Therapists in Des Moines, IA

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Photo of Kenneth Dwayne Cameron, Counselor in Des Moines, IA
Kenneth Dwayne Cameron
Counselor, MA, NCC, LMHC
Verified Verified
2 Endorsed
Des Moines, IA 50322
Today you are one step closer to achieving your goals and beginning a positive path toward growth and well-being. While we can't change difficult situations of the past, we can work to better understand and resolve challenges in life. Applying complementary therapy approaches and techniques, we will begin to change long-standing behavior patterns or negative perceptions holding you back from a more fulfilling and meaningful life.If you're looking for extra support and guidance through a challenging situation or ready to move in a new direction in life, I look forward to assisting you to achieve.
Today you are one step closer to achieving your goals and beginning a positive path toward growth and well-being. While we can't change difficult situations of the past, we can work to better understand and resolve challenges in life. Applying complementary therapy approaches and techniques, we will begin to change long-standing behavior patterns or negative perceptions holding you back from a more fulfilling and meaningful life.If you're looking for extra support and guidance through a challenging situation or ready to move in a new direction in life, I look forward to assisting you to achieve.
(515) 608-5418 View (515) 608-5418
Photo of Casey Pestka, Marriage & Family Therapist in Des Moines, IA
Casey Pestka
Marriage & Family Therapist, LMFT, RPT
Verified Verified
3 Endorsed
Des Moines, IA 50309
Not accepting new clients
Not accepting new clients. Casey is a Licensed Marriage and Family Therapist with experience working with individuals, couples, families, and children. Casey strives to provide an environment focusing on client strengths and resiliency. Casey believes the client is the expert in their own lives. Casey is trained in Systems Theory and understands the importance of working with systems to create lasting change. Casey has experience working with anxiety, depression, PTSD, relationship concerns, parenting, life stressors, and ADHD.
Not accepting new clients. Casey is a Licensed Marriage and Family Therapist with experience working with individuals, couples, families, and children. Casey strives to provide an environment focusing on client strengths and resiliency. Casey believes the client is the expert in their own lives. Casey is trained in Systems Theory and understands the importance of working with systems to create lasting change. Casey has experience working with anxiety, depression, PTSD, relationship concerns, parenting, life stressors, and ADHD.
(515) 220-2970 View (515) 220-2970
Photo of Sampson Family Therapy Services, LLC, Marriage & Family Therapist in Des Moines, IA
Sampson Family Therapy Services, LLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
Des Moines, IA 50309
Sampson Family Therapy Services staff strive to engage in a collaborative process with clients, coworkers, and the community to welcome growth, embrace strengths and successes, and acknowledge our role in making wellness a priority for others and ourselves. We work with many client needs and make it a priority to provide attentive and consistently accessible therapy services. It is the mission of Sampson Family Therapy Services, LLC to embody a dynamic and progressive therapeutic service environment for the cultivation of health and well-being for clients served, employees, and the community at large.
Sampson Family Therapy Services staff strive to engage in a collaborative process with clients, coworkers, and the community to welcome growth, embrace strengths and successes, and acknowledge our role in making wellness a priority for others and ourselves. We work with many client needs and make it a priority to provide attentive and consistently accessible therapy services. It is the mission of Sampson Family Therapy Services, LLC to embody a dynamic and progressive therapeutic service environment for the cultivation of health and well-being for clients served, employees, and the community at large.
(515) 421-9313 View (515) 421-9313
Photo of Logan Porter, Clinical Social Work/Therapist in Des Moines, IA
Logan Porter
Clinical Social Work/Therapist, LISW
Verified Verified
Des Moines, IA 50312
I see adults for individual therapy. I take a mind/body approach with my clients and may incorporate mindfulness practices, exercise, time in nature, and other holistic approaches in your treatment plan, if that’s right for you. I use Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Compassion-Focused Therapy, Mindfulness-Based Cognitive Therapy, and Logotherapy to assist clients in meeting their goals and living a values-based life.
I see adults for individual therapy. I take a mind/body approach with my clients and may incorporate mindfulness practices, exercise, time in nature, and other holistic approaches in your treatment plan, if that’s right for you. I use Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Compassion-Focused Therapy, Mindfulness-Based Cognitive Therapy, and Logotherapy to assist clients in meeting their goals and living a values-based life.
(515) 373-8314 View (515) 373-8314
Photo of Mikki Stimson, Clinical Social Work/Therapist in Des Moines, IA
Mikki Stimson
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50312
Waitlist for new clients
Mikki is passionate about supporting kids and individuals as they discover their path to emotional wellness. She has dedicated her career to treating children, adolescents, and young adults with mental and behavioral health needs, and understands that all of our paths look a little different. Some of our journeys to wellness are filled with winding roads, some with large barriers, and some are hidden deep in the woods. Mikki’s goal is to partner with children, families, and individuals as they walk these paths, because nobody should have to do this work alone.
Mikki is passionate about supporting kids and individuals as they discover their path to emotional wellness. She has dedicated her career to treating children, adolescents, and young adults with mental and behavioral health needs, and understands that all of our paths look a little different. Some of our journeys to wellness are filled with winding roads, some with large barriers, and some are hidden deep in the woods. Mikki’s goal is to partner with children, families, and individuals as they walk these paths, because nobody should have to do this work alone.
(515) 333-1789 View (515) 333-1789
Susan Helkenn
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Des Moines, IA 50312
I have had the honor of working with school-age children, teens and adults of all ages. My current clients are typically working on mood disorders (anxiety, depression) or are struggling to adjust to a change in life. I assist parents with parenting concerns and children with school or family worries or challenges. Clients may have questions about their identify, role in life, a job change, or relationships and together we can sort out the details and find a more comfortable way to approach these questions of life.
I have had the honor of working with school-age children, teens and adults of all ages. My current clients are typically working on mood disorders (anxiety, depression) or are struggling to adjust to a change in life. I assist parents with parenting concerns and children with school or family worries or challenges. Clients may have questions about their identify, role in life, a job change, or relationships and together we can sort out the details and find a more comfortable way to approach these questions of life.
(515) 373-4783 x4 View (515) 373-4783 x4
Photo of Emily Smith, Clinical Social Work/Therapist in Des Moines, IA
Emily Smith
Clinical Social Work/Therapist, LISW
Verified Verified
Des Moines, IA 50312
Not accepting new clients
My wish is to help you find peace of mind and balance in your life. My approach is compassionate and engaging. My areas of expertise include anxiety, depression, stress management, perfectionism, and self-criticism. We can work together to resolve relationship issues with your loved ones, manage problems you may be facing at work, or navigate through any challenges life happens to bring you.
My wish is to help you find peace of mind and balance in your life. My approach is compassionate and engaging. My areas of expertise include anxiety, depression, stress management, perfectionism, and self-criticism. We can work together to resolve relationship issues with your loved ones, manage problems you may be facing at work, or navigate through any challenges life happens to bring you.
(515) 393-2806 View (515) 393-2806
Photo of Jasey Rebarcak, Counselor in Des Moines, IA
Jasey Rebarcak
Counselor, tLMHC
Verified Verified
Des Moines, IA 50309
When facing life's difficulties, many of us can feel overwhelmed and alone. Therapy is where you are invited to safely connect and build a trusting relationship with someone who will accept you. I see therapy as a space to explore, learn, and heal in order to live a more secure life. I have experience working with diverse populations and most commonly work with adults on issues related to life transitions, depression and mood, anxiety disorders, suicidal ideation, eating disorders and body image, and relational issues.
When facing life's difficulties, many of us can feel overwhelmed and alone. Therapy is where you are invited to safely connect and build a trusting relationship with someone who will accept you. I see therapy as a space to explore, learn, and heal in order to live a more secure life. I have experience working with diverse populations and most commonly work with adults on issues related to life transitions, depression and mood, anxiety disorders, suicidal ideation, eating disorders and body image, and relational issues.
(515) 949-4544 View (515) 949-4544
Photo of Danielle Ballard-Green, Clinical Social Work/Therapist in Des Moines, IA
Danielle Ballard-Green
Clinical Social Work/Therapist, MSW, LISW, CADC
Verified Verified
Des Moines, IA 50309
Not accepting new clients
I believe therapy can be a catalyst for new beginnings, a safe place to explore fears, loss, trauma, stress and anything holding you back from reaching your full potential. As your therapist I want to provide a safe place for you to learn about yourself, develop new insights, and heal from past hurts and trauma. I enjoy working with clients 16 years old and beyond. I specialize in working with clients who are experiencing life transitions, depression, anxiety, and trauma. I am an LGBTQ+ ally. I am an independently licensed clinical social worker (LISW) and licensed substance abuse counselor (CADC).
I believe therapy can be a catalyst for new beginnings, a safe place to explore fears, loss, trauma, stress and anything holding you back from reaching your full potential. As your therapist I want to provide a safe place for you to learn about yourself, develop new insights, and heal from past hurts and trauma. I enjoy working with clients 16 years old and beyond. I specialize in working with clients who are experiencing life transitions, depression, anxiety, and trauma. I am an LGBTQ+ ally. I am an independently licensed clinical social worker (LISW) and licensed substance abuse counselor (CADC).
(515) 257-6137 View (515) 257-6137
Photo of Celine E Miller, Clinical Social Work/Therapist in Des Moines, IA
Celine E Miller
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Des Moines, IA 50313
Life can throw us curve balls and I am here to help you through these challenges. I am currently accepting new clients. My work is to support individuals and families facing challenges that stem from mental health, trauma history and overall life challenges. I believe in partnering with you to offer individualized services that serve to enhance overall mental health, resilience, and wellbeing. I specialize in working with individuals and families to gain coping skills that will help aid in overcoming past trauma and mental illness. My approach is non-judgmental, playful, educational and supportive.
Life can throw us curve balls and I am here to help you through these challenges. I am currently accepting new clients. My work is to support individuals and families facing challenges that stem from mental health, trauma history and overall life challenges. I believe in partnering with you to offer individualized services that serve to enhance overall mental health, resilience, and wellbeing. I specialize in working with individuals and families to gain coping skills that will help aid in overcoming past trauma and mental illness. My approach is non-judgmental, playful, educational and supportive.
(515) 884-7961 View (515) 884-7961
Photo of Natalie Rose Meyle, Clinical Social Work/Therapist in Des Moines, IA
Natalie Rose Meyle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Des Moines, IA 50304  (Online Only)
Maybe your parenthood journey has been harder than you anticipated. Or you are struggling with feeling good enough. Perhaps you’re ending a relationship or starting a new career. You might be feeling disconnected from your partner or children, feeling touched out and overwhelmed. Life is full of change and transitions that can at times leave us feeling alone, anxious and exhausted. Therapy is a safe and accepting space where we can work together for you to boldly live as your authentic self. Imagine being able to focus on your healing and self and turn off the worry.
Maybe your parenthood journey has been harder than you anticipated. Or you are struggling with feeling good enough. Perhaps you’re ending a relationship or starting a new career. You might be feeling disconnected from your partner or children, feeling touched out and overwhelmed. Life is full of change and transitions that can at times leave us feeling alone, anxious and exhausted. Therapy is a safe and accepting space where we can work together for you to boldly live as your authentic self. Imagine being able to focus on your healing and self and turn off the worry.
(910) 294-5663 View (910) 294-5663
Photo of Kimberly Athuman, Clinical Social Work/Therapist in Des Moines, IA
Kimberly Athuman
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50309
I have experience in helping clients with depression, relationship issues, grief, self-esteem issues, parenting issues, anger management, attention deficit disorder ,(ADD/ADHD) Sleeping disorders ,Stress, Anxiety, Coping with life changes, Intimacy-related issues, Compassion fatigue, Trauma and abuse Family conflicts, LGBT.
I have experience in helping clients with depression, relationship issues, grief, self-esteem issues, parenting issues, anger management, attention deficit disorder ,(ADD/ADHD) Sleeping disorders ,Stress, Anxiety, Coping with life changes, Intimacy-related issues, Compassion fatigue, Trauma and abuse Family conflicts, LGBT.
(515) 809-2295 View (515) 809-2295
Photo of Jen Sand, Psychologist in Des Moines, IA
Jen Sand
Psychologist, PhD
Verified Verified
Des Moines, IA 50312  (Online Only)
I believe therapy is a way to develop a secure connection that can be rare in everyday life. Developing this connection allows one a space to express authentically what may have been hidden or not heard. Within the safety of this space, real change can begin to occur. So often we believe that it is by applying willpower to an issue that we can instigate change, and are left feeling defeated in the end. In therapy, we get the chance to take these moments of defeat and transform them. We can reorganize, reorient, gain hope, and live more satisfying lives.
I believe therapy is a way to develop a secure connection that can be rare in everyday life. Developing this connection allows one a space to express authentically what may have been hidden or not heard. Within the safety of this space, real change can begin to occur. So often we believe that it is by applying willpower to an issue that we can instigate change, and are left feeling defeated in the end. In therapy, we get the chance to take these moments of defeat and transform them. We can reorganize, reorient, gain hope, and live more satisfying lives.
(515) 532-5047 View (515) 532-5047
Photo of Gryphan Lott Counseling, LLC, Clinical Social Work/Therapist in Des Moines, IA
Gryphan Lott Counseling, LLC
Clinical Social Work/Therapist, LISW
Verified Verified
Des Moines, IA 50317  (Online Only)
I believe we are all products of our experiences. I am a trauma focused, strengths based clinical social worker who is passionate about walking alongside my clients and helping them to identify their strengths to use in overcoming life difficulties and improving their future by reaching their personal goals.
I believe we are all products of our experiences. I am a trauma focused, strengths based clinical social worker who is passionate about walking alongside my clients and helping them to identify their strengths to use in overcoming life difficulties and improving their future by reaching their personal goals.
(515) 420-1365 View (515) 420-1365
Photo of Reisha Taylor, Clinical Social Work/Therapist in Des Moines, IA
Reisha Taylor
Clinical Social Work/Therapist, LMSW
Verified Verified
Des Moines, IA 50309
Waitlist for new clients
I am a Licensed Master Social Worker/Therapist at Grapevine Clinical, LLC. The purpose of my work is to strengthen your capacity for self-analysis, reflection, and self-awareness so that you can navigate your past, present, and future. By doing so, you will feel empowered and hopeful, despite grief, loss, and hardship. It is my goal to help young adults and teens with healing, coping skills, self-esteem, life transitions, stress, relationship issues, depression, and anxiety.
I am a Licensed Master Social Worker/Therapist at Grapevine Clinical, LLC. The purpose of my work is to strengthen your capacity for self-analysis, reflection, and self-awareness so that you can navigate your past, present, and future. By doing so, you will feel empowered and hopeful, despite grief, loss, and hardship. It is my goal to help young adults and teens with healing, coping skills, self-esteem, life transitions, stress, relationship issues, depression, and anxiety.
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Photo of Winifred J Hall, Counselor in Des Moines, IA
Winifred J Hall
Counselor, MS, LMHC, iadc
Verified Verified
Des Moines, IA 50311
Winnie Hall is a certified alcohol and drug counselor (ACADC) and a licensed mental health counseling. She graduated from Iowa State University with a master's degree in counseling. Her previous experience includes working as a counselor at the Women's Correctional Facility, contributing to the development of the House of Mercy program for women and children, and working with dual diagnosis and community substance abuse treatment centers in Iowa and Nebraska. Winnie hall specializes in substance abuse, sexual abuse, post traumatic stress syndrome (PTSD) and trained in eye movement desensitization reprocessing (EMDR, )relapse prevention and domestic violence.
Winnie Hall is a certified alcohol and drug counselor (ACADC) and a licensed mental health counseling. She graduated from Iowa State University with a master's degree in counseling. Her previous experience includes working as a counselor at the Women's Correctional Facility, contributing to the development of the House of Mercy program for women and children, and working with dual diagnosis and community substance abuse treatment centers in Iowa and Nebraska. Winnie hall specializes in substance abuse, sexual abuse, post traumatic stress syndrome (PTSD) and trained in eye movement desensitization reprocessing (EMDR, )relapse prevention and domestic violence.
(515) 705-0704 View (515) 705-0704
Photo of Karin Beschen, Counselor in Des Moines, IA
Karin Beschen
Counselor, LMHC, PMH-C
Verified Verified
1 Endorsed
Des Moines, IA 50312
Not accepting new clients
Over the years I've worked with clients related to life transitions such as career/job challenges, relationships, family dynamics, loss, anxiety and depression. When these detours are a part of your path, you may lose your sense of direction or question your destination. I believe we all have the capacity to better manage our struggles and the potential to feel better ... a lot better!
Over the years I've worked with clients related to life transitions such as career/job challenges, relationships, family dynamics, loss, anxiety and depression. When these detours are a part of your path, you may lose your sense of direction or question your destination. I believe we all have the capacity to better manage our struggles and the potential to feel better ... a lot better!
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Photo of Laurene Franco, Counselor in Des Moines, IA
Laurene Franco
Counselor, LMHC, MS, MA
Verified Verified
Des Moines, IA 50312
Not accepting new clients
Hello! Are you seeking a safe, nonjudgmental space to navigate life's challenges and transitions? Look no further! I'm here to support you on your journey towards greater well-being and happiness. My focus is on helping teens and adults deal with issues like anxiety, depression, grief and loss, trauma, and life transitions. I specialize in working with women of all ages, college students, and young adults as they navigate their unique life paths. Life can be overwhelming, but I'm here to guide you towards healing and increased joy.
Hello! Are you seeking a safe, nonjudgmental space to navigate life's challenges and transitions? Look no further! I'm here to support you on your journey towards greater well-being and happiness. My focus is on helping teens and adults deal with issues like anxiety, depression, grief and loss, trauma, and life transitions. I specialize in working with women of all ages, college students, and young adults as they navigate their unique life paths. Life can be overwhelming, but I'm here to guide you towards healing and increased joy.
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Photo of Andrea Vignovich, Counselor in Des Moines, IA
Andrea Vignovich
Counselor, MA, LMHC, RPT
Verified Verified
Des Moines, IA 50309
Hello! My name is Andrea Vignovich (she/her) and I am a Licensed Mental Health Counselor (LMHC). An important part of my therapeutic role is to meet you where you are on your journey toward emotional wellness and stability. I believe empathy, empowerment, and connection can help lead you toward your personal goals. In counseling, it is pivotal to create a safe and open space for you to foster growth and learning in yourself and your goals. Seeking counseling can be scary and challenging, however, it can also be rewarding and its effects are long-lasting. I hope to join you on your journey of growth and emotional wellbeing.
Hello! My name is Andrea Vignovich (she/her) and I am a Licensed Mental Health Counselor (LMHC). An important part of my therapeutic role is to meet you where you are on your journey toward emotional wellness and stability. I believe empathy, empowerment, and connection can help lead you toward your personal goals. In counseling, it is pivotal to create a safe and open space for you to foster growth and learning in yourself and your goals. Seeking counseling can be scary and challenging, however, it can also be rewarding and its effects are long-lasting. I hope to join you on your journey of growth and emotional wellbeing.
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Photo of Kiera Dymit, Counselor in Des Moines, IA
Kiera Dymit
Counselor, MS, LMHC
Verified Verified
Des Moines, IA 50309
I see clients between the ages of 4 and 104 on a variety of issues. Whether you are looking to process day to day stressors, or heal from past wounds, I work with my clients to create a safe, caring atmosphere. I place a strong emphasis on building a trusting and supportive therapeutic relationship. Areas of experience and interest include working with teachers and those in education, divorce recovery, career and vocation exploration, children with ADHD or other behavioral struggles, depression, anxiety, PTSD, self-harm, and suicidal thoughts/behaviors. This list is not exclusive, so please reach out with questions.
I see clients between the ages of 4 and 104 on a variety of issues. Whether you are looking to process day to day stressors, or heal from past wounds, I work with my clients to create a safe, caring atmosphere. I place a strong emphasis on building a trusting and supportive therapeutic relationship. Areas of experience and interest include working with teachers and those in education, divorce recovery, career and vocation exploration, children with ADHD or other behavioral struggles, depression, anxiety, PTSD, self-harm, and suicidal thoughts/behaviors. This list is not exclusive, so please reach out with questions.
(515) 800-4929 View (515) 800-4929

How does your Therapist compare?

Number of Therapists in Des Moines, IA

400+

Average cost per session

$150

Therapists in Des Moines, IA who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
80% Self Esteem
76% Trauma and PTSD
76% Stress
72% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
75% Wellmark BCBS
51% UnitedHealthcare UHC | UBH

How Therapists in Des Moines, IA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Des Moines?

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.