If you're here, you've already done the hardest part — recognizing that something needs to change. Here's a step-by-step path forward.
If you're in immediate danger or having thoughts of suicide, please call or text 988 right now, or visit our crisis resources page. The rest of this guide is for non-emergency planning.
Step 1: Get clear on what you're dealing with
You don't need a diagnosis before you start. But if you're not sure what's going on, two free, validated screening tools can help you put words to it:
- PHQ-9 depression screening — 9 questions, 2 minutes
- GAD-7 anxiety screening — 7 questions, 2 minutes
These aren't diagnostic tools — only a clinician can diagnose you. But they give you a clearer picture and a vocabulary to bring to your first appointment.
Step 2: Figure out what kind of provider you need
Therapist? Psychiatrist? Counselor? They aren't the same. Our 2-minute provider quiz walks you through it. Briefly:
- Therapist (LCSW, LMFT, LPC, Psy.D, Ph.D) — for talk therapy and behavior change. Most people start here.
- Psychiatrist (MD/DO) or Psychiatric Nurse Practitioner — for medication evaluation and prescribing. You can see both a therapist and a psychiatrist.
- Counselor (LPC, LMHC) — similar to therapy, often more focused on specific issues like grief, addiction, or career.
Step 3: Sort out how you'll pay
This is where most people get stuck. The good news: you almost certainly have more options than you realize.
- Through insurance: see does insurance cover therapy for what to ask your plan.
- Through Medicaid or Medicare: both cover therapy in all 50 states. See Medicaid or Medicare guides.
- Through your employer's EAP: most companies offer 3–8 free therapy sessions a year. How EAPs work.
- Without insurance: sliding scale, community mental health centers, university clinics. Free and low-cost options.
- Use HSA or FSA dollars: therapy is a qualified expense. Using HSA/FSA.
Step 4: Find someone
Search providers by specialty, insurance, location, or telehealth availability. You can filter by exactly what matters to you.
- If you have a specific condition (anxiety, depression, ADHD, trauma, addiction): browse our topic guides first to understand what kind of treatment helps best, then filter for providers who specialize in it.
- If you want to skip ahead: try telehealth providers — often have shorter waitlists.
- If you're worried about cost: filter by sliding scale fees.
Step 5: Make the appointment
The first call is usually the hardest. Here's what to know:
- Most providers will offer a free 15-minute phone consultation before you book a full session. Use it to feel out fit.
- It's normal to try 2–3 therapists before you find the right one. That's not failure — it's how this works.
- Telehealth options have made first appointments much faster to access in most areas.
Ready? Search providers near you →