Therapists in Spokane County, WA

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Photo of Rebecca McManus, MA, LMHC, Counselor
Rebecca McManus
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99205
Waitlist for new clients
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
(509) 260-8608 View (509) 260-8608
Photo of Erin M White, MA, LMHC, Counselor
Erin M White
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99201
Not accepting new clients
Are you unable to enjoy life or achieve goals because of the pain and turmoil you feel inside? Do you feel bound by fear? Emotional, spiritual and physical pain can leave you feeling unable to cope with and enjoy life. You're not alone; I'd like to help.
Are you unable to enjoy life or achieve goals because of the pain and turmoil you feel inside? Do you feel bound by fear? Emotional, spiritual and physical pain can leave you feeling unable to cope with and enjoy life. You're not alone; I'd like to help.
(509) 774-5833 View (509) 774-5833
Photo of Kathrane M Ignacio - Ignacio Counseling, LLC, MS, LMHC, Counselor
Ignacio Counseling, LLC
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Spokane, WA 99218
Everyone needs a safe place to express their thoughts, feelings, hopes and fears. Sometimes that means seeking out a professional. Someone who can listen, support, and assist in helping to overcome obstacles or reduce emotional pain. This is my ultimate goal for everyone with whom I work. I have been working in the field of counseling for 18 years and have experience working with a wide variety of individuals. Some need help adjusting to a life change. Others have experienced significant trauma or struggle with suicidal thoughts. Mostly, I am here to meet you where you are at and to help you reach your goals.
Everyone needs a safe place to express their thoughts, feelings, hopes and fears. Sometimes that means seeking out a professional. Someone who can listen, support, and assist in helping to overcome obstacles or reduce emotional pain. This is my ultimate goal for everyone with whom I work. I have been working in the field of counseling for 18 years and have experience working with a wide variety of individuals. Some need help adjusting to a life change. Others have experienced significant trauma or struggle with suicidal thoughts. Mostly, I am here to meet you where you are at and to help you reach your goals.
(509) 822-5812 View (509) 822-5812
Photo of Randi Brunt, MA, LMHCA, NCC, Counselor
Randi Brunt
Counselor, MA, LMHCA, NCC
Verified Verified
3 Endorsed
Spokane, WA 99202
We all want to feel capable in our lives and relationships - able to handle transition or disappointment. We want tools to communicate what is happening for us. We want to feel cared for and connected to. Distress, anxiety, depression or trauma can obscure and distort our best efforts at connection and communication. You have strengths that serve you well in many areas of your life but somehow let you down when it comes to your most important relationships. Counseling can be a place to make sense of your experiences, yourself and others, and a place to help you learn how to create the kind of relationships you want.
We all want to feel capable in our lives and relationships - able to handle transition or disappointment. We want tools to communicate what is happening for us. We want to feel cared for and connected to. Distress, anxiety, depression or trauma can obscure and distort our best efforts at connection and communication. You have strengths that serve you well in many areas of your life but somehow let you down when it comes to your most important relationships. Counseling can be a place to make sense of your experiences, yourself and others, and a place to help you learn how to create the kind of relationships you want.
(509) 283-8867 View (509) 283-8867
Photo of Deborah Mertlich - NW Anxiety Solutions, LCSW, Clinical Social Work/Therapist
NW Anxiety Solutions
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Spokane, WA 99203  (Online Only)
Teletherapy for anxiety, panic, OCD, and selective mutism - You feel like you can’t get out of your head. You try to distract yourself, but the “what if” worries won’t stop. You ask your friends and family if the worries are “logical”, and then realize you are asking the same question over and over again. Maybe you’re experiencing feelings of panic or other anxiety that stops you from being able to do the things you want to. You want to be more social, but you go blank when you are in a new situation. You can't stop putting pressure on yourself to be "productive" which often leads to more worries.
Teletherapy for anxiety, panic, OCD, and selective mutism - You feel like you can’t get out of your head. You try to distract yourself, but the “what if” worries won’t stop. You ask your friends and family if the worries are “logical”, and then realize you are asking the same question over and over again. Maybe you’re experiencing feelings of panic or other anxiety that stops you from being able to do the things you want to. You want to be more social, but you go blank when you are in a new situation. You can't stop putting pressure on yourself to be "productive" which often leads to more worries.
(509) 512-2539 View (509) 512-2539
Photo of {Moica} Veronica Vallejo Sanchez, MA, LMFTA, PSYA, Marriage & Family Therapist Associate
{Moica} Veronica Vallejo Sanchez
Marriage & Family Therapist Associate, MA, LMFTA, PSYA
Verified Verified
Spokane, WA 99201  (Online Only)
Hi! My name is Veronica and go by my nickname, Moica. I have an eclectic solution-focused approach to my work with individuals. Utilizing a customized approach to support each client's unique challenges and barriers. Support my client to take the lead in their treatment and create an engaging dialogue and experience. Utilizing therapy as a safe place to vent, process and express yourself is a great use of your session; however, I also enjoy treating from a systemic approach. This allows me to create a clear road map for my clients on how they can reach some of their “Big Goals”, whether they are personal and or professional goals.
Hi! My name is Veronica and go by my nickname, Moica. I have an eclectic solution-focused approach to my work with individuals. Utilizing a customized approach to support each client's unique challenges and barriers. Support my client to take the lead in their treatment and create an engaging dialogue and experience. Utilizing therapy as a safe place to vent, process and express yourself is a great use of your session; however, I also enjoy treating from a systemic approach. This allows me to create a clear road map for my clients on how they can reach some of their “Big Goals”, whether they are personal and or professional goals.
(509) 740-3920 View (509) 740-3920
Photo of Stephanie Hindman, MSW
Stephanie Hindman
MSW
Verified Verified
Spokane, WA 99201
Are you looking for a fresh perspective on therapy? Are you done processing the same concerns over and over with no results? I am both a therapist and a coach and I can help meet you where you are at and help you determine if therapy or coaching is a better fit for you. I take an action oriented approach that focused on you getting the results you are seeking. Together we can help you thrive and live a life that is joyful, aligned with you values, and true to who you are. You don't need to take years to feel better. I am committed to helping you get solid momentum toward bulding a life that feels truly meaningful.
Are you looking for a fresh perspective on therapy? Are you done processing the same concerns over and over with no results? I am both a therapist and a coach and I can help meet you where you are at and help you determine if therapy or coaching is a better fit for you. I take an action oriented approach that focused on you getting the results you are seeking. Together we can help you thrive and live a life that is joyful, aligned with you values, and true to who you are. You don't need to take years to feel better. I am committed to helping you get solid momentum toward bulding a life that feels truly meaningful.
(509) 284-8025 View (509) 284-8025
Photo of Caleb Hughes, LMFT, Marriage & Family Therapist
Caleb Hughes
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Spokane, WA 99201
Waitlist for new clients
Hi. There may be many reasons you find yourself on this page. Whatever that reason is, it is my goal to meet you where you are with warmth, compassion and curiosity. Mental health difficulties can be difficult to understand. So often our body's important protective mechanisms do their jobs well - too well, and we find ourselves feeling down, overwhelmed, disconnected. I am here to help you bring clarity to your experiences and feel your emotions more fully. I believe that people feel safest in an environment in which they feel seen, heard and cared for. From this place, we can work together to find the change you are looking for.
Hi. There may be many reasons you find yourself on this page. Whatever that reason is, it is my goal to meet you where you are with warmth, compassion and curiosity. Mental health difficulties can be difficult to understand. So often our body's important protective mechanisms do their jobs well - too well, and we find ourselves feeling down, overwhelmed, disconnected. I am here to help you bring clarity to your experiences and feel your emotions more fully. I believe that people feel safest in an environment in which they feel seen, heard and cared for. From this place, we can work together to find the change you are looking for.
(509) 285-9328 View (509) 285-9328
Photo of Kahle Hunter, MS, LMHCA, Counselor
Kahle Hunter
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99204
People seek therapy for many different reasons. Whether it is exploring difficulties from childhood or current life stressors, being curious about our behaviors and emotions can help us cultivate authenticity and increased self-compassion. Traumatic experiences can greatly shape the way we view the world and ourselves, and leave us feeling “stuck”. I enjoy working with individuals seeking guidance in healing from and understanding these experiences to help them lead the lives they desire.
People seek therapy for many different reasons. Whether it is exploring difficulties from childhood or current life stressors, being curious about our behaviors and emotions can help us cultivate authenticity and increased self-compassion. Traumatic experiences can greatly shape the way we view the world and ourselves, and leave us feeling “stuck”. I enjoy working with individuals seeking guidance in healing from and understanding these experiences to help them lead the lives they desire.
(509) 646-2312 View (509) 646-2312
Photo of Paden Vance, MA, LCPC, LMHC, Counselor
Paden Vance
Counselor, MA, LCPC, LMHC
Verified Verified
Spokane, WA 99202  (Online Only)
Not accepting new clients
Seeking a counselor can be a scary thing. Not only does it mean asking for help, it also involves intentionally confronting our personal demons, whether in our environment, our family, or even within ourselves. I want you to know that you are not alone in that fight. I work from a client-centered and strengths-based lens, offering clients a space of acceptance and freedom in which they can express their emotions openly, discover their best qualities, and experience personal growth.
Seeking a counselor can be a scary thing. Not only does it mean asking for help, it also involves intentionally confronting our personal demons, whether in our environment, our family, or even within ourselves. I want you to know that you are not alone in that fight. I work from a client-centered and strengths-based lens, offering clients a space of acceptance and freedom in which they can express their emotions openly, discover their best qualities, and experience personal growth.
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Photo of Hannah R Johnson, LMHCA, NCC, Counselor
Hannah R Johnson
Counselor, LMHCA, NCC
Verified Verified
1 Endorsed
Not accepting new clients
In alignment with person-centered counseling, I believe in establishing a brave space of acceptance, authenticity, and empathy in a therapeutic relationship. I am passionate about mental health awareness and empowering individuals to awaken their dreams and use their voices. I seek to walk with each client to hold their struggles, hear their stories, celebrate their wins, and cheer them on. As a result, clients have the freedom to gain personal insight and authentically examine well-being and create change as needed. I take on this role with honor and humility.
In alignment with person-centered counseling, I believe in establishing a brave space of acceptance, authenticity, and empathy in a therapeutic relationship. I am passionate about mental health awareness and empowering individuals to awaken their dreams and use their voices. I seek to walk with each client to hold their struggles, hear their stories, celebrate their wins, and cheer them on. As a result, clients have the freedom to gain personal insight and authentically examine well-being and create change as needed. I take on this role with honor and humility.
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Photo of Evelyn E Mosley Brooks - Dr. Evelyn Mosley Mental Health Associates, PLLC, MHCI, RMFTI, LMFTA
Dr. Evelyn Mosley Mental Health Associates, PLLC
MHCI, RMFTI, LMFTA
Verified Verified
Spokane, WA 99201  (Online Only)
Dr. Evelyn Mosley-Brooks founded Dr. Evelyn Mosley Mental Health Associates, PLLC. The telehealth practice specializes in providing services to teenagers and adults for Trauma, Grief, Anxiety, Depression, Family Trauma, ADHD, Autism, Substance Abuse, LGBTQ-friendly, and PTSD. The practice offers various therapeutic modalities to address areas of concern, such as depression, anxiety, grief work, midlife crisis, postpartum challenges, and other related issues. The practice is equipped with the latest technology to deliver reliable and effective mental health services.
Dr. Evelyn Mosley-Brooks founded Dr. Evelyn Mosley Mental Health Associates, PLLC. The telehealth practice specializes in providing services to teenagers and adults for Trauma, Grief, Anxiety, Depression, Family Trauma, ADHD, Autism, Substance Abuse, LGBTQ-friendly, and PTSD. The practice offers various therapeutic modalities to address areas of concern, such as depression, anxiety, grief work, midlife crisis, postpartum challenges, and other related issues. The practice is equipped with the latest technology to deliver reliable and effective mental health services.
(509) 350-4568 View (509) 350-4568
Photo of Bryanna Goodman - Refresh Therapy, Inc - Spokane Valley, LMFT, LMHC, LICSW, LMFTA, LMHCA, Marriage & Family Therapist
Refresh Therapy, Inc - Spokane Valley
Marriage & Family Therapist, LMFT, LMHC, LICSW, LMFTA, LMHCA
Verified Verified
1 Endorsed
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
(509) 260-2776 View (509) 260-2776
OK Psychotherapy
Psychologist, PsyD, LP
Verified Verified
Spokane, WA 99201  (Online Only)
Wanting to be evaluated for ADHD or Autism? Looking to understand yourself or your child more? Please contact OK Psychotherapy if you are looking for a psychological testing evaluation and or therapy.
Wanting to be evaluated for ADHD or Autism? Looking to understand yourself or your child more? Please contact OK Psychotherapy if you are looking for a psychological testing evaluation and or therapy.
(509) 231-8992 View (509) 231-8992
Photo of Jan Vetter - Jan Vetter Counseling PLLC, LPC, LMHCA, Licensed Professional Counselor
Jan Vetter Counseling PLLC
Licensed Professional Counselor, LPC, LMHCA
Verified Verified
1 Endorsed
If you feel fearful of who to share your struggles with - you are not alone in that fear. This is common, and unfortunately a barrier for many to take the first step and receive healing. I want to create a safe space for you, to share your story. I will help you identify the source of your pain, if that is not clear, and walk through the healing journey with you. There is always hope, and many directions to take to get healing and freedom. I've received much healing, through counseling and want to see others receive the same.
If you feel fearful of who to share your struggles with - you are not alone in that fear. This is common, and unfortunately a barrier for many to take the first step and receive healing. I want to create a safe space for you, to share your story. I will help you identify the source of your pain, if that is not clear, and walk through the healing journey with you. There is always hope, and many directions to take to get healing and freedom. I've received much healing, through counseling and want to see others receive the same.
(509) 260-8445 View (509) 260-8445
Photo of Ashley Alexander, MS, LMHCA, Counselor
Ashley Alexander
Counselor, MS, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
WA residents only- Are you struggling to find who you are or who you are becoming? Are you finding it difficult in gaining clarity in what you want in life? Do you feel you have lost your purpose and meaning in life or struggle to enjoy it? Are you finding it a challenge in working through past trauma and behaviors that are not serving you well anymore? Imagine living your life with enjoyment and clarity, where you are aware and present. A life where you can respond in a healthy ways and have a deep sense of what matters most to you. You can navigate your life by the choices you make and feel confident in the process.
WA residents only- Are you struggling to find who you are or who you are becoming? Are you finding it difficult in gaining clarity in what you want in life? Do you feel you have lost your purpose and meaning in life or struggle to enjoy it? Are you finding it a challenge in working through past trauma and behaviors that are not serving you well anymore? Imagine living your life with enjoyment and clarity, where you are aware and present. A life where you can respond in a healthy ways and have a deep sense of what matters most to you. You can navigate your life by the choices you make and feel confident in the process.
(509) 350-4333 View (509) 350-4333
Photo of Kimberly Castelo, MS, LMFT-S, CST-S, CEFCT-S, CEFIT-S, Marriage & Family Therapist
Kimberly Castelo
Marriage & Family Therapist, MS, LMFT-S, CST-S, CEFCT-S, CEFIT-S
Verified Verified
5 Endorsed
Spokane, WA 99201  (Online Only)
For therapy to be effective, it needs to be real, honest, compassionate, and focused on the client's goals. That is what you will find with me. Over the years, I have found a common thread among my clients: they long to feel safe, loved, and accepted by those around them. When those feelings are not met, life can seem overwhelming and depressing. Finding connections, learning skills, overcoming traumas, dealing with grief, helping your marriage thrive -- these can be great stepping stones in living life to the fullest. Together, we can find ways to achieve this goal.
For therapy to be effective, it needs to be real, honest, compassionate, and focused on the client's goals. That is what you will find with me. Over the years, I have found a common thread among my clients: they long to feel safe, loved, and accepted by those around them. When those feelings are not met, life can seem overwhelming and depressing. Finding connections, learning skills, overcoming traumas, dealing with grief, helping your marriage thrive -- these can be great stepping stones in living life to the fullest. Together, we can find ways to achieve this goal.
(206) 429-6253 View (206) 429-6253
Photo of Isabella Gitau - Morning Glory Therapy PLLC, LSWAIC, MHP, Clinical Social Work/Therapist
Morning Glory Therapy PLLC
Clinical Social Work/Therapist, LSWAIC, MHP
Verified Verified
Mental disorders came from different origins in your life, such as Depression, Alcohol/substance abuse addiction, anxiety, grief, self-harming, suicidal and homicidal ideations, and mood dysregulation. In the long run, these caused you despair and hopelessness. And therefore, you have not been fully functioning as you would love to. No matter what or where your issues streamed from, my goal is help you reach your optimal level of function. I do believe that if everything in your life is fully functioning, then you will be able to enjoy your life to the fullest.
Mental disorders came from different origins in your life, such as Depression, Alcohol/substance abuse addiction, anxiety, grief, self-harming, suicidal and homicidal ideations, and mood dysregulation. In the long run, these caused you despair and hopelessness. And therefore, you have not been fully functioning as you would love to. No matter what or where your issues streamed from, my goal is help you reach your optimal level of function. I do believe that if everything in your life is fully functioning, then you will be able to enjoy your life to the fullest.
(509) 642-6302 x1132 View (509) 642-6302 x1132
Photo of Khadija Ewalt, LMHCA, SUDPT, Counselor
Khadija Ewalt
Counselor, LMHCA, SUDPT
Verified Verified
Spokane, WA 99201  (Online Only)
Waitlist for new clients
We ALL need a therapist, whether we like to admit it or not. We’re either struggling with our internal dialogue or external actions and behaviors, having the space and freedom to say what we wish to but can’t/won’t goes a long way in helping us feel more like us.
We ALL need a therapist, whether we like to admit it or not. We’re either struggling with our internal dialogue or external actions and behaviors, having the space and freedom to say what we wish to but can’t/won’t goes a long way in helping us feel more like us.
(509) 745-5651 View (509) 745-5651
Photo of Tori Carroll, MS, LMHC, CMHS, Counselor
Tori Carroll
Counselor, MS, LMHC, CMHS
Verified Verified
Spokane, WA 99205  (Online Only)
I have over 15 years experience working with individuals looking to improve their daily lives by learning new skills and perspectives. I have extensive experience working with individuals struggling with anxiety, depression, obsessive compulsive issues, trauma, and attention deficit/hyperactivity. I do have experience working with current and past members of the armed forces and law enforcement.
I have over 15 years experience working with individuals looking to improve their daily lives by learning new skills and perspectives. I have extensive experience working with individuals struggling with anxiety, depression, obsessive compulsive issues, trauma, and attention deficit/hyperactivity. I do have experience working with current and past members of the armed forces and law enforcement.
(509) 588-0238 View (509) 588-0238
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How does your Therapist compare?

Number of Therapists in Spokane County, WA

1,000+

Average cost per session

$135

Therapists in Spokane County, WA who prioritize treating:

92% Anxiety
86% Depression
75% Self Esteem
73% Relationship Issues
73% Trauma and PTSD
72% Stress
69% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

74% Aetna
72% Premera
62% Regence

How Therapists in Spokane County, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane 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.