
TELEHEALTH IN VIRGINIA
Online Therapy For Virginia Residents
Get matched with a PhD-level therapist. First session offered within a week. We verify your insurance benefits for you.
Book Your First Session
Next Steps
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We will send you the intake paperwork and verify your insurance benefits.
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You’ll meet with your therapist through a secure video session on the scheduled date. Please choose a quiet space and check your camera and internet connection before your appointment.





In-network with major insurance providers: Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare/Optum, Oscar. We'll verify your benefits before you begin.
Immediate availability: You're offered a first session within a week with a therapist who fits your needs.
Online sessions: Secure telehealth therapy across Virginia.
Specialized care: Individual therapy for anxiety, depression, grief, transitions, burnout, identity questions, and adjustment difficulties across Virginia.
Several age groups: Adolescents, adults, and older adults.
Coordination of care: We'll talk to your prescriber when needed.

Our licensed psychologists provide therapy to residents across PSYPACT states, including Virginia.
What PSYPACT Means For You
PSYPACT is an interstate agreement that allows licensed psychologists to provide therapy across state lines, including Virginia.
Therapists Who Offer Online Therapy In Virginia
Questions People Ask
Is online therapy as effective?
For many concerns, yes. We decide together based on your needs.
Do I need special equipment?
You need a regular phone or computer with a camera and stable internet. Headphones help.
Where can I be located?
In Virginia or any other PSYPACT-participating state.
How do payments work?
Insurance is billed the same way as in person: Co-pays and fees are paid after each session, using the credit card we have on file.
Do you accept insurance for therapy in Virginia? Are you in-network with my insurance company?
We’re in-network with most major plans, but we'll confirm your eligibility and benefits before your first session so there are no surprises.
Why is PSYPACT relevant for Virginia residents?
This initiative improves access to mental health care across the United States. As a result, Real Talk can provide telehealth therapy in Virginia, with licensed psychologists offering telehealth services across the state.
Community & Crisis Resources (Virginia)
If you are in crisis, telehealth is not a substitute for emergent care. Please use these resources immediately.
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Call 911 or go to your nearest emergency room.
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988 Suicide & Crisis Lifeline (Virginia): Call or text 988 (24/7; Virginia routing).
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Virginia DBHDS “Need Help” page: Overview of crisis options and how to connect with services statewide: https://dbhds.virginia.gov/contact/need-help/
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Mental Health America of Virginia Warm Line (peer support, non-crisis): 866-400-6428 — Mon–Fri 9am–9pm; weekends/holidays 5–9pm; Spanish hours posted. https://mentalhealthvirginia.org/get-help/warm-line/
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Community Services Boards (CSBs): 24/7 crisis response is provided locally; find your CSB using the directory. https://vacsb.org/csb-bha-directory/
Virginia Mental Health Snapshot & Why Telehealth Helps
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A significant number of residents in Virginia live in areas designated as Mental Health Professional Shortage Areas (HPSAs), which makes accessing timely care challenging.
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Demand for crisis support has surged; Virginia 988 call volume rose sharply since launch (state + local reporting)
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Barriers: rural distance, full panels in metro areas (NOVA/Richmond/Hampton Roads), transportation/time constraints, privacy.
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Many individuals postpone seeking help due to long travel distances, extended wait times, or the unavailability of in-network therapists.
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Online therapy sessions provide a valuable solution for those in underserved regions, as well as for individuals who value privacy or have difficulty traveling.
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Additionally, if you move within Illinois or to another PSYPACT state, you can continue receiving care from your same clinician.


