Therapy Without Borders has a simple mission: Remove state lines from mental health care
Priority One: 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.
The Counseling Compact covers licensed professional counselors.
The Social Work Licensure Compact has been enacted and will begin issuing its first licenses in 2026.
Our mission: Get every state in every mental health compact. No more bounderies between young people and the care they need.
Priority Two: Modernize Telehealth Laws Everywhere
Every state should adopt model telehealth laws that prioritize access and continuity.
Compacts solve intrastate licensing, but insurance rules and outdated telehealth restrictions still create barriers.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.
The best policies allow out-of-state providers to treat in-state patients via telehealth, require insurance parity for virtual care, don't impose arbitrary geographic restrictions, and protect therapeutic relationships when patients move.
Our mission: Push every state toward best-practice telehealth laws. Show legislators what needs to change and how to fix it.
Why This Matters Right Now
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.