01 / Anxiety & Stress
When worry feels difficult to switch off
Explore counselling for persistent worry, stress and feelings of overwhelm. Discuss your experiences and what you would like support with.
Explore anxiety counselling →Across all 50 US states · Online sessions
Online counselling across the USA.Space to talk. Support to move forward.
Stress, difficult emotions, career pressure or relationship concerns can feel hard to carry alone. Wherever you are in the United States — New York, Los Angeles, Chicago, Houston, Miami or anywhere in between — Imperfectly by TISQ Health helps you explore online counselling and appointment options from home.
Call our team · +91 8448073838 US services are online only — no clinic visit.
Available across all 50 US states
Individuals, couples, families, students & professionals
Online only · existing Imperfectly app
A gentle reminder
Whatever you are feeling, you don’t have to hold it alone.
Small moments of calm, connection and reflection can be a first step. Explore support at your own pace.
Across all 50 states
Online counselling in every major US city
From the East Coast to the West, from Alaska to Hawaii — Imperfectly supports people across the United States. You do not need to live in a specific metro area to explore online counselling; sessions are delivered remotely.
Northeast
- New York, NY
- Boston, MA
- Philadelphia, PA
- Pittsburgh, PA
- Newark, NJ
- Jersey City, NJ
- Hartford, CT
- Providence, RI
- Buffalo, NY
- Albany, NY
- Portland, ME
- Manchester, NH
Mid-Atlantic & DC
- Washington, DC
- Baltimore, MD
- Arlington, VA
- Alexandria, VA
- Richmond, VA
- Virginia Beach, VA
- Wilmington, DE
- Charleston, WV
South
- Miami, FL
- Atlanta, GA
- Charlotte, NC
- Raleigh, NC
- Nashville, TN
- Memphis, TN
- New Orleans, LA
- Birmingham, AL
- Jacksonville, FL
- Orlando, FL
- Tampa, FL
- Louisville, KY
- Columbia, SC
- Jackson, MS
- Little Rock, AR
Midwest
- Chicago, IL
- Detroit, MI
- Columbus, OH
- Cleveland, OH
- Cincinnati, OH
- Indianapolis, IN
- Milwaukee, WI
- Minneapolis, MN
- Kansas City, MO
- St. Louis, MO
- Omaha, NE
- Des Moines, IA
- Wichita, KS
- Sioux Falls, SD
- Fargo, ND
Southwest
- Phoenix, AZ
- Dallas, TX
- Houston, TX
- Austin, TX
- San Antonio, TX
- El Paso, TX
- Albuquerque, NM
- Tucson, AZ
- Oklahoma City, OK
- Tulsa, OK
West
- Los Angeles, CA
- San Francisco, CA
- San Diego, CA
- San Jose, CA
- Sacramento, CA
- Seattle, WA
- Portland, OR
- Denver, CO
- Salt Lake City, UT
- Las Vegas, NV
- Boise, ID
- Honolulu, HI
- Anchorage, AK
- Billings, MT
- Cheyenne, WY
Don't see your city? We support people across all 50 US states — not just the metros above. Availability of a specific professional may vary by your state of residence due to state licensure rules.
All 50 states covered
Alabama · Alaska · Arizona · Arkansas · California · Colorado · Connecticut · Delaware · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maine · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Missouri · Montana · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Carolina · North Dakota · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · South Carolina · South Dakota · Tennessee · Texas · Utah · Vermont · Virginia · Washington · West Virginia · Wisconsin · Wyoming — plus Washington, DC.
Find a starting point
Support for what you are going through
You do not need a diagnosis to ask about counselling. Start with the concern that feels most relevant, then discuss whether a service and professional are a suitable fit for your needs.
01 / Anxiety & Stress
02 / Low Mood & Depression
When everyday life feels heavier
If low mood, reduced motivation or emotional difficulties are affecting you, explore support and discuss an appropriate next step with a professional.
Explore depression counselling →
03 / Couples & Relationships
Make space for a different conversation
Explore couples counselling for communication difficulties, recurring disagreements and relationship concerns. Ask about the available online session format.
Explore couples counselling →
04 / Children & Parents
Understand your family's support options
Parents and guardians can ask about child-focused and parenting support, professional suitability and whether an online session is appropriate.
Explore child counselling →
05 / Difficult Experiences
Talk about experiences at your own pace
If a difficult experience continues to affect you, ask about trauma-related support and an initial conversation with an appropriate professional.
Explore trauma support →
06 / Career & Workplace Stress
Support for workplace stress and burnout
Professionals across US industries can ask about counselling for work stress, burnout, job transitions and work-life balance.
Ask about professional support →Choose with clarity
Find a professional and format that fit your needs
Choosing online therapy is a personal decision. Before confirming an appointment, review the professional's profile and ask the questions that matter to you.
- Confirm the professional is licensed to practise in your US state of residence.
- Check qualifications, experience and the concerns the professional works with.
- Confirm session fees (USD), duration and available appointment times.
- Ask about language options, including English and Spanish, and current availability.
- Understand confidentiality, its limits and how your information is handled.
- For a child or adolescent, confirm age suitability, guardian consent and state rules.
A practical first step
How to get started with online counselling
Open the Imperfectly app options
Use the appointment button to reach our existing app download page. Install or open the app to explore the options available.
Check details before you book
Review profiles, licensure, fees and availability. Contact our team if you need help understanding the booking process or choosing where to begin.
Prepare for your online session
Follow the joining instructions for your appointment. Choose a quiet space, check your internet connection and use headphones if helpful.
An enquiry or a button click does not confirm an appointment. Confirmation follows the app's booking process.
Wherever you are in the USA
Online mental health support without a clinic commute
Whether you are in a major metro like New York, Los Angeles or Chicago, a mid-size city like Austin or Nashville, or a small town anywhere in the country, you can explore Imperfectly's online counselling options without travelling to a clinic. Your professional does not need to be physically based in your city for an online appointment.
Sessions can be scheduled across US time zones — Eastern, Central, Mountain, Pacific, Alaska and Hawaii. Because US mental health professionals are generally licensed state by state, please confirm that the professional is licensed in your state of residence before booking. This page represents online services for people across the United States, not a physical clinic in any one city.
Questions before you begin
Online counselling across the USA: FAQs
Is Imperfectly available in my US state?
Imperfectly offers online counselling across the United States. Because US mental health professionals are generally licensed state by state, availability of a specific professional may vary by your state of residence. Ask our team to confirm current availability before booking.
Are the professionals licensed in the United States?
Licensure, qualifications and scope of practice vary by state. Before confirming an appointment, review the professional's profile and confirm that they are licensed to practise in your state of residence. Our team can help you understand the options available.
How much does online counselling cost?
Fees can vary by professional and service. Check the current price, session duration and applicable cancellation terms inside the app before confirming your appointment. We have not listed a starting price because availability and pricing need to be confirmed.
Can I use my US health insurance?
Insurance coverage depends on your plan, your state and the professional. Confirm directly with the professional or the app before booking. Some people choose to pay out of pocket. Imperfectly does not guarantee insurance reimbursement.
What time zones are sessions available in?
Online sessions can be scheduled across US time zones — Eastern, Central, Mountain, Pacific, Alaska and Hawaii. Availability depends on the individual professional's schedule.
Can I request sessions in Spanish?
Ask our team or check the professional's profile for current language options, including Spanish. Your preferred language and an appropriate professional should be confirmed before booking.
Can I explore online couples or child counselling in the US?
You can enquire about couples, child and parenting support. The professional should confirm whether the online format is appropriate. For children and adolescents, ask about age criteria, guardian consent and any state-specific requirements before booking.
Will my online session be confidential?
Ask your professional to explain confidentiality, its limits and the platform's information-handling practices before you begin. Review the website's privacy policy and choose a private space for your session.
Do I need a diagnosis before contacting you?
You can enquire about counselling without already having a diagnosis. Describe what you would like support with to the professional during the appropriate consultation, and discuss the next steps together.
Is this an emergency or crisis service?
No. This page and the appointment enquiry options are not an emergency service. If you or someone you know is in crisis in the United States, call or text 988 (Suicide & Crisis Lifeline) or call 911 for immediate help. If you are outside the US, contact your local emergency services.
If you or someone you know is in crisis in the US, call or text 988 (Suicide & Crisis Lifeline) or call 911 for immediate help. Imperfectly is not an emergency or crisis service.
Take the next step
You can start with one conversation.
Explore online counselling across the USA, check the available appointment options, or ask our team a practical question about getting started.
Call +91 8448073838Online counselling suitability depends on individual needs and the professional's assessment. No outcome is guaranteed. Services are delivered online; availability may vary by US state due to licensure requirements. This page provides general service information and does not offer a diagnosis. Please avoid sending sensitive health information in a general email or enquiry. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) in the US, or call 911.