If you’re looking for mental health care in Kentucky, counseling center staff and independent practices are options. However, barriers to treatment, like a lack of available providers or transportation challenges, can make finding in-person appointments difficult. With an online therapy program like BetterHelp, you can find clinical mental health counseling from the comfort of your home at a time that works for you. This flexibility can make teletherapy a great option for busy college students, parents, and professionals.

With BetterHelp, you can work with a psychologist, social worker, or licensed professional clinical counselor to get the treatment you need to work through your mental health challenges. Whether you are interested in commitment therapy, need support with symptoms of a mental illness like depression or anxiety, or want to learn coping skills to improve your mental wellness, talking to a therapist can help.

While BetterHelp does not currently provide group therapy or family counseling, the solution-focused therapy you receive in individual sessions can help you work through challenges related to your personal or professional relationships and help you learn how to manage them more effectively.

If you’re looking for an online therapist, KY has many options. The licensed professionals listed below offer telehealth services statewide.

Read more
This is Ian Aiuto's avatar and link to their profile

Ian Aiuto

Offering therapy in Kentucky
License: FL LCSW SW18710, KY LCSW 255240
Stress, AnxietyAddictionsLGBTTrauma and abuseDepression
6 years of experience

Developing a meaningful connection with a personal therapist can lead to long-lasting benefits. While this may prove difficult for some, therapist Ian Aiuto helps clients identify ways to overcome the factors that often prevent them from leading the life they ultimately desire. If you don't have a good relationship with your counselor, you won't make progress you are hoping to achieve. I want to provide you with some information about me to help you decide if my experience and style is the right match for you Barriers may include: Anxiety Depression Grief or loss Relationship and boundary issues Substance Use Disorder Sex Addiction "Most people will encounter anxiety and depression at some point in their life, but many will not seek help," Ian says. "It takes great strength to seek help. I want clients to recognize that there is assistance available to them." Therapy can help conquer feelings of: Shame Embarrassment Helplessness Hopelessness Ian will assist you: Discover solutions to your difficulties Engage in beneficial behaviors and thought patterns Remain neutral Help with accountability Ian's work as an adult medical social worker has given him useful insight and experience in helping people overcome grief, manage mental health issues, and find helpful resources in your area. When you're confronted with a personal crisis, talking to a trained therapist can help you conquer those things that hold you back. I look forward to hearing from you. Sincerely, Ian T Aiuto MSW, LCSW

This is Ginger Vanmeter's avatar and link to their profile

Ginger Vanmeter

Offering therapy in Kentucky
License: KY LCSW 3838
Stress, AnxietyRelationship issuesParenting issuesAnger managementDepression
15 years of experience

As a Licensed Clinical Social Worker with 15 years of experience, I specialize in supporting individuals navigating complex emotional landscapes. My practice centers on helping clients address depression, anxiety, relationship challenges, and life transitions with compassionate, personalized care. I have extensive experience working with diverse populations, including military veterans, first responders, and individuals exploring complex relationship dynamics. My approach is deeply attuned to the unique needs of older adults, and I offer supportive guidance for those managing stress, interpersonal challenges, and personal growth. My therapeutic work embraces a holistic, affirming perspective that honors each individual's lived experience. I draw from evidence-based practices to help clients develop resilient coping strategies, process challenging emotions, and create meaningful pathways toward healing and self-understanding. I am committed to creating a safe, non-judgmental space where clients can explore their experiences, build emotional strength, and move toward their personal wellness goals.

This is Stephanie Krawec's avatar and link to their profile

Stephanie Krawec

Offering therapy in Kentucky
License: KY LCSW 259374, OH LISW I.1801040-SUPV
Stress, AnxietyAddictionsLGBTDepressionADHD
10 years of experience

Let's face it, life can be downright brutal sometimes with it's nasty curveballs and surprise endings. When you have a moment to come up for air after feeling drowned by never ending deadlines at work, stressing over relationships, or trying to live up to society's expectations, you can look around and not recognize yourself or the life that has fallen into place for you. I applaud you identifying that you deserve more out of life, and being the best version of yourself and realizing that there is help out there. Whatever the reason that brings you here, please know that you have made a courageous step. Seeking help can me scary, confusing, and intimidating; but it can also be the beginning of a new, exciting path in life. I am here to meet you where you're at and to help you navigate the tough times and cheer you on in the good times. I am a Licensed Independent Social Worker in the state of Ohio. I look forward to working with you whether you're going through a "quarter life crisis;" or you find that depression/anxiety/stress has made life unbearable at times. I look forward to helping you if you've found that alcohol and/or drugs has taken control over your life. I am here to give you support and encouragement to make that next bold move in life.

This is Cynthia Fletcher's avatar and link to their profile

Cynthia Fletcher

Offering therapy in Kentucky
License: KY LCSW 3922
Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression
14 years of experience

I enjoy working with individuals and families interested in creating changes, while receiving necessary support. I assist clients in reaching short and long term personalized goals using traditional and nontraditional approaches to address depression, anxiety, trauma, and issues of abuse. In taking a holistic approach to wellness I work within all aspects of life to bring about personal and family growth and development. If you're feeling emotionally stuck, or consumed with no sense of direction, let us work together to make pertinent life changes.

This is Jill Minogue's avatar and link to their profile

Jill Minogue

Offering therapy in Kentucky
License: SC LPC 7230, FL LMHC MH20015
Stress, AnxietyTrauma and abuseAnger managementSelf esteemDepression
19 years of experience

I am licensed professional counselor licensed in Florida, Kentucky, North Carolina, and South Carolina with over 19 years of experience working with trauma survivors. I understand the mechanisms of the body that are affected when a person experiences trauma and distress, and have a wide range of strategies and approaches to decrease distress. I also have experience and certifications in treating anxiety disorders of all kinds, including OCD, Panic Disorder, and Generalized Anxiety. My approach is eclectic, but all approaches are backed by research, and we will develop a treatment plan that meets your specific needs. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. It would be my honor to work with you!

This is John Rigney's avatar and link to their profile

John Rigney

Offering therapy in Kentucky
License: KY LPCC 104722
Stress, AnxietyTrauma and abuseSelf esteemDepressionCoping with life changes
40 years of experience

With over four decades of clinical experience, I specialize in supporting individuals navigating complex emotional landscapes. My practice focuses on helping clients address challenges including stress, anxiety, trauma, life transitions, and interpersonal dynamics. I offer a compassionate, depth-oriented approach that honors each person's unique journey toward healing and self-understanding. My therapeutic work centers on supporting individuals through profound emotional experiences such as grief, relationship transitions, personal growth, and healing from past wounds. I bring extensive expertise in addressing mood disorders, social anxiety, attachment challenges, and personal transformation. I am committed to creating a supportive, non-judgmental environment where clients can explore their inner experiences, develop resilience, and cultivate meaningful personal insights. My approach integrates evidence-based techniques with a deep respect for individual experiences and potential for growth.

This is Michael Holmes's avatar and link to their profile

Michael Holmes

Offering therapy in Kentucky
License: KY LPCC 287698
Stress, AnxietyTrauma and abuseGriefSelf esteemDepression
5 years of experience

I am licensed in Kentucky with 5 years of professional work experience. I have experience in helping clients with stress, anxiety, trauma, abuse, coping with grief, coping with loss, motivation, self esteem, & confidence. I also have experience working with despression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

This is Ashley Brummett's avatar and link to their profile

Ashley Brummett

Offering therapy in Kentucky
License: KY LCSW 256455
Stress, AnxietyGriefDepressionCoping with life changes
10 years of experience

You have already taken the first step in achieving your emotional and mental health goals by exploring Betterhelp and searching for someone to talk with. The next step is finding a therapist that you can truly connect with to establish that partnership in helping make your goals and desires for therapy a reality! I am Ashley Brummett, a Licensed Clinical Social Worker with over 18 years of experience as a Social Worker and over 10 years of experience in counseling. I have worked in a variety of settings such as Child Protection, Adults with Cognitive Disabilities, Hospice and Palliative Care, Inpatient hospital, Outpatient Mental Health Clinic, Long-term Care Facility, and Dialysis Clinics. Those settings have provided me with experience in depression, anxiety, grief/bereavement, adjustment to life changes, caregiver fatigue/stress, and coping with other challenging life events. Personally, I have dealt with divorce, blending of families, caregiver fatigue, and grief/loss, which allows me to be especially empathetic to those circumstances. I am also a parent to teenagers! My approach is warm and genuine. I believe in open, honest communication with no judgement. I am very compassionate and empathetic and strive to make you feel better with each interaction. I do have Christian beliefs and am more than willing to incorporate that into therapy, however, am completely comfortable if you do not want that. I will truly meet you where you are. My availability is typically evenings and weekends, however, there may be weekdays that I can be available during the day. I am available via call, video, or text. I will typically check my messages on Betterhelp at least once each day and will respond to you as quickly as possible. Thank you so much and I look forward to being of service to you!

This is Kimberly Billings's avatar and link to their profile

Kimberly Billings

Offering therapy in Kentucky
License: KY LPCC 287877
Stress, AnxietyRelationship issuesParenting issuesCoping with life changesADHD
22 years of experience

As a licensed therapist in Kentucky, I bring over two decades of compassionate counseling experience to supporting individuals through life's complex challenges. My practice specializes in helping adults navigate relationship dynamics, communication barriers, and significant life transitions. I have a deep understanding of unique family structures, including blended families, and offer targeted support for young adults, parents, and individuals experiencing isolation or searching for deeper life purpose. My approach is particularly attuned to addressing stress, anxiety, and interpersonal dynamics with sensitivity and practical guidance. Drawing from a Christian-informed perspective, I create a supportive environment that respects individual spiritual beliefs while providing evidence-based therapeutic strategies. My work centers on empowering clients to develop stronger communication skills, manage life changes, and cultivate meaningful personal growth. I am committed to walking alongside you with empathy, understanding, and professional expertise as you work toward your personal and relational goals.

This is Rosalind(Renee) Sheffield's avatar and link to their profile

Rosalind(Renee) Sheffield

Offering therapy in Kentucky
License: KY LPCC 104494
Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression
24 years of experience

I am licensed in Kentucky with over 24 years of professional work experience in counseling. I have experience in helping clients with trauma, posttraumatic stress, anxiety, depression, relationship/family issues, self esteem, gender and sexual identity, and grief. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

This is Sarah Johnston's avatar and link to their profile

Sarah Johnston

Offering therapy in Kentucky
License: KY LCSW 259912
Stress, AnxietyRelationship issuesFamily conflictsParenting issuesSelf esteem
3 years of experience

I am licensed in Kentucky with 3 years of professional work experience. I have experience in helping clients with stress, anxiety, relationship issues, family conflicts, parenting issues, motivation, & self esteem. I also have experience working with confidence. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

This is Ashley Peugh's avatar and link to their profile

Ashley Peugh

Offering therapy in Kentucky
License: KY LCSW 260240, MN LICSW 34531
Stress, AnxietyTrauma and abuseAnger managementSelf esteemDepression
6 years of experience

Hi there, and welcome! I'm a licensed therapist in Ohio with over five years of professional experience. My approach goes beyond textbooks—I’m a real-life therapist who values open-mindedness and practicality in addressing life’s challenges. I specialize in helping individuals navigate stress, anxiety, trauma, abuse, anger management, motivation, self-esteem, confidence, and depression. I believe in treating everyone with respect, sensitivity, and compassion, tailoring our conversations and treatment plans to meet your unique needs. Taking the first step toward a more fulfilling and happier life is a courageous decision, and I’m here to walk that path with you. Together, we’ll create a space where you feel heard, supported, and empowered to make the changes you desire. Let’s get started on this journey—your best life is waiting.

This is Stacie Sylvester's avatar and link to their profile

Stacie Sylvester

Offering therapy in Kentucky
License: KY LCSW 258729
Stress, AnxietyTrauma and abuseSelf esteemDepressionCoping with life changes
20 years of experience

As a duly licensed therapist in Kentucky (LCSW & LCADC) as well as a certified health coach, I bring over two decades of dedicated experience supporting individuals through complex emotional landscapes. My practice centers on helping clients navigate challenges like chemical dependency (addiction) depression, anxiety, trauma, and life transitions with compassion and expertise. I specialize in supporting individuals working through self-esteem challenges, communication difficulties, social anxiety, and personal growth. My approach focuses on empowering clients to develop self-love, explore life purpose, and heal from past experiences of shame, guilt, and relational trauma. Drawing from evidence-based practices, I create a supportive environment where clients can explore their experiences, build resilience, and develop meaningful strategies for emotional wellness. Whether you're struggling with body image, relationship transitions, or seeking deeper self-understanding, I'm committed to walking alongside you with genuine care and professional guidance.

This is Anthony Mikulskis's avatar and link to their profile

Anthony Mikulskis

Offering therapy in Kentucky
License: KY LCSW LCSW0001319
Stress, AnxietyTrauma and abuseSelf esteemDepressionADHD
4 years of experience

As a licensed therapist in Kentucky, I specialize in supporting individuals navigating complex emotional landscapes. My approach is compassionate and holistic, focusing on helping clients address challenges like depression, anxiety, trauma, and self-esteem issues. I'm particularly passionate about working with Veterans, first responders, young adults, men, and individuals experiencing life transitions. My therapeutic practice centers on creating a supportive environment where clients can explore personal growth, improve communication, and develop meaningful strategies for overcoming isolation and emotional barriers. I draw from evidence-based techniques to help clients build resilience, understand their inner experiences, and move toward healing and self-discovery. I welcome diverse client experiences and strive to provide affirming, personalized care that respects each individual's unique journey. Whether you're struggling with workplace stress, relationship challenges, or seeking deeper self-understanding, I'm committed to walking alongside you with empathy and professional guidance.

Find Therapy Near You in Kentucky

Finding a licensed therapist near you in Kentucky can be an important step toward improving your mental health and overall well-being. Whether you’re dealing with anxiety, depression, relationship challenges, stress, or major life changes, working with a qualified mental health professional can offer meaningful support.

With a population of 2,449,218, Kentucky is home to people with diverse mental health needs across urban, suburban, and rural communities. Online therapy makes it easier to connect with a therapist near you without being limited to nearby offices. BetterHelp connects you with licensed therapists authorized to practice in Kentucky, allowing you to attend sessions online from the comfort of your home.

Why work with a licensed therapist near you?

Working with a licensed therapist near you ensures that your provider meets state licensing requirements and professional standards in Kentucky (KY). Licensed therapists use evidence-based approaches to help individuals manage emotional challenges, develop coping skills, and work toward personal goals.

People seek therapy for many reasons. Some are navigating ongoing mental health concerns, while others want guidance during stressful periods or major life transitions. You do not need a mental health diagnosis to work with a therapist. Many individuals seek therapy to improve communication, strengthen relationships, manage stress, or gain greater self-awareness.

Online therapy can be especially helpful for people living across Butler, Logan, Lawrence, Allen, Harlan, Clinton, Campbell, Todd, Floyd, Calloway, Anderson, Warren, Jefferson, Grayson, Jackson, Henderson, Hopkins, Pike, Bell, Carlisle, Knox, Boyd, Fayette, Larue, Bracken, Marshall, Barren, Perry, Shelby, Nelson, Ballard, Kenton, Meade, Lee, Metcalfe, Ohio, Boone, Trimble, Edmonson, McLean, Fleming, Muhlenberg, Owen, Graves, Greenup, Bullitt, Madison, Laurel, Harrison, Breckinridge, Livingston, Letcher, Webster, Morgan, Mercer, Hart, Rockcastle, Owsley, Garrard, Marion, Union, Elliott, Oldham, Cumberland, Clay, Pulaski, Pendleton, Trigg, Montgomery, Henry, Taylor, Wolfe, Adair, Washington, Nicholas, Carroll, Carter, Magoffin, Christian, Fulton, Hardin, Caldwell, Lewis, Casey, Powell, Hickman, McCreary, Wayne, Whitley, Grant, Lincoln, Rowan, Crittenden, Russell, Menifee, Boyle, Knott, Mason, Lyon, Spencer, Breathitt, Daviess, Johnson, Monroe, Franklin, Simpson, McCracken, Estill, Scott, Gallatin, Green, Jessamine, Hancock, Leslie, Martin, Bourbon, Woodford, Robertson, Bath, Clark, where access to in-person mental health care may vary by location.

What concerns can therapists help with?

Therapists on BetterHelp support adults across Kentucky with a wide range of mental health concerns and life challenges, including:

Therapists use approaches such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and other evidence-based methods tailored to individual needs.

Online therapy vs. in-person therapy in Kentucky

When searching for a therapist near me in Kentucky, many people compare online therapy with traditional in-person care. Online therapy offers several potential advantages:

  • Greater accessibility: Attend sessions from anywhere with an internet connection
  • Reduced wait times: Many people are matched in as little as  24-48 hours, faster than typical in-person availability
  • Flexible scheduling: Sessions that fit around work, family, or school commitments
  • Expanded provider options: Access licensed therapists across Kentucky, not just nearby offices

Research shows that online therapy can be effective for many mental health concerns. Online therapy may also reduce barriers such as transportation challenges, long commutes, or limited local availability, especially in larger or more rural counties across Kentucky.

Finding a therapist near you that accepts insurance

Many people looking for a therapist near me in Kentucky want to know whether insurance is an option.

Many providers on BetterHelp now accept major insurance carriers in select states. In many states, certain therapists on BetterHelp may be in-network with specific insurance plans. Coverage depends on your plan, provider, and therapist availability.

When sessions are covered, insured members typically pay an average copay of about $19 per session. Coverage varies by state and provider availability, so it’s important to check your in-network status directly on the BetterHelp site.

If insurance coverage is not available, BetterHelp’s flexible subscription model remains an option, with online therapy typically costing $70 to $100 per week, billed weekly or monthly. Additional discounts or financial aid may also be available for a lower price.

How BetterHelp helps you find the right therapist in Kentucky

BetterHelp simplifies the process of finding a therapist near you in Kentucky without requiring you to search through tons of profiles on your own.

Here’s how it works:

  1. Complete a brief questionnaire about your needs, preferences, and goals
  2. Get matched with a licensed therapist authorized to practice in Kentucky (KY)
  3. Begin online therapy sessions through video, phone, or live chat

BetterHelp works with one of the world’s largest networks of licensed therapists, with over 30,000 qualified providers globally. Many members are matched in as little as 24 to 48 hours, and 93% of user preferences are met during the matching process.

You can request a new therapist at no additional cost if your needs or preferences change.

Therapists near you in Kentucky

Below, you’ll find licensed therapists authorized to provide online therapy to adults across Kentucky, including residents in Butler, Logan, Lawrence, Allen, Harlan, Clinton, Campbell, Todd, Floyd, Calloway, Anderson, Warren, Jefferson, Grayson, Jackson, Henderson, Hopkins, Pike, Bell, Carlisle, Knox, Boyd, Fayette, Larue, Bracken, Marshall, Barren, Perry, Shelby, Nelson, Ballard, Kenton, Meade, Lee, Metcalfe, Ohio, Boone, Trimble, Edmonson, McLean, Fleming, Muhlenberg, Owen, Graves, Greenup, Bullitt, Madison, Laurel, Harrison, Breckinridge, Livingston, Letcher, Webster, Morgan, Mercer, Hart, Rockcastle, Owsley, Garrard, Marion, Union, Elliott, Oldham, Cumberland, Clay, Pulaski, Pendleton, Trigg, Montgomery, Henry, Taylor, Wolfe, Adair, Washington, Nicholas, Carroll, Carter, Magoffin, Christian, Fulton, Hardin, Caldwell, Lewis, Casey, Powell, Hickman, McCreary, Wayne, Whitley, Grant, Lincoln, Rowan, Crittenden, Russell, Menifee, Boyle, Knott, Mason, Lyon, Spencer, Breathitt, Daviess, Johnson, Monroe, Franklin, Simpson, McCracken, Estill, Scott, Gallatin, Green, Jessamine, Hancock, Leslie, Martin, Bourbon, Woodford, Robertson, Bath, Clark.

Each provider meets state licensing requirements and has experience supporting clients with a wide range of mental health concerns using evidence-based therapeutic approaches.

Please note: Therapists on BetterHelp in Kentucky do not provide psychiatric medication management or formal diagnoses.

Frequently asked questions about finding a therapist near me

How much does therapy cost near me?

Therapy costs vary depending on provider and location. In-person therapy sessions may cost $100 to $200 or more per session. BetterHelp offers online therapy subscriptions that typically range from $70 to $100 per week, billed weekly or monthly, depending on factors such as location, source, preferences, and therapist availability. Additional discounts or financial aid may also be available for a lower price. BetterHelp now accepts major insurance plans in select states and members pay an average copay of $19 per session. Coverage varies by plan, provider, and therapist availability. You can check coverage on the BetterHelp site.

Does BetterHelp accept insurance?

Yes. Many providers on BetterHelp now accept major insurance carriers in select states. In many states, certain therapists on BetterHelp may be in-network with specific insurance plans. When sessions are covered, insured members typically pay an average copay of about $19 per session. Coverage varies by plan, provider, and therapist availability. You can check coverage on the BetterHelp site.

Is online therapy effective?

Yes. Research shows that online therapy can be effective for many mental health concerns, including anxiety, depression, stress, and relationship challenges. Online therapy allows you to connect with a licensed therapist without commuting to an office.

Do I need a diagnosis to see a therapist?

No. You do not need a mental health diagnosis to seek therapy. Many people work with a therapist for stress management, relationship concerns, grief, life transitions, or personal growth.

How quickly can I start therapy?

Many people are matched with a licensed therapist in as little as 24 to 48 hours after completing the initial questionnaire. Match times for online therapy may vary based on preferences and therapist availability.

Can I switch therapists if it’s not the right fit?

Yes. If you feel your therapist is not the right match, you can request to be matched with another licensed provider at no additional cost. You are able to do so through the BetterHelp user portal and select switch therapists if needed.

Is online therapy private and secure?

Online therapy through BetterHelp allows you to communicate with your therapist in a discreet  setting through video, phone, or messaging tools.

In today's fast-paced society, mental well-being has become a cornerstone of a fulfilling life. Amid the daily challenges and stressors that can overwhelm even the most resilient individuals, seeking professional guidance often offers a path to clarity and balance. The journey toward improved emotional health involves understanding personal triggers, embracing self-compassion, and developing effective coping strategies. While self-help books and online resources provide valuable information, nothing compares to the personalized support offered by a qualified mental health professional. One-on-one sessions with experienced experts can help uncover the underlying issues contributing to anxiety, depression, or other emotional hurdles. With a careful and empathetic approach, these professionals tailor their advice to suit individual needs, ensuring that each person receives strategies that work best for their unique circumstances. Whether through cognitive behavioral techniques, mindfulness practices, or other innovative methods, the aim is to foster resilience and empower individuals to take control of their inner lives. For those living in bustling urban centers, engaging in face-to-face sessions in a welcoming environment can be particularly beneficial. Access to a caring clinician provides not only a safe space to explore difficult emotions but also builds a support network essential for long-term recovery. The process encourages self-reflection and greater insight into behavioral patterns that might otherwise go unnoticed. While the journey can be challenging at times, the rewards include enhanced emotional stability, improved interpersonal relationships, and a renewed sense of self-worth. In one notable case, the guidance provided by a highly trained therapist proved instrumental in navigating a tumultuous period. Through structured sessions and tailored interventions, the individual learned to identify stressors and develop healthier responses to adversity. This experience underscored the transformative impact that dedicated support can have on one's overall quality of life. In a region like Texas, community-based initiatives and accessible mental health programs further reinforce the value of professional help. These efforts emphasize early intervention, preventive care, and continuous support, ensuring that more people are equipped to face life's inevitable challenges. Ultimately, investing in mental well-being is an act of self-care that yields lifelong benefits. By embracing professional support, individuals can unlock new levels of emotional resilience and discover pathways to a brighter, more balanced future. Each step taken toward healing represents a commitment to personal growth, enabling a life filled with renewed optimism and strength. Embracing this transformative journey consistently paves the way for deeper understanding, lasting peace, and meaningful personal progress.
Find the right therapist for your needs
Match with a qualified therapist