Therapists in Pittsburgh, PA
Are you a high-performing, achievement-oriented perfectionist? Have you done a lot of therapy already and found traditional talk therapy to be insufficient? Do you want a therapist with similar lived experience? If so, we might be a good fit! I’m here to support you in figuring out what to do with all the insight you already have. I primarily serve folks who are navigating work-related stress, trauma, chronic pain/illness, disability, health anxiety, gender dysphoria, neurodivergence, and complex PTSD. I especially enjoy working with other therapists, academics, community organizers, and sex workers.
Are you a high-performing, achievement-oriented perfectionist? Have you done a lot of therapy already and found traditional talk therapy to be insufficient? Do you want a therapist with similar lived experience? If so, we might be a good fit! I’m here to support you in figuring out what to do with all the insight you already have. I primarily serve folks who are navigating work-related stress, trauma, chronic pain/illness, disability, health anxiety, gender dysphoria, neurodivergence, and complex PTSD. I especially enjoy working with other therapists, academics, community organizers, and sex workers.
Have you felt distracted lately at work or at school, feeling this overwhelming sense of dissatisfaction? Do you find you're more distressed than usual over daily stressors, simple chores or minor arguments? And do you find yourself constantly thinking about all the things you want to change? You may know what behaviors you have that are causing you distress or you may lack insight into what it is that is getting in your way. Either way, when you know something has to change, but you don't know how to go about it, therapy may be the answer.
Have you felt distracted lately at work or at school, feeling this overwhelming sense of dissatisfaction? Do you find you're more distressed than usual over daily stressors, simple chores or minor arguments? And do you find yourself constantly thinking about all the things you want to change? You may know what behaviors you have that are causing you distress or you may lack insight into what it is that is getting in your way. Either way, when you know something has to change, but you don't know how to go about it, therapy may be the answer.
Life brings both highs and lows, and during the harder seasons it can be difficult to ask for help. My ideal clients may be navigating stress, grief, identity challenges, or feeling “stuck” in cycles that no longer serve them. They want clarity, emotional relief, and a more fulfilling way of living. I believe you are the expert in your own life, and my role is to help you tap into your strengths, uncover your passions, and create a life that feels authentic and meaningful. Together, we can work toward the balance, purpose, and personal growth you’re seeking.
Life brings both highs and lows, and during the harder seasons it can be difficult to ask for help. My ideal clients may be navigating stress, grief, identity challenges, or feeling “stuck” in cycles that no longer serve them. They want clarity, emotional relief, and a more fulfilling way of living. I believe you are the expert in your own life, and my role is to help you tap into your strengths, uncover your passions, and create a life that feels authentic and meaningful. Together, we can work toward the balance, purpose, and personal growth you’re seeking.
Karon Spriggs-Bethea
Clinical Social Work/Therapist, DSW, LCSW
2 Endorsed
Pittsburgh, PA 15238
Not accepting new clients
"The secret to change is to focus all of your energy, not on fighting the old, but on building the new" - Dan Millman. This is part of the experiences that we have in life. I am patient, empathetic and easy to talk to. I like to create a supportive and nurturing environment to help clients feel comfortable while working with me. Building trusting relationships and witnessing breakthroughs is something that makes this work very rewarding. My goal is to navigate this journey of life and help through the different life transitions.
"The secret to change is to focus all of your energy, not on fighting the old, but on building the new" - Dan Millman. This is part of the experiences that we have in life. I am patient, empathetic and easy to talk to. I like to create a supportive and nurturing environment to help clients feel comfortable while working with me. Building trusting relationships and witnessing breakthroughs is something that makes this work very rewarding. My goal is to navigate this journey of life and help through the different life transitions.
If you experienced sexual violence in the state of PA, ask me about ways to help cover your costs. I use a relational, feminist, and Jungian framework to help clients understand the role of relationships, culture, and society in their path to find healing and joy. My past clinical experience includes complex trauma treatment, crisis management, community mental health, survivor advocacy, group psychotherapy, late diagnosis neurodivergence, chronic pain and illness, anxiety/depression, burnout & vicarious trauma, and disordered eating/body image work.
If you experienced sexual violence in the state of PA, ask me about ways to help cover your costs. I use a relational, feminist, and Jungian framework to help clients understand the role of relationships, culture, and society in their path to find healing and joy. My past clinical experience includes complex trauma treatment, crisis management, community mental health, survivor advocacy, group psychotherapy, late diagnosis neurodivergence, chronic pain and illness, anxiety/depression, burnout & vicarious trauma, and disordered eating/body image work.
You've done the work. You understand your patterns. So why can't you stop them?
If you're exhausted from managing triggers, people-pleasing despite knowing better, or feeling like your body hijacks you in key moments—you're not broken. Your nervous system is still running old survival code, and protective parts are taking over to keep you safe.
I specialize in Internal Family Systems & nervous system regulation to help rewire subconscious responses and work WITH the parts driving your reactions—without reliving trauma. We address nervous system regulation AND the protective strategies keeping you stuck.
You've done the work. You understand your patterns. So why can't you stop them?
If you're exhausted from managing triggers, people-pleasing despite knowing better, or feeling like your body hijacks you in key moments—you're not broken. Your nervous system is still running old survival code, and protective parts are taking over to keep you safe.
I specialize in Internal Family Systems & nervous system regulation to help rewire subconscious responses and work WITH the parts driving your reactions—without reliving trauma. We address nervous system regulation AND the protective strategies keeping you stuck.
I am passionate about empowering clients to make meaningful changes so they can live more peacefully. I value the therapeutic relationship as a true partnership. My down-to-earth approach, often infused with humor when appropriate, helps create space for practical problem-solving and authentic connection. My greatest joy as a therapist is providing a comfortable environment where clients can be vulnerable, feel dignified, and experience growth throughout their journeys.
I am passionate about empowering clients to make meaningful changes so they can live more peacefully. I value the therapeutic relationship as a true partnership. My down-to-earth approach, often infused with humor when appropriate, helps create space for practical problem-solving and authentic connection. My greatest joy as a therapist is providing a comfortable environment where clients can be vulnerable, feel dignified, and experience growth throughout their journeys.
Hey, I’m Sara, a neurodivergent cat lady who is passionate about helping other neurodivergent folks live their best lives. That said, I’ll spare you the small talk and a bio that looks way too long to read. I offer telehealth therapy to adults in Pennsylvania who are riding the struggle bus due to overthinking, sensory overload, executive dysfunction, emotional dysregulation, social barriers, masking, burnout, and the onslaught of things that co-occur with autism and ADHD.
Hey, I’m Sara, a neurodivergent cat lady who is passionate about helping other neurodivergent folks live their best lives. That said, I’ll spare you the small talk and a bio that looks way too long to read. I offer telehealth therapy to adults in Pennsylvania who are riding the struggle bus due to overthinking, sensory overload, executive dysfunction, emotional dysregulation, social barriers, masking, burnout, and the onslaught of things that co-occur with autism and ADHD.
My interest and expertise are in creating a therapeutic space for adults of all ages to get to know the workings of their minds and bodies so that they may listen to their inner wisdom. I help clients to identify habitual patterns of behavior that may have been protective and effective in the past but are now getting in the way of creating the types of relationships they desire - with themselves and with others. I work collaboratively with my clients to create a safe space where we can keep company with all of the parts that make up who they are - even, and especially - those difficult parts that seem to be getting in the way.
My interest and expertise are in creating a therapeutic space for adults of all ages to get to know the workings of their minds and bodies so that they may listen to their inner wisdom. I help clients to identify habitual patterns of behavior that may have been protective and effective in the past but are now getting in the way of creating the types of relationships they desire - with themselves and with others. I work collaboratively with my clients to create a safe space where we can keep company with all of the parts that make up who they are - even, and especially - those difficult parts that seem to be getting in the way.
If you're experiencing anxiety, depression, tough life transitions, or the lasting effects of trauma, everyday life can feel overwhelming and challenging. If you imagine your life with less worry, anxiety, or emotional ups and downs, we can work together to explore and achieve realistic goals. I offer direct, compassionate, and supportive feedback so that you can explore your individual challenges & how you envision your ideal life. I always respect & encourage the individuality of every person's life story. We can collaborate to explore your potential for change, growth, and healing in a supportive & collaborative environment.
If you're experiencing anxiety, depression, tough life transitions, or the lasting effects of trauma, everyday life can feel overwhelming and challenging. If you imagine your life with less worry, anxiety, or emotional ups and downs, we can work together to explore and achieve realistic goals. I offer direct, compassionate, and supportive feedback so that you can explore your individual challenges & how you envision your ideal life. I always respect & encourage the individuality of every person's life story. We can collaborate to explore your potential for change, growth, and healing in a supportive & collaborative environment.
I have 15 years of experience as a Licensed Professional Counselor in Pennsylvania. I take a holistic, eclectic, integrative approach to counseling, with the desire to create a "home base"—a safe, caring, empathic, and nonjudgmental environment to explore, heal, and reunite the physical, mental, emotional, and spiritual aspects of who you are. I incorporate traditional evidence-based modalities, wisdom gleaned from broad life experiences, a deep, spiritual relationship with my own humanness, and good old-fashioned common sense.
I have 15 years of experience as a Licensed Professional Counselor in Pennsylvania. I take a holistic, eclectic, integrative approach to counseling, with the desire to create a "home base"—a safe, caring, empathic, and nonjudgmental environment to explore, heal, and reunite the physical, mental, emotional, and spiritual aspects of who you are. I incorporate traditional evidence-based modalities, wisdom gleaned from broad life experiences, a deep, spiritual relationship with my own humanness, and good old-fashioned common sense.
Dr. Jess specializes in working with: complex medical patients such as those with chronic medical illness, epilepsy or genetic disorders • Psychiatric disorders such as anxiety and depression • Learning disabilities • Neuro-developmental disorders such as autism or AD/HD
Dr. Jess specializes in working with: complex medical patients such as those with chronic medical illness, epilepsy or genetic disorders • Psychiatric disorders such as anxiety and depression • Learning disabilities • Neuro-developmental disorders such as autism or AD/HD
Change is an inevitable part of life that can sometimes be scary, anxiety inducing, and difficult to cope with. Because change is often fraught with unknowns, I believe a strong therapeutic relationship – one that is built on trust, empathy, compassion, and non-judgement – is essential to the healing process. My focuses include working with adults of all ages to address a variety of concerns, such as anxiety, depression, life transitions, self-esteem, and grief and loss. I also have experience working with individuals diagnosed with chronic or terminal illnesses, as well as their family members and caregivers.
Change is an inevitable part of life that can sometimes be scary, anxiety inducing, and difficult to cope with. Because change is often fraught with unknowns, I believe a strong therapeutic relationship – one that is built on trust, empathy, compassion, and non-judgement – is essential to the healing process. My focuses include working with adults of all ages to address a variety of concerns, such as anxiety, depression, life transitions, self-esteem, and grief and loss. I also have experience working with individuals diagnosed with chronic or terminal illnesses, as well as their family members and caregivers.
Fourth River Therapy
Clinical Social Work/Therapist, LCSW, CCDPD
3 Endorsed
Pittsburgh, PA 15203
Waitlist for new clients
Fourth River Therapy is a group private practice founded and operated by experienced Licensed Clinical Social Workers and psychotherapists. Our mission is to provide quality, accessible, and personalized mental healthcare. We are based in Pittsburgh, Pennsylvania and see people in person as well as across the state virtually. Additionally, we can accept virtual clients based in Colorado, Connecticut, Florida, Maryland, Michigan, and Wisconsin. Please see our website for more information!
Fourth River Therapy is a group private practice founded and operated by experienced Licensed Clinical Social Workers and psychotherapists. Our mission is to provide quality, accessible, and personalized mental healthcare. We are based in Pittsburgh, Pennsylvania and see people in person as well as across the state virtually. Additionally, we can accept virtual clients based in Colorado, Connecticut, Florida, Maryland, Michigan, and Wisconsin. Please see our website for more information!
I enjoy working with individuals from all walks of life. My focus is to build a relationship before anything else. I provide a non-judgmental environment filled with compassion for individuals to grow into their authentic selves. There can be many barriers for us to reach the healing we have been seeking, both past and present. Some of these barriers can include current stressful situations you may be currently enduring or past unresolved trauma. Let us walk together through your healing journey, you no longer have to walk alone. You have already made the first step toward a brighter future by seeking support.
I enjoy working with individuals from all walks of life. My focus is to build a relationship before anything else. I provide a non-judgmental environment filled with compassion for individuals to grow into their authentic selves. There can be many barriers for us to reach the healing we have been seeking, both past and present. Some of these barriers can include current stressful situations you may be currently enduring or past unresolved trauma. Let us walk together through your healing journey, you no longer have to walk alone. You have already made the first step toward a brighter future by seeking support.
I believe it is never to late to begin your journey to feeling better and over-all self-discovery. We have so many new and different challenges in our lives that have us feeling stuck, fearful or hopeless. We all know that pain in our lives is unavoidable, but I would love to teach you how to carry some of these challenges and working towards solutions. I have no magic wand, but I feel you are the expert on your life. But we can work together to find what works for you specifically.
I believe it is never to late to begin your journey to feeling better and over-all self-discovery. We have so many new and different challenges in our lives that have us feeling stuck, fearful or hopeless. We all know that pain in our lives is unavoidable, but I would love to teach you how to carry some of these challenges and working towards solutions. I have no magic wand, but I feel you are the expert on your life. But we can work together to find what works for you specifically.
If you find yourself constantly on edge, replaying conversations, or bracing for the next let‑down — you’re not alone. Many of my clients come to me because they’re:
Stuck in people‑pleasing or over‑giving, quick to shut down or “go numb” when emotions run high, battling an inner critic that never lets up, struggling to set/keep healthy boundaries, and feeling torn between craving closeness and fearing it.
I can assist in untangling these survival patterns by practicing simple tools to calm an overwhelmed nervous system, turn down the volume on self‑doubt, and build the kind of relationships where you can breathe and speak up.
If you find yourself constantly on edge, replaying conversations, or bracing for the next let‑down — you’re not alone. Many of my clients come to me because they’re:
Stuck in people‑pleasing or over‑giving, quick to shut down or “go numb” when emotions run high, battling an inner critic that never lets up, struggling to set/keep healthy boundaries, and feeling torn between craving closeness and fearing it.
I can assist in untangling these survival patterns by practicing simple tools to calm an overwhelmed nervous system, turn down the volume on self‑doubt, and build the kind of relationships where you can breathe and speak up.
Together, we can work toward a better understanding of current difficulties in order to help resolve challenges in your life. Many of my clients are professionals, graduate students, or academics who are looking to understand the ways that they might be inhibiting themselves, in order to achieve their goals and lead more satisfying lives.
Together, we can work toward a better understanding of current difficulties in order to help resolve challenges in your life. Many of my clients are professionals, graduate students, or academics who are looking to understand the ways that they might be inhibiting themselves, in order to achieve their goals and lead more satisfying lives.
Littlejohn Counseling & Consulting, LLC
Clinical Social Work/Therapist, MSW, MPH, LCSW
Pittsburgh, PA 15219
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her empathy and expertise in both medical social work and therapy, shape her as a natural guide for people, especially in difficult moments. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her empathy and expertise in both medical social work and therapy, shape her as a natural guide for people, especially in difficult moments. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
Veronica L Dance
Licensed Professional Counselor, NCC, CCTP, CCFP, LPC
1 Endorsed
Pittsburgh, PA 15206
Many clients come to counseling feeling overwhelmed, misunderstood, or exhausted by life’s demands—especially when navigating trauma, ADHD, neurodivergence, burnout, anxiety, mood concerns, or major life transitions. You may feel drained from masking, struggling to focus, or carrying emotional weight alone. I provide a calm, supportive space to help you regain clarity, strengthen emotional regulation, and rebuild your sense of direction. For clients who desire it, counseling can also include faith-based support as you move toward healing, a sense of purpose, and renewed hope.
Many clients come to counseling feeling overwhelmed, misunderstood, or exhausted by life’s demands—especially when navigating trauma, ADHD, neurodivergence, burnout, anxiety, mood concerns, or major life transitions. You may feel drained from masking, struggling to focus, or carrying emotional weight alone. I provide a calm, supportive space to help you regain clarity, strengthen emotional regulation, and rebuild your sense of direction. For clients who desire it, counseling can also include faith-based support as you move toward healing, a sense of purpose, and renewed hope.
See more therapy options for Pittsburgh
How does your Therapist compare?
Number of Therapists in Pittsburgh, PA
2,000+
Average cost per session
$138
Therapists in Pittsburgh, PA who prioritize treating:
| 92% | Anxiety |
| 92% | Social Anxiety |
| 92% | Health Anxiety |
| 92% | Driving Anxiety |
| 86% | Depression |
| 73% | Self Esteem |
| 71% | Relationship Issues |
Average years in practice
10 Years
Top 3 insurances accepted
| 83% | Aetna |
| 83% | Highmark |
| 67% | BlueCross and BlueShield |
How Therapists in Pittsburgh, PA see their clients
| 59% | In Person and Online | |
| 41% | Online Only |
Gender breakdown
| 76% | Female | |
| 20% | Male | |
| 4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Pittsburgh?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.


