[Little Otter Live 4/29/25] Unpacking the Quiet Crisis: The Gap in Access to Pediatric Mental Health Care
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Teenagers

Support your teenager’s mental health—no matter what they’re dealing with

common challenges

Teenagers often struggle as they navigate challenges.

We can help.

Depression

Recognize when it’s more than regular sadness, and get your teen the help they need.

Anxiety

Treating anxiety disorders including generalized anxiety, social anxiety, separation anxiety, phobias, and OCD.

Risky Behaviors

Helping you identify and manage behavior that is risky to your teen’s health and safety.

ADHD

Diagnosing and treating ADHD. Teaching your teen social and organizational skills to help them thrive.

Stress Management

Teaching you and your teen to manage stress.

Peer Pressure & Bullying

Guiding your teen to navigate social challenges and develop healthy, positive relationships with peers.   

Internet & Social Media Usage

Helping your family develop a healthy relationship with the internet and social media.

Self-Harming Behaviors

Treating teens who are cutting themselves or experiencing suicidal thoughts.

Managing Trauma

Helping your child and family navigate difficult experiences.

LGTBQ+ Teens

Providing gender-affirming mental health care that addresses the needs of LGTBQ+ teens and their families.

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testimonials

Trusted by 25,000+ families

"Our counselor was kind and gentle. It helped our kid get to a new place of growth and healing."

Mother of child who graduated from care

"My son is thriving and I love being able to stay connected through the app with his progress, plan, appointments, and easy quick access to his therapist!"

Parent of 8 year old who is in care

"They took beautiful care of us. Little Otter is an excellent option for those who can’t leave the house, who need a check in with their kid and want to know how to support their child in tough times."

Caregiver of 9 and 6 year old who graduated from care

"All the clinicians I worked with in the past 2 years were amazing and really made a difference for my family. I found Litter Otter life-changing for my family. Both my kids were able to get quality mental health care in the comfort of our home, and they both are doing great."

Mother of 13 and 11 year old who are in care

"My concerns and why we were initially seeking therapy stemmed from my son's social challenges and anxiety. He immediately developed a strong relationship with his therapist. You can see your kids open up and blossom, and see the development in real time. It's calming and reassuring that he's going to come out of the other side."

Parent of child who is in care

"Times are hard for these kids. They're going through things I didn't have to as a parent. Little Otter therapists are giving them the skills to navigate it. It's really beautiful to watch."

Mother of child who is in care

"You always want to think you can handle things as a family. But we don't always know what's best for our kids. Little Otter therapists and physicians can see things that we as parents can't see."

Caregiver of child who is in care

"I'm so pleased with the results we've gotten from Little Otter. Parenting is hard but it feels like I can just show up and say I need help, and they know exactly what to do."

Mother of child who is in care

"Little Otter is a game-changer. It is the solution that we needed and found that it worked for our family. It was effective, and thorough. My son was able to develop skills to help his anxiety, and he actually had fun. It’s so important at an early age for kids to have a healthy relationship with therapy."

Parent of child who is in care

"Other virtual therapy platforms aren’t like this. This service is so convenient and effective. My son would go to the school’s counseling office to attend sessions so he was getting the care he needed when it was convenient for our family."

Caregiver of child who is in care

our results

Measurable results your whole family feels

After 12 sessions, families feel the difference.

80%

80% of children show clinically significant improvement in 12 sessions

3 in 4

3 in 4 parents have clinically significant reduction in anxiety and depression

61%

61% of families report significant reductions in stress

When children feel better, so does the whole family

Access to quality care—faster.

how it works

No more worrying if
your child is doing okay

Get support now
1

Tell us what’s going on

Help us understand your needs by answering questions about your family.

2

Begin care immediately

Book a 30-min kickoff call within 24 hours of requesting an appointment. Get matched with the best mental health clinicians.

3

Track progress, see results

Tailored care plans, assessment results, progress reports, and clinician notes. All in the Little Otter app.

A trusted solution for families

If your teen is struggling with their mental health, you’re not alone. At Little Otter, we understand that supporting a young person through mental health challenges can be overwhelming. Whether they’re withdrawing, struggling with emotions, or showing signs of distress, early intervention can make a difference.

Our company provides expert, evidence-based care tailored to each family's needs. From balancing high school academics to behavioral challenges, our virtual therapy model removes barriers to care. No teen should have to wait for the support they deserve – our team is here to help. Take the first step today and connect with a team that truly understands.

FAQs

What issues/challenges do you address?

Our providers have experience across a wide range of concerns facing teens. A non-exhaustive list of concerns we can help with are anxiety, depression, trauma, ADHD, behavioral challenges, OCD, grief/loss. However, we do not assess for Autism Spectrum Disorder at this time.

How much do services cost?

Kickoff Call: Complementary

Therapy
Assessment: $350
Therapy Session: $200 per session

Parent Specialty
Assessment: $200
Parent Specialty Session: $200 per session

Psychiatry
Psychiatry Initial Evaluation: $500
Psychiatry Session: $250 per session

For more information on our prices, please click here.
*Bundle discounts are available and options will be discussed with your care navigator

Do you accept insurance?

We are currently in-network with:

Independence Blue Cross*
AmeriHealth (NJ)
Sana
Florida Blue
Kaiser - Northern California
Blue Cross and Blue Shield of Minnesota
Blue Cross and Blue Shield of North Carolina

We have additional insurance partnerships that may provide referrals directly. Check with your insurance provider to see if you are eligible for coverage.

All therapy sessions are HSA/FSA eligible. Parent specialist sessions will be contingent on an individual's insurance plan.

For all other questions about your coverage, reach out to us at help@littleotterhealth.com.

*Service out of Pennsylvania and Delaware

How do I schedule an appointment?

If you would like to speak to a licensed provider and begin your care, please schedule your Kickoff Session via your Little Otter account.

How can I manage my own stress and emotions while supporting my teen?

Supporting a struggling teen can be emotionally overwhelming, but prioritizing your well-being helps you be there for them. Practicing self-care, setting healthy boundaries, and seeking support – whether from a therapist, support group, or trusted friend – can provide relief. Acknowledging your own emotions and modeling healthy coping can also positively impact your teen’s ability to manage stress.

What can I do to support my teen at home while they are receiving therapy?

Creating a supportive home environment starts with open communication and patience. Encourage your teen to express their feelings without pressure, celebrate progress (big or small), and reinforce coping strategies learned in therapy. Providing consistency, structure, and emotional validation helps build a sense of safety and stability during their healing journey.

How can I tell the difference between typical teenage mood swings and a real mental health issue?

While moodiness is common during adolescence, persistent emotional distress, withdrawal from activities, significant changes in behavior, or extreme irritability may indicate a deeper issue. If these signs interfere with daily life, relationships, or academic performance, you should seek professional support to help determine if intervention is needed.

How do I help my teen build self-esteem and resilience?

Encourage your teen to develop a growth mindset by celebrating effort rather than just achievements. Providing opportunities for independence, reinforcing their strengths, and modeling positive self-talk can foster resilience as well. Helping them navigate challenges with confidence builds the skills needed to cope with setbacks in youth and adulthood.

How do I talk to my teen about mental health without making them feel judged?

Approach conversations with empathy, active listening, and curiosity rather than assumptions. Normalize discussions about emotions, reassure them that seeking help is a sign of strength, and avoid dismissive language. Let them lead the conversation at their own pace, creating a safe space for honest dialogue.

How should my teen prepare for Little Otter’s therapy?

There’s no perfect way to prepare – every teen’s experience is unique. Encourage them to come with an open mind and remind them that therapy is a safe space for them to share their thoughts and feelings. They don’t need to have everything figured out – our clinicians will guide them every step of the way.

What if my teen refuses to go to therapy?

Resistance to therapy is common, especially if a teen feels unsure about the process. Approach the topic with patience and understanding, emphasizing that therapy is a tool to help, not a punishment. Encourage them to take it one session at a time and to share with their therapist that they are feeling uncertain. Their therapist will work with them to make sure that they are actively involved in care and working on goals that matter to them.

What signs indicate that my teen’s mental health condition is worsening?

Watch for drastic changes in mood, sleep patterns, appetite, or social engagement. Increased withdrawal, expressions of hopelessness, suicidal statements or self-harming behaviors are also red flags. If you notice signs of distress intensifying, seek support right away. If your teen is at risk of harm to themself or others, get help immediately. The following resources are available 24 hours a day, 7 days a week: Call or text 988 to reach the 988 Suicide and Crisis Lifeline, Text "HOME" to the Crisis Text Line at 741741, or call 911 or take your teen to the closest emergency room.

Don’t wait to get the care your family needs

Personalized and comprehensive care that works for families.