The average cost of therapy without using insurance in the Seattle metropolitan area is about $160 with a range of $30-$350.

Some therapists offer reduced fees/lower cost therapy while others are provisionally licensed accruing clinical hours toward independent licensure or still enrolled in graduate school and offer lower fees than market rate.

When you use insurance, costs are substantially lower.

Since you pay a monthly premium, the insurance company subsidizes your cost and has an agreement with the therapist for a flat rate, while you pay a co-pay (anywhere from $10 - $50 per session) or a portion of the total fees (a percentage).

• MEND (offers reduced fee therapy $40-120)

• UV Cares (Washington State): $0-What you can afford

• Open Path Collective: $50-80

• Sentio Counseling Washington: $15 - $95

• Psychotherapy Collective (pay what you can afford)

• Antioch Counseling Clinic: $0-$100

• CityU of Seattle Counseling Center: $5-$60

• Bastyr Center for Natural Health: $5-$60

• Therapy Aid Coalition (Initiative: Coronavirus Essential Workers): $0-$50

• The Couples and Family Counseling Center at Pacific Lutheran University $5-50

• Samaritan Center of Puget Sound Low Fee Clinic (Christian): Based on income

• Seattle Anxiety Specialists: $24-$99

Interns are graduate students still in school completing their required internship/practicum placements. They are unlicensed.

These students need clinical internship hours to complete their degree.

Benefits of working with an intern:

• Reduced cost

• Flexible schedules and hours offered

• They receive at least 1 hour of supervision a week (sometimes more) by a licensed professional who oversee their caseload and clients’ well-being

• Knowledge of theory, skills, and practice are up to date and evidence based due to being enrolled in both school and internship

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• Navigate Family Therapy (couples therapy $70)

• Healing Moments ($50-60)

• Modern Therapy ($80)

• Resonant Relationships ($40)

• Yellow Arrow Counseling ($75)

• Next Chapter Counseling ($25)

• Alliant Therapy Group ($70)

• Atlas Counseling ($40)

• Lycan Counseling ($20-120)

• Perfectly Queer Counseling ($50)

• Wellness Counseling ($40-60)

• Holistic Child & Family Therapy ($75)

• Self Space ($60)

• Riverbank Therapy ($30-50)

• Seattle Anxiety Specialists $100

• Satya Wellness $30-65

• Steffen Counseling Services $60-75

• Ignite Counseling

Using in-network insurance therapist providers will save you the most money.

Otherwise if you use out-of-network providers who do not accept your insurance plan, you wil be responsible for additional costs.

• Mindful Therapy Group: Nearly all insurance plans including Premera, Regence, United, Cigna, First Choice, Kaiser, Aetna, Lifewise, and Blue Cross Blue Shield (BCBS) except for state-sponsored plans such as Medicaid, Molina or Apple Health.

• Peaceful Soul Healing: First Choice Health, Lifewise, Lyra EAP, Premera Blue Cross

• Catalyst Counseling: Premera, First Choice, Kaiser, Medicare (Most Plans), Lyra, Wellspring

• Asian Counseling Referral Services (ACRS) Associates: Aetna, Blue Cross Blue Shield (BCBS), First Choice, Cigna, Kaiser, Premera, Regence, United

• MEND: Premera, Regence, 1st Choice, Molina.

• 253 Therapy: Kaiser Core, Kaiser PPO, Premera, Cigna, Aetna

• Interconnections Healing Center: Kaiser PPO, First Choice, Premera, Lifewise, Most Blue Cross Blue Shield (BCBS) Plans

• Protea Wellness: Premera, Lifewise, First Choice (Kaiser PPO), BCBS, Regence and Cigna plans.

• Whole Valley Therapy: Premera

• Infinite Possibilities: United, Molina, Premera

• Trauma Informed Therapies: Medicaid Apple Health, Community Health Plan of Washington, Amerigroup, Coordinated Care, Molina Healthcare, Premera Blue Cross Washington

• Reflect: Premera, Lifewise, Regence, Blue Cross Blue Shield, Cigna, United

• Grit City: Premera, Kaiser, Aetna

• Refresh Therapy: First Choice, Aetna, BCBS, Cigna, Com Psych, Kaiser PPO, Lifewise, Pacific Source, Regence, United

• People Inc: LifeWise. Premera, Aetna, Kaiser PPO and HMO, Cigna, Magellan

• A Better Way Counseling Service: Aetna, BCBS, Cigna, First Choice, Regence, United, Premera (Lifewise)

• Peninsula Psychological Center: Aetna, Cigna, First Choice Health, GEHA, Humana LifeSynch, Kaiser Permanente, LifeWise, Magellan, MHN, MODA MultiPlan, Optum Health, Premera Blue Cross, Regence Blue Shield, TRICARE, Uniform Medical, United Behavioral Health.

• Star Meadow Counseling: Aetna, Cigna, First Choice, Lifewise, Lyra, Premera, Regence, United

• Navigate Family Therapy: Premera, LifeWise, BCBS, First Choice

• Unified Counseling: Premera, Regence, First Choice

• Mind Over Matters Institute: Blue Cross Blue Shield (BCBS), Premera, Regence, FirstChoice, Aetna, and Cigna.

• Emmaus Counseling Center: Aetna, Blue Cross Blue Shield (BCBS), First Choice, Regence, Kaiser, Premera, Lifewise, Optum, Beacon, Cigna, Provider, Uniform, Evernorth

• People Bloom Counseling: Premera, Blue Cross Blue Shield (BCBS), LifeWise Health Plan of WA, First Choice Health Network, Kaiser Foundation Health Plan of WA

• Hive & Honeycomb: Aetna, Lifewise, & Premera

• Sound Psychotherapy: Blue Cross Blue Shield (BCBS), Premera, Lifewise, Anthem, Regence, Aetna, Kaiser Permanente PPO, Kaiser Permanente CORE, First Choice, Cigna, United Healthcare/United Behavioral Health, Value Options

• Blooming Leaf Counseling: Cigna, First Choice, Premera, Regence, United Healthcare/Optum, Tricare, Aetna, Kaiser Permanente, Wellspring EAP

• Crosspath Counseling: Cigna, Aetna, Premera, Regence, and First Choice Health

• And Still We Rise: Aetna, Blue Cross Blue Shield (BCBS), Cigna/Evernorth, Health Advocates EAP, KGA EAP, Lyra EAP, and Optum

• Polaris Family Behavioral Health: Premera

• Ignite Pathways: Blue Cross Blue Shield (BCBS), Premera, Regence Blue Shield, Aetna, First Choice Health, Kaiser PPO (First Choice)

• Eastside Psychological Associates: Regence, Cigna, Aetna, First Choice, United

• Renton Counseling Center: Premera, Lifewise, Compsych, First Choice, Regence, Kaiser, United, Cigna

• The Kenner Center: Blue Cross Blue Shield (BCBS), Premera, Cigna, Regence, Aetna, Multiplan, PHCS

• Optimal Life Wellness: Aetna, Cigna Healthcare, First Choice, Kaiser PPO, Optum, Premera (Blue Cross). Regence (BlueShield), Tricare (Triwest), United Healthcare

• Optimism Counseling: Premera, Aetna, Lifewise

• Twinlakes Counseling: First Choice, Premera, Aetna, Cigna, Molina, United, Kaiser PPO, Ambetter

• Counseling For Wellbeing: Inquire further

• Northwest Counsel: Blue Cross Blue Shield (BCBS), Cigna, First Choice, Kaiser, Regence, UMP

• Counseling West Seattle: Aetna, Kaiser, Premera, Regence, Cigna, First Choice

• Northwest Holistic Therapies: Aetna, First Choice, Health Management Administrators [HMA], Kaiser PPO, Regence

• Northwest Relationships: Aetna, Cigna, First Choice Health, Kaiser Permanente (PPO Plans only), Molina, Premera, Regence, Tricare (Tricare WEST and US Family Health Plan accepted), TriWest (VA Community Care Network), United Behavioral Health (not including Apple Health

• Acuity Counseling: Aetna, First Choice, HMA, Meritain, Cigna. GEHA, Sound Health & Wellness

• Zane Counseling: Premera, Aetna, Cigna

• Paradox Therapy: Premera, Lifewise

• Lighthouse Associates: Premera/Lifewise, Aetna, Kaiser Permanente ACCESS PPO, BCBS/Anthem, FCHN, Regence, Wellspring EAP

• Shelterwood Collective: Premera, Lifewise

• Puget Sound Psychotherapy: Premera, Lifewise, Regence, Aetna, Anthem, First Choice, Kaiser PPO

• Dayspring Behavioral Health: Premera, Regence, Aetna, Kaiser PPO, First Choice, Cigna, United/Optum

• Femme & Them: Regence, Premera and First Choice Health

• Alona Wellness Center: Aetna, Asuris, Beacon Health, Blue Cross Blue Shield (BCBS), Champ VA, First Choice/ODS/MedVersant, GEHA, HMA, Multiplan, MedAdvantage, Optum, UBH, UHC, Premera, Regence

• Sandbox Therapy Group: Inquire further

• Envision Counseling: Inquire further

• Wild Heart Therapy: Aetna, BCBS/Regence, Cigna, Community Health Plan of WA, ComPsych, Coordinated CareF irst Choice Health, Kaiser, Lifewise, Meritain, Moda, Molina, Pacific Source , Premera BCBS, Providence Preferred, United HealthCare/Optum (UHC), United Medical Resources (UMR)

• Thrive Counseling Center: Aetna, Anthem, BlueCross and BlueShield, Carpenter’s Trust, Cigna, Crime Victim’s Assistance Unit, Empire BlueCross, First Choice Health, Group Health, Health Ventures EAP, HMA (some plans), Kaiser both PPO and HMO plans, Lifewise, Optum, Pacific Blue Cross, Premera, Providence, Regence, Trusteed Health Service Plans (some plans), UMR, Union Worker’s Health Plans (most plans), United Healthcare, Wellspring EAP

• Talk, Heal, Thrive: Cigna, First Choice, Premera, Regence, Lifewise, Kaiser PPO

• Lacamas Counseling: Inquire further

THIRD PARTY COMPANIES

• Alma (Accepts UnitedHealthcare, Cigna, Aetna)

• Headway (Accepts Aetna, Cigna, Oscar Health, Oxford, Premera Blue Cross Washington, Regence BlueShield Washington, and United Healthcare)

• Thrive Works: Aetna, BCBS

• Two Chairs: Kaiser & Aetna

I NEED MORE REFERRRLS FOR INSURANCE PROVIDERS/THERAPISTS. WHAT DO I DO?

REACH OUT TO YOUR INSURANCE PLAN DIRECTLY

1. Call the number of the back of your insurance card.

2. Ask the customer service agent for a list of therapists with openings specializing in your concerns/issues.

3. They are legally required to provide you with several therapists’ contact information with openings.

4. Log onto your client insurance portal to locate providers.

5. If your insurance company does not help you or find you a referral, you can file a complaint with the WA State Insurance Commissioner here

Pro bono therapy is free therapy.

Therapists give away their services for free to help individuals who would be otherwise unable to access their services due to price.

• UV Cares (Washington State): $0-What you can afford

• Antioch Counseling Clinic: The Antioch Clinic is now offering a special, low fee, sliding scale (beginning at $0), based on household income to help all those who are struggling economically.

• Project Access Northwest:
  Project Access Northwest: Project Access Northwest connects un- and under-insured patients referred by Federally Qualified Health Centers (FQHC’s)/Free/Faith-based clinics with the specialty care they need. * Note they do not accept self-referrals.

• Rise Above The Disorder: Our programs are open to all people, of all ages, across all nations. For those presently unable to afford mental health care, we will work with you to verify financial hardship and use donations to cover the cost of mental health care.

• Give An Hour: For military, veterans and loved ones affected by time in service

• King County Sexual Assault Resource Center: Provides trauma-specific, evidence-based therapy to help victims of sexual assault heal. Cost is not a barrier.

• Providence Intervention Center for Assault & Abuse: Therapy for adults ages 22 and over. Survivors of sexual assault/abuse can receive short term counseling free of charge.

• Emotional PPE: The Emotional PPE Project connects healthcare workers in need with licensed mental health professionals who can help. No cost. No insurance.

• The GALAP Project: Free gender affirming care letters for access to medical care (ICATH model).

• DMHS Free Therapy: Deconstructing the Mental Health System is a means to bring anti-racist therapists together to address the mental health system’s racial and financial inequities, through education and other initiatives, such as a free provider listing for BIPOC Therapists.

• BLM Pro Bono Providers: Compassionate, anti-racist, culturally sensitive, supportive therapy for BIPOC/POC affected by current events, riots, and protests.

• A Home Within: A Home Within envisions a world in which every foster youth has a relationship with at least one consistent, caring adult. To meet that end, we provide open-ended, individual psychotherapy, free of charge, to current and former foster youth for as long as it takes.

• Therapy For Therapists

An Employee Assistance Program (EAP) is a voluntary, work-based program that offers free and confidential assessments, short-term counseling, referrals, and follow-up services to employees who have personal and/or work-related problems.

Reach out to Human Resources (HR) to see if your workplace offers EAP services.

Examples in Washington State include:

• Microsoft CARES Employee Assistance Program (EAP). In-person and over-the-phone counseling and support for issues related to stress management, work-life balance, childcare and parenting, family and relationships, mental and emotional health, etc.

• Washington State EAP fo Washington State employees. The Washington State Employee Assistance Program (EAP) supports public employees and/or family members to help identify and resolve personal concerns that may affect job performance. EAP provides services that ultimately promote individual and workplace wellbeing. Services available to all covered employees and/or family members include counseling, work/life, 24/7 support and awareness, education and resources.

• And more

Asian Diasporas

• Asian, Pacific Islander, and South Asian American (APISAA)

• Asians For Mental Health

• Multicultural Counselors

• DMHS: Deconstructing The Mental Health System, INC. 

• Seattle/King County Therapists of Color

• Psychology Today

• Seattle Asian Therapists and East Side Asian Therapists

• South Asian Therapist

• The South Asian Behavioral Health Initiative 

• California Asian Desi Heritage Therapists

• Therapinay

Native American Indigenous Therapists (American Indian & Alaska Native)

• The Society of Indian Psychologists

Black, Caribbean & African Diasporas

• Washington Therapy Fund Directory of Black Therapists

• Association of Black Psychologists

• Therapy For Black Girls

• Therapy For Black Men

• Black Men Heal

• BEAM: Black Virtual Therapist Network Directory

• Melanin & Mental Health

• Multicultural Counselors

• DMHS: Therapy For Black Men The Mental Health System, INC

• Seattle/King County Therapists of Color

• Black in Business Therapist List

• Innopsych

Latina, Latino, Latinx & Hispanic

• Latinx Therapists

• Multicultural Counselors

• DMHS: Deconstructing The Mental Health, INC

• Seattle/King County Therapists of Color

• Latinx Therapists Action Network

Being updated

Nationwide

• Therapy For Queer People of Color

• LGBTQ Psychotherapists of Color

• My Trans Health

• Trans In the South

• Pink Therapy

• National Queer & Trans Therapist of Color Network

• WPATH

• Out Health

• Beyond Trans

• Gaylesta

• LGBTQ+ Healthcare Directory

• Trans Care Site

Maryland

• Carle

Oregon

• Oregon Saige

Washington State

• Ingersoll

• Protea Wellness

• Femme & Them

• King County Seattle Queer/Trans Therapists of Color

• Seattle Trans List

• Alluvial Counseling

• Pride Counseling NW

• Therapy For Queer Asians

• Perfectly Queer Counseling

• MEND Seattle

• Zen Care

• Therapy Den

• Rainbow Counseling Collective

Minnesota

• MN LGBTQ+ Therapist Network

California

• Gender Health Center

The following organizations offer short-term funds for therapy at least once a year for individuals holding minoritized identities:

• Washington Therapy Fund

• Eastside Wellness Fund

• The Loveland Foundation

• Asian Mental Health Collective Lotus Fund

• NQTTCN Mental Health Fund

• DMHS Free Therapy & Wellness

• Mental Health Liberation BIPOC Fund

• Asian Mental Health Project Mental Health Access Fund

• The Therapy Access Project (PA & NJ Residents)

• Free Black Therapy

The most common type of therapy most people are familiar with is called outpatient therapy where at most, you see a therapist once a week.

Outpatient therapy is defined as any therapy service offered when the client is not admitted to a hospital, residential program, or other inpatient settings.

Outpatient therapy is a resource for individuals seeking support for mental health concerns who do not require round-the-clock support or safety monitoring.

Other levels of care include:

• Intensive Outpatient (IOP)

• Partial Hospitalization Program (PHP)

• Inpatient Program (IP)

Click here to learn more about the different types of mental health care available.

Group therapy is the treatment of multiple patients at once by one or more healthcare providers.

It can be used to treat a variety of conditions including but not limited to emotional trauma, anxiety, depression, post-traumatic stress disorder (PTSD), and attention deficit hyperactivity disorder (ADHD).

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Modern Health Circle Series

WASHINGTON STATE

The Healing Center Grief Groups

Harborview Hospital

Fred Hutch Cancer Support Groups

Seattle Children’s Hospital

NAMI

Peer Seattle

NATIONWIDE

Adult Children of Alcoholics® Dysfunctional Families

Workaholics Anonymous

Recovery Dharma offers a trauma-informed, empowered approach to recovery based on Buddhist principles. Our program is peer-led and non-theistic. We welcome all those who wish to pursue recovery as part of our community.

REFERENCES

• Malhotra A, Baker J. Group Therapy. [Updated 2022 Dec 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549812/

With over 970 million people living with a mental disorder worldwide, as well as a shortage of accessible care for many people, leveraging tools such as artificial intelligence (AI) could influence mental health through prevention and treatment.

AI-enabled tools can prevent more severe mental illness from developing by identifying higher-risk populations that lead to quicker intervention.

AI can detect, assess, and predict stress. For example, AI can process natural language from electronic health records to detect early cognitive impairment or child maltreatment, which can have effects on mental health across the course of one’s life.

Woebot

• Woebot is a mental health app that is available on your schedule, at a moment’s notice, to help you work through the ups and downs of life.

Earkick

• Earkick is an AI-powered platform that measures and improves mental health in real time.

• It acts as a personal mental health companion by providing tools to track mood, add voice and video memos, guide breathing exercises, offer support based on data, and more.

Yona

• s

Kai

• Kai was born out of a deeply felt understanding that mental health issues are a growing concern in our modern society, and yet the current solution – talk therapy, life coaching, and meditation apps – are not accessible or affordable for all.

• Kai works by asking the structured questions based on ACT, a form of therapy rooted in the belief that greater well-being can be attained by developing the practice of mindfulness of emotions and psychological flexibility. It guides each user through scientifically proven protocols to shift their way of thinking and overcome negative reactions to circumstances.

FitMind

• FitMind is a meditation program backed by neuroscientists and practiced by monks. In a world of chaos, join the mental fitness revolution.

CBT Companion

• Learn about Cognitive Behavioral Therapy (CBT), Challenge Negative Thoughts, Track moods, emotions, activities etc. Engage better with your Therapist using our comprehensive Behavioral Health Platform.

My Possible Self

• My Possible Self is the mental health app using clinically certified content from Priory Healthcare to help reduce anxiety, stress and low mood.

stoic

• At the heart of stoic's approach is a seamless blend of ancient philosophy of Stoicism and modern psychological science. We've distilled the wisdom of centuries and the findings of contemporary research into a mental health journaling app that's both intuitive and impactful.

• stoic is designed to guide you through a journey of self-reflection and growth, personalized to fit into your life effortlessly. It's not just about managing moments of stress or anxiety; it's about cultivating a lifestyle of mindfulness, resilience, and well-being.

Gratitude

• Gratitude is a tool to help you focus on the positive,

  become more mindful, and live with intention.

Finch

• s

Sanvello

• Sanvello is an app aimed at helping provide therapeutic support through guided meditation, mindfulness activities, and mood tracking.

• There is a free version available as well as a premium subscription.

DBT Coach

• Learn, practice and track your DBT skills with DBT Coach App.

• Engage better with your Therapist using our comprehensive Behavioral Health Platform.

MindShift® CBT App

• A user-friendly self-help tool based on proven scientific strategies, MindShift™ CBT teaches about anxiety, helping users to engage in healthy thinking and to take action.

• Users check in each day to track their anxiety and work with tools in the app.

Ten Percent Happier

Beyond MST

• The Beyond MST app was created for survivors of military sexual trauma (MST). MST is VA's term for sexual assault or sexual harassment that occurred during military service. Veterans of all genders and backgrounds have experienced MST.

• The app offers information and resources to help survivors cope with challenges related to MST and improve their health, relationships and quality of life.

PTSD Family Coach

• Living with a family member who has PTSD can be stressful. PTSD Family Coach is an app similar to PTSD Coach. PTSD Family Coach provides support for concerned family members of those with PTSD.

• The app can help you learn about PTSD, how to take care of yourself, and how to manage your relationship with your loved one or children. PTSD Family Coach also has information on how to help your loved one get the treatment they deserve.

PTSD Coach

• The PTSD Coach app can help you learn about and manage symptoms that often occur after trauma.

• Together with professional medical treatment, PTSD Coach provides you with resources you can trust. If you have, or think you might have PTSD, this app is for you. Family and friends can also learn about PTSD and coping from this app.

CBT-I Coach

• Cognitive Behavioral Therapy for Insomnia (CBT-I) is an evidence-based psychotherapy for treating insomnia. CBT-i Coach is a mobile app for people who have trouble sleeping and are engaged in CBT-I with a mental health care provider.

AIMS

• AIMS is designed to help you manage anger and irritability.

• AIMS for Anger Management is a free and publicly available mobile app based on a training called Anger and Irritability Management Skills.

Mndfulness Coach

• Practicing mindfulness means grounding yourself in the present moment. Mindfulness has been shown to be helpful for reducing stress and coping with unpleasant thoughts and emotions. Mindfulness Coach will help you practice mindfulness meditation.

Calm

• s

Headspace

• Through evidence-based meditation and mindfulness tools, mental health coaching, therapy, psychiatry, Headspace helps you create life-changing habits to support your mental health and find a healthier, happier you.

REFERENCES

• Ettman CK, Galea S. The Potential Influence of AI on Population Mental Health. JMIR Ment Health. 2023 Nov 16;10:e49936. doi: 10.2196/49936. PMID: 37971803; PMCID: PMC10690520.