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Laws & Steps To Get One In 2024

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Laws & Steps To Get One In 2024


Are you a resident of Idaho interested in getting your own emotional support animal[1] (ESA)? If so, you need to know the laws and regulations governing ESAs to protect you against discriminatory practices, as well as to take advantage of the benefits that come with having an emotional support animal.

In this article, we will talk about the different federal and state laws that apply to ESA ownership, how to get an ESA letter, and some other important points to remember about owning an assistance animal while residing in Idaho.

Emotional Support Animal Idaho: The Laws

  • Emotional support animals are not the same as service animals.
  • ESAs do not need any specific training and can be any type of animal.
  • Idaho law does not specifically offer special protection for emotional support animals.
  • If you want to keep your support animal with you, you will have to keep them in pet-friendly housing and public spaces.
  • ESA letters can no longer be used to bring animals on flights or in other public spaces. 

Emotional Support Animal Laws In Idaho

If you have an emotional support animal in Idaho, you will not have a hard time finding housing, travel, and public accommodations!

1. Laws For Travel

The Air Carrier Access Act is a law that allows a person with a disability to bring assistance dogs on flights and other types of transportation without paying a fee. According to new policies created by the Department of Transportation,[2] service dogs are the only type of assistance animal protected by this law. 

If you want to bring your emotional support animal on a flight, you will have to pay a pet fee and follow the same rules as owners of all other animals. 

Fortunately, emotional support animals traveling on public transportation systems like buses and trains are subject to the same rules as service animals! According to Idaho law, a person with mental or emotional disability and their ESA cannot be denied the use of public transportation.

2. Housing Laws

The Federal Fair Housing Act states that reasonable accommodations[3] must be made for all assistance animals. People who are looking to rent a place to live can file for a reasonable accommodation request for themselves and their ESA. 

The only caveat is that your ESA must possess basic social and obedience skills to be able to live with the other tenants. Unlike service animals, ESAs do not need to go through rigorous training, but they should be able to demonstrate good behavior and not pose any risk of harm or property damage. 

3. Public Spaces

According to the Idaho legislature, emotional support animals are protected in public spaces the same way that service dogs are. As long as your ESA “alleviates one or more symptoms or effects of a person’s mental and emotional disability,” they will be given full and equal access to public spaces and transportation. 

Emotional Support Animal (ESA): An Overview

Any type of animal can provide emotional support and comfort. Photo: Shutterstock

Emotional support animals play an important role in helping people manage their mental and emotional disabilities. They can be any type of animal – a dog, cat, or bird, you name it! If your animal companion brings comfort and companionship that is necessary for your emotional healing, they could easily qualify as an ESA. 

Because emotional support animals provide valuable therapeutic support, they are protected by the law and enjoy numerous benefits. The state of Idaho,[4] for example, offers emotional support animals the ability to access public spaces and public transport. Federal housing legislation has also granted certain rights to ESAs.

Interested in learning more? Read on to keep updated on the latest news about emotional support animals in Idaho!

ESA Vs. Service Animal: Important Things To Remember

The U.S. Department of Justice[5] states that a service animal must be trained to perform tasks that help a human manage their physical or mental impairment. Service animals could be dogs that can interrupt self-harming behaviors, hearing dogs, and seeing eye dogs. 

According to federal law, a trained service animal that helps with a disability-related need must be given full and equal access to public spaces as often as possible. The Americans with Disabilities Act (ADA) ensures that people with service animals cannot be denied housing, jobs, or travel opportunities. 

An emotional support animal, however, is not protected by federal laws like the Air Carrier Access Act or the ADA. While some airlines still make reasonable accommodations for emotional support animals, they are not required by law to do so. 

It is important to note that a psychiatric service animal is not the same as an emotional support animal. Psychiatric service animals are protected by the ADA. These dogs can help a person with a psychiatric disability by warning them when a panic attack is coming or preventing self-harming behaviors. 

3 Steps To Get A Legitimate ESA Letter In Idaho 

A licensed mental health professional can help you get an ESA. Photo: Shutterstock

1. Talk To A Therapist

2. Get Evaluated

From there, you may discuss your treatment options with your doctor or therapist, and the possibility of getting an ESA.

3. Get Your ESA Letter

Many websites also claim to provide people with a valid ESA letter. If you choose to get your letter through an online service, make sure you choose a legitimate and trustworthy company such as Certapet. 

Things You Need To Know Before Getting Your ESA

  • In the state of Idaho, emotional support animals have rights that ensure public accommodations. 
  • The Americans With Disabilities Act states that service animals must be specifically trained to perform disability-related tasks. Emotional support animals are not required to have this training.
  • An ESA will not grant you the legal right to bring your animal on a plane or avoid pet fees. 
  • Idaho law require housing providers or other lodging establishments to accommodate emotional support animals. 

Places In Idaho To Bring Your Emotional Support Animal

If you have an ESA, you may also take them to pet-friendly spaces such as public parks and restaurants. Here is a list of pet-friendly places that welcome animal companions.

Parks

  • Amity Park – Nampa, ID.
  • Snake River Animal Park – Idaho Falls, ID.
  • Baxter’s Dog Park – Twin Falls, ID.
  • Mountain View Park – Moscow, ID.
  • Pennys Memorial Park – Lewiston, ID.
  • Redwood Park – Boise, ID.

Bars and Restaurants

  • Fork – Boise, ID.
  • Miners Gate – Twin Falls, ID.
  • Highlands Hollow Brewhouse – Boise, ID.
  • Salmon River Brewery – McCall, ID.
  •  Frosty Gator – Idaho Falls, ID.
  • The Curb – Meridian, ID.
  • 10 Barrel Brewing – Boise, ID.

Conclusion

In Idaho, emotional support animals are protected by both federal and state laws. ESAs and their owners are entitled to certain housing benefits and access to public spaces and transportation. If you are looking to travel, Idaho may be one of the best states to visit for you and your ESA!

Frequently Asked Questions

What is an ESA?

Is an ESA the same as a service dog?

An ESA is not the same as a service dog. Service animals are specially trained to perform a disability-related task. Examples of service dogs include seeing-eye dogs, hearing dogs, or dogs that can warn their owners of low blood sugar or seizures.

What accommodations are made for therapy dogs?

Only service animals, and emotional support animals to some extent, qualify for special accommodations. Federal and state laws do not offer any specific protections for therapy dogs.

How do I qualify for a psychiatric service dog?



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Emotional Support Animal Massachusetts: Know The Laws 2024

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Emotional Support Animal Massachusetts: Know The Laws 2024


An emotional support animal (ESA) is any animal that provides comfort to a person with a disability through companionship. Most ESAs are commonly kept domestic animals such as dogs and cats, however, they can also be any species as long as they support a disability-related need.

Federal and state laws safeguard the rights of individuals to have emotional support animals. However, ESAs are subject to varying regulations across different states. If you reside in Massachusetts, the state has its own set of laws governing this subject.

These laws guide how ESAs are defined, the rights and responsibilities of ESA owners, and the accommodations and protections afforded to individuals with ESAs in Massachusetts.

Emotional Support Animal Massachusetts: The Laws

ESAs are not protected to the same degree as service animals. Federal and state laws differ in how each is classified and included.

ESAs are entitled to certain housing benefits thanks to the Fair Housing Act of 1988. However, they are not always allowed into public areas and airplane cabins like service animals. Take note that these rules and regulations can vary from state to state, and may be different when you’re traveling to New York, Nebraska, or Arkansas.

Therefore, it is important to frequently check all federal and Massachusetts emotional support animal laws to understand your rights.

4 Emotional Support Animal Laws In Massachusetts 

1. ESA Laws For Employment In Massachusetts

Regarding workplace accommodations, neither the ADA nor Massachusetts state laws[1] specifically address emotional support animals. If an employee has a legitimate need for their ESA to be by their side to perform the job, the standard process for requesting reasonable accommodations should be followed.

Similar to requesting housing accommodations, providing an ESA letter from a medical provider may be necessary to support the request for reasonable accommodations at work. It’s important to note that the employer holds the final discretion to choose the most effective accommodation.

2. ESA Public Access Laws In Massachusetts

Massachusetts does not offer legal protection for the presence of emotional support animals in public spaces. As stated on the official Massachusetts state government website, “ESAs are not recognized as service animals under the ADA or the Massachusetts law…”

While trained service dogs and other service animals are permitted in almost all establishments, emotional support animals in Massachusetts are not afforded the same rights. The admittance of an ESA into a store or other public place is at the discretion of the owner.

3. ESA Laws For Housing In Massachusetts

Can a landlord deny an emotional support animal in Massachusetts?

ESAs are entitled to certain housing accommodations and are protected from housing discrimination. The same housing law applies in all the other states thanks to The Fair Housing Amendments Act of 1988, Section 504 of the Rehabilitation Act of 1973, and Title II of the Americans with Disabilities Act.[2]

Landlords and housing providers are generally required by law to provide housing to individuals with one or multiple ESAs. The rule supersedes any pet restrictions or no-pet policies in place.

The housing provider reserves the right to ask for a copy of your ESA letter or documentation of support from a medical professional to verify the need for an emotional support animal. In the absence of a letter, your animal companion will be considered a regular pet, and you may not be eligible for accommodations.

4. ESA Laws For Travel In Massachusetts

The Air Carrier Access Act[3] was revised in 2021, removing emotional support animals as covered service animals. This change no longer requires airlines to admit an ESA in the cabin during flights. In most airlines, a small emotional support dog may be stowed below the seat in front of you for a fee.

Psychiatric service dogs are still within the definition of a service animal. Therefore, your psychiatric service dog can still accompany you in the cabin.

Emotional Support Animal (ESA): What Can It Do? 

Sometimes the smallest animals can provide the greatest emotional support. Photo: Team Design

Research shows that emotional support animals can reduce feelings of depression, anxiety, and loneliness.[4] They can support their owners in times of active symptoms and during crises. ESAs serve as a companion,[5] offering a safe space for individuals to express themselves without fear of criticism or burdening others.

Military veterans who experience post-traumatic stress disorder (PTSD) can also find significant benefits in having an emotional support animal as a companion.

An ESA can help reduce feelings of worry and irritability while promoting a sense of calmness. It can help decrease anxiety, tension, and restlessness commonly associated with PTSD. Additionally, an ESA can help with grounding and redirecting attention, reducing hypervigilance.

Emotional Support Animal In Massachusetts: How To Get One? 

This process typically involves the following steps:

1. Speak To A Therapist

2. Obtain Your Emotional Support Animal Letter Massachusetts

After meeting with your healthcare provider, they will determine if you qualify for an emotional support animal letter in Massachusetts. Once it’s decided that having an ESA can be of benefit to your treatment plan, they will then provide you with an ESA letter.

The ESA letter is the only documentation needed to secure the many benefits that come with having an emotional support animal.

3. Online Sites Providing ESA Letters

To access the benefits of having an ESA, many reputable websites offer the service of providing an ESA letter. The best websites for this service include Certapet, ESA Doctor, and Emotional Pet Support.

7 Facts You Should Know Before Getting Your ESA

The bond between a support animal and patient is invaluable. Photo: Team Design
  • ESAs do not have all of the protections given to service animals.
  • Federal law provides some legal protections for ESAs that apply nationwide.
  • Each state has the ability to put protections or restrictions in place for ESAs, therefore check with your state to understand your rights.  
  • Only a licensed mental health provider can prescribe an ESA letter.
  • The two most prevalent ESAs are dogs and cats.
  • A service animal is individually trained to perform services for their owner, whereas an ESA is not.
  • ESAs provide companionship which is beneficial for many psychiatric disorders. 

Taking An ESA On A Flight To And From Massachusetts 

Due to recent changes in the Air Carrier Access Act, ESAs no longer have the same access privileges as service animals. Therefore, you may be required to pay a fee to bring your dog or cat into the cabin.

If your dog qualifies as a psychiatric service animal, you will be allowed to carry it in a carrier under the seat in front of you.

Conclusion

Emotional support animals have been reported to be beneficial for people with disabling psychiatric conditions. However, they are not granted equal access to public areas, planes, and places of employment compared to service animals in Massachusetts. 

Frequently Asked Questions

What is the difference between a service animal and an emotional support animal?

A service animal is specially trained to help persons with disabilities perform daily functions that they cannot normally do on their own. Only dogs and miniature horses are legally allowed to be service animals. On the other hand, an emotional support animal provides comfort and companionship and can be of any species as long as it is prescribed by a qualified medical professional.



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11 Self Care Ideas for Teens — Talkspace

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11 Self Care Ideas for Teens — Talkspace


Published on: 15 Dec 2023


Growing up today is tough. Many teens today feel overwhelmed with academic pressures, sports, friends and social circles, and navigating the digital world. Even before the pandemic, research showed that anxiety and depression were the number 1 problem teens experience — in fact, over 70% of teenagers said it was a “major” concern. The problem has only worsened since COVID. 

The American Psychological Association (APA) recently reported that COVID-related stress caused anxiety symptoms to soar during and after the pandemic. While traditional therapy and medication are still gold-standard treatments, learning the importance of self-care for teens is a life skill that can be used for the rest of your life. Taking care of your mental, emotional, and physical health is an essential part of self-care, but it’s about more than just pampering yourself.

To help, we’ve put together a self-care checklist for teens. These practical tools are all research-backed, and they’ve proven effective in relieving stress and anxiety. Best of all, they’re the type of self-care activities for teens that can be fun, too. 

2. Journal 

It’s also an excellent tool for monitoring unhealthy thoughts and behavior patterns to identify stressors and develop coping tools. 

3. Pamper Yourself with a DIY Spa Day

When life feels too much, hitting pause and treating yourself to some pampering can go a long way. Even a DIY spa day can be one of those perfect self-care activities for teens looking to unwind, relax, and relieve stress and anxiety.

Spa days don’t have to be expensive — try making a homemade face mask, taking a bubble bath, or using a shower or bath bomb for a mini-retreat you can enjoy right in your bathroom. Not only does taking care of yourself feel good, but according to studies it can be a buffer against depression.

4. Take a Nature Walk

Connecting with the world through nature can bring peace and reduce stress and anxiety. Research has shown that nature exposure lowers stress levels, so whether you’re strolling through the park down the street or hiking, getting outdoors can be incredibly therapeutic.

5. Listen to Music

Music is uniquely healing, is linked to mood regulation, and can even be motivating. If you’re feeling down or just need a quick pick-me-up, listening to your favorite songs can be an effective way to boost your mood. 

Making a playlist for different moods — whether it’s for studying, relaxing, going to sleep, or taking a break to dance it out — is a type of self-care for teens that costs nothing.

Don’t forget about the power of live music. Going to live concerts or joining your school band is an excellent way to immerse yourself in the powerful properties of sound. 

6. Practice Meditation & Deep Breathing

Mindfulness meditation and deep breathing exercises are game-changing practices that can instantly change your mindset the next time you feel anxious or stressed. They’ll help you relax and feel a sense of calm, and studies have found that mindfulness can improve focus and amplify concentration, and diaphragmatic breathing can reduce stress and enhance attention. 

7. Explore Creative Outlets

While many studies in the past linked anxiety to creativity, growing bodies of research now support the concept that being creative is one of the best self-care tips for teens that can reduce depressive symptoms. 

“Teens have the most powerful tool ever developed in their hands – phones. This small computer can be used for passive entertainment and fuel your goal-setting by going out and experiencing horse riding after viewing a video. You can take flying lessons rather than just watching others do it. Use this tool to spur your next adventure.”

– Talkspace therapist Dr. Karmen Smith LCSW DD

8. Exercise

It’s well-known and accepted that exercise improves mood and emotional resilience against acute stress. Working out releases endorphins, also known as natural mood boosters. These “feel-good” hormones help reduce pain perception and create positive feelings in the body. Whether you love dancing, doing yoga, or playing a team sport, finding a physical activity can do wonders for your mood and energy levels.  

9. Nourish Your Body with Healthy Eating

10. Get Adequate Sleep

Have trouble relaxing or unwinding in the evenings? Try establishing a regular bedtime, creating a pre-sleep ritual, and avoiding screen time for at least an hour before getting ready for bed.

“Teens need about 10 hours of sleep, more than adults require. The teen brain is developing and needs deep sleep to learn everything taught in school that day. Our resting time is when we set ourselves up for success the next day. A nightly routine with no screen time an hour or two before bed is key to getting productive sleep.”

– Talkspace therapist Dr. Karmen Smith LCSW DD

11. Connect with Your Social Circle

Don’t forget to spend quality time with friends and family, participate in school clubs, or join community groups. As you establish social circles, these connections can double as a support system when needed. These social ties can foster positivity as you practice self-care.

Prioritize Your Well-Being at Talkspace

Self-care for teens is not a luxury today. The journey through the teenage years is taxing, emotionally and physically. Having a self-care checklist for teens like this one is vital. It can help you learn to recognize when you need help, should slow down, or it’s time to take care of your mental and physical health. Having the tools and know-how to do so can make all the difference in the world. 

At Talkspace, we offer convenient and effective therapy for teens. From the comfort of your home or wherever you choose, you can talk to a therapist about your struggles or everyday life. Get connected with a therapist today.

Sources:

  1. Anxiety and depression top list of problems teens see among their peers. Pew Research Center’s Social & Demographic Trends Project. February 14, 2019. Accessed October 20, 2023. https://www.pewresearch.org/social-trends/2019/02/20/most-u-s-teens-see-anxiety-and-depression-as-a-major-problem-among-their-peers/psdt_02-20-19_teens-00-00/.  
  2. DeAngelis T. Anxiety among kids is on the rise. Wider access to CBT may provide needed solutions. American Psychological Association. 2022;53(7):38. https://www.apa.org/monitor/2022/10/child-anxiety-treatment. Accessed October 20, 2023. 
  3. Zhao Y, Paulus MP, Potenza MN. Brain structural co-development is associated with internalizing symptoms two years later in the ABCD cohort. Journal of Behavioral Addictions. 2023;12(1):80-93. doi:10.1556/2006.2023.00006. https://akjournals.com/view/journals/2006/12/1/article-p80.xml. Accessed October 20, 2023.  
  4. Zhao Y, Paulus M, Bagot KS, et al. Brain structural covariation linked to screen media activity and externalizing behaviors in children. Journal of Behavioral Addictions. Published online 2022. doi:10.1556/2006.2022.00044. https://akjournals.com/view/journals/2006/11/2/article-p417.xml. Accessed October 20, 2023.
  5. 1. Ehmke R, Steiner-Adair, EdD C, Wick, Ed.D D. How using social media affects teenagers. Child Mind Institute. August 10, 2023. Accessed October 20, 2023. https://childmind.org/article/how-using-social-media-affects-teenagers/.  
  6. Hale L, Kirschen GW, LeBourgeois MK, et al. Youth Screen Media Habits and sleep. Child and Adolescent Psychiatric Clinics of North America. 2018;27(2):229-245. doi:10.1016/j.chc.2017.11.014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839336/. Accessed October 20, 2023.  
  7. Smyth JM, Johnson JA, Auer BJ, Lehman E, Talamo G, Sciamanna CN. Online positive affect journaling in the improvement of mental distress and well-being in general medical patients with elevated anxiety symptoms: A preliminary randomized controlled trial. JMIR Mental Health. 2018;5(4). doi:10.2196/11290. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305886/. Accessed October 20, 2023.  
  8. Dalkou M, Angelopoulou P, Montgomery A, Panagopoulou E. Can self-pampering act as a buffer against depression in women? A cross-sectional study. Health Psychology Research. 2019;7(2). doi:10.4081/hpr.2019.7967. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904847/. Accessed October 20, 2023. 
  9. Hansen MM, Jones R, Tocchini K. Shinrin-yoku (forest bathing) and nature therapy: A state-of-the-art review. International Journal of Environmental Research and Public Health. 2017;14(8):851. doi:10.3390/ijerph14080851.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5580555/. Accessed October 20, 2023.  
  10.  Reynolds F. The transformative power of music in mental well-being. Psychiatry.org – The Transformative Power of Music in Mental Well-Being. August 1, 2023. Accessed October 20, 2023. https://www.psychiatry.org/news-room/apa-blogs/power-of-music-in-mental-well-being.  
  11. Norris CJ, Creem D, Hendler R, Kober H. Brief mindfulness meditation improves attention in novices: Evidence from erps and moderation by neuroticism. Frontiers in Human Neuroscience. 2018;12. doi:10.3389/fnhum.2018.00315. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088366/. Accessed October 20, 2023. 
  12. Ma X, Yue Z-Q, Gong Z-Q, et al. The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Frontiers in Psychology. 2017;8. doi:10.3389/fpsyg.2017.00874. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455070/. Accessed October 20, 2023.   
  13. Daker RJ, Viskontas IV, Porter GF, Colaizzi GA, Lyons IM, Green AE. Investigating links between creativity anxiety, creative performance, and state-level anxiety and effort during creative thinking. Scientific Reports. 2023;13(1). doi:10.1038/s41598-023-39188-1. https://www.nature.com/articles/s41598-023-39188-1. Accessed October 20, 2023.
  14. Stuckey HL, Nobel J. The connection between art, healing, and public health: A review of current literature. American Journal of Public Health. 2010;100(2):254-263. doi:10.2105/ajph.2008.156497. https://ajph.aphapublications.org/action/showCitFormats?doi=10.2105%2FAJPH.2008.156497. Accessed October 20, 2023. 
  15. Childs E, de Wit H. Regular exercise is associated with emotional resilience to acute stress in healthy adults. Frontiers in Physiology. 2014;5. doi:10.3389/fphys.2014.00161. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4013452/. Accessed October 20, 2023. 
  16. Tuck N-J, Farrow C, Thomas JM. Assessing the effects of vegetable consumption on the psychological health of Healthy Adults: A systematic review of Prospective Research. The American Journal of Clinical Nutrition. 2019;110(1):196-211. doi:10.1093/ajcn/nqz080. https://www.sciencedirect.com/science/article/pii/S0002916522011650?via%3Dihub. Accessed October 20, 2023.  
  17. Scott AJ, Webb TL, Martyn-St James M, Rowse G, Weich S. Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials. Sleep Medicine Reviews. 2021;60:101556. doi:10.1016/j.smrv.2021.101556. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651630/. Accessed October 20, 2023. 

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Licensed Talkspace Therapist, Dr. Karmen Smith LCSW, CSIM is a Clinical Social Worker with over 30 years of experience who has worked to reunite parents with their children who have been in foster care. Most families have experienced generational trauma and are not aware of the patterns they were perpetuating. Dr. Smith has given workshops and classes on understanding the trauma triggers so that foster parents, parole officers and shelter staff can be empathetic caregivers, which stops the cycle of abuse. Dr. Smith developed a psychological model of identifying the energetic motion of dysfunctional behavior called the “Human Hamster Wheel” which provides a visual representation for therapeutic purposes.

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8 Alternatives to Paxil — Talkspace

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8 Alternatives to Paxil — Talkspace


Alternative Medications to Paxil

If Paxil isn’t working well for you, or if the side effects outweigh the benefits you’re seeing, talk to your doctor about switching to a new drug. They may suggest a different SSRI or want you to try a medication in another drug class. Just be sure to communicate with your doctor as you try new drugs, and keep in mind, if you experience severe side effects from one type of SSRI, you might have similar issues with another. 

Drug choice isn’t a one-size-fits-all solution, so sometimes, it can take a while to find the best medication to treat your condition. Be patient as you work through the process of looking for alternatives to Paxil. 

Psychiatry and prescriptions online

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1. Xanax (Alprazolam)

Xanax is in a different class of drugs, known as benzodiazepines (or benzos), so it can be a preferred choice if side effects are a concern for people taking Paxil for anxiety. Benzos (like Xanax) work by increasing levels of the neurotransmitter GABA in the brain to induce relaxation.

It’s important to note that Xanax is addictive, and withdrawal symptoms might be more severe than with other anti-anxiety medications. Xanax also has known interactions with other drugs, so it’s important to discuss everything you’re taking with your doctor — both prescription and over-the-counter (OTC) — so they can determine if Xanax might be a safe alternative to Paxil.

Xanax is used to treat:

  • Anxiety 
  • Panic disorder
  • Generalized anxiety disorder (GAD)

Xanax off-label uses:

  • Fear of flying
  • Depression
  • Obsessive-compulsive disorder (OCD)
  • Pain
  • Post-traumatic stress disorder (PTSD)

Common side effects of Xanax include:

  • Dry mouth
  • Constipation
  • Drowsiness or fatigue
  • Weight gain or weight loss
  • Blurred vision
  • Decreased libido
  • Change in appetite

2. Buspirone

Buspirone (often known as Buspar) is an anti-anxiety medication in the class of drugs known as anxiolytics. Buspirone works by altering chemical levels in the brain. It can be prescribed for the treatment of anxiety and can reduce feelings of irritation. 

While it’s not FDA-approved to treat depression, some research suggests Buspirone might enhance the efficacy of some antidepressants. Some people prefer Buspirone because it tends not to have the sedative effects that many other anxiety medications are known for. 

Buspirone is used to treat:

  • Generalized anxiety disorder (GAD)
  • Short-term anxiety relief 
  • Panic disorder

Buspirone off-label uses:

  • Augmentation of unipolar depression
  • Tardive dyskinesia
  • Bruxism
  • Post-traumatic stress disorder (PTSD)
  • PMS syndrome

Common side effects of Buspirone include:

  • Headache
  • Nausea
  • Dizziness
  • Fatigue
  • Nausea or diarrhea
  • Confusion 

3. Zoloft (sertraline)

Zoloft (sertraline) is a popular medication used to treat some mood disorders and depression. Like Paxil, Zoloft is also in the selective serotonin reuptake inhibitor (SSRI) class of drugs and works by increasing serotonin levels in the brain. 

If Paxil isn’t having the desired effect you’re seeking, your doctor might suggest trying Zoloft.

Zoloft is used to treat:

  • Major depressive disorder (MDD)
  • Panic disorder
  • Obsessive-compulsive disorder (OCD)
  • Social anxiety disorder
  • Post-traumatic stress disorder (PTSD)
  • Premenstrual dysphoric disorder (PMDD)

Zoloft off-label uses:

  • Generalized anxiety disorder (GAD)
  • Autism
  • Personality disorders
  • Disordered eating

Common side effects of Zoloft include:

  • Dry mouth
  • Nausea or vomiting
  • Weight change 
  • Dizziness or lightheadedness
  • Diarrhea
  • Headache
  • Sexual side effects
Drug Generic Class of Drugs Conditions Can Treat Common Side Effects
Xanax alprazolam Benzodiazepine
  • Generalized anxiety disorder (GAD)
  • Panic disorder
  • Dry mouth
  • Constipation
  • Drowsiness or fatigue
  • Weight gain or weight loss
  • Blurred vision
  • Decreased libido
  • Change in appetite
Buspirone (no brand name – Buspirone is the generic version) Anxiolytics
  • Generalized anxiety disorder (GAD)
  • Short-term anxiety relief
  • Panic disorder
  • Headache
  • Nausea
  • Dizziness
  • Fatigue
  • Nausea or diarrhea
  • Confusion
Zoloft sertraline SSRI
  • Major depressive disorder (MDD)
  • Panic disorder
  • Obsessive-compulsive disorder (OCD)
  • Social anxiety disorder
  • Post-traumatic stress disorder (PTSD)
  • Premenstrual dysphoric disorder (PMDD)
  • Dry mouth
  • Nausea or vomiting
  • Weight change
  • Dizziness or lightheadedness
  • Diarrhea
  • Headache
  • Sexual side effects

Natural Alternatives to Paxil

If you’re looking for natural alternatives to Paxil, you have several options to consider. Many of these have gained traction in recent years and work well for some people. 

You can only decide to switch from Paxil with the help and guidance of your doctor. Discuss the following non-drug options with your healthcare provider to see if one might be a good Paxil alternative for anxiety.

4. Talk therapy

“Talk therapy can be helpful in examining the relationship between your thoughts and behavior. It also can help with understanding the root of your symptoms and which coping skills to use to feel better. “

– Talkspace psychiatrist Dr. Dion Metzger, MD

Cognitive behavioral therapy (CBT) is a first-line treatment for both depression and anxiety. CBT works by helping you identify unhealthy or unhelpful behavior and thought processes so that you can learn coping tools to change them.

5. Lifestyle changes

Making simple lifestyle changes — like committing to a healthy diet, working out, and maintaining a consistent sleep habit — can do wonders for the mind and body. 

While for some people, these alone may not be enough to fully treat anxiety or depression, when used to supplement other components of a treatment plan, adjustments to your lifestyle can offer significant results.

6. L-theanine

The amino acid L-theanine can be found in green tea leaves and has become a popular alternative in treating stress and anxiety. It’s known for its calming properties, and studies show it can offer anxiety and stress relief in some people while enhancing sleep quality and mood. 

7. Omega-3 fatty acids

Omega-3 fatty acids are found naturally in food sources — like oily fish such as salmon and sardines and in eggs and nuts — and they can also be taken in pill-form supplements.

8. S-Adenosyl-L-Methionine (SAMe)

SAMe is a dietary supplement that might be able to raise serotonin levels naturally. Serotonin is an essential neurotransmitter in the brain that’s associated with emotion regulation. While more research is needed, dozens of studies suggest that SAMe could potentially help treat depressive symptoms.

Considerations for Switching to a Paxil Alternative

Before you make any decisions about switching from Paxil to something else, you should talk to your doctor. Quitting any medication suddenly can cause symptoms, so be sure to safely taper off through your doctor’s instruction to avoid Paxil withdrawal. They can guide you safely through the process as you explore Paxil alternatives. 

With your doctor, you’ll review key factors that may come into play as you try to wean off Paxil, including:

  • Your health history: Your overall physical condition can affect how well alternative treatment plans might work for you.
  • Your condition: The specific mental health condition you’re treating with Paxil will influence what alternative options might be best.
  • Risk vs benefit analysis: All medications carry some risk. Understanding the trade-off of risk vs benefit will be crucial in deciding a new treatment plan.

Find the Right Alternative with Talkspace 

When it comes to finding an alternative to Paxil, you want a trusted resource you’re confident you can rely on. Talkspace can be your partner as you navigate this journey. 

Our online psychiatrists can provide medication management and treatment. If you’re ready to start the process of finding the best treatment plan, reach out to Talkspace today — you don’t have to go through this alone.

Sources:

  1. Questions and answers about the NIMH sequenced treatment alternatives to relieve depression (STAR*d) study – all medication levels. National Institute of Mental Health. 2006. Accessed October 23, 2023. https://www.nimh.nih.gov/funding/clinical-research/practical/stard/allmedicationlevels. 
  2. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: A meta-analysis. World Psychiatry. 2014;13(1):56-67. doi:10.1002/wps.20089. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: A meta-analysis. World Psychiatry. 2014;13(1):56-67. doi:10.1002/wps.20089. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918025/. Accessed October 23, 2023. 
  3. White D, de Klerk S, Woods W, Gondalia S, Noonan C, Scholey A. Anti-stress, behavioural and magnetoencephalography effects of an L-theanine-based nutrient drink: A randomised, double-blind, placebo-controlled, crossover trial. Nutrients. 2016;8(1):53. doi:10.3390/nu8010053. https://www.mdpi.com/2072-6643/8/1/53. Accessed October 23, 2023.
  4. Larrieu T, Layé S. Food for mood: Relevance of nutritional omega-3 fatty acids for depression and anxiety. Frontiers in Physiology. 2018;9. doi:10.3389/fphys.2018.01047. https://www.frontiersin.org/articles/10.3389/fphys.2018.01047/full. Accessed October 23, 2023. 
  5. Carpenter DJ. St. John’s wort and S-adenosyl methionine as “natural” alternatives to conventional antidepressants in the era of the suicidality boxed warning: what is the evidence for clinically relevant benefit?. Altern Med Rev. 2011;16(1):17-39. https://pubmed.ncbi.nlm.nih.gov/21438644/. Accessed October 23, 2023.



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How to Get Therapy for Teenagers — Talkspace

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How to Get Therapy for Teenagers — Talkspace


Published on: 15 Dec 2023

Teen Therapy

Specialized online therapy for ages 13-17

Learn more

Keep reading to learn everything you need to know about how to get therapy for teenagers, whether it’s for yourself or for a teen in your life who needs it. 

Where to Find a Therapist for Teens

Finding the right teen therapist is easier when you have resources to guide your journey. You can find qualified, experienced therapists who work with teens from any of the following:

  • Your pediatrician or family doctor: One of the first places to look for a therapist who works with teenagers is via a teen’s medical network. A pediatrician or family doctor can usually refer you to a mental health professional specializing in young adult mental health conditions. 
  • School: School counselors can be an excellent resource for anyone seeking therapy or mental health services. If counselors don’t feel qualified to help with a specific situation, most schools work closely with a local licensed therapist and teen counseling services, and can provide you with recommendations.
  • Family and friends: You might want to ask friends or family for a referral. Someone who’s had a positive experience can give you insight into the type of therapy a provider offers.
  • Online directories and platforms: You can find online directories and mental health care platforms that offer access to dozens of providers within seconds. The best platforms and websites will let you search by location, specialization, and even insurance providers if cost is a concern.
  • Your insurance provider or an insurance panel: Sometimes, it’s just as easy to call your insurance and ask for a referral. 

6 Key Considerations When Choosing a Therapist for Teens

When trying to figure out how to find a therapist for a teenager, there are some critical factors to keep in mind. The following will help you find a therapist who’s a good fit so they can be as effective as possible.

1. Specialization in teen mental health

Teenagers often deal with things like anxiety, depression, disordered eating, self-harm, and pressure related to school and social circles. These teen-specific problems can benefit from specialized treatment. Making sure a therapist has a background working with teens can be a huge plus in solving concerns earlier and getting optimal treatment outcomes.

2. Cultural and gender sensitivity 

A culturally sensitive therapist will understand the importance of awareness about cultural nuances and gender identity issues. They’ll be more sensitive toward different cultures and races. They will take the time to delve carefully into any issues so they can help teens feel better understood and safer during sessions.

Finding the right match is crucial for a good therapy relationship and this includes knowing you can feel heard, understood, and respected around your culture and gender. Having a safe space is so valuable, so if the first (or even second person) isn’t the right fit for you, please know you can speak up and find someone else who is a better match.

– Talkspace therapist Jill Daino, LCSW-R, BC-TMH

3. Location/accessibility

If you’ll be going to in-person sessions, the location of a practice matters. Regularly attending sessions is critical to getting the most out of therapy. For this reason, if online options are available, they’re worth considering. Online therapy platforms — like Talkspace — offer flexibility and the comfort of getting therapy from home while removing travel barriers.

Talkspace’s online therapy platform provides unique opportunities for teenagers to connect with a therapist in ways that work best for them. Having the ability to use video, audio and/or messaging to express oneself makes therapy not only accessible but allows teens to find their voice in a safe way.

– Talkspace therapist Jill Daino, LCSW-R, BC-TMH

4. Flexibility

Teens today have packed schedules with minimal downtime. From schoolwork to extracurricular activities to after-school jobs to sports practices and games, finding a therapist with flexible availability will be key. Look for someone who can accommodate a teen’s commitments easily without causing stress.

5. Cost

It’s always worth it to see if your insurance benefits cover part or all of the cost of therapy. If it doesn’t, and the cost is a concern, ask your therapist if they offer a sliding scale fee for therapy, which will consider income before determining any per-session costs.

  • School Counseling Services: Many schools offer free counseling services to their students. These can include one-on-one sessions with school counselors, group counseling, and other mental health resources.
  • Non-Profit Organizations: Organizations such as the National Alliance on Mental Illness (NAMI) offer free support groups, educational programs, and resources for individuals struggling with mental health issues.
  • Mobile Apps: There are several mental health and wellness apps that offer free tools, exercises, and sometimes even chat support for managing mental health.

Any of these can be excellent options for those seeking support without the financial burden.

6. Therapeutic approach

The type of therapy a teen needs will depend on the condition and goals they have for treatment. Various therapeutic approaches are suitable for teens, including:

  • Cognitive behavioral therapy (CBT): CBT is a type of talk therapy known for its efficacy in dealing with psychological concerns like anxiety and depression. This form of therapy is often the first line of treatment for adolescent mental health. It works by helping teens recognize negative thought and behavior patterns so they can develop coping mechanisms to manage unhealthy habits in more productive ways.
  • Group therapy: A therapy session in a group setting can offer a safe space for teenagers to share experiences with peers facing similar life challenges. Learning that they’re not alone can be a huge piece of the puzzle for a young person trying to heal.  

Effective & Convenient Teen Therapy at Talkspace

Talkspace isn’t just another online platform. It’s a comprehensive solution designed specifically for any young adult seeking help. From the therapeutic techniques suitable for young minds to offering care virtually, Talkspace makes teenagers feel comfortable and safe. 

If you’ve ever asked how to find a therapist for your teenager, Talkspace can be the answer you’ve been looking for. 

Wondering if online therapy for a teenager really works? Research shows it’s just as effective as in-person treatment. Reach out to Talkspace today to learn more about how to find a teen therapist for yourself or the teen in your life. 

Important Note: Accessing a therapist immediately may not always be possible. If you are in a crisis or facing an urgent situation, seek immediate help. If you are in a life-threatening situation, please call the National Suicide Prevention Lifeline +1 (800) 273-8255, call or text 988 for the Suicide and Crisis Lifeline, or use these resources to get immediate help.

Sources:

  1. State of Mental Health in America – Youth Data 2023. Mental Health America. Accessed October 21, 2023. https://mhanational.org/issues/2023/mental-health-america-youth-data. 
  2. Health Advisory on social media use in adolescence. American Psychological Association. Accessed October 21, 2023. https://www.apa.org/topics/social-media-internet/health-advisory-adolescent-social-media-use.  
  3. Halder S, Mahato AK. Cognitive behavior therapy for children and adolescents: Challenges and gaps in practice. Indian Journal of Psychological Medicine. 2019;41(3):279-283. doi:10.4103/ijpsym.ijpsym_470_18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532387/. Accessed October 21, 2023.  
  4. Is online therapy right for you? UCLA Health. November 29, 2021. Accessed October 21, 2023. https://www.uclahealth.org/news/is-online-therapy-right-for-you. 

Articles contain trusted third-party sources that are either directly linked to in the text or listed at the bottom to take readers directly to the source.

You May Also Like

Talkspace mental health services

Convenient and secure online therapy from the comfort of your home

Psychiatric treatment from a licensed prescriber

Relationship-centered therapy that connects you and your partner

Specialized online therapy for ages 13-17



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Teen Therapy from Baltimore County Public Schools

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Teen Therapy from Baltimore County Public Schools


Published on: 19 Dec 2023

Teen Therapy

Specialized online therapy for ages 13-17

Learn more

Here’s how BCPS high schoolers can sign up:

  1. Visit talkspace.com/bcps and enter your preferred email and keyword to qualify. The keyword can be found on the announcement page of the Focus Student Portal.
  2. Answer a few questions about your emotions and mental state and you’ll receive a personalized support program through the Talkspace Go app. You’ll find mental health education and self-guided exercises designed for teens. You can complete exercises and online courses entirely at your own pace.
  3. If you choose to receive 1-on-1 messaging therapy, within a day or two you’ll be matched with a therapist licensed in Maryland. Talkspace technology pairs you with a therapist based on factors such as what you’re struggling with and therapist speciality.
  4. You can send messages to your Talkspace therapist 24/7. Therapists generally respond every day, 5 days per week. 

Messaging therapy takes place on Talkspace’s secure and encrypted platform, accessible from the teens’ smartphones, tablets or computers. They can communicate with their therapist at any time with an unlimited number of private messages at no cost. The efficacy of Talkspace’s message-based therapy has been validated by 20+ published studies conducted in partnership with major research institutions including Columbia University and New York University. 

Teens love the option of messaging and having daily access to their counselor which is a huge benefit of what Talkspace has to offer. Many teens seem more comfortable with messaging therapy—the availability of it seems to be comforting for them.

Talkspace therapist Minkyung Chung, MS, LMHC

For more information on the program including registration and parental/legal guardian consent, visit talkspace.com/bcps.

Articles contain trusted third-party sources that are either directly linked to in the text or listed at the bottom to take readers directly to the source.




Talkspace makes therapy available and affordable for all. Our mission is to provide convenient access to licensed therapists who can help those in need live a happier and healthier life.

You May Also Like

Talkspace mental health services

Convenient and secure online therapy from the comfort of your home

Psychiatric treatment from a licensed prescriber

Relationship-centered therapy that connects you and your partner

Specialized online therapy for ages 13-17



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4 Ways to Improve Mental Health in 2024

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4 Ways to Improve Mental Health in 2024


1. Set an intention

While we did just say to skip the long list of resolutions, it helps to set an intention, a single word or phrase that captures how you want to feel or what you hope to achieve. “Intention-setting is about creating a mindset shift to bring about more broad positive changes, by defining a guiding principle that you want to live by,” says Bisma Anwar, LMHC. Your intention could be a single, simple word that’s weighted with meaning for you: Calm, joy, presence, purpose. Or it could be a phrase, like “my peace is my priority” or “healthier and wealthier.”

While resolutions are targeted goals that are either achieved or broken, intentions are broader ideas. “Intention setting doesn’t try to hold you to a specific outcome or behavior change,” says Bisma. “Changing the conversation from a goal to a guiding idea means there’s no risk of failure.”   

2. Heal the bruises

While the new year can feel like a fresh start, it might not be so easy to leave behind any pain or trauma you’ve experienced in the past—nor should you necessarily try. “Chances are there have been some losses or hardships in 2023 but remember that losses make you stronger and smarter and without experience we can’t tap into our knowledge or wisdom,” says Talkspace therapist Elizabeth Keohan, LCSW-C. Instead of trying to “move on” do what you need to do to process hard experiences and mourn losses (working with a therapist can really help here). 

It’s not that you need to dwell on the past, but “give your hurts their due so you can heal and keep going,” says Keohan.

3. Feel the feels

4. Be a good friend to yourself

Think about your favorite friends in the world—how do you talk to them, how do you treat them? Make sure you are giving yourself at least the same level of respect and value. That starts by stopping negative self-talk. “Make sure you start from a place of affirmation and positivity rather than negative self-talk and criticism,” says BIsma. ‘If you embrace yourself from the start you will be in a better space to add on things that will enhance and improve your life, rather than correct something you think is inherently broken.”



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How to Find a Therapist Covered by Insurance — Talkspace

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How to Find a Therapist Covered by Insurance — Talkspace


Published on: 28 Dec 2023

1. Understand Your Insurance Coverage

When trying to figure out how to find a therapist covered by insurance, you need to understand what your health plan covers. 

Tips for understanding coverage details:

  • Determine how much your copay is — This is the amount you’re responsible for paying out-of-pocket at every visit for a therapy session.
  • Know your deductible — This is the annual amount you may be required to pay before benefits kick in.
  • Understand out-of-network — Providers can be “in” or “out” of network, which means they’ve either partnered with your insurance to offer you discounted “in-network” rates or not. This can significantly impact how much you pay after your insurance coverage is applied. Often, going out of network will be cost-prohibitive.  
  • Look at your plan’s benefits — Be sure you understand if specific treatment modalities, types of therapy, or medications are not covered. 

2. Find a List of In-Network Providers

Knowing how to find a therapist covered by insurance usually means finding an in-network provider, especially if the cost of therapy is a concern. You can access an online directory of insurance companies or see a list of all the providers in your network on your insurance’s website. You can also call your insurance company to determine if a therapist is in-network. 

It’s important to consider your needs before deciding who you want to work with. Narrow your search by matching provider skills and capabilities with what you want to get out of therapy.

Think about things that might be important to you as you seek care, including:

  • Location
  • Specialties like types of therapy or treatments
  • Language preferences
  • Gender
  • If you want someone who specializes in a certain group or population, like LGTBQIA+ therapy or teen mental health

3. Research Potential Therapists

Things to consider when you’re looking for potential therapists may include:

  • Credentials — Do they have a master’s degree or doctorate?
  • Specialties — Do they focus on anxiety, depression, substance abuse, or family therapy? 
  • Reviews — What others say about their experience with a provider can be very insightful.
  • Availability — Sometimes, providers aren’t taking new patients, so before you decide to work with one provider over another, it’s worth asking if they’re accepting new clients at the moment. 
  • Approach to care — A therapist’s style, approach to care, and treatment preferences might be factors in your comfort level and how much you get out of the process — for example, you might ask if they mostly use cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), or another form of therapy.

“Finding a therapist with a similar background or experiences can help during the engagement process. For example, if a mother is struggling with parenting, she can find a connection with a counselor who is also a parent. If the counselor doesn’t have children, the client may feel they’re not being fully understood.”

– Talkspace therapist Dr. Karmen Smith LCSW, DD

4. Contact and Verify Therapist Information

Once you have a shortlist of potential therapists you might want to work with, it’s time to reach out to each one. 

Prepare a list of questions to inquire about things such as:

  • Availability
  • Fees
  • Treatment approach
  • Cancellation and payment policies
  • Emergency contact or outside office hours options
  • If they are in-network with your insurance
  • Cost per session

Verify in-network status: Even if you think a therapist is in-network, you should verify with your insurance that their status hasn’t changed. Quickly and easily check by contacting the customer service number on your ID card or logging into your insurer’s website. It can help if you know the provider’s Tax ID Number to avoid any surprises or unexpected costs after treatment. 

If you don’t have insurance: Note, if you don’t have insurance, or if you want to work with a specific therapist but they’re not in-network, ask about a sliding scale fee option, which means your cost for treatment will be based on what you can afford. 

What to Do If You Can’t Find an In-Network Therapist

You may still have options even if you can’t find an in-network therapist. Some plans will help you figure out how to find a therapist covered by insurance even if you have to go out-of-network. Ask if you have any benefits that let you visit therapists who aren’t on a preferred provider list — yes, you’ll incur a higher cost, but the option is nice to have.

You can also ask your insurance company if they reimburse any portion of sessions with out-of-network providers. If so, you’ll likely need to ask your therapist for detailed receipts to submit to your insurance.

Finally, some therapists offer sliding scale therapy fees that adjust their rates based on what a client can afford, making therapy more accessible and affordable.

Sources:

  1. Langarizadeh M, Tabatabaei M, Tavakol K, Naghipour M, Moghbeli F. Telemental health care, an effective alternative to conventional mental care: A systematic review. Acta Informatica Medica. 2017;25(4):240. doi:10.5455/aim.2017.25.240-246. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5723163/. Accessed November 24, 2023. 

Articles contain trusted third-party sources that are either directly linked to in the text or listed at the bottom to take readers directly to the source.

You May Also Like

Talkspace mental health services

Convenient and secure online therapy from the comfort of your home

Psychiatric treatment from a licensed prescriber

Relationship-centered therapy that connects you and your partner

Specialized online therapy for ages 13-17



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9 Effective Types of Therapy for Teens — Talkspace

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9 Effective Types of Therapy for Teens — Talkspace


Published on: 28 Dec 2023

Individual therapy can become a lifeline to struggling teens dealing with a variety of issues like depression, anxiety, peer pressure, and more. Therapy offers relief by giving teens a safe space, healthy coping skills, and someone to talk to.

The best types of therapy for teens will depend on their individual needs, and understanding how various therapeutic modalities can help is the first step. Keep reading to learn about effective therapy techniques for teens so you can get the right help for your teenager. 

1. Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is an excellent form of therapy for teens because it teaches them to identify and change negative thought and behavior patterns so they can find healthy ways to respond. CBT helps teens learn to manage difficult times by identifying how issues affect them. They learn to spot where unhealthy behavior and thought patterns negatively impact one or more areas in their life. Then, they explore coping tools to change those patterns. 

Teen Therapy

Specialized online therapy for ages 13-17

Learn more

CBT is effective at treating common teen issues like depression and anxiety, and it doesn’t stop there. It can also give teens:

  • Better coping skills
  • The ability to manage stress
  • Increased self-esteem

Several methods are used throughout the CBT experience. Therapists might use any one of these CBT techniques: 

  • Role-play
  • Relaxation and stress relief techniques
  • Journaling
  • Cognitive restructuring — also known as cognitive reframing
  • Guided discovery 
  • Exposure therapy

“CBT can be particularly helpful when teens are challenged by negative thoughts getting in the way of their confidence in school. For example, they may think they are dumb and cannot succeed no matter how hard they work. In CBT, they can work with their therapist to identify the negative thought pattern and come up with alternative thoughts and coping strategies for the school stressors.”

– Talkspace therapist Jill Daino, LCSW-R, BC-TMH

2. Dialectical Behavior Therapy (DBT)

It can be very effective in helping teens manage their stress as they navigate confusing and new feelings. It empowers teens to make healthy choices and develop positive relationships rather than reacting impulsively.

DBT combines techniques used in cognitive behavioral therapy with mindfulness practices. A key component of DBT involves learning skills where teens can practice new ways of thinking and behaving. Standard teen therapy techniques often used during DBT sessions include:

  • Practicing mindfulness
  • Exploring interpersonal effectiveness
  • Learning to identify, manage, and tolerate stressors
  • Focusing on emotion regulation

3. Interpersonal Therapy (IPT)

Interpersonal therapy (IPT) can be a game changer when it comes to helping teenagers. This type of individual therapy focuses on improving things like relationship quality and social skills, which are commonly at the heart of teen struggles. IPT can also be very effective in treating depression and anxiety, which research shows peaks during the adolescent years for many teenagers.

Therapists trained in IPT create an active and supportive environment where teens can explore:

  • Relationship conflicts
  • Life changes
  • Grief
  • Challenges in either starting or maintaining healthy relationships

“Interpersonal therapy (IPT) can be particularly helpful with teens as this is a formative time of life where relationships are changing in so many ways, with peers, family, and other trusted adults (teachers, coaches, advisors, etc.). IPT can help teens understand how relationships impact mood and how improving communication skills and working on problem-solving strategies can not only improve the relationship, but can also help the teen’s overall well-being.”

– Talkspace therapist Jill Daino, LCSW-R, BC-TMH

Some common techniques used in IPT include:

  • Role-playing
  • Guided imagery or rescripting
  • Mindfulness and attention regulation
  • Bodily work like grounding or deep breathing techniques
  • Attention restructuring

4. Acceptance and Commitment Therapy (ACT)

Acceptance and commitment therapy (ACT) helps teenagers accept the hardships they will undoubtedly face at one time or another. Rather than using avoidance, ACT encourages teenagers to embrace their emotions and feelings. It’s a unique type of therapy that teaches adolescents how to live with discomfort and work through pain to achieve their goals.

The main goal of ACT isn’t to reduce symptoms but to promote psychological well-being and flexibility. ACT uses mindfulness techniques to help teens adapt when they face stressful situations or experience uncomfortable or unhealthy thought and behavior patterns.

Therapists use several different techniques during ACT sessions, including:

  • Emotion exposure
  • Meditation
  • Metaphors
  • Experiential exercises

5. Exposure Therapy

Exposure therapy is an excellent option for teens dealing with fears or phobias. This specific type of therapy helps teenagers learn to face their fears in a safe and controlled environment. Exposure therapy aims to reduce or eliminate the fear response gradually. By exposing teenagers to what they fear most in a safe and trusting environment, they can learn to cope better, overcome their fears, and live more freely.

Research has shown that exposure therapy can be a helpful treatment option, particularly when combined with other therapeutic modalities. It can effectively treat a variety of things, from phobias to social anxiety disorder to panic disorder to generalized anxiety disorder, and more.

Several techniques and strategies are used during exposure therapy, including:

  • Imaginal exposure
  • In vivo exposure
  • Interoceptive exposure
  • Virtual reality (VR) exposure

6. Group Therapy

Group therapy can be transformative for teenagers. In a safe space, surrounded by peers who understand them, teenagers can share experiences and get support while learning from others their age who face similar issues.

According to the American Psychological Association (APA), group therapy offers many benefits, including creating a robust support network far beyond the confines of meetings. Talking and listening to peers can help teens put their problems into perspective. Research shows that group therapy can be as effective and more efficient than one on one individual traditional therapy settings.

Some popular group therapy techniques for teens include:

  • Sharing
  • Icebreaker activities
  • Gratitude acknowledgment
  • Visualization
  • Writing

7. Family Therapy

Therapists can choose from various family therapy and counseling techniques. Some popular and effective methods include:

  • Role-play
  • Mindfulness
  • Genograms (visual mapping of family dynamics and history)
  • Play therapy
  • Reframing and restructuring
  • Homework

8. Play or Art Therapy

It’s not uncommon for teenagers to find it difficult to put their feelings into words. Expressing themselves can be tricky as they try to navigate newfound emotions and feelings they’re often experiencing for the first time and don’t necessarily understand. Play or art therapy can be a creative outlet that helps teenagers express their state of mind, offering a unique insight into what they may be dealing with.

How it works: Art and play therapy use creative methods like drawing, sculpting, and painting to help teens express what they’re struggling with, even if they can’t say it out loud.

Techniques used: 

Art therapy techniques for teens might include:

  • Drawing
  • Making collages
  • Coloring
  • Painting
  • Sculpting or photography

Popular play therapy techniques are:

  • Emotions ball play therapy
  • Feelings charades
  • Storytelling
  • Role-play

9. Online Therapy

Online therapy offers teens a safe and convenient way to get help from the comfort of their own homes or anywhere they are. The easy, accessible, and flexible format of teen counseling makes scheduling convenient, which can be crucial in teens’ demanding and busy lives. Online therapy also offers privacy and a familiar environment that can make some teens more willing to share.

Research consistently demonstrates that online therapy can be as or more effective as traditional in-person approaches. It offers a stress-free, productive environment where teens can build a trusting relationship with their therapists, with access to guidance and support when and how they need it. 

Any techniques used in traditional face-to-face therapy can be applied to the online therapy structure. At Talkspace, teens get online therapy from the comfort of their homes in a virtual method they’re comfortable with. Whether they feel more comfortable with live video sessions, text, or live audio, there’s an effective therapy modality available to them.

“Online therapy is an incredible resource for teenagers; it is private and convenient, and online platforms often offer modalities that work for teenagers’ communication styles. Being able to reach out to a therapist in writing, via audio, or in a live video session offers teens safe ways to connect that truly meets their needs.”

– Talkspace therapist Jill Daino, LCSW-R, BC-TMH

The teenage years can be taxing for both teenagers and their families. Different types of therapy for teens can be crucial in guiding you through the often tumultuous journey. The path to understanding your teenager might start by getting professional help. Talkspace is an online therapy platform that makes getting that help convenient, simple, and affordable. Reach out today to learn more about how Talkspace can help your family.

Sources:

1. Mental Health for Adolescents. HHS Office of Population Affairs. Accessed November 20, 2023. https://opa.hhs.gov/adolescent-health/mental-health-adolescents. 

2. Youth risk behavior survey – centers for disease control and prevention. Accessed November 20, 2023. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBS_Data-Summary-Trends_Report2023_508.pdf.

3. Data and statistics on children’s Mental Health. Centers for Disease Control and Prevention. March 8, 2023. Accessed November 20, 2023. https://www.cdc.gov/childrensmentalhealth/data.html#ref. 

4.  What is exposure therapy? American Psychological Association. 2017. Accessed November 20, 2023. https://www.apa.org/ptsd-guideline/patients-and-families/exposure-therapy.

5. Psychotherapy: Understanding group therapy. American Psychological Association. October 31, 2019. Accessed November 20, 2023. https://www.apa.org/topics/psychotherapy/group-therapy. 

6. Pappas S. Group therapy is as effective as individual therapy, and more efficient. Here’s how to do it successfully. Monitor on Psychology – American Psychological Association. 2023;54(2):30-30. https://www.apa.org/monitor/2023/03/continuing-education-group-therapy. Accessed October 20, 2023. 

7. Shukla A, Choudhari SG, Gaidhane AM, Quazi Syed Z. Role of art therapy in the promotion of Mental Health: A Critical Review. Cureus. Published online 2022. doi:10.7759/cureus.28026. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472646. Accessed November 20, 2023.  

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Is DBT Therapy Covered by Insurance? — Talkspace

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Is DBT Therapy Covered by Insurance? — Talkspace


Published on: 28 Dec 2023

Dialectical behavioral therapy (DBT) is a common type of psychotherapy (also known as talk therapy) that helps people identify unhealthy thought processes so they can change them. 

Whether you’re seeking help for yourself, or for someone you care about, understanding the ins and outs of DBT insurance coverage is a crucial part of the equation. To determine if DBT is covered by insurance, you need to first understand that insurance benefits can widely vary based on plan specifics. 

While knowing if DBT therapy is covered by insurance is important, you should also keep in mind that there are other ways to manage the cost of therapy, even if your insurance doesn’t cover everything. 

Continue reading to find out if insurance covers DBT therapy. 

Is DBT Usually Covered by Insurance?

The short answer is yes — DBT insurance coverage is offered by virtually all insurance companies. However, the extent and conditions of your specific dialectical behavior therapy coverage can vary based on your insurer and plan.

That said, the specifics of exact DBT treatment coverage will vary from plan to plan. Your out-of-pocket costs — the portion you’re financially responsible for — can differ based on things like copays, deductibles, and plan maximums that might limit how many individual therapy sessions are covered annually.

“Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) may offer different coverage options. It’s important to note that even if insurance covers DBT, there might be out-of-pocket costs involved. Insurance plans often establish a network of preferred providers, and if you receive DBT from a provider within your insurance network, it’s more likely to be covered.”

– Talkspace therapist Famous Erwin, LMHC 

Factors that can influence dialectical behavior therapy coverage might include things such as:

  • Number of sessions allowed: Some plans have a maximum individual therapy session amount per year they’ll cover.
  • Your deductible: Check if you must meet a specific deductible before coverage kicks in; this can significantly impact how much out-of-pocket costs you’ll pay for comprehensive DBT treatment.
  • Your copay: Most health care plans have copays, which is the amount you’ll pay at every session. 
  • Therapist qualifications: Many insurers require therapists to be licensed and certified in DBT treatment.
  • Your type of policy: Different types of health care policies can have varying levels of coverage. For example, a PPO vs an HMO will have different referral requirements, provider options, and costs for mental health services.
  • In-network vs out-of-network: If you see a therapist who isn’t considered “in-network,” you should expect to pay more for treatment.  

How to Find Out if Your Insurance Covers DBT

For DBT therapy covered by insurance inquiries, contact your insurer directly. You can reach out by phone or through an online portal from the website to ask specifically about DBT insurance coverage. If you already have a therapist, you can ask them what Current Procedural Terminology (CPT) code they use when they submit bills to your insurance company.

– Talkspace therapist Famous Erwin, LMHC

It’s helpful to know what type of coverage you have beforehand:

  • PPOs typically offer more flexibility, but you might have a higher copay or deductible.
  • HMOs often limit the treatment options they provide to keep costs lower.
  • EPOs are a combination of PPOs and HMOs; they’ll generally cover more services than an HMO, but like a PPO, they tend to restrict the doctors you see.

You should also know as much as possible about your plan’s details, for example:

  • Are pre-authorizations required? 
  • What is your copay? 
  • Do you have an annual cap on sessions?

Affordable DBT Therapists with or without Insurance

If cost is a concern, know that getting DBT within your budget is possible. Even if you don’t have insurance, or if your coverage is inadequate, there are many other options available for therapy without insurance. 

  • Community and nonprofit entities often provide need-based, low- or no-cost treatment. 
  • Online therapy, like Talkspace, is typically more affordable and convenient than traditional in-person therapy. Plus, Talkspace has trained, skilled, qualified therapists with experience in treating all types of mental health conditions using the DBT method. 

Sources:

  1. Stiglmayr C, Stecher-Mohr J, Wagner T, et al. Effectiveness of dialectic behavioral therapy in routine outpatient care: The Berlin Borderline Study. Borderline Personality Disorder and Emotion Dysregulation. 2014;1(1):20. doi:10.1186/2051-6673-1-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4579507/. Accessed November 25, 2023.

Articles contain trusted third-party sources that are either directly linked to in the text or listed at the bottom to take readers directly to the source.




Famous Erwin, LMHC, LPC, is a Licensed Mental Health Counselor with over 15 years of counseling experience. He is licensed in the states of Florida, Georgia, and Idaho. Famous is a team member of theTalkspace Council of Mental Health Experts. Famous loves working as a therapist on the talkspace platform. At Talkspace, Everyday is exciting because he has an opportunity to do what he loves and that’s helping people overcome life’s challenges through effective life skills and coping skills. Famous has a passion for working with men. Traditionally, men don’t seek counseling so as a male therapist, Famous ensures the men that he works with that counseling is a safe place to be vulnerable.

You May Also Like

Talkspace mental health services

Convenient and secure online therapy from the comfort of your home

Psychiatric treatment from a licensed prescriber

Relationship-centered therapy that connects you and your partner

Specialized online therapy for ages 13-17



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