW. I treat adolescents ages 13-17 and adults. I utilize techniques from evidence based treatment approaches and specialize in Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT) and Trauma Focused Cognitive Behavioral Therapy (TFCBT)
My intention as a licensed clinical social worker (LCSW) is to help individuals achieve optimal health, safety, and wellness. By reaching out and seeking help, you are taking a courageous step towards change. I offer a collaborative and supportive partnership in the service of addressing your struggles and life challenges. Services include: individual and family therapy, brief and long-term therapy, and clinical supervision of ASW. I treat adolescents ages 13-17 and adults. I utilize techniques from evidence based treatment approaches and specialize in Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT) and Trauma Focused Cognitive Behavioral Therapy (TFCBT)
(916) 823-8459 View (916) 823-8459
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How does your Therapist compare?

Number of Therapists in Sacramento County, CA

2,000+

Average cost per session

$150

Therapists in Sacramento County, CA who prioritize treating:

92% Anxiety
87% Depression
71% Relationship Issues
70% Self Esteem
67% Coping Skills
67% Stress
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
68% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in Sacramento County, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento County?

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.