Free and Low-Cost Therapy

King County adults; individual and group therapy plus case management. No referral needed. Apple Health and most commercial plans accepted, with sliding-scale fees and King County funding that can help low-income private-pay clients. Telehealth available. Intake: (206) 302-2300.

Clinics in Auburn, Kent, Federal Way, Renton, Des Moines, and Rainier Beach, plus telehealth. Apple Health, Medicare, and private insurance accepted, with sliding-scale fees and care provided regardless of ability to pay. Start at the Start Your Recovery page or call a clinic.

Behavioral health at community health centers across Western Washington. Individual, family, and group counseling. Serves clients regardless of income or immigration status, with a sliding-fee scale for the uninsured. Call the nearest behavioral health site to begin.

Adult outpatient behavioral health across Snohomish and northwest Washington, with telehealth. Apple Health accepted; ask about options if you are uninsured. Intake: (800) 457-9303.

Adult counseling, psychiatry, and support services in Pierce County. Apple Health accepted. Same-day support and scheduling: (253) 396-5800.

Adult outpatient behavioral health in Lakewood and Pierce County, part of MultiCare Behavioral Health. Individual, family, and group therapy. Apple Health accepted. Access center: (253) 697-8400.

Culturally and linguistically responsive behavioral health, with strong Spanish-language and Latinx-serving programs. Adults accepted. Intake: (206) 461-4880.

Behavioral health and wellness for Asian, Native Hawaiian, Pacific Islander, immigrant, and refugee communities, in many languages. Adults accepted. Intake: (206) 695-7600.

Integrated behavioral health for people who are already established Neighborcare primary-care or dental patients, so plan to establish care at a Neighborcare clinic first. Apple Health accepted, with a sliding-fee discount for the uninsured. Call (206) 548-5710.

Integrated behavioral health at community health center sites in Everett, Edmonds, Lynnwood, and Arlington. Sliding-fee scale and Apple Health accepted. Call a clinic to request an appointment.

Outpatient individual and group counseling for adults. Apple Health and some commercial plans accepted, with private-pay sliding-scale options arranged through intake. Offices around Puget Sound; ask about telehealth.

Supervised graduate clinicians. Individual therapy from $25 and couples therapy from $35 on a sliding scale by what you can afford. Does not bill insurance. Phone consultation to start: (425) 889-5261 or nuhopeinfo@northwestu.edu. 5520 108th Ave NE, Kirkland.

Supervised marriage and family therapy trainees. Individual, couples, and family therapy on a sliding scale, currently about $15 to $65 by income. Does not bill insurance. Contact the center to start.

Supervised graduate clinicians. Individual, couples, and family therapy on a generous sliding scale set by household income, roughly $0 to $100. In person in downtown Seattle and online across Washington. Does not bill insurance or Apple Health, but can provide paperwork for out-of-network reimbursement. Call (206) 268-4840 or email to begin a screening.

Individual therapy and assessment by advanced doctoral trainees, supervised by licensed psychologists. Income-tiered fee of $45 or $58 per session, above the under-$35 goal but still well below market rate. Does not bill insurance. Best for non-crisis concerns. Interest form online or call (206) 543-6511.

Counseling for individuals, couples, and families at Puget Sound locations and by telehealth. Most therapists accept insurance, and some offer sliding-scale fees for people without insurance, so ask about sliding scale when you call. (206) 527-2266.

A membership network of therapists offering reduced-fee sessions to people who are uninsured or underinsured with household income under $100,000. Student-intern sessions are a flat $30; licensed-therapist sessions run $40 to $70 for individuals and $40 to $80 for couples and families, after a one-time $65 membership. Filter for Washington therapists who offer telehealth.

A therapist directory with a strong BIPOC, LGBTQ+, and disability-affirming focus. Filter for Washington, online, and sliding-scale or reduced-fee providers. Fees are set by each therapist, so confirm the rate directly.

A directory that surfaces free, nonprofit, community, and sliding-scale counseling across Washington by city or county. Cost depends on the listed agency; use it to find local low-fee options.

Free, anonymous emotional support from trained volunteer listeners by chat, any time of day. This is peer support, not therapy, and is best used as a bridge while you arrange ongoing care. Paid licensed-therapist messaging is also offered but is not low-cost.

Free peer support groups and education across Washington, in person and online. Browse the statewide support group directory to find a group.

Free peer support groups and classes for people living with mental health conditions and their families. (206) 789-7722.

Free peer support groups and education serving Bellevue and the Eastside, with online options. Check the group calendar to join.

Free peer support groups and education in Pierce County. Check the group schedule to join.

Free peer support groups for depression and bipolar disorder, led online by trained peers. Register through the DBSA online group schedule.

Free, structured, science-based support groups for changing addictive behaviors, online and at local meetings. Useful when substance use is part of the picture. Find a meeting on the website.

Free peer support groups and coaching with an LGBTQ+ and recovery focus, in person and online. Check the calendar or call to connect.

Free, around-the-clock help line for emotional support and referrals to mental health, substance use, and problem gambling services. Call 1-866-789-1511.

Free statewide navigation for human services, including low-cost mental health, housing, and benefits. Dial 211 or search online.

Apply for Apple Health (Washington Medicaid) here. If you qualify, behavioral health is usually covered at no cost, which unlocks the community agencies listed above. The application is free, and navigator help is available.

If you already have Apple Health, call the member services number on your card and ask for an outpatient therapist who is accepting new adult clients, including telehealth. Plans include Molina, Community Health Plan of Washington, Coordinated Care, UnitedHealthcare Community Plan, and Wellpoint.

Search Washington therapists and use the filters for sliding scale, online therapy, and prelicensed or intern clinicians to find the lowest fees. Confirm the rate with the therapist before booking.