Therapists in Saint Francis, WI

Photo of Jamie Palama, Licensed Professional Counselor in Saint Francis, WI
Jamie Palama
Licensed Professional Counselor, LPC, CSAC, CAS
Verified Verified
Saint Francis, WI 53235
Jamie understands that everyone is unique and experiences life differently and wants her clients to be actively involved in their treatment. Her goal is to create a safe and supportive environment for the client to work on their goals. She believes that everyone deserves a chance to be heard and feel listened to.
Jamie understands that everyone is unique and experiences life differently and wants her clients to be actively involved in their treatment. Her goal is to create a safe and supportive environment for the client to work on their goals. She believes that everyone deserves a chance to be heard and feel listened to.
(262) 228-1983 View (262) 228-1983
Photo of Hagar Kaufman, Clinical Social Work/Therapist in Saint Francis, WI
Hagar Kaufman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Francis, WI 53235
The primary focus of your healing when working with me is providing a therapeutic relationship and creating a supportive and empathetic environment where you feel safe exploring your thoughts, feelings, and experiences. Your active participation will allow us to explore therapeutic exercises and strategies you can use for healing and personal growth. I specialize in working with individuals experiencing severe anxiety and stressful experiences or trauma.
The primary focus of your healing when working with me is providing a therapeutic relationship and creating a supportive and empathetic environment where you feel safe exploring your thoughts, feelings, and experiences. Your active participation will allow us to explore therapeutic exercises and strategies you can use for healing and personal growth. I specialize in working with individuals experiencing severe anxiety and stressful experiences or trauma.
(414) 667-5240 View (414) 667-5240

More Therapists Nearby

Photo of Brooke Phelps, Counselor in Saint Francis, WI
Brooke Phelps
Counselor, MHR, LPC
Verified Verified
2 Endorsed
Milwaukee, WI 53207
Not accepting new clients
Beginning therapy can often be difficult and may carry a host of fears, uncertainties, and challenges. I believe that it can also be a life changing journey that can help explore those difficult pieces and peel those layers that have kept us from being our authentic selves. My clients are often young adults, parents, those starting a new phase in their life, or anyone navigating the process of individuation and creating change. My clients are often looking to create healthy boundaries and relationships with themselves and others. Many are healing from past trauma, toxic relationships, or entering a new phase in life.
Beginning therapy can often be difficult and may carry a host of fears, uncertainties, and challenges. I believe that it can also be a life changing journey that can help explore those difficult pieces and peel those layers that have kept us from being our authentic selves. My clients are often young adults, parents, those starting a new phase in their life, or anyone navigating the process of individuation and creating change. My clients are often looking to create healthy boundaries and relationships with themselves and others. Many are healing from past trauma, toxic relationships, or entering a new phase in life.
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Photo of David Joel Guetzkow, Licensed Professional Counselor in Saint Francis, WI
David Joel Guetzkow
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Milwaukee, WI 53207
David believes in not only helping the individual facing challenges, but helping that person also build their supports that are around them outside of session. David is a military veteran who knows the struggle of being trauma informed and also person-centered in care. What works for one, doesn't always work for the other. David believes in treating the person and not the diagnosis because we are not what the words say we are!
David believes in not only helping the individual facing challenges, but helping that person also build their supports that are around them outside of session. David is a military veteran who knows the struggle of being trauma informed and also person-centered in care. What works for one, doesn't always work for the other. David believes in treating the person and not the diagnosis because we are not what the words say we are!
(414) 877-8087 View (414) 877-8087
Photo of Stephen Hart, Clinical Social Work/Therapist in Saint Francis, WI
Stephen Hart
Clinical Social Work/Therapist, MS, PhD
Verified Verified
Cudahy, WI 53110  (Online Only)
Dr. Hart’s treatment approach is interactive. He focuses on underlying, causative factors in a person’s or couple’s problems, and on their positive strengths. His theoretical orientation includes both contemporary psychoanalytic and cognitive-behavioral therapy, incorporating solution-focused approaches as needed. Additionally, Dr. Hart emphasizes the fields of positive psychology and wellness.
Dr. Hart’s treatment approach is interactive. He focuses on underlying, causative factors in a person’s or couple’s problems, and on their positive strengths. His theoretical orientation includes both contemporary psychoanalytic and cognitive-behavioral therapy, incorporating solution-focused approaches as needed. Additionally, Dr. Hart emphasizes the fields of positive psychology and wellness.
(414) 404-6201 View (414) 404-6201
Photo of Ernesto Atkinson, Licensed Professional Counselor in Saint Francis, WI
Ernesto Atkinson
Licensed Professional Counselor, ATR, LPC
Verified Verified
Milwaukee, WI 53207
As a bilingual (Spanish) Licensed Professional Counselor and AT Therapist my goal is to be a witness to my participant's personal growth by engaging them in an adaptive and creative path of self-exploration. My therapeutic focus is a multicultural connection between an artistic and therapeutic approach to a self-integrative healing according to the participant's needs. I'm experienced working with a wide range of diverse populations, ages, and mental health issues.
As a bilingual (Spanish) Licensed Professional Counselor and AT Therapist my goal is to be a witness to my participant's personal growth by engaging them in an adaptive and creative path of self-exploration. My therapeutic focus is a multicultural connection between an artistic and therapeutic approach to a self-integrative healing according to the participant's needs. I'm experienced working with a wide range of diverse populations, ages, and mental health issues.
(312) 818-3234 View (312) 818-3234
Photo of Sue Bruckner, Licensed Professional Counselor in Saint Francis, WI
Sue Bruckner
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Milwaukee, WI 53207
Waitlist for new clients
I offer coaching to sensitive women who desire a more sane approach to dating and relationships. They want meaningful connection but struggle to find it. They want to enjoy themselves more and be in their heads less. They want to have better boundaries, better choices of who and what they give their attention to, and better self-talk as they navigate the ins and outs of relationships. They feel over-sensitive; are questioning their life choices; are realizing they want to feel more confidence, connection, and joy.
I offer coaching to sensitive women who desire a more sane approach to dating and relationships. They want meaningful connection but struggle to find it. They want to enjoy themselves more and be in their heads less. They want to have better boundaries, better choices of who and what they give their attention to, and better self-talk as they navigate the ins and outs of relationships. They feel over-sensitive; are questioning their life choices; are realizing they want to feel more confidence, connection, and joy.
(414) 375-4145 View (414) 375-4145
Photo of Nia Delgado, LPC Intern in Saint Francis, WI
Nia Delgado
LPC Intern, MS, LPC-IT, SAC-IT
Verified Verified
2 Endorsed
Milwaukee, WI 53207
I am a licensed sex positive and affirming psychotherapist who is passionate about helping people reconnect to others in meaningful and intentional ways. Specific areas I help individuals and couples tackle are: trauma, depression, anxiety, porn addiction, sexual incompatibilities, desire discrepancy, shame and embarrassment, low desire and pain during sex, emotional difficulties, conflict and communication resolution. Therapy can provide a safe, supportive and thriving environment for you to reach your desired goals in life, connect with the people who matter most to you, and cultivate purpose.
I am a licensed sex positive and affirming psychotherapist who is passionate about helping people reconnect to others in meaningful and intentional ways. Specific areas I help individuals and couples tackle are: trauma, depression, anxiety, porn addiction, sexual incompatibilities, desire discrepancy, shame and embarrassment, low desire and pain during sex, emotional difficulties, conflict and communication resolution. Therapy can provide a safe, supportive and thriving environment for you to reach your desired goals in life, connect with the people who matter most to you, and cultivate purpose.
(262) 279-1354 View (262) 279-1354
Photo of Kelly Stewart, Mindful Heart Therapy, LLC, Clinical Social Work/Therapist in Saint Francis, WI
Kelly Stewart, Mindful Heart Therapy, LLC
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
Milwaukee, WI 53207
Are you seeking your path for dynamic and meaningful change in an inclusive healing environment? Together we can pursue practical mindfulness and wholehearted living to address a variety of life stresses and challenges. Our work together will include creativity and humor as we navigate healing and growth while "keeping it real".
Are you seeking your path for dynamic and meaningful change in an inclusive healing environment? Together we can pursue practical mindfulness and wholehearted living to address a variety of life stresses and challenges. Our work together will include creativity and humor as we navigate healing and growth while "keeping it real".
(414) 710-3114 View (414) 710-3114
Photo of Ariel Namowicz, Clinical Social Work/Therapist in Saint Francis, WI
Ariel Namowicz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Bay View, WI 53207
So many of us feel like we are stuck in certain ways- whether it be stuck in our patterns of behaviors, our overwhelming emotions, our reactions, our relationships, or any other way we may be feeling stuck. I want to work with people who feel like they are stuck and aren’t sure where to go next. I intend to help people feel empowered and free. I am an integrative, individualist therapist who chooses to see therapy as a process of connecting and moving towards living a more authentic life. The population I work especially well with is women trying to come into their own identity and sense of self.
So many of us feel like we are stuck in certain ways- whether it be stuck in our patterns of behaviors, our overwhelming emotions, our reactions, our relationships, or any other way we may be feeling stuck. I want to work with people who feel like they are stuck and aren’t sure where to go next. I intend to help people feel empowered and free. I am an integrative, individualist therapist who chooses to see therapy as a process of connecting and moving towards living a more authentic life. The population I work especially well with is women trying to come into their own identity and sense of self.
(262) 698-3120 View (262) 698-3120
Photo of Sydney A Snyder, Licensed Professional Counselor in Saint Francis, WI
Sydney A Snyder
Licensed Professional Counselor, MS, LPC, SAC-IT
Verified Verified
1 Endorsed
Bay View, WI 53207
Are you struggling with adjusting to change, coping with stress or navigating conflict? As a result, has this left you feeling overwhelmed or anxious? Has shame, guilt or negative self-talk been impacting you? Do you need help creating boundaries with your partner, family, or friends? As a therapist, I believe in the saying, “you can’t pour from an empty cup.” My role is to help you explore areas of concern, develop coping skills, and gain insight about yourself. A primary focus of my practice is teaching self-compassion to help fill up your cup when life is feeling too difficult to navigate on your own.
Are you struggling with adjusting to change, coping with stress or navigating conflict? As a result, has this left you feeling overwhelmed or anxious? Has shame, guilt or negative self-talk been impacting you? Do you need help creating boundaries with your partner, family, or friends? As a therapist, I believe in the saying, “you can’t pour from an empty cup.” My role is to help you explore areas of concern, develop coping skills, and gain insight about yourself. A primary focus of my practice is teaching self-compassion to help fill up your cup when life is feeling too difficult to navigate on your own.
(414) 246-4907 View (414) 246-4907
Photo of Pamela Safran Grzesk, Licensed Professional Counselor in Saint Francis, WI
Pamela Safran Grzesk
Licensed Professional Counselor, LPC
Verified Verified
Milwaukee, WI 53207
Pamela Safran Grzesk is a mental health therapist with over 10 years of experience, specializing in crisis counseling, symptom management, and life transitions. Pamela's counseling style is Person-centered and integrative, utilizing evidence-based practices such as Cognitive Behavioral Therapy and Motivational Interviewing to help people build insight and create lasting change in their lives. She celebrates human diversity and utilizes an understanding of various cultural and spiritual factors to partner with clients on their journeys of healing and wellness.
Pamela Safran Grzesk is a mental health therapist with over 10 years of experience, specializing in crisis counseling, symptom management, and life transitions. Pamela's counseling style is Person-centered and integrative, utilizing evidence-based practices such as Cognitive Behavioral Therapy and Motivational Interviewing to help people build insight and create lasting change in their lives. She celebrates human diversity and utilizes an understanding of various cultural and spiritual factors to partner with clients on their journeys of healing and wellness.
(262) 239-4337 View (262) 239-4337
Photo of Cayla Lund, Licensed Professional Counselor in Saint Francis, WI
Cayla Lund
Licensed Professional Counselor, LPC
Verified Verified
Milwaukee, WI 53207
Cayla Lund is a Licensed Professional Counselor and Art Therapist with over 4 years of experience specializing in depression, anxiety, trauma, and transitional concerns. Cayla is passionate about working with the LGBTQ+ community and helping navigate through related issues. Cayla provides treatment to clients ages ranging from 10 years old and 35 years old. Cayla utilizes Person Centered, Solution Focused Brief Therapy, LGBTQ+ Affirming Therapy, and Trauma Focused-Cognitive Behavioral Therapy. Cayla has experience counseling children, adolescents, young adults, adults, and groups in clinical and inpatient settings.
Cayla Lund is a Licensed Professional Counselor and Art Therapist with over 4 years of experience specializing in depression, anxiety, trauma, and transitional concerns. Cayla is passionate about working with the LGBTQ+ community and helping navigate through related issues. Cayla provides treatment to clients ages ranging from 10 years old and 35 years old. Cayla utilizes Person Centered, Solution Focused Brief Therapy, LGBTQ+ Affirming Therapy, and Trauma Focused-Cognitive Behavioral Therapy. Cayla has experience counseling children, adolescents, young adults, adults, and groups in clinical and inpatient settings.
(262) 333-0487 View (262) 333-0487
Photo of Dhanya Nair, Marriage & Family Therapist in Saint Francis, WI
Dhanya Nair
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
Bay View, WI 53207  (Online Only)
I work primarily with couples and individuals experiencing relationship distress, mood disturbances and adjustment problems. Some of the outcomes that my clients typically seek are improved means of managing conflict, increase in positive emotional experiences , and ways to interact and relate more meaningfully. I focus on helping my clients gain deeper insights, identify and utilize their strengths and acknowledge and understand their emotional experiences.
I work primarily with couples and individuals experiencing relationship distress, mood disturbances and adjustment problems. Some of the outcomes that my clients typically seek are improved means of managing conflict, increase in positive emotional experiences , and ways to interact and relate more meaningfully. I focus on helping my clients gain deeper insights, identify and utilize their strengths and acknowledge and understand their emotional experiences.
(414) 877-6926 View (414) 877-6926
Photo of Alexander Wissing, Licensed Professional Counselor in Saint Francis, WI
Alexander Wissing
Licensed Professional Counselor, LPC
Verified Verified
Milwaukee, WI 53207
Alex Wissing is a Licensed Professional Counselor (LPC) with over 5 years of experience specializing in depression, anxiety, OCD, and a variety of other mental health concerns. Alex treats adults aged 18 and older utilizing Cognitive Behavioral Therapy (CBT) in his approach with clients. Alex earned his bachelor’s degree at UW-Wisconsin Milwaukee in Psychology. He completed his Master of Science in Counseling Psychology at UW-Wisconsin Milwaukee. Alex has spent the last 7 years working in a variety of programs and levels of care at Rogers Behavioral Health in Oconomowoc, WI.
Alex Wissing is a Licensed Professional Counselor (LPC) with over 5 years of experience specializing in depression, anxiety, OCD, and a variety of other mental health concerns. Alex treats adults aged 18 and older utilizing Cognitive Behavioral Therapy (CBT) in his approach with clients. Alex earned his bachelor’s degree at UW-Wisconsin Milwaukee in Psychology. He completed his Master of Science in Counseling Psychology at UW-Wisconsin Milwaukee. Alex has spent the last 7 years working in a variety of programs and levels of care at Rogers Behavioral Health in Oconomowoc, WI.
(262) 599-6537 View (262) 599-6537
Photo of Dr. Therese Borges, Psychologist in Saint Francis, WI
Dr. Therese Borges
Psychologist, PhD
Verified Verified
Milwaukee, WI 53207  (Online Only)
Life is filled with peaks and valleys and it is my goal to help you navigate life's challenges and aid in your personal growth to become the best and healthiest version of yourself. I view therapy as a collaborative process and believe that you are the expert in your own life. I provide a safe and supportive space for you to start doing the deep and rewarding work of facing your struggles and moving towards a more fulfilling and meaningful life.
Life is filled with peaks and valleys and it is my goal to help you navigate life's challenges and aid in your personal growth to become the best and healthiest version of yourself. I view therapy as a collaborative process and believe that you are the expert in your own life. I provide a safe and supportive space for you to start doing the deep and rewarding work of facing your struggles and moving towards a more fulfilling and meaningful life.
(414) 501-7008 View (414) 501-7008
Photo of Kevin O'Brien Whole Life Counseling, Marriage & Family Therapist in Saint Francis, WI
Kevin O'Brien Whole Life Counseling
Marriage & Family Therapist, LMFT, LCSW, IMH-II
Verified Verified
Bay View, WI 53207
Thank for finding your way to my page. Chances are, no matter what your specific concern, you arrived here because you want to feel better, and you want important relationships in your life to work better. My goal is to facilitate your capacity to do both, as I have done with many individuals, couples and families over the past 30 years. Living a whole life, for a whole lifetime, is both worthy of our effort and possible. My practice is faith-, culture- and sexual orientation-friendly. Come as you are, we will utilize every resource to undo the knots and reweave the fabric of your life in more satisfying ways. Online capacity.
Thank for finding your way to my page. Chances are, no matter what your specific concern, you arrived here because you want to feel better, and you want important relationships in your life to work better. My goal is to facilitate your capacity to do both, as I have done with many individuals, couples and families over the past 30 years. Living a whole life, for a whole lifetime, is both worthy of our effort and possible. My practice is faith-, culture- and sexual orientation-friendly. Come as you are, we will utilize every resource to undo the knots and reweave the fabric of your life in more satisfying ways. Online capacity.
(414) 255-0805 View (414) 255-0805
Photo of Anna Kraft, Licensed Professional Counselor in Saint Francis, WI
Anna Kraft
Licensed Professional Counselor, MS, LPC, SAC-IT, NCC
Verified Verified
9 Endorsed
Milwaukee, WI 53207
As you’re walking along your path, it can be easy to feel overwhelmed, lost, or stuck. There are often different forks in the road, rough patches, and noises behind you demanding your attention, which make it difficult to continue forward. I’m here to help pre-teens, teenagers, and adults seeking to improve their wellness and develop a better understanding of their path. I support individuals with a wide range of goals and concerns, including stress management, anxiety, depression, trauma, and relationship issues.
As you’re walking along your path, it can be easy to feel overwhelmed, lost, or stuck. There are often different forks in the road, rough patches, and noises behind you demanding your attention, which make it difficult to continue forward. I’m here to help pre-teens, teenagers, and adults seeking to improve their wellness and develop a better understanding of their path. I support individuals with a wide range of goals and concerns, including stress management, anxiety, depression, trauma, and relationship issues.
(262) 205-6934 View (262) 205-6934
Photo of Sohail M Majeed, Licensed Professional Counselor in Saint Francis, WI
Sohail M Majeed
Licensed Professional Counselor, MS, LPC, MFT
Verified Verified
Milwaukee, WI 53221
Is your anger getting in your way? Do you miss the closeness you once had with your partner? Are you afraid that the divorce may be on the horizon? Are your children struggling in school? Are you feeling sad? Is your child ignoring you ? Are you worried? Is life over whelming you? ***** If the answer is YES, I CAN HELP YOU REGAIN THE CONTROL YOU ONCE HAD OVER YOUR LIFE. ***** Please visit my website relationship-counseling-milwaukee.com
Is your anger getting in your way? Do you miss the closeness you once had with your partner? Are you afraid that the divorce may be on the horizon? Are your children struggling in school? Are you feeling sad? Is your child ignoring you ? Are you worried? Is life over whelming you? ***** If the answer is YES, I CAN HELP YOU REGAIN THE CONTROL YOU ONCE HAD OVER YOUR LIFE. ***** Please visit my website relationship-counseling-milwaukee.com
(414) 436-2544 View (414) 436-2544
Photo of Kylee N Holbrook, Pre-Licensed Professional in Saint Francis, WI
Kylee N Holbrook
Pre-Licensed Professional
Verified Verified
Bay View, WI 53207
Are you experiencing a difficult time or difficult emotions and looking to learn new ways of coping? Or are you looking to let out your emotions in a safe space? I can be here with you every step of the way of your healing journey. We can work together to help you better understand yourself and what you want in your life. I want to help you to see the best in who you are and learn to practice self-care and embody self-love. In a world full of interconnectedness via social media, it can be difficult to connect with ourselves. I hope to help you learn to be happy being 100% authentically you!
Are you experiencing a difficult time or difficult emotions and looking to learn new ways of coping? Or are you looking to let out your emotions in a safe space? I can be here with you every step of the way of your healing journey. We can work together to help you better understand yourself and what you want in your life. I want to help you to see the best in who you are and learn to practice self-care and embody self-love. In a world full of interconnectedness via social media, it can be difficult to connect with ourselves. I hope to help you learn to be happy being 100% authentically you!
(414) 775-0578 View (414) 775-0578

See more therapy options for Saint Francis

How does your Therapist compare?

Number of Therapists in Saint Francis, WI

< 10

Therapists in Saint Francis, WI who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Self Esteem
100% Stress
50% Relationship Issues

Average years in practice

2 Years

Top 3 insurances accepted

100% Aetna
50% The Alliance
50% APS Healthcare

How Therapists in Saint Francis, WI see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Francis?

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.