Do I need to be in Virginia for sessions?

You need to be physically located in Virginia during your session — that's a licensing requirement, not our preference. If you split time between states, tell us; we're licensed in New York, New Jersey, Virginia, and Delaware and can often keep working with you across those lines.

How do I know if my insurance covers therapy?

Check the panel list above. If your plan is listed as in-network, your regular outpatient mental health benefits apply — typically just a copay. If it's coming soon or waitlisted, join the notify list and we'll reach out when it's live. And if you don't see your plan, we'll help you check out-of-network benefits.

Is online therapy as effective as in-person?

For most adults working on anxiety, depression, and life transitions, research consistently finds telehealth outcomes comparable to in-person care. What matters most is the relationship — feeling heard, safe, and understood — and that's the center of how we work.

What happens in the free consultation?

Fifteen minutes, by video or phone. We begin with a conversation, not an assessment: what's bringing you in, what you're hoping for, and whether it feels like the right fit. No pressure, no intake forms before we've even met.

Telehealth · Licensed in Virginia

Online Therapy in Virginia

Relational, unhurried telehealth for adults across the Commonwealth — NoVA, Richmond, Hampton Roads, and everywhere between. In-network with major insurance plans.

✓ In-network: Aetna, Carelon Behavioral Health, Cigna +

Book a free consult

"Be here now."

Insurance in Virginia

In-network with Anthem Blue Cross and Blue Shield of Virginia (new as of August 2026), Aetna, Cigna, and Carelon Behavioral Health. United Healthcare, Oscar, and Oxford are waitlisted — join the notify list.

In-network now

Aetna

Live (since 4/26)

Carelon Behavioral Health

Live (since 4/26)

Cigna

Live (since 4/26)

Anthem Blue Cross Blue Shield Virginia

Live — NEW 8/4/26

Waitlist open

Oxford (Optum)

Waitlist open

Waitlist

Oscar (Optum)

Waitlist open

Waitlist

UnitedHealthcare (Optum)

Waitlist open

Waitlist

Waiting on your plan? Leave your name and we'll reach out the day your insurance goes live in Virginia — no obligation, your spot held.

Private pay is always available, with limited sliding-scale spots. Out-of-network? We provide superbills for reimbursement. Panel status updated August 2026.

Your Virginia therapist

Every clinician at A Key Therapy is licensed in the state where you live — that's how telehealth licensing works, and how it should work.

Lex E. Santí

LCSW · Founder & Clinical Director · Telehealth in Virginia

An LCSW with a decade of clinical experience, now completing a doctorate studying how therapists truly attune to their clients. Lex's approach is relational and collaborative: you are the expert on your own story. He works with adults navigating anxiety, depression, life transitions — and recovering from therapy that missed them.

Anxiety

Depression

Life transitions

Therapy that missed you

Book with Lex

How it works

Therapy grounded in presence, awareness, and real connection — from wherever you are in Virginia.

1 Reach out

Send a note or book directly. Tell us as much or as little as you like — you don't have to arrive with clarity.

2 Free 15-minute consult

A conversation, not an assessment. We'll talk about what's bringing you in and whether it feels like the right fit.

3 Begin, at your pace

Weekly secure video sessions from home. We slow down, listen, and build from your own account of who you are.

What we help with

Anxiety

When your mind won't stop running ahead of you.

Depression

When everything feels heavier than it should.

Life transitions

New chapters, endings, and everything unsettled in between.

Therapy that missed you

You tried before and left feeling labeled, not heard. We start differently.

Questions Virginians ask us

Ready when you are

Reaching out is hard — especially if you've been missed before. We'll begin with a conversation and see if it feels right. Whenever you're ready, we're here.

Book a free consult

A Key Therapy
Here-and-now therapy · Telehealth in NY, NJ, VA & DE
akeytherapy@gmail.com

Other states we serve
Therapy in New York · Therapy in New Jersey · Therapy in Delaware

If you're in crisis or thinking about harming yourself, please don't wait for an appointment — call or text 988 (Suicide & Crisis Lifeline), available 24/7, or go to your nearest emergency room.