Life does not always happen in one place.
You may live in one state and spend part of the year in another. You may travel often for work, school, caregiving, fertility treatment, or family responsibilities. Your partner, parents, adult children, or support system may be located in a different state. Or you may be preparing for a move and want therapy that can continue without starting over each time your location changes.
I provide online therapy for clients located in multiple states where I am licensed, including Florida, California, New York, New Jersey, Iowa, Massachusetts, Louisiana, Montana, Oregon, and Vermont.
Because therapists are licensed by state, it is important to work with a provider who is legally able to offer care in the state where you are physically located at the time of your session. For clients whose lives span more than one location, working with a therapist licensed in multiple states may help create more continuity, flexibility, and consistency.
Sessions are available in English and Spanish.
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Therapy for Clients Whose Lives Span More Than One State
Multi-state therapy may be helpful when your life, family, or responsibilities are not limited to one location.
This may include:
- Living in one state while regularly traveling to another
- Splitting time seasonally between homes
- Moving for work, school, or family reasons
- Returning home during academic breaks
- Navigating long-distance relationships or family transitions
- Supporting parents, adult children, or relatives across state lines
- Traveling for fertility care, IVF, surrogacy, or family-building support
- Wanting continuity with the same therapist during major life changes
Online therapy can offer a consistent space to work through stress, anxiety, depression, trauma, relationship concerns, family conflict, fertility-related stress, maternal mental health concerns, burnout, identity shifts, and major transitions.
When Multi-State Licensure Matters
Many clients do not realize that online therapy is still regulated by the state where the client is physically located during the session.
That means therapy may become complicated if you travel, relocate, attend school elsewhere, divide time between homes, or want family members in different states to participate in care.
Because I am licensed in multiple states, therapy may be able to continue when you are located in any state where I am licensed at the time of your appointment.
For family, couples, or relational work, participation from different locations may depend on the specific circumstances, clinical appropriateness, and applicable state requirements.
Online Therapy for Individuals, Families, and Selected Relational Work
I work with adults, families, and selected relational situations where online therapy is clinically appropriate.
Clients often seek support for:
- Anxiety and overwhelm
- Depression
- Trauma
- Maternal mental health concerns
- Fertility, infertility, surrogacy, and family-building stress
- Relationship concerns
- Family conflict
- Parent/adult child communication
- Life transitions
- Relocation stress
- Burnout
- Identity changes
- Grief and disappointment
- Communication and boundaries
For bilingual clients and families, therapy is available in both English and Spanish.
Frequently Asked Questions
Can I continue therapy if I travel between Florida, California, New York, New Jersey, Iowa, Massachusetts, Louisiana, Montana, Oregon, or Vermont?
In many situations, yes. Online therapy generally depends on where you are physically located at the time of the session. If you are located in a state where I am licensed, therapy may be able to continue while you are there.
Why does it matter whether my therapist is licensed in more than one state?
Therapists are generally licensed by state. Even with online therapy, the client’s physical location at the time of the session usually matters. If you travel, relocate, attend school in another state, or split time between homes, working with a therapist licensed in both states may help reduce interruptions in care.
Do you provide therapy for clients who split time between two states?
Yes. Many clients seek therapy because their lives span more than one state. This may include seasonal living, work travel, college transitions, caregiving responsibilities, family in different states, or relocation.
Can family members join online therapy from different states?
In some circumstances, yes. This depends on the locations of the participants, the nature of the therapy, clinical appropriateness, and applicable state requirements.
Do you offer online therapy in English and Spanish?
Yes. Sessions are available in both English and Spanish.
Do you accept insurance for multi-state online therapy?
For clients seeking therapy across multiple states, I am currently accepting self-pay clients only. The session fee is $180 per 50-minute session.
Schedule a Consultation
If you are looking for online therapy that can support the realities of living, traveling, studying, working, or maintaining family connections across more than one state, schedule a consultation to see whether working together feels like the right fit.