Therapy without borders
Every year, thousands of people lose access to their therapist — not because they stopped needing help, but because they crossed a state line. A college student moves for school. A military family relocates. A remote worker changes addresses. And the therapeutic relationship ends.
Therapy Without Borders works to change the laws that make this happen. We research state-level barriers, build advocacy tools, and push for policies that let care follow people — not zip codes.
How does your state stack up?
We graded all 51 U.S. jurisdictions on 35 points across four categories. Pick your state and see what's working — and what needs to change.
A simple mission with two priorities
Remove state lines from mental health care. Every young person in America should be able to find and keep a therapist without worrying about invisible borders.
Universal Compact Participation
Every state should join every mental health compact. When all states participate, a college student can keep her therapist after moving across the country. A military spouse doesn't restart care after relocation. A family doesn't start over in a crisis.
Learn about compacts →Modernize Telehealth Laws
Compacts solve interstate licensing, but insurance rules and outdated telehealth restrictions still block access. We're evaluating telehealth laws in every state to identify what works and push legislatures toward best-practice policies.
See how your state scores →Lets licensed psychologists practice telepsychology and conduct temporary in-person practice across member states.
→Allows licensed professional counselors to practice across state lines while maintaining home-state licensure standards.
→The newest mental health compact, enacted across multiple states with first licenses expected in 2026.
Are you a therapist? We need your voice.
Take the Therapist Reality Check — a quick survey about the real barriers you face practicing across state lines. Your responses fuel our policy advocacy and legislative briefings.
Take the survey →