What We Do

Remove state lines from mental health care

Therapy Without Borders has a simple mission: make it possible for every person in America to find and keep a therapist — no matter where they live, move, or go to school. We do that by pushing two policy priorities.

01
Priority
Universal Compact Participation

Every state should join every mental health compact within three years.

Interstate compacts already exist. They work. They maintain professional standards while allowing therapists to practice across state lines. When all states join compacts, a high school senior can keep her therapist when she goes to college across the country. A family relocating for work doesn't restart the search for their son's care. A college student studying abroad can maintain sessions with the clinician who knows her history.

PSYPACT
Covers psychologists — active in 42 states
Counseling Compact
Covers licensed professional counselors — active in 36 states
Social Work Compact
Enacted across multiple states — first licenses expected in 2026
Our mission: Get every state in every mental health compact. No more boundaries between young people and the care they need.
02
Priority
Modernize Telehealth Laws

Every state should adopt model telehealth laws that prioritize access and continuity.

Compacts solve interstate licensing, but insurance rules and outdated telehealth restrictions still create barriers. We're evaluating telehealth laws in every state to identify what works and what doesn't.

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Allow out-of-state providers to treat in-state patients via telehealth
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Require insurance parity for virtual mental health care
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Eliminate arbitrary geographic restrictions on sessions
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Protect therapeutic relationships when patients move across state lines
Our mission: Push every state toward best-practice telehealth laws. Show legislators what needs to change and how to fix it.
Why This Matters

The solutions exist. What's missing is political will.

The youth mental health crisis is happening everywhere. Young people need help. Parents are trying to find it. Therapists are ready to provide it.

What's stopping us? Lines on a map and laws written for a world that no longer exists.

Every young person in America should be able to find and keep a therapist without worrying about invisible borders. This is achievable. It's not radical. It's overdue.

Mental health care shouldn't have borders. And with enough political will, it won't. That's what we're here to make happen.

See where your state stands

We graded all 51 U.S. jurisdictions on 35 points across four categories. Check your state's score — and find out what needs to change.

Check your state's grade → Get involved