Two Chairs

Two Chairs is a US mental health practice whose therapists are employees rather than contractors. After an initial matching appointment, it assigns you a therapist based on your concerns and preferences, and tracks progress with regular depression and anxiety questionnaires (measurement-based care). Sessions are by video in more than 15 states, or in person at clinics in the San Francisco Bay Area, Los Angeles, Seattle and Miami; psychiatry is offered in about ten states including California, Florida, New York, Texas and Washington. Two Chairs is out-of-network with most insurers (self-pay and out-of-network prices are the same, and out-of-network benefits may cover 60–80%), but in network with some plans such as Aetna and Kaiser in some areas. Third-party sources put self-pay at about $175–$200 or more per session. Two Chairs researchers published a retrospective study of 2,984 of its patients in JMIR Formative Research (2025), finding 71% reliably improved or recovered by session 12; there was no control group.