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.
Two Chairs offers immense support both clinically and personally. I particularly value the wellness and professional development stipends.
The management at Two Chairs truly cares about clinician well-being and accounts for this in their company-wide decisions.
Every client here is a better fit than the best fit I’ve ever experienced elsewhere. My whole caseload is just right and it feels really great. I’m loving it here.
The Two Chairs clinical community is diverse, welcoming and has so many opportunities for growth. Consult group and team meetings are supportive and educational.
We're excited to announce that Aetna commercial members now have in-network access to Two Chairs’ therapy services across California, Florida, and Washington.
Join Two Chairs Clinical Director Rosanna Azanza, LCSW, Therapist Kristen Colley, LMFT, and Clinical Recruiter Soraya Orelien to learn what makes Two Chairs a great place to practice. Whether it's our commitment to community, or investments in your growth and development, Two Chairs takes care of clinicians so you can take care of your clients.
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 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.
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.
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:
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.”
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.
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 therapists to meet their needs and preferences, and data to inform care throughout the therapeutic process using Measurement-Based Care (MBC).
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 (called mental health check-ins) on the day of their session, and their therapist uses that data to inform care. Mental health check-ins 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.
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 therapists.
Just like getting vitals checked at the start of a doctor's appointment, clients complete a mental health check-in before each session. They report on symptoms and reflect on their experience and therapeutic alliance with their therapist—this enables therapists 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 therapist, which is core to the therapeutic process.
Our internal research has shown that our MBC approach is effective at identifying changes in clients’ well-being 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 check-ins, clients are able to develop a better understanding of their well-being, feel more inclined to better communicate with their clinician, and take a more involved role in their care. You can read more about both the client and therapist experience with MBC and mental health snapshots here.
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 therapists who are able to provide targeted care with objective feedback mechanisms in place, ultimately allowing them 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. 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 – exceptional psychotherapy treatment.
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.
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.
At Two Chairs, we aim to simplify what can be a complicated process. We also know from research that the relationship between the client and the therapist is one of the strongest predictors of whether or not therapy is effective. So we’ve invested in making the perfect match.
To make sure all our clients are matched with the best therapist for them, the first step in starting care with Two Chairs is a virtual matching appointment. Let’s take a look at what happens in that appointment.
In a Two Chairs matching appointment, you can expect to be on a video call with one of our licensed matching experts for about 45 minutes. It’s our chance to learn more about you and discuss things like what brings you in, your preferences for therapy, and what you hope to get out of it.
It’s important to note that the matching appointment is different from a therapy session. The matching appointment is a collaborative but highly targeted discussion, which aims to clarify your goals for therapy and help us match you with the best therapist for you. You can think of it like an intake session where we gain a more holistic understanding of your symptoms, goals, and other factors that contribute to your mental health. The matching expert you’ll meet in this session is a licensed therapist with deep training in making the right match for you.
Therapy is a collaborative treatment based on the ongoing relationship between you and a therapist that is grounded in dialogue. It provides a supportive environment that allows you to talk openly with someone who is objective and nonjudgmental to identify and change patterns that are keeping you from feeling your best.
Once we get through the basics, a Two Chairs matching expert will spend the next half hour getting to know you and understanding what brought you to therapy.
This is the part of the appointment where you can share some of what’s been weighing on you—we want you to feel seen and heard, so the therapist may ask you questions like:
You may not know what’s going on with you or what type of therapy you need. But through this conversation between you and a matching expert, we’ll gain a better understanding of your needs and the clinical expertise on our team that can help you and ensure that the therapist you’re matched with is trained in whatever you’re dealing with.
Your preferences for therapy may not be something you’ve thought about before—and that’s okay! The Two Chairs matching expert will guide you through some details and help you figure out what might work best for you.
For example, did you know that you can have a say in the structure of your therapy sessions (whether you want your therapist to lead and focus the content, or you want to lead yourself)? Or in whether you want your therapy to focus on your past and childhood or on what’s going on with you now and the future?
Our matching expert will also ask you about your preferences around your therapist’s level of directiveness, whether or not you’d like to incorporate homework between sessions, how expressive you want your therapist to be, and other factors.
In addition to preferences about your therapy sessions, we know from research that the identity of your therapist matters. We want to hear about any demographic preferences you may have for who you work with—whether that’s around age, race, gender, or something else—so that we can match you with someone from our diverse and growing team of therapists with whom you’ll feel comfortable.
And finally, therapy is something that should fit into your life, however works for you. Your matching therapist will talk to you about whether you would rather do virtual teletherapy via Zoom or Google Meet, or if you would prefer a hybrid approach of teletherapy sessions mixed with in-person sessions at one of our beautiful clinics.
After listening to everything you choose to share, the matching expert will reflect on what they’ve heard and may share some initial thoughts on what type of therapy or therapist might be right for you. They will also give you an idea of how long you can expect to be in therapy to reach the goals you talked about. You’re welcome to give feedback on any of this—what your care looks like is a joint decision.
Following the appointment, our matching expert will take what you’ve shared and use our research-backed methodology to determine who among our therapist staff is the best fit for you.
There are many reasons we have a licensed therapist facilitate the matching appointment, rather than an administrative intake staff member. We know that starting therapy can be intimidating and overwhelming, and we want to make sure you have an expert guiding you through the process so you feel heard and supported in the next step.
We also know that finding the right therapist is one of the best ways to improve your mental health, so we’ve invested in perfecting the match. And we know our process works—98% of Two Chairs clients find the right therapist on the first try.
The matching expert is also a resource you can turn to if your needs for therapy change, or if you decide your initial therapist is no longer the best fit. In that case, you’re welcome to reach back out to your matching therapist—they’ll help figure out what isn’t working and get you connected to a new therapist at no cost to you.
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 matching expert 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 therapist.The Two Chairs matching system matches on factors that lead to a tight-knit therapeutic bond 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 clients 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."
"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."
"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!"
You can also read our helpful article on how therapy can help with common mental health challenges.
If you or someone you know is seeking mental health care, you can reach out to our Care Coordination team at firstname.lastname@example.org 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.
This post was updated July 2023.
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