Therapists in San Antonio, TX

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Photo of Brooke Bucher-Delossantos, Marriage & Family Therapist in San Antonio, TX
Brooke Bucher-Delossantos
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78216  (Online Only)
Finding the right therapist can be difficult as it is important the client feels like they are in a safe place; which is why I focus on building a trusting, nonjudgmental, and safe environment for the client. The therapeutic alliance between therapist and client is so important in therapy. I am a Licensed Marriage and Family Therapist so I am trained in Family Systems and utilize these models in counseling. Through counseling my clients have learned effective communication methods, coping skills, boundary setting, assistance in addiction counseling, and rebuilding healthy relationships.
Finding the right therapist can be difficult as it is important the client feels like they are in a safe place; which is why I focus on building a trusting, nonjudgmental, and safe environment for the client. The therapeutic alliance between therapist and client is so important in therapy. I am a Licensed Marriage and Family Therapist so I am trained in Family Systems and utilize these models in counseling. Through counseling my clients have learned effective communication methods, coping skills, boundary setting, assistance in addiction counseling, and rebuilding healthy relationships.
(737) 250-6696 View (737) 250-6696
Photo of Kimberly Vance, Clinical Social Work/Therapist in San Antonio, TX
Kimberly Vance
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216  (Online Only)
I have been in the social work field since 2004 and bring a wide variety of professional and personal experience to my practice. I am a provider best described as empathetic and dedicated, who makes appropriate use of my sense of humor. You can expect that I will seek to learn as much as you're willing to share and to creatively tailor your experience to best serve you. My versatility and knowledge make me a holistic therapist. My non-traditional upbringing taught me sensitivity to every family’s situation. My practice is shaped by my belief that being real is better than being perfect.
I have been in the social work field since 2004 and bring a wide variety of professional and personal experience to my practice. I am a provider best described as empathetic and dedicated, who makes appropriate use of my sense of humor. You can expect that I will seek to learn as much as you're willing to share and to creatively tailor your experience to best serve you. My versatility and knowledge make me a holistic therapist. My non-traditional upbringing taught me sensitivity to every family’s situation. My practice is shaped by my belief that being real is better than being perfect.
(512) 881-9265 View (512) 881-9265
Photo of Stephen L. Cervantes, Marriage & Family Therapist in San Antonio, TX
Stephen L. Cervantes
Marriage & Family Therapist, LMFT, LPC
Verified Verified
San Antonio, TX 78258
Like most people, you're probably just trying to live a rich, full life. However, from time to time, everyone experiences troubling thoughts or relationship distress. It's been my life mission to learn how individuals think and how relationships work. As a therapist, I see myself as a guide. You show me the struggling place. I bring out my tool box of resources, and then together we work through the messy emotional places. I actually love working through difficult relationship conflict and issues, so it would be a delight to serve you.
Like most people, you're probably just trying to live a rich, full life. However, from time to time, everyone experiences troubling thoughts or relationship distress. It's been my life mission to learn how individuals think and how relationships work. As a therapist, I see myself as a guide. You show me the struggling place. I bring out my tool box of resources, and then together we work through the messy emotional places. I actually love working through difficult relationship conflict and issues, so it would be a delight to serve you.
(210) 390-1475 View (210) 390-1475
Photo of Lisa Lassen, Clinical Social Work/Therapist in San Antonio, TX
Lisa Lassen
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78229
As a therapist and as a person I have grown profoundly over the last several years. This is due to my education, as well as my previous and current work experience. I graduated from Texas A&M University with a degree in psychology. I chose this field because I have a large heart and a passion for helping others. I continued on this same path by pursuing graduate school afterward. I graduated with my Masters in Social Work from the University of Houston and soon thereafter obtained my license to become a Licensed Clinical Social Worker.
As a therapist and as a person I have grown profoundly over the last several years. This is due to my education, as well as my previous and current work experience. I graduated from Texas A&M University with a degree in psychology. I chose this field because I have a large heart and a passion for helping others. I continued on this same path by pursuing graduate school afterward. I graduated with my Masters in Social Work from the University of Houston and soon thereafter obtained my license to become a Licensed Clinical Social Worker.
(210) 972-5897 View (210) 972-5897
Photo of Counseling Connections of San Antonio, Licensed Professional Counselor in San Antonio, TX
Counseling Connections of San Antonio
Licensed Professional Counselor, LPC-S, NCC, CCMHC, ACS, CCM
Verified Verified
14 Endorsed
San Antonio, TX 78216
Visit us at www.counselingconnectionsofsa.com to find out more and/or request an appointment. The practice has over two decades of combined clinical experience helping those needing clinical assessments, family therapy, pre-marital or relationship counseling individuals suffering from depression or anxiety, and unplanned life issues. We are a practice that seeks to provide traditional treatment and treatment that would be identified as "outside the box." Note: We do offer other options for low cost, affordable services if you cannot afford your co-pay, deductible, etc. Contact us for more info.
Visit us at www.counselingconnectionsofsa.com to find out more and/or request an appointment. The practice has over two decades of combined clinical experience helping those needing clinical assessments, family therapy, pre-marital or relationship counseling individuals suffering from depression or anxiety, and unplanned life issues. We are a practice that seeks to provide traditional treatment and treatment that would be identified as "outside the box." Note: We do offer other options for low cost, affordable services if you cannot afford your co-pay, deductible, etc. Contact us for more info.
(210) 853-5912 View (210) 853-5912
Photo of TLC Counseling and Consulting, LLC, Licensed Professional Counselor in San Antonio, TX
TLC Counseling and Consulting, LLC
Licensed Professional Counselor, MEd, LPC-A
Verified Verified
San Antonio, TX 78256
Life is a journey and how you choose to live in it every day is up to you and only you. Embrace what is right in front of you and move away from dwelling on the past. Set goals in order to live in the gift of today and strategize on what opportunities are ahead in your future. Everyone needs someone to talk to, everyone. Do you need to re-engage with life? Is something holding you back? Let's work together so that you can be free of internal critical voices, which often fuel unnecessary anxiety, fear, distraction and self-doubt.
Life is a journey and how you choose to live in it every day is up to you and only you. Embrace what is right in front of you and move away from dwelling on the past. Set goals in order to live in the gift of today and strategize on what opportunities are ahead in your future. Everyone needs someone to talk to, everyone. Do you need to re-engage with life? Is something holding you back? Let's work together so that you can be free of internal critical voices, which often fuel unnecessary anxiety, fear, distraction and self-doubt.
(210) 796-5860 View (210) 796-5860
Photo of Pricilla St John, Licensed Professional Counselor in San Antonio, TX
Pricilla St John
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78229
I am a Licensed Professional Counselor and Licensed Chemical Dependency Counselor in Karnes, Wilson, and Bexar County with over 10 years of experience working with adults, adolescents, and children in both the mental health and juvenile settings. I am certified in Trauma-Focused CBT as well as EMDR therapy and have a large amount of experience working with children who have experienced trauma in their lives. Through therapy and play therapy we are able to help overcome these obstacles.
I am a Licensed Professional Counselor and Licensed Chemical Dependency Counselor in Karnes, Wilson, and Bexar County with over 10 years of experience working with adults, adolescents, and children in both the mental health and juvenile settings. I am certified in Trauma-Focused CBT as well as EMDR therapy and have a large amount of experience working with children who have experienced trauma in their lives. Through therapy and play therapy we are able to help overcome these obstacles.
(210) 741-9727 View (210) 741-9727
Photo of Liz Davila, Marriage & Family Therapist Associate in San Antonio, TX
Liz Davila
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
3 Endorsed
San Antonio, TX 78232  (Online Only)
Originally from Mexico, I have always been interested in offering culturally sensitive services to various communities, and I strive to emphasize and include the culture, religion, experiences, and abilities of each one of my clients. I have extensive experience working with children, teens and whole families from a post-modern strengths-based framework.
Originally from Mexico, I have always been interested in offering culturally sensitive services to various communities, and I strive to emphasize and include the culture, religion, experiences, and abilities of each one of my clients. I have extensive experience working with children, teens and whole families from a post-modern strengths-based framework.
(512) 598-4524 View (512) 598-4524
Photo of Mylene Mackey, Licensed Professional Counselor in San Antonio, TX
Mylene Mackey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78232  (Online Only)
I believe that a person is a whole being, with a mind, a body, and a spirit, and that often we are challenged in the balance and wellness of these parts of us. Every one of us encounters challenges and endures hardships throughout our lives that may upend the different parts of us that make us feel well and whole. Although we share this fundamental human experience, no one person’s journey to find this balance again is exactly the same and in therapy we will gently and compassionately work towards you rediscovering your own footing.
I believe that a person is a whole being, with a mind, a body, and a spirit, and that often we are challenged in the balance and wellness of these parts of us. Every one of us encounters challenges and endures hardships throughout our lives that may upend the different parts of us that make us feel well and whole. Although we share this fundamental human experience, no one person’s journey to find this balance again is exactly the same and in therapy we will gently and compassionately work towards you rediscovering your own footing.
(210) 796-3751 View (210) 796-3751
Photo of Roxanna Ramirez, Marriage & Family Therapist in San Antonio, TX
Roxanna Ramirez
Marriage & Family Therapist, EdD, LMFT-S, LPC-S, EMDR
Verified Verified
San Antonio, TX 78256
I have 20 years of clinical experience helping children and teens with a variety of issues including Autism Spectrum Disorder(All ages), ODD, learning disabilities, anxiety, depression, behavior problems, parenting challenges, communication skills and helping the families cope with these issues. Additionally I have 15 years experience specializing in working with special education eligible students and their families as well as all at risk students and other school challenges. I believe in focusing on the family and helping parents learn skills to manage behaviors and improve communitcation at home. Additionally, I work with GBLT, trauma, men's/woman's issues, marital issues, individual & family conflict.
I have 20 years of clinical experience helping children and teens with a variety of issues including Autism Spectrum Disorder(All ages), ODD, learning disabilities, anxiety, depression, behavior problems, parenting challenges, communication skills and helping the families cope with these issues. Additionally I have 15 years experience specializing in working with special education eligible students and their families as well as all at risk students and other school challenges. I believe in focusing on the family and helping parents learn skills to manage behaviors and improve communitcation at home. Additionally, I work with GBLT, trauma, men's/woman's issues, marital issues, individual & family conflict.
(210) 807-8214 View (210) 807-8214
Photo of Lindsay Durham, Marriage & Family Therapist in San Antonio, TX
Lindsay Durham
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Antonio, TX 78258
I am a Licensed Marriage and Family Therapist who specializes in Individual, Family, and Play Therapy with children, teens, and young adults. I have a passion working with children, young adults and families! I work with a variety of issues including behavioral issues at school or home, parenting and co-parenting skills, adjustment to life changes, anxiety, depression, and grief. My goal is to help children, teens, families, and young adults gain coping skills to manage hard to have emotions, deepen family relationships, and strengthen communication skills.
I am a Licensed Marriage and Family Therapist who specializes in Individual, Family, and Play Therapy with children, teens, and young adults. I have a passion working with children, young adults and families! I work with a variety of issues including behavioral issues at school or home, parenting and co-parenting skills, adjustment to life changes, anxiety, depression, and grief. My goal is to help children, teens, families, and young adults gain coping skills to manage hard to have emotions, deepen family relationships, and strengthen communication skills.
(830) 293-5465 View (830) 293-5465
Photo of Laura Martinez, Marriage & Family Therapist in San Antonio, TX
Laura Martinez
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78218  (Online Only)
I focus on adults, couples, and families utilizing a systems approach to help process and maintain a healthy individual self and the relationship. I empower couples and individuals to overcome personal and relational obstacles to help improve themselves and strengthen the couple's dynamic. Using clinically tested and evidenced-based therapeutic models and interventions. I have worked with individuals, couples, and families in the human services field and as a therapist for 9 years.
I focus on adults, couples, and families utilizing a systems approach to help process and maintain a healthy individual self and the relationship. I empower couples and individuals to overcome personal and relational obstacles to help improve themselves and strengthen the couple's dynamic. Using clinically tested and evidenced-based therapeutic models and interventions. I have worked with individuals, couples, and families in the human services field and as a therapist for 9 years.
(210) 942-7519 View (210) 942-7519
Photo of Dr. Monte Miller - Christian Psychologist, Psychologist in San Antonio, TX
Dr. Monte Miller - Christian Psychologist
Psychologist, PsyD
Verified Verified
22 Endorsed
San Antonio, TX 78209  (Online Only)
Infidelity (and/or other sexual issues - porn, performance anxiety, depression, anxiety) can be crushing to you and your family. I know all the steps needed to repair the relationship and make it better than ever. Am a full psychologist & sex therapist. No shaming or judging. I offer direct & tough, but compassionate, Biblically-based Christian care. I also deal with relationship problems, especially for men who haven't been in therapy before, but for women as well. I work with Performance Anxiety, & PTSD Abuse/Trauma recovery. I have both my Masters & Doctoral degrees. I use CBT. No psychobabble BS. 25 yrs of experience.
Infidelity (and/or other sexual issues - porn, performance anxiety, depression, anxiety) can be crushing to you and your family. I know all the steps needed to repair the relationship and make it better than ever. Am a full psychologist & sex therapist. No shaming or judging. I offer direct & tough, but compassionate, Biblically-based Christian care. I also deal with relationship problems, especially for men who haven't been in therapy before, but for women as well. I work with Performance Anxiety, & PTSD Abuse/Trauma recovery. I have both my Masters & Doctoral degrees. I use CBT. No psychobabble BS. 25 yrs of experience.
(210) 361-3354 View (210) 361-3354
Photo of Dr. Seth Allen Sampson, Licensed Professional Counselor in San Antonio, TX
Dr. Seth Allen Sampson
Licensed Professional Counselor, PhD, LPC-S, NCC, CSC
Verified Verified
San Antonio, TX 78240
My goal as a licensed professional counselor is to assist clients in fostering positive, sustainable self-growth within a safe, supportive, and non-judgmental environment. I strive to work collaboratively with clients to establish achievable goals, while providing support in understanding the thoughts and behaviors that may be contributing to the issues they are experiencing in life.
My goal as a licensed professional counselor is to assist clients in fostering positive, sustainable self-growth within a safe, supportive, and non-judgmental environment. I strive to work collaboratively with clients to establish achievable goals, while providing support in understanding the thoughts and behaviors that may be contributing to the issues they are experiencing in life.
(210) 899-6063 View (210) 899-6063
Photo of Jocelyn Sipes, Clinical Social Work/Therapist in San Antonio, TX
Jocelyn Sipes
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216  (Online Only)
Treating my clients with respect is my utmost priority. I am genuine; others find it easy to talk to me about their problems. I do not claim to have all the answers, but I strive to stay educated regarding all therapies that could be helpful to you, the client. I tend to focus more heavily on a strength-based perspective when delivering therapy. I want my clients to know that I respect them. By agreeing to begin therapy, you have taken one of the most courageous steps toward a peaceful life.
Treating my clients with respect is my utmost priority. I am genuine; others find it easy to talk to me about their problems. I do not claim to have all the answers, but I strive to stay educated regarding all therapies that could be helpful to you, the client. I tend to focus more heavily on a strength-based perspective when delivering therapy. I want my clients to know that I respect them. By agreeing to begin therapy, you have taken one of the most courageous steps toward a peaceful life.
(469) 702-8690 View (469) 702-8690
Photo of Tharwah Alzoubi, Clinical Social Work/Therapist in San Antonio, TX
Tharwah Alzoubi
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78257
Tharwah Alzoubi, Ph.D., LCSW, CRC, LCDC, is a Licensed Clinical Social Worker with a doctoral degree in clinical rehabilitation counseling, a master’s in clinical social work, and a bachelor’s in nursing.
Tharwah Alzoubi, Ph.D., LCSW, CRC, LCDC, is a Licensed Clinical Social Worker with a doctoral degree in clinical rehabilitation counseling, a master’s in clinical social work, and a bachelor’s in nursing.
(830) 293-3121 View (830) 293-3121
Photo of Martha Jo Atkins, Licensed Professional Counselor in San Antonio, TX
Martha Jo Atkins
Licensed Professional Counselor, PhD, LPC, SEP
Verified Verified
San Antonio, TX 78232
I suspect you want to feel better and have tried a few things already. You may be feeling stuck and the old ways of doing things aren't working any more. If you're up for something different, not a cure all, but a way to open new doors for healing, growth, and more ease in yourself, Ketamine Assisted Therapy (KAP) might be a way to go.
I suspect you want to feel better and have tried a few things already. You may be feeling stuck and the old ways of doing things aren't working any more. If you're up for something different, not a cure all, but a way to open new doors for healing, growth, and more ease in yourself, Ketamine Assisted Therapy (KAP) might be a way to go.
(210) 972-3582 View (210) 972-3582
Photo of Amy Swetnam, Licensed Professional Counselor in San Antonio, TX
Amy Swetnam
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
Hi there! My name is Amy Swetnam and I am a Licensed Professional Counselor in the state of Texas with over 38 years of clinical experience. I work with individuals and couples in areas such as relationship issues, trauma, abuse, grief, and depression, amongst others. My clinical approach includes Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Trauma-Focused Therapy.
Hi there! My name is Amy Swetnam and I am a Licensed Professional Counselor in the state of Texas with over 38 years of clinical experience. I work with individuals and couples in areas such as relationship issues, trauma, abuse, grief, and depression, amongst others. My clinical approach includes Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Trauma-Focused Therapy.
(469) 281-7296 View (469) 281-7296
Photo of Captured Through The Lens, PLLC, Clinical Social Work/Therapist in San Antonio, TX
Captured Through The Lens, PLLC
Clinical Social Work/Therapist, DSW, LCSW, BCD
Verified Verified
San Antonio, TX 78258  (Online Only)
Not accepting new clients
Congratulations! My name is Dr. C-Dub. You are taking the first step toward becoming the best version of yourself. Unfortunately, pain and suffering do not discriminate. However, the good news is that neither does healing. Deciding to receive therapy can be daunting; however, the results are often positive and rewarding if you are willing to put in the work. We all have or will experience some sort of life event that will leave us fractured. Many of our first fractures come from those we love most. These fractures can lead us down a path where we become stuck and unable to reach our full potential if they are not dealt with.
Congratulations! My name is Dr. C-Dub. You are taking the first step toward becoming the best version of yourself. Unfortunately, pain and suffering do not discriminate. However, the good news is that neither does healing. Deciding to receive therapy can be daunting; however, the results are often positive and rewarding if you are willing to put in the work. We all have or will experience some sort of life event that will leave us fractured. Many of our first fractures come from those we love most. These fractures can lead us down a path where we become stuck and unable to reach our full potential if they are not dealt with.
(210) 864-1193 View (210) 864-1193
Photo of Felicia Goins - Yet Evolving C&C Services, PLLC, Licensed Professional Counselor in San Antonio, TX
Felicia Goins - Yet Evolving C&C Services, PLLC
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78258
Waitlist for new clients
Are you noticing that life is difficult to cope with because of past and unhealthy relationships with your parents/guardians? Were you neglected, abandoned or rejected as a child? Do you find it difficult to trust yourself or others? Do you have bouts of feeling undeserving, inadequate, or finding yourself in unhealthy or short-lived relationships? Do you want a life free from past hurt and antagonizing childhood trauma? Do you want to experience living a life free from self-sabotaging, self-doubt, and negative self-talk? Would you like to create a life that you are worthy of having?
Are you noticing that life is difficult to cope with because of past and unhealthy relationships with your parents/guardians? Were you neglected, abandoned or rejected as a child? Do you find it difficult to trust yourself or others? Do you have bouts of feeling undeserving, inadequate, or finding yourself in unhealthy or short-lived relationships? Do you want a life free from past hurt and antagonizing childhood trauma? Do you want to experience living a life free from self-sabotaging, self-doubt, and negative self-talk? Would you like to create a life that you are worthy of having?
(210) 985-7148 View (210) 985-7148

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.