Therapists in Madison, WI

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Photo of Inner Strength Counseling, LLC, Clinical Social Work/Therapist in Madison, WI
Inner Strength Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, WI 53711  (Online Only)
So, I guess your question would be, "Why should I choose you as my therapist over others? Will I make more progress working with you?" I do believe in educating clients with regard to CBT/DBT/Mindfulness techniques, which are invaluable when used to improve everyday functioning and helping individuals manage distress. However, where clients remain stuck is a combination of 1) Not being aware of underlying unresolved issues and 2) Not knowing how to get at them and bring them forward to consciousness. Often, therapists work with traumatic 'events' that clients bring to them. I process these events, but also help uncover more.
So, I guess your question would be, "Why should I choose you as my therapist over others? Will I make more progress working with you?" I do believe in educating clients with regard to CBT/DBT/Mindfulness techniques, which are invaluable when used to improve everyday functioning and helping individuals manage distress. However, where clients remain stuck is a combination of 1) Not being aware of underlying unresolved issues and 2) Not knowing how to get at them and bring them forward to consciousness. Often, therapists work with traumatic 'events' that clients bring to them. I process these events, but also help uncover more.
(608) 420-3728 View (608) 420-3728
Photo of Bjorn Hanson, Psychologist in Madison, WI
Bjorn Hanson
Psychologist, PhD
Verified Verified
1 Endorsed
Madison, WI 53705
Are you lost, stuck, or hurting? Does anxiety, depression, or perfectionism hold you back in life? Are you struggling with a crucial relationship? Do you have the sense that something is not quite right, but you aren't sure what it is? If you are looking for a supportive space to explore the important questions in your life while being given practical tools to manage your thoughts and emotions, Lakeland Counseling and Assessment is for you. If you are looking for a thorough, objective assessment to get you on the right track, Lakeland Counseling and Assessment is for you.
Are you lost, stuck, or hurting? Does anxiety, depression, or perfectionism hold you back in life? Are you struggling with a crucial relationship? Do you have the sense that something is not quite right, but you aren't sure what it is? If you are looking for a supportive space to explore the important questions in your life while being given practical tools to manage your thoughts and emotions, Lakeland Counseling and Assessment is for you. If you are looking for a thorough, objective assessment to get you on the right track, Lakeland Counseling and Assessment is for you.
(608) 925-2849 View (608) 925-2849
Photo of Katie Geiser, Licensed Professional Counselor in Madison, WI
Katie Geiser
Licensed Professional Counselor, LPC, CSAC
Verified Verified
1 Endorsed
Madison, WI 53711  (Online Only)
I am an anxiety and trauma specialist and I want to help you feel more confident in your life. Often anxiety tells us that IF the ‘bad thing’ we are trying to avoid happens- we cannot cope. These thoughts might look like “What if they don’t like me or I am judged?" “What if I fail?” “What if that really terrible thing happens, or happens again?” “What if I am in danger?” We are riddled with fear that leaves us feeling stuck, helpless, and unsure how to feel better. You may feel alone, but it doesn’t mean you need to move though it alone.
I am an anxiety and trauma specialist and I want to help you feel more confident in your life. Often anxiety tells us that IF the ‘bad thing’ we are trying to avoid happens- we cannot cope. These thoughts might look like “What if they don’t like me or I am judged?" “What if I fail?” “What if that really terrible thing happens, or happens again?” “What if I am in danger?” We are riddled with fear that leaves us feeling stuck, helpless, and unsure how to feel better. You may feel alone, but it doesn’t mean you need to move though it alone.
(608) 200-2444 View (608) 200-2444
Photo of Emily Cannon, Clinical Social Work/Therapist in Madison, WI
Emily Cannon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53719
I'm Emily Cannon, a Licensed Clinical Social Worker (LCSW) dedicated to providing compassionate and effective therapy to support you on your journey towards emotional well-being. Navigating life's challenges can be overwhelming, and it takes courage to seek support. Whether you're facing transitions, managing stress, or working through deeper emotional concerns, by being here you've taken the first step towards positive change.
I'm Emily Cannon, a Licensed Clinical Social Worker (LCSW) dedicated to providing compassionate and effective therapy to support you on your journey towards emotional well-being. Navigating life's challenges can be overwhelming, and it takes courage to seek support. Whether you're facing transitions, managing stress, or working through deeper emotional concerns, by being here you've taken the first step towards positive change.
(608) 557-3412 View (608) 557-3412
Photo of Jayme O Niemeier, Psychologist in Madison, WI
Jayme O Niemeier
Psychologist, PhD, SC
Verified Verified
Madison, WI 53711
Let's get through this together. There comes a time when each of us desires significant change. Knowing where to start can feel difficult and overwhelming. For some, the path is more manageable if they allow themselves to travel with someone. Therapy offers you the opportunity and safe place to decide how you would like your life to be different. As a psychologist, I offer a non-judgmental, supportive and collaborative space for people to find their own, unique path to a deeper, more meaningful, value-filled life.
Let's get through this together. There comes a time when each of us desires significant change. Knowing where to start can feel difficult and overwhelming. For some, the path is more manageable if they allow themselves to travel with someone. Therapy offers you the opportunity and safe place to decide how you would like your life to be different. As a psychologist, I offer a non-judgmental, supportive and collaborative space for people to find their own, unique path to a deeper, more meaningful, value-filled life.
(608) 889-2541 x103 View (608) 889-2541 x103
Photo of Diane Recob, Clinical Social Work/Therapist in Madison, WI
Diane Recob
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Madison, WI 53705  (Online Only)
Living with unprocessed trauma memories is difficult and overwhelming. It can take us to places that are hard to face and impact our daily lives. Unless we take steps to transform our trauma experiences into remote memories we are never free from the harmful impact these old events have on the quality of our lives. EMDR coupled with talk therapy offers us a way to process those unwanted memories, learn tools for coping and allow us to create the change we want to see.
Living with unprocessed trauma memories is difficult and overwhelming. It can take us to places that are hard to face and impact our daily lives. Unless we take steps to transform our trauma experiences into remote memories we are never free from the harmful impact these old events have on the quality of our lives. EMDR coupled with talk therapy offers us a way to process those unwanted memories, learn tools for coping and allow us to create the change we want to see.
(608) 879-6521 View (608) 879-6521
Photo of Leah Gilbertsen, Marriage & Family Therapist in Madison, WI
Leah Gilbertsen
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53703  (Online Only)
Drawing from my professional experiences in inpatient crisis care and outpatient therapy, I utilize compassion and creativity to meet you where you are on your journey. Working with families and couples, I’ve witnessed the many shapes love can take and how gaining common understanding can create meaningful change. Often, to feel truly heard is to begin to heal. Whether stuck in painful thought patterns or relationship dynamics, therapy can crack open a door to new possibilities. Whether you are seeking therapy with specific goals in mind or from a place of confusion - I am confident in our ability to figure it out together.
Drawing from my professional experiences in inpatient crisis care and outpatient therapy, I utilize compassion and creativity to meet you where you are on your journey. Working with families and couples, I’ve witnessed the many shapes love can take and how gaining common understanding can create meaningful change. Often, to feel truly heard is to begin to heal. Whether stuck in painful thought patterns or relationship dynamics, therapy can crack open a door to new possibilities. Whether you are seeking therapy with specific goals in mind or from a place of confusion - I am confident in our ability to figure it out together.
(773) 900-8150 View (773) 900-8150
Photo of Karen K Kimball, Psychologist in Madison, WI
Karen K Kimball
Psychologist, PhD
Verified Verified
Madison, WI 53705
I love my work: helping individuals and couples solve problems, grow and flourish. We grow by learning mastery; to me this means being competent in dealing with yourself and the outside world. I help clients do this by gaining self-knowledge and learning the skills necessary to be empowered to reach their goals and improve their most important relationships. Since starting my practice in 1983 I have been dedicated to helping clients achieve mastery. I take a very active role, and do "what works" for each client, using a variety of treatment approaches.
I love my work: helping individuals and couples solve problems, grow and flourish. We grow by learning mastery; to me this means being competent in dealing with yourself and the outside world. I help clients do this by gaining self-knowledge and learning the skills necessary to be empowered to reach their goals and improve their most important relationships. Since starting my practice in 1983 I have been dedicated to helping clients achieve mastery. I take a very active role, and do "what works" for each client, using a variety of treatment approaches.
(608) 515-5314 View (608) 515-5314
Photo of Gwyn Schell, Licensed Professional Counselor in Madison, WI
Gwyn Schell
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Madison, WI 53719
Our lives are complex. As your therapist, it is my job to understand this complexity coupled with your psychological needs to facilitate the realization of your goals. I see my role as understanding you, your history, and your environment in a holistic way and using that knowledge to promote exploration and growth. Beyond understanding why people act the way that they do, I collaborate with you to apply that understanding to interventions that facilitate positive change.
Our lives are complex. As your therapist, it is my job to understand this complexity coupled with your psychological needs to facilitate the realization of your goals. I see my role as understanding you, your history, and your environment in a holistic way and using that knowledge to promote exploration and growth. Beyond understanding why people act the way that they do, I collaborate with you to apply that understanding to interventions that facilitate positive change.
(608) 200-2052 View (608) 200-2052
Photo of Ariyanna Toth, LPC Intern in Madison, WI
Ariyanna Toth
LPC Intern, MA, LPC-IT
Verified Verified
1 Endorsed
Madison, WI 53705
Currently accepting new clients with little to no waitlist. I have a strong focus on adult ADHD, burnout, perfectionism and dealing with a loud inner critic. The "vibe" would be warm and understanding, with a touch of humor and millennial burnout. Whether it is looking to the past for understanding, finding ways to connect to the present, or cultivating hope for the future, I make sure to provide an authentic, warm and supportive space for clients to improve their connection to themselves and the world around them. I consider myself an ally for the LGBTQIA+ community and neurodivergent friendly.
Currently accepting new clients with little to no waitlist. I have a strong focus on adult ADHD, burnout, perfectionism and dealing with a loud inner critic. The "vibe" would be warm and understanding, with a touch of humor and millennial burnout. Whether it is looking to the past for understanding, finding ways to connect to the present, or cultivating hope for the future, I make sure to provide an authentic, warm and supportive space for clients to improve their connection to themselves and the world around them. I consider myself an ally for the LGBTQIA+ community and neurodivergent friendly.
(608) 200-5119 View (608) 200-5119
Photo of Cory S Divine, Licensed Professional Counselor in Madison, WI
Cory S Divine
Licensed Professional Counselor, CSAC, LPC, MA
Verified Verified
Madison, WI 53705
Waitlist for new clients
As a Clinical Substance Abuse Counselor and Licensed Professional Counselor, I bring over 18 years of passionate experience to my work in helping clients truly heal.  I've been a musician for over half of my life, and have performed locally and nationally, which has provided me with a genuine ability to connect with clients through creativity, depth, and authenticity.  I truly love working with adults, young adults, and teens through the process of change.  I have extensive experience in the substance use/addiction field, as well as mental health concerns including depression, anxiety, PTSD, coping with life transitions, etc.
As a Clinical Substance Abuse Counselor and Licensed Professional Counselor, I bring over 18 years of passionate experience to my work in helping clients truly heal.  I've been a musician for over half of my life, and have performed locally and nationally, which has provided me with a genuine ability to connect with clients through creativity, depth, and authenticity.  I truly love working with adults, young adults, and teens through the process of change.  I have extensive experience in the substance use/addiction field, as well as mental health concerns including depression, anxiety, PTSD, coping with life transitions, etc.
(608) 602-4709 View (608) 602-4709
Photo of Alex Mischler, Licensed Professional Counselor in Madison, WI
Alex Mischler
Licensed Professional Counselor, MS, LPC
Verified Verified
Madison, WI 53705
Sometimes, we get stuck. Stuck in difficult emotions or relationships—stuck in what the world says is possible for us. I want to help you get unstuck. By centering your experiences and sharing evidence-based strategies, I empower you to use your strengths and life experiences to work against problems that feel inescapable. I don’t want to prescribe you with what I think makes a good life—I want you to live a fulfilling life that fits your values.
Sometimes, we get stuck. Stuck in difficult emotions or relationships—stuck in what the world says is possible for us. I want to help you get unstuck. By centering your experiences and sharing evidence-based strategies, I empower you to use your strengths and life experiences to work against problems that feel inescapable. I don’t want to prescribe you with what I think makes a good life—I want you to live a fulfilling life that fits your values.
(608) 668-4987 View (608) 668-4987
Photo of Alizah Qadri, Pre-Licensed Professional in Madison, WI
Alizah Qadri
Pre-Licensed Professional, BSW
Verified Verified
1 Endorsed
Madison, WI 53705
Alizah Qadri, a Clinical Intern at Roots Work Therapy, is pursuing her graduate degree at the University of Wisconsin-Madison’s Master of Social Work Advanced Standing Program with a focus on mental health. Alizah has the motivation and dedication to learn and implement clinical skills and experiences from past internships to her current role at Roots Work Therapy.
Alizah Qadri, a Clinical Intern at Roots Work Therapy, is pursuing her graduate degree at the University of Wisconsin-Madison’s Master of Social Work Advanced Standing Program with a focus on mental health. Alizah has the motivation and dedication to learn and implement clinical skills and experiences from past internships to her current role at Roots Work Therapy.
(608) 544-8799 View (608) 544-8799
Photo of Lesa J. Fischer, Clinical Social Work/Therapist in Madison, WI
Lesa J. Fischer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Madison, WI 53705
Change can be hard. It can be scary, overwhelming, and can produce fears. It is different than what we know, different than what things are like today. Change happens no matter what; it is the one constant that we all experience.
Change can be hard. It can be scary, overwhelming, and can produce fears. It is different than what we know, different than what things are like today. Change happens no matter what; it is the one constant that we all experience.
(608) 519-4826 View (608) 519-4826
Photo of Moontree Psychotherapy Center, LLC, Clinical Social Work/Therapist in Madison, WI
Moontree Psychotherapy Center, LLC
Clinical Social Work/Therapist, MSW, LCSW, DARTT
Verified Verified
Madison, WI 53703
It is my belief that we all have tremendous capacity to heal and to change our lives for the better. When people choose therapy, they deserve someone who will listen with a fully present, compassionate, and nonjudgemental viewfinder. People also deserve someone who will provide a safe, kind and sacred space. It is my steadfast commitment to meet you where you are at and help you navigate through life's challenges. You may be living with your own or others' mental illness and/or addiction, dealing with losses and unexpected transitions, feeling overwhelmed, and/or tired of feeling stuck.
It is my belief that we all have tremendous capacity to heal and to change our lives for the better. When people choose therapy, they deserve someone who will listen with a fully present, compassionate, and nonjudgemental viewfinder. People also deserve someone who will provide a safe, kind and sacred space. It is my steadfast commitment to meet you where you are at and help you navigate through life's challenges. You may be living with your own or others' mental illness and/or addiction, dealing with losses and unexpected transitions, feeling overwhelmed, and/or tired of feeling stuck.
(608) 260-7144 x14 View (608) 260-7144 x14
Photo of Shannon Kostuck, Clinical Social Work/Therapist in Madison, WI
Shannon Kostuck
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53713  (Online Only)
Shannon works with adolescents and adults to provide evidence-based psychotherapy for the treatment of PTSD, Anxiety Disorders, Mood Disorders and co-occurring Substance Abuse Disorders. She is a subject matter expert in the field of Suicide Prevention and has extensive experience working with individuals and families around the delicate subject of suicidality. Shannon places high value on a strengths-based approach to treatment. Her commitment to model fidelity yields data driven outcomes for clients with durable results promoting client’s to overcome mental health barriers and improve quality of life across life domains.
Shannon works with adolescents and adults to provide evidence-based psychotherapy for the treatment of PTSD, Anxiety Disorders, Mood Disorders and co-occurring Substance Abuse Disorders. She is a subject matter expert in the field of Suicide Prevention and has extensive experience working with individuals and families around the delicate subject of suicidality. Shannon places high value on a strengths-based approach to treatment. Her commitment to model fidelity yields data driven outcomes for clients with durable results promoting client’s to overcome mental health barriers and improve quality of life across life domains.
(608) 673-4085 View (608) 673-4085
Photo of Karen Borkowski, Clinical Social Work/Therapist in Madison, WI
Karen Borkowski
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Madison, WI 53713
Are you looking for help with the stress and anxiety you’re feeling each day? The overwhelm has gotten to a point where it’s affecting every part of your life, and you’re not sure what to do. Is life going to be like this forever? No one seems to understand what you’re going through, and you wish you could just let go of everything that is weighing you down. Maybe you saw something about mental health on TikTok and immediately thought: “That sounds just like me.” You’ve found a safe place where you can feel supported in taking the next steps towards relief, learning more about yourself, and embracing the future.
Are you looking for help with the stress and anxiety you’re feeling each day? The overwhelm has gotten to a point where it’s affecting every part of your life, and you’re not sure what to do. Is life going to be like this forever? No one seems to understand what you’re going through, and you wish you could just let go of everything that is weighing you down. Maybe you saw something about mental health on TikTok and immediately thought: “That sounds just like me.” You’ve found a safe place where you can feel supported in taking the next steps towards relief, learning more about yourself, and embracing the future.
(608) 439-4047 View (608) 439-4047
Photo of Sellers Bell, Clinical Social Work/Therapist in Madison, WI
Sellers Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, WI 53704
The number one thing that makes therapy work is the connection between client and therapist. I want to understand what's happening with you so that I can put my skills to good use and help you to meet your therapy goals. My methods are based on scientific research and on my professional experience as a therapist. Many of the techniques I use with clients are techniques that I have applied in my own life to reduce my own suffering and improve my own happiness. I practice much of what I preach, so I know firsthand that these methods work.
The number one thing that makes therapy work is the connection between client and therapist. I want to understand what's happening with you so that I can put my skills to good use and help you to meet your therapy goals. My methods are based on scientific research and on my professional experience as a therapist. Many of the techniques I use with clients are techniques that I have applied in my own life to reduce my own suffering and improve my own happiness. I practice much of what I preach, so I know firsthand that these methods work.
(608) 535-6652 View (608) 535-6652
Photo of Lisa Baker, Psychologist in Madison, WI
Lisa Baker
Psychologist, PhD
Verified Verified
Madison, WI 53705
As a Psychologist, I have the honor of working with individuals in their journeys of self-discovery, healing, renewal, and growth; journeys which, at times, have emerged out of periods of life crises & emotional upheaval. I offer individual, couples, and group psychotherapy, working with people navigating a range life transitions and challenges. I work compassionately and collaboratively with clients to explore, discover and overcome aspects of their lives that keep them from recognizing and meeting their full potential. This also involves recognizing and emphasizing clients' strengths, resilience, and assets they already embody.
As a Psychologist, I have the honor of working with individuals in their journeys of self-discovery, healing, renewal, and growth; journeys which, at times, have emerged out of periods of life crises & emotional upheaval. I offer individual, couples, and group psychotherapy, working with people navigating a range life transitions and challenges. I work compassionately and collaboratively with clients to explore, discover and overcome aspects of their lives that keep them from recognizing and meeting their full potential. This also involves recognizing and emphasizing clients' strengths, resilience, and assets they already embody.
View
Photo of Scott William Kalin, Licensed Professional Counselor in Madison, WI
Scott William Kalin
Licensed Professional Counselor, LPC, MA
Verified Verified
3 Endorsed
Madison, WI 53703
Therapy is effective when the therapist is guiding the client down a path that the therapist has already successfully completed. My heightened emotional sensitivity to myself and the world surrounding me led me on a journey of self-discovery where I learned to resolve my personal losses and access my power and intuition. Through the lessons of my resolved cycles of suffering, I have found consistent access to my emotional maturity and intuitive wisdom: Giving me the gift of living in the flow of life. Once I became grounded in the depth & flow of my being, I felt called to guide others who are on a similar journey.
Therapy is effective when the therapist is guiding the client down a path that the therapist has already successfully completed. My heightened emotional sensitivity to myself and the world surrounding me led me on a journey of self-discovery where I learned to resolve my personal losses and access my power and intuition. Through the lessons of my resolved cycles of suffering, I have found consistent access to my emotional maturity and intuitive wisdom: Giving me the gift of living in the flow of life. Once I became grounded in the depth & flow of my being, I felt called to guide others who are on a similar journey.
(608) 471-5097 View (608) 471-5097

How does your Therapist compare?

Number of Therapists in Madison, WI

700+

Average cost per session

$150

Therapists in Madison, WI who prioritize treating:

91% Anxiety
84% Depression
74% Relationship Issues
70% Trauma and PTSD
70% Self Esteem
66% Life Transitions
65% Stress

Average years in practice

10 Years

Top 3 insurances accepted

54% Quartz
51% Other
50% BlueCross and BlueShield

How Therapists in Madison, WI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Madison?

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.