Two Chairs is launching in Washington!
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A mental health practice built for you

We’re always interested in meeting talented, mission-driven clinicians. Take a look at our open positions, or get to know us and see what's happening at Two Chairs below.

At Two Chairs, we believe that high-quality care starts with taking care of clinicians. We’re building a mental health system that takes care of you by prioritizing your personal wellbeing, providing opportunities for growth and connection, and empowering you to do work you enjoy.

Life at Two Chairs

Do the work you enjoy while we take care of the rest

From matching you with clients that fit your areas of interest and expertise to providing dedicated admin support, we make it easy to focus on care.

You can only care for others when you are taking care of yourself

Choose how and where you work–whether that’s full time, part-time, fully remote, or in one of our beautiful clinics. With a balanced clinical caseload and generous wellness stipends, you’ll have built in time and resources to customize your schedule and take care of you.

Build a career that fulfills you—with the support you deserve

Through specialized consultation groups, an APA Accredited Clinician Development Program, stipends for outside learning, and more, Two Chairs gives you the time and resources to learn and grow as a clinician.

I chose to work at Two Chairs because of their focus on the therapeutic alliance, the attention to detail in both client and clinician experience, and the ability to be part of a dynamic team building a better future for mental health care.
— Lindsey L., Clinician at Two Chairs

Meet Our Clinicians


Meet Our Clinicians

What's Happening at Two Chairs


Two Chairs is launching in Washington!

If you’re interested in helping us bring exceptional mental health care to Washington, explore our full-time and part-time roles below.


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When Sex Enters the Therapy Room

Join us for a free therapist workshop facilitated by Two Chairs and Rachel Wright, MA, LMFT. Rachel will lead an engaging session that covers all things sex and sexuality and how to deal with this important topic as it comes up in therapy.

Alex Katz at Going Digital: Behavioral Health Tech 2022

Alex discusses how the Two Chairs client-therapist matching system, clinician experience, and hybrid care model are crucial to building a world where everyone has access to exceptional mental healthcare.

Clinician Experience and Data Informed Care

Join Two Chairs Clinician Effie Perivoliotis, LMFT and Carol Koshimizu, LMFT to learn about our approach to personalized care, investments in the clinician experience.

Company News
Two Chairs Among First Direct-to-Consumer Mental Health Startups with APA Sponsorship

Two Chairs is dedicated to making exceptional mental health care accessible to all, and that starts with empowering clinicians to do their best work by making their personal well-being and opportunities to grow and connect a priority.

Today, we’re excited to announce that Two Chairs is one of the first direct-to-consumer mental health startups to receive sponsorship from the American Psychological Association (APA)*. This means the APA recognizes that Two Chairs stays at the forefront of cutting-edge psychology research and regularly trains our therapists to apply it with their clients immediately — putting us alongside institutions like Harvard Medical School, Yale School of Medicine, and the University of Pennsylvania Department of Psychiatry. 

As we continue to grow, we’re proud of our investments in our clinicians’ experience and professional development, because the best way to provide high-quality mental health care is to take care of the people who do the caretaking. 

What This Means for Clinicians

When you become a clinician at Two Chairs, you get built-in access to the most recent mental health research and learning opportunities to earn Continuing Education (CE) credits — and you’ll be able to apply what you learn with your clients right away. 

Continuing Education to maintain your license will no longer need to be something that’s entirely on your shoulders. In fact, we expect our clinicians to take advantage of professional development opportunities, including our clinician development session program. 

The program is designed to meet best-in-class learning standards set forth by the APA. Every month, we bring in expert speakers to lead sessions on topics you might not have learned in grad school — topics like: 

  • Understanding Asian-American immigrant families
  • Acceptance and commitment therapy
  • Culturally sensitive care for the LGBTQIA community
  • Motivational interviewing

Not only will you learn from highly regarded experts about the most cutting-edge research out there and receive CE credits, you will also walk away knowing how to apply what you learned in sessions with your clients the very next day. 

“Our clinical professional development sessions have been a critical tool in keeping us mindful and aware of what's currently going on in the world and of daily issues clients and clinicians alike may face outside of the therapy room,” says Two Chairs Clinician and Clinical Program Manager Tina Greene, LCSW. “To do so, we regularly gather feedback from our clinicians on what topics they would like to see in future sessions and collaborate with our Diversity, Equity, and Inclusion task force. The information we learn not only helps us further develop our clinical practice, but also helps us fulfill our purpose and responsibility of honoring community and client diversity.” 

What This Means for the Client Experience

We want every client to walk into therapy with Two Chairs feeling confident that they’re receiving best-in-class care, and that’s what APA sponsorship helps us uphold with our programming. 

Someone in need of therapy shouldn’t have to worry whether or not their therapist is staying up-to-date on the latest research. They should know that they’re getting care from a holistic, fully rounded therapist who stays on top of cutting-edge research and can take their new learnings directly to practice. 

“We’re honored to be one of the first direct-to-consumer mental health startups to receive sponsorship from the American Psychological Association,” says Two Chairs CEO Alex Katz. “We care deeply about investing in our clinicians’ experience and dedicating time and resources to their growth to ensure high quality of care, and we look forward to growing our programming and further expanding our ability to provide exceptional mental health care for all.”

We’re excited to keep innovating in our clinician practice and continue building out clinician development content that creates extraordinary experiences for clinicians and clients alike. 

If you’re a clinician interested in practicing with Two Chairs, check out our open positions. If you’re a healthcare provider and want to refer your patients to us, fill out our online referral form. And if you’re interested in starting therapy with us, learn how you can get started.

*Two Chairs is approved by the American Psychological Association to sponsor continuing education for psychologists. Two Chairs maintains responsibility for this program and its content.

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Company News
Measurement-Based Care at Two Chairs: Leveraging Client-Reported Data to Provide Exceptional Care

There are many facets to effective mental health care. Industry experts suggest some of the most important facets include clinician expertise that matches the unique needs of the client, mutually agreed upon treatment goals, and clinician-deployed processes to prompt amelioration of the client’s presenting difficulties. At Two Chairs, we are striving to not only provide therapy that is effective, but also exceptional through a thoughtfully designed matching process for connecting clients to the most qualified clinicians to meet their needs and preferences, and data to inform care throughout the therapeutic process using Measurement-Based Care (MBC).

What is Measurement-Based Care?

MBC is a core component of our approach to care. It’s the practice of using self-reported client data to tailor care and track progress in therapy over time. In practice, clients complete clinically-validated questionnaires on the day of their session and that data is used by their clinician to inform care. Questionnaires are not intended to replace clinical judgment, but rather equip clinicians with more accurate and efficient measures for optimizing treatment. Combining the art of therapy with the science of the practice enables clinicians to deliver personalized, high-quality care that is rooted in precision.

There is strong evidence supporting MBC, as numerous randomized clinical trials have demonstrated that when routine client data is used to inform care it results in better outcomes, achieved faster than usual care alone. In fact, it has been estimated that clients who engage in care that incorporates MBC fare 76% better than clients in usual care, and they benefit from care in about half of the time as usual care¹. Overall, the benefits of MBC are indisputable, and yet it is estimated that less than 20% of mental health providers in the U.S. incorporate measures into their care and only 5% do so based on industry best practices².

MBC at Two Chairs

At Two Chairs we have developed and implemented an MBC approach that is based on rigorously studied best practices, while also providing a favorable experience for our clients and clinicians.

Just like getting vitals checked at the start of a doctor's appointment, clients complete a Wellness Survey before each session. They report on symptoms and reflect on their experience and therapeutic alliance with their clinician—this enables clinicians to identify changes in well-being that require further assessment and track progress over time. It also ensures that measurement isn’t just focused on symptoms, but also on the quality of the relationship between a client and a clinician, which is core to the therapeutic process.

Our internal research has shown that our MBC approach is effective at identifying changes in clients’ wellbeing and tracking progress throughout the care journey. We’ve also received positive feedback from our clients, who report that MBC provides them an opportunity to reflect on their own wellbeing week-to-week and see progress in care, which they find hugely empowering. As a result of completing routine questionnaires, clients are able to develop a better understanding of their wellbeing, feel more inclined to better communicate with their clinician, and take a more involved role in their care.

Benefits of MBC

MBC provides significant, proven benefits at each level of care: for clients, clinicians, and the system as a whole. In addition to the aforementioned benefits observed at the client level, MBC is beneficial to clinicians who are able to provide targeted care with objective feedback mechanisms in place, ultimately allowing clinicians to improve the quality of care that they provide. There are also broader MBC benefits at the system level that proponents of the practice have been advocating for over the last two decades. When data is aggregated across an entire mental health organization, it can provide invaluable information about the effectiveness of mental health services. This data can be used to demonstrate the value of mental health services to insurance payers, which can inform reimbursement policies and improve funding allocated towards mental health care across the U.S. The solution to quality, accessible mental health services is multimodal, and MBC holds an important role in improving how care is currently delivered.

At Two Chairs, we are working towards meeting the nation's need for high-quality mental health care through thoughtfully-designed clinics that aim to support growth and healing. Innovation lies in the way in which technology and data enable care, but do not replace what we consider core to addressing mental health needs – in-person psychotherapy treatment.

Click here to book a consult at Two Chairs

If you or someone you know is experiencing an emergency or crisis and needs immediate help, call 911 or go to the nearest emergency room. Additional resources can be found here.

¹Lambert, M.J. (2017). Maximizing psychotherapy outcome beyond evidence-based medicine. Psychotherapy and Psychosomatics, 86, 80-89.

²Lewis, C.C., et al. (2019). Implementing measurement-based care in behavioral health: A review. JAMA Psychiatry, 76(3), 324-335.

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Therapy 101
Our Approach to Care: Matching

We know that one of the hardest parts of engaging in your mental health journey can be getting started—it is difficult to know where to begin. There are so many different types of therapy treatments and practices. Therapists also work from different theoretical orientations and varied styles, which can be confusing to navigate when choosing the right combination for your specific needs and preferences.

Furthermore, whether or not a therapist will have availability at the times that you can actually see them can also feel like a barrier to care.

Here's How We Help

At Two Chairs, we aim to simplify what can be a complicated process. As a client at Two Chairs, you would start your journey with us by first attending a 45-minute live consultation with a licensed, highly-trained therapist, who assesses your clinical needs, asks about your preferences for care, and learns more about your unique lived experience. This conversation will include an assessment of your clinical needs as well as your clinical style and demographic preferences. We also take into account what has and has not worked for you in past mental health experiences. In this conversation, you and your consult clinician will make a joint decision about what type of therapist would make a great “match” for you.

Finally, we will also take into account your location and scheduling preferences as well as the preferred mode of care you would like to engage in (i.e., teletherapy or in-person care). Two Chairs has built the most sophisticated, research-informed matching system in mental health, and our model is rooted in fostering the strongest client-therapist relationships.

Matching Matters

Why do we focus on this “match” between a client and a therapist? Decades of clinical research shows that the relationship between a client and a therapist (i.e., the connection you feel with your therapist) is the best predictor of success in therapy. Two Chairs eases the process of finding a therapist who’s a great fit based on a client’s personal needs, goals for therapy, and preferences for a therapist.

Our matching process is backed by research and combines clinician insight with data, and in-house developed technology. To match a client with a therapist, we consider nearly 300 variables to determine the type of therapy and style of therapist that will be most effective for each individual. From there, the consult clinician uses a combination of clinical judgement, success data from previous matches and our helpful matching tool to thoughtfully match a client with a Two Chairs clinician.

The Two Chairs matching system matches on factors that lead to a tight-knit therapeutic bond between a client and a therapist.

We know from the research that one of the strongest predictors of whether therapy feels effective or not is a match between a client and a therapist.

Indeed, a strong therapeutic alliance with your therapist bolsters and enhances individual outcomes in therapy. This research holds true whether the care is in-person or via teletherapy. For this reason, we pay a lot of attention to making sure our Two Chairs clients are matched to a therapist they will “click” with in the onset to set them up for a successful therapy journey.

Having a therapist you are well-matched to also saves time, energy, and money as opposed to having to “shop around” for the right fit.

In fact, the American Psychological Association estimates that one in five clients drop out from therapy after just one session. The research focused on the alliance between a client and a therapist shows that clients often cite feeling dissatisfied in their relationship with their therapist as a key motivator for premature termination.

We also know from the research that dropping out from therapy early can leave people with poorer outcomes than those who are engaged in treatment. On the other hand, at Two Chairs, we not only believe matching leads to better clinical outcomes, we also continue to assess how to match our client to exceptional mental health care by getting their feedback along the way using our measurement-based care approach.

Clearly, it is important to feel connected and emotionally safe with your therapist, which allows for the space to start exploring symptoms and working on achieving the goals that have been set out for mental well-being.

Don’t just take it from us! Here are some thoughts from our current and past clients about how our matching process impacted their therapy:

"The level of care is excellent, and it's sooo much easier to navigate than calling random therapists and hoping you can find one you like."

—Shawn W.

"The questions and conversation before Two Chairs recommended a therapist resulted in a perfect match. I had tried once before to see a therapist (recommended by a friend) and it was one of the worst experiences of my life. I was very uncomfortable with trying again, Two Chairs made it immediately comfortable and I continue to be comfortable with my therapist."

—Suzanne L.

"Being new to therapy, I put it off for the longest time because I wasn’t sure how to find a therapist that was right for me. Your matching process made this stress-free, and I’ve already recommended it to others!"

—Kendal B.

You can also read our helpful article on how therapy can help with common mental health challenges.

Click here to book a consult at Two Chairs

If you or someone you know is seeking mental health care, you can reach out to our Care Coordination team at or by phone at (415) 202-5159.

If you or someone you know is experiencing an emergency or crisis and needs immediate help, call 911 or go to the nearest emergency room. Additional resources can be found here.

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