Therapists in Marion County, OR

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Photo of Che C Walker, MS, LPC, NBCC, Licensed Professional Counselor
Che C Walker
Licensed Professional Counselor, MS, LPC, NBCC
Verified Verified
3 Endorsed
Silverton, OR 97381  (Online Only)
Experienced therapist specializing in therapeutic intervention with children, adolescents, couples, and disability. I believe that every person has the right to exceptional care from a therapist that honors their experience. I believe individuals have the ability to learn and change the course of their lives, if they so desire. Through a trusting relationship and a willingness to challenge beliefs that no longer serve us, all people can adjust what they experience. I may use an eclectic approach with a variety of methods and resources during the course of therapy and try to offer those I believe the client is most likely to utilize.
Experienced therapist specializing in therapeutic intervention with children, adolescents, couples, and disability. I believe that every person has the right to exceptional care from a therapist that honors their experience. I believe individuals have the ability to learn and change the course of their lives, if they so desire. Through a trusting relationship and a willingness to challenge beliefs that no longer serve us, all people can adjust what they experience. I may use an eclectic approach with a variety of methods and resources during the course of therapy and try to offer those I believe the client is most likely to utilize.
(503) 461-1895 View (503) 461-1895
Photo of Leah Mangis, MSW, LCSW, Clinical Social Work/Therapist
Leah Mangis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97301
There is hope! Starting therapy takes a lot of courage and bravery, especially if you are wanting to heal from trauma(s). I utilize a mind-body-spirit, holistic approach to therapy. Whether this be your first time coming to therapy or you are coming back again, welcome. My approach is strength-based and client focused. I believe in order to achieve your goals, practice of coping skills is imperative. Light homework is assigned if you choose a trauma therapy or specialized treatment.
There is hope! Starting therapy takes a lot of courage and bravery, especially if you are wanting to heal from trauma(s). I utilize a mind-body-spirit, holistic approach to therapy. Whether this be your first time coming to therapy or you are coming back again, welcome. My approach is strength-based and client focused. I believe in order to achieve your goals, practice of coping skills is imperative. Light homework is assigned if you choose a trauma therapy or specialized treatment.
(503) 616-5149 View (503) 616-5149
Photo of Shannon Gallogly, A-LPC, MPS, ATR
Shannon Gallogly
Professional Counselor Associate, A-LPC, MPS, ATR
Verified Verified
Salem, OR 97301  (Online Only)
My theoretical approach is rooted in psycho-dynamic theory. I follow family systems when working in a family therapy session. I and the client contextualize ecological factors such as cultural identities, variations of human sexuality, diversity, spirituality, and the impact of social development. Emphasis is placed on patients' verbal and non-verbal styles of communication for their treatment process. The overall intervention is the growth of the individual as he/she/they/them pass through tasks of life.
My theoretical approach is rooted in psycho-dynamic theory. I follow family systems when working in a family therapy session. I and the client contextualize ecological factors such as cultural identities, variations of human sexuality, diversity, spirituality, and the impact of social development. Emphasis is placed on patients' verbal and non-verbal styles of communication for their treatment process. The overall intervention is the growth of the individual as he/she/they/them pass through tasks of life.
(925) 397-1981 View (925) 397-1981
Photo of Jean Vanlue, MA, LPC, LMFT, Marriage & Family Therapist
Jean Vanlue
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
Salem, OR 97301
Waitlist for new clients
Life is all about relationships! I seek to help others find the hope, healing, strength and grace needed to face the many challenges of life. My passion is assisting adults and couples to increase in resilience, coping and stress management skills and in the ability to encourage and appreciate themselves and others.
Life is all about relationships! I seek to help others find the hope, healing, strength and grace needed to face the many challenges of life. My passion is assisting adults and couples to increase in resilience, coping and stress management skills and in the ability to encourage and appreciate themselves and others.
(971) 205-7812 View (971) 205-7812
Photo of Rosanne O'Connor, MSW, LCSW, Clinical Social Work/Therapist
Rosanne O'Connor
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97301
It can be difficult at times to ask for help. I'm glad you have taken the first step. I am a therapist with many years experience supporting a diverse population of clients. Most recently I have been working with midlife and seniors experiencing declines in health. Before this I was a children's therapist focusing on children with disabilities, and those who have experienced trauma. I also enjoy working with individuals who have struggled with addiction as their strength is inspiring. I am a former foster/adoptive parent and enjoy supporting all members of the adoption triad. Teens and young adults are also a focus.
It can be difficult at times to ask for help. I'm glad you have taken the first step. I am a therapist with many years experience supporting a diverse population of clients. Most recently I have been working with midlife and seniors experiencing declines in health. Before this I was a children's therapist focusing on children with disabilities, and those who have experienced trauma. I also enjoy working with individuals who have struggled with addiction as their strength is inspiring. I am a former foster/adoptive parent and enjoy supporting all members of the adoption triad. Teens and young adults are also a focus.
(503) 987-3535 View (503) 987-3535
Photo of Heather Mangold, LPC, Licensed Professional Counselor
Heather Mangold
Licensed Professional Counselor, LPC
Verified Verified
Salem, OR 97302  (Online Only)
Are you looking for a safe space to discuss your mental health? I am a Licensed Professional Counselor (LPC) with over a decade of experience in the mental health field. My style is warm, patient, and engaging while taking my client's lead. Connection and trust are huge in our work together.
Are you looking for a safe space to discuss your mental health? I am a Licensed Professional Counselor (LPC) with over a decade of experience in the mental health field. My style is warm, patient, and engaging while taking my client's lead. Connection and trust are huge in our work together.
(971) 306-8780 View (971) 306-8780
Photo of Arielle Riffe, LCSW, Clinical Social Work/Therapist
Arielle Riffe
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Salem, OR 97306  (Online Only)
You’re caught in patterns of over-thinking, overwhelm, avoidance, and perfectionism. You feel stuck but you aren’t sure why or how to fix it. You’re used to taking care of everyone else, being the problem-solver and the overachiever, so it’s hard to ask for help or know what you might need. You. Are. Exhausted. You miss the days where you felt clearer, connected, present, and peaceful. You escape into another wellness podcast, or do a little “self-care”, but you know the relief is temporary. It’s time to make a change. Break away from patterns of worry, stress, overwhelm and finally feel satisfied in the life you've created.
You’re caught in patterns of over-thinking, overwhelm, avoidance, and perfectionism. You feel stuck but you aren’t sure why or how to fix it. You’re used to taking care of everyone else, being the problem-solver and the overachiever, so it’s hard to ask for help or know what you might need. You. Are. Exhausted. You miss the days where you felt clearer, connected, present, and peaceful. You escape into another wellness podcast, or do a little “self-care”, but you know the relief is temporary. It’s time to make a change. Break away from patterns of worry, stress, overwhelm and finally feel satisfied in the life you've created.
(503) 751-3540 View (503) 751-3540
Photo of Don Erickson, MA, LPC, Licensed Professional Counselor
Don Erickson
Licensed Professional Counselor, MA, LPC
Verified Verified
Salem, OR 97301  (Online Only)
I am accepting new clients though currently only in teletherapy. My general approach is called rational eclecticism; using the most effective therapeutic approach to address each individual's unique issues. I’m increasingly focusing on trauma and toxic stress and the ways it often shows up as depression, anxiety, sadness and at times a loss of identity. Some clients beginning counseling remember feeling joy, excitement, or self-confidence that they rarely if ever feel when they first begin therapy. The people I’ve been working with have been finding this approach to somatic therapy very helpful and frequently, transformative.
I am accepting new clients though currently only in teletherapy. My general approach is called rational eclecticism; using the most effective therapeutic approach to address each individual's unique issues. I’m increasingly focusing on trauma and toxic stress and the ways it often shows up as depression, anxiety, sadness and at times a loss of identity. Some clients beginning counseling remember feeling joy, excitement, or self-confidence that they rarely if ever feel when they first begin therapy. The people I’ve been working with have been finding this approach to somatic therapy very helpful and frequently, transformative.
(541) 359-3373 View (541) 359-3373
Photo of Kimberly Peters - Quality of Life Therapy LLC, MSW, LCSW, Clinical Social Work/Therapist
Quality of Life Therapy LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salem, OR 97302
Walking alongside you as you seek therapy is my passion. Helping those who are experiencing anxiety, depression, grief, caregiver burn out, health care complexities or a life limiting illness that may be impacting your quality of life, is the focus of my practice. Please anticipate some homework as you work with me. My practice focuses on individual counseling but at times, when we agree it will be helpful, integrates other family members.
Walking alongside you as you seek therapy is my passion. Helping those who are experiencing anxiety, depression, grief, caregiver burn out, health care complexities or a life limiting illness that may be impacting your quality of life, is the focus of my practice. Please anticipate some homework as you work with me. My practice focuses on individual counseling but at times, when we agree it will be helpful, integrates other family members.
(503) 743-7545 View (503) 743-7545
Photo of Kyle R Johnson, MSW, CSWA, CADC 1
Kyle R Johnson
Clinical Social Work Associate, MSW, CSWA, CADC 1
Verified Verified
Salem, OR 97301  (Online Only)
I view my role in helping those experiences mental health challenges as an ally, advocate and to promote challenge and growth for consumers. I believe the treatment process should be collaborative in nature and foster a relationship with transparency and accountability. I strive to address the needs of an individual comprehensively, which can require discussion on cultural factors, family systems, etc. During my coursework I was formally trained in delivery of individual and group counseling for mental health and substance use services, human development across a lifespan, addiction, risk assessment, crisis/suicide prevention.
I view my role in helping those experiences mental health challenges as an ally, advocate and to promote challenge and growth for consumers. I believe the treatment process should be collaborative in nature and foster a relationship with transparency and accountability. I strive to address the needs of an individual comprehensively, which can require discussion on cultural factors, family systems, etc. During my coursework I was formally trained in delivery of individual and group counseling for mental health and substance use services, human development across a lifespan, addiction, risk assessment, crisis/suicide prevention.
(971) 272-8172 View (971) 272-8172
Photo of Erica Yungen Ostergren, MA, LPC, NCC, Licensed Professional Counselor
Erica Yungen Ostergren
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Salem, OR 97302
Not accepting new clients
I'm not currently taking new clients, but I'm so glad you are looking for a therapist! Deciding you want to do something differently is a powerful step. Together we will help you identify and master the tools and strategies that will help you live your best life despite whatever challenges life has given you. Call me and we can talk a bit about what you are looking for, and if I would be a good fit for you.
I'm not currently taking new clients, but I'm so glad you are looking for a therapist! Deciding you want to do something differently is a powerful step. Together we will help you identify and master the tools and strategies that will help you live your best life despite whatever challenges life has given you. Call me and we can talk a bit about what you are looking for, and if I would be a good fit for you.
(503) 217-2546 View (503) 217-2546
Photo of Tim Markwell - New Perspectives Center for Counseling & Therapy, MS, Clinical Social Work/Therapist
New Perspectives Center for Counseling & Therapy
Clinical Social Work/Therapist, MS
Not Verified Not Verified
1 Endorsed
Salem, OR 97301
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
(503) 446-5085 View (503) 446-5085
Photo of Lindsay Wilson, MA
Lindsay Wilson
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Turner, OR 97392  (Online Only)
You wake up not sure where to start your day with so many swirling tasks in your head. You often feel alone in your struggles and unsure of where to turn, not wanting to seem like a burden. You want to make time for yourself but it feels impossible with the never ending to do list. You feel your anxiety levels consistently rising, and are noticing shifts in your relationships as feelings bubble up inside. Sometimes it's hard to recognize this new person you’ve become.
You wake up not sure where to start your day with so many swirling tasks in your head. You often feel alone in your struggles and unsure of where to turn, not wanting to seem like a burden. You want to make time for yourself but it feels impossible with the never ending to do list. You feel your anxiety levels consistently rising, and are noticing shifts in your relationships as feelings bubble up inside. Sometimes it's hard to recognize this new person you’ve become.
(503) 714-7347 View (503) 714-7347
Photo of Nicole La Verne, PsyD, LPC, MAC, CADC II, ACS, Licensed Professional Counselor
Nicole La Verne
Licensed Professional Counselor, PsyD, LPC, MAC, CADC II, ACS
Verified Verified
Salem, OR 97301  (Online Only)
*Open and seeing clients by Telehealth.* Is life becoming challenging, overwhelming, confusing, unfair, and more? I understand! I have over 25 years of experience supporting people struggling with a variety of issues - depression, anxiety, addiction, trauma & PTSD, grief & loss, life changes, abuse, and more. I personally and professionally understand the dynamics that accompany many of these life challenges.
*Open and seeing clients by Telehealth.* Is life becoming challenging, overwhelming, confusing, unfair, and more? I understand! I have over 25 years of experience supporting people struggling with a variety of issues - depression, anxiety, addiction, trauma & PTSD, grief & loss, life changes, abuse, and more. I personally and professionally understand the dynamics that accompany many of these life challenges.
(971) 251-1647 View (971) 251-1647
Photo of Dorothy Jean Anderson, PhD, Psychologist
Dorothy Jean Anderson
Psychologist, PhD
Verified Verified
Salem, OR 97302
I work with a wide age range of clients. I believe there is a real value in psychotherapy across the developmental spectrum. I enjoy working with new parents and their infants, children and their families, adolescents and young adults to the mature and elderly. Every stage has its challenges and its potential for growth.
I work with a wide age range of clients. I believe there is a real value in psychotherapy across the developmental spectrum. I enjoy working with new parents and their infants, children and their families, adolescents and young adults to the mature and elderly. Every stage has its challenges and its potential for growth.
(971) 717-3349 View (971) 717-3349
Photo of Melanie Lute, BA, MCoun, LPC, NCC, Licensed Professional Counselor
Melanie Lute
Licensed Professional Counselor, BA, MCoun, LPC, NCC
Verified Verified
Salem, OR 97301
Not accepting new clients
Melanie Lute is a Licensed Professional Counselor. She received her Masters in Counseling from Oregon State University. Melanie is a trained Neurofeedback practitioner and enjoys the rapid effectiveness of this treatment for helping those with trauma, PTSD, anxiety, depression, migraines, and ADHD among others. Additionally, Melanie utilizes her depth of nutritional knowledge and movement in supporting overall health and wellness. She enjoys working with clients of all ages and orientations, focusing on resolving an array of life's challenges.
Melanie Lute is a Licensed Professional Counselor. She received her Masters in Counseling from Oregon State University. Melanie is a trained Neurofeedback practitioner and enjoys the rapid effectiveness of this treatment for helping those with trauma, PTSD, anxiety, depression, migraines, and ADHD among others. Additionally, Melanie utilizes her depth of nutritional knowledge and movement in supporting overall health and wellness. She enjoys working with clients of all ages and orientations, focusing on resolving an array of life's challenges.
View
Dean Philip Sanchez
Pre-Licensed Professional, MS, LPCA, RBT
Verified Verified
Salem, OR 97301  (Online Only)
Every patient has their own unique set of concerns, needs, and goals moving forward with thier lives, as well as having their own unique outlook based on their personal life experiences. As a multicultural and multifaceted counselor, I pride myself on the dignity, encouragement, and ongoing support for each of my client's needs, assuring that they feel heard with personally tailored objectives throughout treatment. Consistency in sessions, reflecting regularly, and setting achievable goals are key to effectively maintaining healthy mental hygiene.
Every patient has their own unique set of concerns, needs, and goals moving forward with thier lives, as well as having their own unique outlook based on their personal life experiences. As a multicultural and multifaceted counselor, I pride myself on the dignity, encouragement, and ongoing support for each of my client's needs, assuring that they feel heard with personally tailored objectives throughout treatment. Consistency in sessions, reflecting regularly, and setting achievable goals are key to effectively maintaining healthy mental hygiene.
(971) 396-1514 View (971) 396-1514
Photo of Joselyn Salaz, PhD, LPC, Licensed Professional Counselor
Joselyn Salaz
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Salem, OR 97301
Are you an empathic individual who easily feels and holds the energy of what's around you? Do you have difficulty knowing if your thoughts or emotions really belong to you? Are you holding on to past experiences that cause you distress? Are you seeking a holistic and integrative aligned solution to let go of unwanted energy? As an LPC with a Ph.D in counseling psychology and certifications as an astrologer, Reiki master, clinical hypnotherapist, past life regression hypnotherapist & integrative medicine, I am able to blend these complimentary techniques to help you understand and release what no longer serves you.
Are you an empathic individual who easily feels and holds the energy of what's around you? Do you have difficulty knowing if your thoughts or emotions really belong to you? Are you holding on to past experiences that cause you distress? Are you seeking a holistic and integrative aligned solution to let go of unwanted energy? As an LPC with a Ph.D in counseling psychology and certifications as an astrologer, Reiki master, clinical hypnotherapist, past life regression hypnotherapist & integrative medicine, I am able to blend these complimentary techniques to help you understand and release what no longer serves you.
(971) 273-5717 View (971) 273-5717
Photo of Jerem Ernst, LPC, Licensed Professional Counselor
Jerem Ernst
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Salem, OR 97301
I believe in and help to foster a collaborative therapeutic relationship based on compassion, trust, and humility. As a psycho-spiritual counselor with a holistic perspective, I work with mind, body, spirit connections, and as such I see my clients as full of potential and creativity. I am deeply interested in the emerging field of psilocybin assisted therapy and I am happy to work with clients as they integrate their own personal journeys. I have a passion for social and environmental justice, and as an ever-aspiring multicultural counselor, I enjoy working with clients from diverse backgrounds, cultures and lifestyles.
I believe in and help to foster a collaborative therapeutic relationship based on compassion, trust, and humility. As a psycho-spiritual counselor with a holistic perspective, I work with mind, body, spirit connections, and as such I see my clients as full of potential and creativity. I am deeply interested in the emerging field of psilocybin assisted therapy and I am happy to work with clients as they integrate their own personal journeys. I have a passion for social and environmental justice, and as an ever-aspiring multicultural counselor, I enjoy working with clients from diverse backgrounds, cultures and lifestyles.
(503) 905-9112 View (503) 905-9112
Photo of Unique L. Page, PhD, LPC, NCC, Licensed Professional Counselor
Unique L. Page
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Salem, OR 97301  (Online Only)
We often hope that negative and unhelpful feelings and behaviors will go away on their own, and while some do, others seem to linger and make life more difficult. As a counselor who embraces Emotion-Focused and Attachment Therapy, there is an opportunity to change unhelpful feelings into ones that empower and motivate you toward success and healing. With a passion for working with all people looking for help and healing, I strive to provide an atmosphere where everyone will feel welcomed, heard, and encouraged in each session. I offer holistic and personalized counseling to fit your unique needs and those of your loved ones.
We often hope that negative and unhelpful feelings and behaviors will go away on their own, and while some do, others seem to linger and make life more difficult. As a counselor who embraces Emotion-Focused and Attachment Therapy, there is an opportunity to change unhelpful feelings into ones that empower and motivate you toward success and healing. With a passion for working with all people looking for help and healing, I strive to provide an atmosphere where everyone will feel welcomed, heard, and encouraged in each session. I offer holistic and personalized counseling to fit your unique needs and those of your loved ones.
(503) 843-8861 View (503) 843-8861
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See more therapy options for Marion County

How does your Therapist compare?

Number of Therapists in Marion County, OR

500+

Average cost per session

$150

Therapists in Marion County, OR who prioritize treating:

90% Anxiety
85% Depression
74% Trauma and PTSD
73% Relationship Issues
71% Stress
70% Self Esteem
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

62% PacificSource
48% Providence
47% BlueCross and BlueShield

How Therapists in Marion County, OR see their clients

54% In Person and Online
46% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Marion County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.