Out-of-state therapy

Finding the right therapist shouldn't always depend on where you live.

Sometimes the therapist who seems like the right fit isn't located anywhere near you. You might live in a rural community, be looking for a particular experience, or simply feel more comfortable talking with someone outside your immediate community.

At Karos Counseling, I welcome virtual therapy inquiries from states where my practice is currently available and where an applicable authorization pathway is confirmed.

Check Your State

Check availability

Where I Offer Virtual Therapy

Select your state below to see whether Karos Counseling is an option for you.

Available Unavailable

Select any state to see details. Alaska and Hawaii are shown as insets. For smaller states, use the dropdown if easier.

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Where are you located?

Choose a state on the map or in the dropdown to check availability.

Currently welcoming inquiries from 0 states.

Availability is confirmed before treatment begins and is subject to applicable state requirements.

More options

More Options for Finding the Right Fit

Finding a therapist can be difficult enough without limiting your search to people within driving distance. Virtual therapy gives you more opportunities to find someone whose personality, experience, and approach align with what you're looking for.

You might live somewhere with limited mental health resources, prefer working with someone outside your professional or social community, or have found a therapist whose approach appeals to you even though they live in another state.

Flexible locations and schedules

Different Locations, Different Schedules

Virtual therapy can provide flexibility when your location or schedule changes. Time-zone differences may create additional appointment possibilities, but availability still depends on my actual schedule.

We can discuss whether our schedules align during a free consultation.

College and travel

What If You Live in One State and Spend Time in Another?

This is especially relevant for college students. You might live in Illinois but attend school in Indiana and return home during breaks. Because I hold independent licenses in both states, we may potentially continue therapy while you're physically located in either state, provided applicable service and insurance requirements are satisfied.

This principle can apply to other states only after the appropriate authorization is effective. Planning around travel can reduce interruptions when you change locations.

My approach

A Practical, Collaborative Approach

I'm Level 3 certified in TEAM-CBT. My approach emphasizes empathy, understanding your goals, practical techniques, and regularly evaluating progress. I use brief assessments and session feedback to help us understand whether therapy is helping, and I ask you to practice relevant skills between appointments when appropriate.

My goal is meaningful progress and skills you can use independently, whether we're working together from the same state or different locations.

Insurance and payment

Can I Use Insurance for Out-of-State Therapy?

Possibly. Coverage depends on your plan, network, location, and service type. Authorization does not automatically establish insurance coverage.

View Rates & InsuranceUnderstand Your Insurance

Not sure how deductibles, copays, coinsurance, or networks work? My insurance guide offers plain-language explanations.

Ready to get started?

Let's See Whether We're a Good Fit

I offer a free 15-minute consultation. We can discuss what you're looking for, how I work, and whether my services are appropriate for your needs. You don't need to figure out every detail before reaching out.

Call or text (219) 386-3296, or email teddy@karoscounseling.com.

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