TELEHEALTH ACROSS STATES
Licensed to provide therapy online in PSYPACT states like Illinois, Virginia, Washington, Arizona, and Nevada.
Online therapy with licensed psychologists for individuals and families.
Therapy can be a way to cope with being human. If you're stuck in a story that you feel like you didn't choose, we can help.
What PSYPACT Means For You: Online Therapy in Illinois, Virginia, Washington, Arizona, Nevada, and More
We provide therapy online through PSYPACT — a national system that allows licensed psychologists to see clients who live in participating states.
Real Talk currently serves clients in states like Illinois, Virginia, Washington, Arizona, and Nevada, with insurance coverage through BlueCross BlueShield, Aetna, Cigna, and United Healthcare.
How We Usually Work
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Real Talk offers telehealth psychotherapy through PSYPACT for residents of states like Illinois, Virginia, Washington, Arizona, and Nevada.
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Each online session lasts 30–50 minutes and follows the same clinical standards as in-person therapy.
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Weekly or biweekly 30–50 minute sessions.
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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 built for therapy, not for quick chats.
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If medication is part of your care, we coordinate with your prescriber.
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Insurance accepted (BCBS, Aetna, Cigna, UHC, Oscar). We'll check your benefits for you before your first sessions to avoid any surprises.
Our licensed psychologists provide therapy to residents across PSYPACT states, including Illinois, Nevada, Washington, Arizona, Virginia, and more.
Next Steps
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If you reside in one of the approved PSYPACT states, fill out the form on this page. Our clinical director can help you match you with a clinician.
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We'll send you the intake paperwork and check your insurance benefits before your first session to avoid any surprises.
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You’ll meet with your therapist via secure video, just as you would in person.
Book Your First Session
Preparing 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
Adriane Barroso, Ph.D.
Dr. Adriane is a psychologist and psychoanalyst who helps adults and adolescents with grief, life transitions, and emotional challenges. She takes a thoughtful, non-pathologizing approach and offers online sessions in English, Portuguese, and Spanish.
Waitlist
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.
Why Real Talk
We believe therapy should be more than advice or quick fixes. It should be a space for honest, clinically trained care. Our PhD-level clinicians bring both warmth and rigor to every session, so you can find clarity in your own pace.
Crisis Notice
If you are in immediate danger, call 911 or go to the nearest emergency room.
Online Therapy by State (PSYPACT Coverage)
Illinois
Now accepting clients located anywhere in Illinois via secure video. Insurance accepted (BlueCross BlueShield, Aetna, Cigna, and UnitedHealthcare, Oscar.
Virginia
Telehealth therapy for residents of Virginia. Sessions are delivered on a HIPAA-compliant platform. Insurance accepted: BCBS, Aetna, Cigna, UHC, Oscar
Washington
Serving clients across Washington state via PSYPACT. Insurance accepted: BCBS, Aetna, Cigna, UHC, Oscar. We verify benefits before your first session.
Arizona
Accessible online therapy for Arizona residents. Insurance accepted: BCBS, Aetna, Cigna, UHC, Oscar. We confirm coverage before your first appointment.
Nevada
Telehealth is available statewide for Nevada residents. Insurance accepted: BCBS (BlueCard), Aetna, Cigna, UHC, Oscar. We provide transparent cost estimates up front.