About stress
Stress is a normal response to demands, but when it is intense or lasts too long it can affect sleep, mood, relationships and physical health. Therapy helps identify the sources of stress, learn regulation techniques and set limits, so that pressure becomes manageable again.
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and registration.
Getting mental health care in the United States
Public health system · No single public system (Medicaid, Medicare, community mental health centers)
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator. More information
How to check that a professional is licensed
- State boards of psychology (umbrella body: ASPPB). Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
- State medical boards (umbrella body: Federation of State Medical Boards). Psychiatrists are physicians licensed by each state medical board. The FSMB DocInfo service lets you look up a physician's license and disciplinary history. Search the official register
- State licensing boards. Clinical social workers, counselors and marriage and family therapists are licensed state by state; check the relevant board in your state.
Insurance and coverage
Federal parity law (MHPAEA) requires most group health plans that cover mental health to do so on terms no more restrictive than for physical health; deductibles, copays and in-network rules still apply.
Online therapy in the United States
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.
Urgent help in the United States
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 988 · 988 Suicide & Crisis Lifeline
Information reviewed in November 2026 · Sources: findtreatment.gov, docinfo.org
Signs to look out for
Stress is a natural reaction to pressure and can even help in short bursts. It becomes a problem when you feel tense or overwhelmed most of the time, cannot relax even on days off, sleep badly, are irritable, find it hard to concentrate, or notice headaches, muscle tension or stomach problems. Relying more on alcohol, food or screens to unwind is another warning sign.
What helps: treatments and professionals
Psychologists can help identify the sources of stress, change unhelpful thinking patterns and build coping skills. Cognitive-behavioural approaches, problem-solving therapy, mindfulness-based stress reduction and acceptance and commitment therapy (ACT) have evidence for reducing stress. When work is the main source, an occupational psychologist can also help. A doctor should check persistent physical symptoms.
When to seek urgent help
Seek prompt medical attention for chest pain, severe headaches, fainting or other sudden physical symptoms, even if you think they are due to stress. If stress has become unbearable and you have thoughts of harming yourself or ending your life, contact your local emergency services or go to the nearest emergency department without delay.
What you can do in the meantime
Look at what you can change and what you cannot. Protect your sleep, take short breaks during the day, move regularly and set aside time for activities that genuinely restore you. Practise saying no or negotiating deadlines when possible. Relaxation or breathing exercises can help, as can talking things through with people you trust. Limit alcohol and caffeine.
What does a psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
When to see a psychotherapist
Psychotherapy suits people who want to work in depth on recurring difficulties: anxiety, low mood, relationship patterns, self-esteem, the effects of past experiences or major life transitions. It can also help when you feel stuck without a clear diagnosis. If you need a formal diagnosis, a specific psychological assessment or medication, a clinical psychologist or psychiatrist may need to be involved.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in the United States cover psychological care?
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator.
How do I check that a psychotherapist is licensed in the United States?
State boards of psychology (umbrella body: ASPPB): Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
Can I have online therapy in the United States?
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.