Trauma Therapy
When something overwhelming happens, your body does what it needs to do to get you through it, and then doesn't always switch off afterwards. We work with that directly, at whatever pace you can manage.
Learn more →Counselling · United States
Counselling in the United States
Every session is held by secure video, so where you sit is up to you. What matters is that you tell us where that is, because it decides who is able to work with you.
Matching within days. We work here by matching you with a counsellor registered where you live. Send us a note and we will confirm availability, usually within two working days.
Who is allowed to work with you
Counselling is licensed state by state in the US, and the rules are enforced. Your counsellor must hold a licence in the state where you are sitting — an LPC, LMHC, LPCC, LCSW, LMFT or licensed psychologist, depending on the state. We match you to someone licensed in your state rather than working around it. Psychologists practising across state lines may do so through PSYPACT, and the Counseling Compact is extending something similar to professional counsellors.
We will tell you which registration your counsellor holds and give you the number, so you can check it against the register yourself before you book. If you would rather not take that on trust, you shouldn't have to.
Paying, and whether anything comes back
Many US plans reimburse out-of-network counselling. Ask your insurer for your out-of-network mental health benefit and your annual maximum, then ask us for a superbill — an itemised receipt with your counsellor's licence number and the diagnosis and procedure codes your insurer needs. Some plans require a diagnosis on file, which is worth knowing before you start.
You'll know what a session costs before you book it, never after. If cost is what's stopping you, say so — we hold a small number of reduced-fee places and nobody will ask you to justify the request.
Time zones
You are in all US time zones. We confirm your local time in writing before your first session, because a mix-up discovered at six in the morning is nobody's idea of a good start.
If you need help now
Call 911 in an emergency. The 988 Suicide & Crisis Lifeline takes calls and texts at any hour. Crisis Text Line: text HOME to 741741. The Trevor Project for LGBTQ young people: 1-866-488-7386.
We are not a crisis service and cannot respond urgently or out of hours, anywhere. More options are on our crisis page.
All 50 states and DC
Choose your state
Your counsellor must be licensed where you sit, so this is the first thing to settle.
Alabama→Alaska→Arizona→Arkansas→California→Colorado→Connecticut→Delaware→the District of Columbia→Florida→Georgia→Hawaii→Idaho→Illinois→Indiana→Iowa→Kansas→Kentucky→Louisiana→Maine→Maryland→Massachusetts→Michigan→Minnesota→Mississippi→Missouri→Montana→Nebraska→Nevada→New Hampshire→New Jersey→New Mexico→New York→North Carolina→North Dakota→Ohio→Oklahoma→Oregon→Pennsylvania→Rhode Island→South Carolina→South Dakota→Tennessee→Texas→Utah→Vermont→Virginia→Washington→West Virginia→Wisconsin→Wyoming→
What we work with
The same work, wherever you are
EMDR Therapy
EMDR helps your mind finish processing something it couldn't process at the time. It's one of the most researched trauma treatments there is, and it usually asks far less of you than telling the story over and over.
Learn more →ADHD Therapy
You've probably tried the apps and the planners already. We'll build the practical side with you, and we'll also work on what tends to go unaddressed: the years of assuming you should find all this easier.
Learn more →Anxiety & Depression
Anxiety and depression are usually how something else shows up on the surface. Your symptoms are real and worth treating, and we'd rather work with what's driving them than teach you to live around them.
Learn more →Grief & Loss
Grief doesn't follow a schedule and it rarely looks the way you expect. Nobody here will hurry you through it or hand you a set of stages to work along.
Learn more →Couples Therapy
Most couples aren't really arguing about the thing they're arguing about. We help you see what's actually happening between you when it escalates, and what it would take to change it.
Learn more →
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Counselling in the United States
Tell us where you'll be sitting and what's going on. We'll come back within two working days with a straight answer about whether we can help.