
Interstate
Online Therapy Across States via Psypact
Real therapy, online in states like Illinois, Virginia, Washington, Arizona, Nevada, and more. We provide therapy online through PSYPACT — a national system that allows licensed psychologists to see clients in participating states.
You’ll be matched with the right therapist by our clinical director, and offered a first session within a week — because therapy shouldn’t wait.

How We Work
- Online in any PSYPACT-participating state, like:
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Your sessions are fully HIPAA-compliant and take place on a secure telehealth platform.
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We'll check your insurance benefits for you before your first sessions to avoid any surprises.
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Even if we aren’t in your insurance network, you can often use your PPO out-of-network benefits, and we'll handle insurance claims for you. No superbills, no waiting for reimbursement.

Our licensed psychologists provide therapy to residents across PSYPACT states, including Illinois, Nevada, Washington, Arizona, Virginia, and more.
Next Steps
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Contact Us. Our clinical director can help you match you with a clinician. We'll send you the intake paperwork and check your insurance benefits once it's completed.
Prepare For Your Session
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Choose a quiet space and check the camera and connection five minutes early
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If privacy is hard, we problem-solve together
Therapists Who Offer Services Across States
Questions People Ask
Is online therapy as effective?
For many concerns, yes. We decide together based on your needs and privacy.
Do I need special equipment?
A phone or computer with a camera and stable internet. Headphones help.
Where can I be located?
In any 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?
We’re in-network with most major plans. We confirm eligibility and benefits before you begin.
Why is PSYPACT relevant?
This initiative improves access to mental health care across the United States. As a result, Real Talk can provide online psychologists in Illinois, telehealth therapy in Virginia, licensed psychologists offering telehealth services in Arizona, therapists in Nevada, and therapy in Washington, even though we are based in Texas.
Online Therapy by State (PSYPACT Coverage)
Telehealth in Illinois
Now accepting clients located anywhere in Illinois via secure video. Insurance accepted (BlueCross BlueShield, Aetna, Cigna, and UnitedHealthcare, Oscar.
Telehealth in Virginia
Telehealth therapy for residents of Virginia. Sessions are delivered on a HIPAA-compliant platform. Insurance accepted: BCBS, Aetna, Cigna, UHC, Oscar
Telehealth in Washington
Serving clients across Washington state via PSYPACT. Insurance accepted: BCBS, Aetna, Cigna, UHC, Oscar. We verify benefits before your first session.
Telehealth in Arizona
Accessible online therapy for Arizona residents. Insurance accepted: BCBS, Aetna, Cigna, UHC, Oscar. We confirm coverage before your first appointment.
Telehealth in Nevada
Telehealth is available statewide for Nevada residents. Insurance accepted: BCBS (BlueCard), Aetna, Cigna, UHC, Oscar. We provide transparent cost estimates up front.



