Consumer telehealth · Therapy and psychiatry
Two Chairs
Two Chairs is a mental health practice that matches clients with salaried therapists and psychiatrists for video or in-person sessions, billed to plans such as Aetna and Florida Blue or arranged through Kaiser Permanente referrals, with appointments usually within a week.
Strong fit
- Adults with anxiety, depression, or trauma who want a carefully matched therapist
- Kaiser Permanente members referred out for therapy, and Aetna members
- Clients who want to start within a week and switch therapists easily
Weak fit
- Clients who want open-ended, long-term therapy with no set goals
- People who dislike filling out a symptom check before every session
- Patients outside the states Two Chairs serves
Bottom line
Two Chairs is a mental health practice that matches clients with salaried therapists and psychiatrists and tracks progress with short questionnaires. It suits insured adults who want a good therapist fit quickly and are comfortable with goal-based therapy. Clients who want ongoing therapy with no end date should confirm session limits first.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Two Chairs is used by adults looking for therapy for anxiety, depression, trauma, relationships, substance use, and other concerns, and in some states for psychiatry. A short intake leads to a match with a licensed clinician, chosen on the client's needs, goals, and personality, and Two Chairs says appointments are available in one week or less, according to its homepage. Sessions are by video or in its clinics. Kaiser Permanente also refers some of its members to Two Chairs for therapy.
On price, Two Chairs is aimed at insured clients. Its pricing page says most clients pay less than $30 a session after meeting their deductible, and lists in-network plans including Aetna, Blue Shield of California, Florida Blue, L.A. Care, and Curative. Self-pay clients pay $260 for a first therapy appointment and $226 for each ongoing session. Its main competitors are therapist networks such as Grow Therapy, and online therapy services such as Talkspace and BetterHelp.
Founder and chief executive Alex Katz opened the first clinic in San Francisco, California, in 2017. Unlike most competitors, Two Chairs employs the vast majority of its therapists as salaried staff and trains them in measurement-based care, which tracks each client's symptoms against standard scales, Katz told TechCrunch in April 2024.
That April, Two Chairs raised $72 million in equity and debt. TechCrunch reported it had more than 500 therapists, mostly treating clients by video, and that revenue had grown eightfold over three years. Psychiatry is now offered in nine states and Washington, D.C. Two Chairs does not publish revenue; its annual revenue is an estimated $110 million.
The common complaints concern limits and turnover. Several Reddit users referred through Kaiser say they were told about a standard number of sessions partway through care, and others describe their therapist leaving and a weaker second match.
What patients say
Two Chairs has one review on Trustpilot, so we also looked at client posts on Reddit. Here is what clients like and dislike.
"I saw 3 therapists there and really liked all of them. Plus, it’s really easy to re-match with a different therapist if the first one is not a good fit." Reddit
"I've been working with a Two Chairs therapist for a few years now. They have an affiliation with Kaiser Permeate, so I found them through this. I've found the company on the whole to be good." Trustpilot
"I worked with the new one for a little bit before she told me we were approaching the “standard” amount of sessions Two Chairs does." Reddit
"I had an excellent therapist at first, but she left for her own practice. I was later matched with another therapist that I didn’t mesh well with." Reddit
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Ophelia | 7.9 | 8.2 |
| Equip | 7.7 | 7.2 |
| Bicycle Health | 7.7 | 8.3 |
| Two Chairs | 7.5 | 7.6 |
| Sesame | 6.8 | 6.7 |
Pricing
| Item | Detail |
|---|---|
| Model | Two Chairs bills your insurance per session, or charges a self-pay rate that is the same for out-of-network clients. |
| What usually drives cost | For Two Chairs, cost depends on your plan's copay and deductible and how many sessions your care plan includes. |
| What to ask before you buy | Ask Two Chairs how many sessions your plan or referral covers and what happens when you reach that number. |
| Note | Psychiatry is offered in California, Florida, New York, Texas, Georgia, Washington, Virginia, North Carolina, Maryland, and Washington, D.C. |
| Published pricing | Self-pay therapy costs $260 for the first appointment and $226 per ongoing session. Psychiatry costs $270 for the first appointment and $245 per session. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.