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Therapists in Sacramento County, CA

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Photo of Marilyn Terhune-Young, LMFT, Marriage & Family Therapist
Marilyn Terhune-Young
Marriage & Family Therapist, LMFT
Verified Verified
Elk Grove, CA 95624
My name is Marilyn Terhune-Young and I am a Licensed Marriage, Family Therapist (LMFT) based in Grass Valley, California and working with clients statewide via telehealth. I have 20 plus years of experience specializing in issues of anxiety, depression, self-esteem, relationship issues and the over-all life challenges. My approach is humanistic and client-centered. I enjoy working with people who are seeking purpose and a deeper meaning in their lives. Initial problems may include relationship issues, stress in the workplace, self-esteem and depression, past abuse or trauma or a general feeling of emptiness in life.
My name is Marilyn Terhune-Young and I am a Licensed Marriage, Family Therapist (LMFT) based in Grass Valley, California and working with clients statewide via telehealth. I have 20 plus years of experience specializing in issues of anxiety, depression, self-esteem, relationship issues and the over-all life challenges. My approach is humanistic and client-centered. I enjoy working with people who are seeking purpose and a deeper meaning in their lives. Initial problems may include relationship issues, stress in the workplace, self-esteem and depression, past abuse or trauma or a general feeling of emptiness in life.
(916) 659-6541 View (916) 659-6541
Photo of Ann Marie McKnight, MS, Marriage & Family Therapist
Ann Marie McKnight
Marriage & Family Therapist, MS
Verified Verified
1 Endorsed
Sacramento, CA 95816
Are you in the midst of an overwhelming life circumstance or reeling from loss? Are you feeling alone, scared or uncertain about your ability to cope? You deserve support from someone who will help you develop the skills to move forward in your life! I have years of experience helping individuals, couples and families to feel less alone by providing them with a safe, sensitive and non-judgmental space to unload their burdens, reduce feelings of isolation, restore hope and increase their personal functioning. Visit www.lovehealgrow.com to schedule or learn more.
Are you in the midst of an overwhelming life circumstance or reeling from loss? Are you feeling alone, scared or uncertain about your ability to cope? You deserve support from someone who will help you develop the skills to move forward in your life! I have years of experience helping individuals, couples and families to feel less alone by providing them with a safe, sensitive and non-judgmental space to unload their burdens, reduce feelings of isolation, restore hope and increase their personal functioning. Visit www.lovehealgrow.com to schedule or learn more.
(530) 424-2063 View (530) 424-2063
Photo of Rene Quispe Sandoval, LCSW, Clinical Social Work/Therapist
Rene Quispe Sandoval
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Elk Grove, CA 95624
Not accepting new clients
Thank you for visiting my profile. At this time I am NOT accepting any new clients. You can visit my website: www.renelcsw.com and under the tab "Help is here now" you can find a list of other licensed therapists I would personally recommend to help with your need, please. I will likely re-open my practice to new clients in early 2024. Thank you.
Thank you for visiting my profile. At this time I am NOT accepting any new clients. You can visit my website: www.renelcsw.com and under the tab "Help is here now" you can find a list of other licensed therapists I would personally recommend to help with your need, please. I will likely re-open my practice to new clients in early 2024. Thank you.
(916) 827-4196 View (916) 827-4196
Photo of La Tanya Takla, EdD, LMFT, LPCC, Psychologist
La Tanya Takla
Psychologist, EdD, LMFT, LPCC
Verified Verified
1 Endorsed
Sacramento, CA 95815
Today you're a step closer to making meaningful changes in your life and carving your own path toward growth, fulfillment, and well-being. As a solution-focused therapist, I'll collaborate with and support you to cope more effectively with anxiety and depression, uncover and develop your potential, build a sense of belonging and strengthen healthy relationships, and accomplish what's uniquely important to you. While you can't change what's happened in the past, it's never too late to reach a better understanding of the life patterns that are limiting you and begin to create a better life aligned with your values and goals.
Today you're a step closer to making meaningful changes in your life and carving your own path toward growth, fulfillment, and well-being. As a solution-focused therapist, I'll collaborate with and support you to cope more effectively with anxiety and depression, uncover and develop your potential, build a sense of belonging and strengthen healthy relationships, and accomplish what's uniquely important to you. While you can't change what's happened in the past, it's never too late to reach a better understanding of the life patterns that are limiting you and begin to create a better life aligned with your values and goals.
(916) 945-9669 View (916) 945-9669
Photo of Jessica Kilburn, LCSW, Clinical Social Work/Therapist
Jessica Kilburn
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816  (Online Only)
Sometimes our lives feel unmanageable and we don’t know where to turn. Let’s work together to move out from under the weight of the world, step into the sunlight and take a deep breath. I am here to help you reconnect with the playfulness of life! I am an active listener who can support you in expressing vulnerability and self-awareness. I will support you by using authenticity, compassion and alternative insights. We will strategize and create resources and tools to help you get through challenges with grace. We will collaborate to achieve the goals you are focused on attaining.
Sometimes our lives feel unmanageable and we don’t know where to turn. Let’s work together to move out from under the weight of the world, step into the sunlight and take a deep breath. I am here to help you reconnect with the playfulness of life! I am an active listener who can support you in expressing vulnerability and self-awareness. I will support you by using authenticity, compassion and alternative insights. We will strategize and create resources and tools to help you get through challenges with grace. We will collaborate to achieve the goals you are focused on attaining.
(530) 539-1623 View (530) 539-1623
Photo of Christina Villanueva, LMFT, Marriage & Family Therapist
Christina Villanueva
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Sacramento, CA 95816  (Online Only)
Many times while on our journey through life we can become confused and experience difficulty finding our way. My hope is to help you process difficulties that you might be facing and help you focus on what matters most to you. I treat many issues and areas of concern such as, but not limited to, anxiety, depression, life transitions, separation, loss, self-esteem, codependency, anger, co-parenting, childhood trauma, teen issues and concerns, sexuality, and marital concerns. Availability: Monday - Wednesday early evenings and Saturday mornings and afternoons.
Many times while on our journey through life we can become confused and experience difficulty finding our way. My hope is to help you process difficulties that you might be facing and help you focus on what matters most to you. I treat many issues and areas of concern such as, but not limited to, anxiety, depression, life transitions, separation, loss, self-esteem, codependency, anger, co-parenting, childhood trauma, teen issues and concerns, sexuality, and marital concerns. Availability: Monday - Wednesday early evenings and Saturday mornings and afternoons.
(916) 621-5507 View (916) 621-5507
Photo of Lisa Prahl, LCSW, Clinical Social Work/Therapist
Lisa Prahl
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95825  (Online Only)
Hello- I have worked with adults and children for the duration of my 27 year long career. I have extensive experience with clients of different age groups, ethnicities, trauma histories, and life transitions. Feelings of loss, depression or anxiety, and adjustment can be difficult to manage in today's world. The world is changing every day - everyone needs assistance now and again. My goal in therapy with you is to create a safe compassionate experience where you can share your feelings and emotions.
Hello- I have worked with adults and children for the duration of my 27 year long career. I have extensive experience with clients of different age groups, ethnicities, trauma histories, and life transitions. Feelings of loss, depression or anxiety, and adjustment can be difficult to manage in today's world. The world is changing every day - everyone needs assistance now and again. My goal in therapy with you is to create a safe compassionate experience where you can share your feelings and emotions.
(424) 340-7707 View (424) 340-7707
Photo of Andrea Bruce, PhD, Psychologist
Andrea Bruce
Psychologist, PhD
Verified Verified
Fair Oaks, CA 95628
I provide psychological services to individuals experiencing difficulties with: anxiety, depression, AD/HD, high functioning Autism, trauma, PTSD/C-PTSD, grief, and relationship difficulties. Additionally, I provide supportive integrative health coaching (as a part of psychological services), for those who experience chronic physical conditions that can interrupt or impact quality of life (ie: pain, autoimmune disorders, diabetes, etc).
I provide psychological services to individuals experiencing difficulties with: anxiety, depression, AD/HD, high functioning Autism, trauma, PTSD/C-PTSD, grief, and relationship difficulties. Additionally, I provide supportive integrative health coaching (as a part of psychological services), for those who experience chronic physical conditions that can interrupt or impact quality of life (ie: pain, autoimmune disorders, diabetes, etc).
(916) 347-4234 View (916) 347-4234
Photo of Sarai Parr-Pfitzer, LMFT, LPCC, Marriage & Family Therapist
Sarai Parr-Pfitzer
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
Gold River, CA 95670
I believe children and teens often deal with life struggles that are complicated in this ever evolving world. My goal is to support your child or teen in attaining balance, inner strength, and confidence to navigate the world in a healthy way. My passion is working with kids and families, and supporting enrichment, growth, and healthy communication within their dynamic.
I believe children and teens often deal with life struggles that are complicated in this ever evolving world. My goal is to support your child or teen in attaining balance, inner strength, and confidence to navigate the world in a healthy way. My passion is working with kids and families, and supporting enrichment, growth, and healthy communication within their dynamic.
(916) 510-0465 View (916) 510-0465
Photo of Corey Lucero-Perkins, MSW, LCSW, Clinical Social Work/Therapist
Corey Lucero-Perkins
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Folsom, CA 95630
Welcome! If you are reading this, you have taken the first step to uncover the obstacles and barriers to living your valued life. Do you feel you are trying but it's not working? Are you feeling stuck, tired and frustrated? I offer a safe space for you to gain clarity on the underlying issues of eating disorders, depression, anxiety disorders and other life issues that may be interfering with your life. I believe in an individual's innate capacity to heal and grow at any stage in their life. It can and will happen.
Welcome! If you are reading this, you have taken the first step to uncover the obstacles and barriers to living your valued life. Do you feel you are trying but it's not working? Are you feeling stuck, tired and frustrated? I offer a safe space for you to gain clarity on the underlying issues of eating disorders, depression, anxiety disorders and other life issues that may be interfering with your life. I believe in an individual's innate capacity to heal and grow at any stage in their life. It can and will happen.
(916) 269-5479 View (916) 269-5479
Photo of Holly Webb, MA, LMFT, Marriage & Family Therapist
Holly Webb
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95811
If you are looking for relief from life’s difficulties, you’re in the right place. You don’t have to face life’s personal struggles and stressful situations alone. If you are suffering from anxiety, depression, trauma, addiction, relationship difficulties or other sensitive life transitions, therapy may be an effective solution. A compassionate therapist can offer you support and help you find your way through current life challenges. You’ve already begun a step towards relief and change simply by considering counseling. My goal is to be an understanding and trustworthy partner in the process of creating positive life changes.
If you are looking for relief from life’s difficulties, you’re in the right place. You don’t have to face life’s personal struggles and stressful situations alone. If you are suffering from anxiety, depression, trauma, addiction, relationship difficulties or other sensitive life transitions, therapy may be an effective solution. A compassionate therapist can offer you support and help you find your way through current life challenges. You’ve already begun a step towards relief and change simply by considering counseling. My goal is to be an understanding and trustworthy partner in the process of creating positive life changes.
(916) 512-8433 View (916) 512-8433
Photo of Brian Kypta, MA, LMFT, Marriage & Family Therapist
Brian Kypta
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Folsom, CA 95630  (Online Only)
Are you in a relationship that was once loving and easy but has become difficult or distressful? Are you and your partner drifting further apart? I help people who are experiencing distress in their important relationships. Enjoy a fuller, more nurturing, more joyful life together! Stop the fighting, the ignoring, the avoiding, the cold silence, the pain and the stress. Feel heard and understood by your partner. Get the compassion back. Move from relational distress to a more secure, loving bond with your loved ones. Please take a look at my website for more information: www.briantherapy.com
Are you in a relationship that was once loving and easy but has become difficult or distressful? Are you and your partner drifting further apart? I help people who are experiencing distress in their important relationships. Enjoy a fuller, more nurturing, more joyful life together! Stop the fighting, the ignoring, the avoiding, the cold silence, the pain and the stress. Feel heard and understood by your partner. Get the compassion back. Move from relational distress to a more secure, loving bond with your loved ones. Please take a look at my website for more information: www.briantherapy.com
(916) 226-9754 View (916) 226-9754
Photo of Gay L Teurman - Brain Health Clinic, PsyD, MFT, BCN, Marriage & Family Therapist
Brain Health Clinic
Marriage & Family Therapist, PsyD, MFT, BCN
Verified Verified
1 Endorsed
Sacramento, CA 95819
At the Brain Health Clinic Our mission is to help you discover or rediscover your potential by leading a life that is more satisfying. We do this through many avenues. We offer biofeedback, neurofeedback, neuromodulation and psychotherapy. If you are seeking a therapist, it is likely because you are experiencing significant upset in your life. It is as important to us as it is to you that we have the right relationship that works for both of us. Give us a call and we will find the right therapist within our group for you.
At the Brain Health Clinic Our mission is to help you discover or rediscover your potential by leading a life that is more satisfying. We do this through many avenues. We offer biofeedback, neurofeedback, neuromodulation and psychotherapy. If you are seeking a therapist, it is likely because you are experiencing significant upset in your life. It is as important to us as it is to you that we have the right relationship that works for both of us. Give us a call and we will find the right therapist within our group for you.
(916) 398-2613 View (916) 398-2613
Photo of Lorissa McCarl, AMFT, Pre-Licensed Professional
Lorissa McCarl
Pre-Licensed Professional, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95811
Seeking support is a courageous step towards healing and self-development. You have already overcome many barriers to get to the point of looking for help, and I am here to help you figure out your goals and how to reach them. I believe that people need a safe, non-judgmental space to explore their experiences in the world, and I want to provide you with that space. In the therapy room, you are the expert on your own life, and I am here to foster insight and walk with you as you take your journey.
Seeking support is a courageous step towards healing and self-development. You have already overcome many barriers to get to the point of looking for help, and I am here to help you figure out your goals and how to reach them. I believe that people need a safe, non-judgmental space to explore their experiences in the world, and I want to provide you with that space. In the therapy room, you are the expert on your own life, and I am here to foster insight and walk with you as you take your journey.
(916) 378-7060 View (916) 378-7060
Photo of Cindy Dean, Pre-Licensed Professional
Cindy Dean
Pre-Licensed Professional
Verified Verified
Fair Oaks, CA 95628
Welcome! I’m Cindy Dean, a Marriage and Family Counselor Trainee with over 20 years of experience working with adolescents, teens and adults in the field of education. My journey into the world of therapy began with my own life-changing experience in therapy which inspired a passion for helping others navigate the complexities of life and find their inner strength. I believe that everyone has a unique story, and my goal is to create a safe, non-judgmental space where you can feel heard and understood.
Welcome! I’m Cindy Dean, a Marriage and Family Counselor Trainee with over 20 years of experience working with adolescents, teens and adults in the field of education. My journey into the world of therapy began with my own life-changing experience in therapy which inspired a passion for helping others navigate the complexities of life and find their inner strength. I believe that everyone has a unique story, and my goal is to create a safe, non-judgmental space where you can feel heard and understood.
(279) 600-4262 View (279) 600-4262
Photo of Rachel Cover-Briggs, PhD, Psychologist
Rachel Cover-Briggs
Psychologist, PhD
Verified Verified
2 Endorsed
Sacramento, CA 95816
Are you an "overthinker" or overachiever wanting to work through harsh attitudes you hold about yourself? Are you hoping to resolve pain from the past? Perhaps you need relief from intense worry, anxiety, PTSD/complex trauma, overwhelming emotions, depression, insomnia, or nightmares. Or you might be seeking to grow as a person and needing to talk through the complexities of your most important relationships with someone trained to ask just the right questions. If these are the kinds of issues you’re grappling with now, therapy is a wonderful place to start, and one of the most meaningful investments you can make in yourself.
Are you an "overthinker" or overachiever wanting to work through harsh attitudes you hold about yourself? Are you hoping to resolve pain from the past? Perhaps you need relief from intense worry, anxiety, PTSD/complex trauma, overwhelming emotions, depression, insomnia, or nightmares. Or you might be seeking to grow as a person and needing to talk through the complexities of your most important relationships with someone trained to ask just the right questions. If these are the kinds of issues you’re grappling with now, therapy is a wonderful place to start, and one of the most meaningful investments you can make in yourself.
(530) 500-0308 View (530) 500-0308
Photo of Jill Miller, LCSW, Clinical Social Work/Therapist
Jill Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmichael, CA 95608
I was born and raised in Lansing, Michigan and grew up in a single-parent family youngest of five children. I am also a trauma survivor. I completed my doctoral work at the University of Southern California, and my master’s at Loma Linda University, I am a licensed clinical social worker. I have 29 years of experience working with children, youth, families, and adults in non-profit, for-profit, government, acute care, and hospice settings, as well as private practice. My specialties include children, adolescents, grief, loss, abuse and neglect, and trauma.
I was born and raised in Lansing, Michigan and grew up in a single-parent family youngest of five children. I am also a trauma survivor. I completed my doctoral work at the University of Southern California, and my master’s at Loma Linda University, I am a licensed clinical social worker. I have 29 years of experience working with children, youth, families, and adults in non-profit, for-profit, government, acute care, and hospice settings, as well as private practice. My specialties include children, adolescents, grief, loss, abuse and neglect, and trauma.
(916) 314-7728 View (916) 314-7728
Photo of Siomara Calixtro, LMFT, Marriage & Family Therapist
Siomara Calixtro
Marriage & Family Therapist, LMFT
Verified Verified
I am Siomara Calixtro, a licensed Marriage and Family Therapist. I have extensive experience working with adolescents and adults of all ages. In my private practice, I utilize a compassionate, clients' strength base approach to ensure clients are feeling safe and understood. I focus on meeting client's needs and expectations for treatment care. I am comfortable treating Post-traumatic Stress Disorder, Depression, Anxiety, Attention Deficit Disorder, Bipolar I and II, and Relationships issues.
I am Siomara Calixtro, a licensed Marriage and Family Therapist. I have extensive experience working with adolescents and adults of all ages. In my private practice, I utilize a compassionate, clients' strength base approach to ensure clients are feeling safe and understood. I focus on meeting client's needs and expectations for treatment care. I am comfortable treating Post-traumatic Stress Disorder, Depression, Anxiety, Attention Deficit Disorder, Bipolar I and II, and Relationships issues.
(916) 472-0901 View (916) 472-0901
Photo of Cassie Rovig, MSW, ASW, Pre-Licensed Professional
Cassie Rovig
Pre-Licensed Professional, MSW, ASW
Verified Verified
1 Endorsed
Sacramento, CA 95814  (Online Only)
Do you find yourself feeling on edge, overthinking or planning for situations that have not or may not even happen? Having trouble with change? Harsh self inner critic holding you back? Or maybe your past unprocessed trauma is showing up in new ways? I know what it feels like to be at war with your mind, it can feel like there is no escape or "turn off" button. I can show you how trauma focused therapy can retrain your brain out of unhealthy or negative thought patterns.
Do you find yourself feeling on edge, overthinking or planning for situations that have not or may not even happen? Having trouble with change? Harsh self inner critic holding you back? Or maybe your past unprocessed trauma is showing up in new ways? I know what it feels like to be at war with your mind, it can feel like there is no escape or "turn off" button. I can show you how trauma focused therapy can retrain your brain out of unhealthy or negative thought patterns.
(916) 269-5730 View (916) 269-5730
Photo of Merille Campbell Glover, PhD, MFT, Marriage & Family Therapist
Merille Campbell Glover
Marriage & Family Therapist, PhD, MFT
Verified Verified
Sacramento, CA 95818
Most of us enter the clinical office in search of sanctuary and healing. In my office, clients find a place where they can heal from the unexpected disruptions, heartbreaks, chronic disappointments, profound grief, and repetitive anxieties that mark their lives. They tell me that, finally, they can see what is going on, understand how it impacts their lives, let go of it, and develop more productive and joyous ways to engage life.
Most of us enter the clinical office in search of sanctuary and healing. In my office, clients find a place where they can heal from the unexpected disruptions, heartbreaks, chronic disappointments, profound grief, and repetitive anxieties that mark their lives. They tell me that, finally, they can see what is going on, understand how it impacts their lives, let go of it, and develop more productive and joyous ways to engage life.
(916) 889-7262 View (916) 889-7262
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See more therapy options for Sacramento County

How does your Therapist compare?

Number of Therapists in Sacramento County, CA

2,000+

Average cost per session

$150

Therapists in Sacramento County, CA who prioritize treating:

92% Anxiety
87% Depression
71% Relationship Issues
69% Self Esteem
67% Coping Skills
67% Stress
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

74% Aetna
68% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in Sacramento County, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento 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.