

Free mental health care for Oklahoman kids 0-5 and their families
Little Otter is partnering with the State of Oklahoma to screen for mental health concerns and provide free mental health care services for children ages 0-5 and their families.

WHO WE SERVE
Any family with a child 0-5
Whole-family mental health care tailored to your needs. No matter what your family looks like.
WHAT WE TREAT
Personalized care tailored to your family’s needs
testimonials
Trusted by 25,000+ families
our results
Measurable results your whole family feels
After 12 sessions, families feel the difference.
Children show clinically significant improvement in 12 sessions
Parents have clinically significant reduction in anxiety and depression
Families report significant reductions in stress
how it works
Tell us what’s going on
Help us understand your needs by answering questions about your family.
Begin care immediately
Book a 30-min kickoff call within 24 hours of requesting an appointment. Get matched with the best mental health clinicians.
Track progress, see results
Tailored care plans, assessment results, progress reports, and clinician notes. All in the Little Otter app.
our services
Comprehensive care that works
Therapy for Children
Little Otter services focused on the youngest members of your family are dyadic in nature, involving both the little one and their caregivers. Our providers incorporate a diverse range of activities into sessions from interactive games, music and movement, videos, and mindfulness activities.
Therapy for Parents & Caregivers
We provide expert, evidence-based mental health care for parents because when caregivers thrive, children do too.
Better mental health solutions—faster
The highest-quality treatment for family mental health delivered through our virtual care platform.

WHY LITTLE OTTER
What makes Little Otter different
Time to care
Start our Family Mental Health Check-up immediately. Book a matching appointment in 24 hours. Never on a waitlist.
Care Team
Clinicians led and trained by world-renowned experts in child mental health. Custom teams of experts. All clinicians are Little Otter employees.
Virtual model
Video and phone calls from everywhere. The best clinicians for your family’s needs, on your family’s schedule.
Transparency
Outcome-based reports and progress you can see. Access to clinician notes and assessment results in the Little Otter app.
Treatment approach
Evidence-based whole family care that’s tailored to each family’s unique needs.
Here for you 24/7
Customer service whenever you need it. Message your provider anytime. Resources at your fingertips.
The leader in child mental health
Dr. Helen Egger is the Co-founder and Chief Medical & Scientific Officer at Little Otter. She is a child psychiatrist who has been a leader in the field of child mental health for more than 30 years. Previously, she was Division Chief for Child and Adolescent Psychiatry at Duke Medicine and Chair of the Department of Child and Adolescent Psychiatry and Director of the NYU Child Study Center at NYU Langone Health.
Dr. Egger is also an internationally-recognized researcher in early childhood mental health. Her research has set the standard for measurement of child mental health, and it's the foundation of Little Otter's Family Mental Health Check-up and Little Otter's measurement-based, whole family model of care.

FAQs
Our providers have experience across a wide range of concerns like tantrums, separation anxiety, focus & attention, building resilience, building independence, patience, depression, trauma, eating disorders, OCD, grief, and loss.
We do not provide an initial diagnosis for Autism Spectrum Disorder (ASD), however we do provide care for the most common co-occurring mental health challenges for kids with ASD.
Little Otter is partnering with the State of Oklahoma to screen for mental health concerns and provide free mental health care services for children ages 0-5 and their families.
We are currently not in-network with any insurance in Oklahoma. If you choose to use Little Otter for your family’s mental health care, you can submit claims to your insurance provider to receive reimbursement. Generally plans reimburse 40-70% of the session after you have met your deductible. However, this is dependent on your personal coverage.
We will provide the proper documentation (called a superbill), which you can submit to your insurance provider. Check out our article to learn more about out-of-network services. All insurance reimbursement requires a mental health diagnosis.
If you would like to speak to a licensed provider and begin your care, please take our Family Mental Health Check-up to get started.
Little Otter’s approach to virtual whole-family mental health care looks different from your average Zoom meeting and differs depending on the unique needs of your family. Our team of licensed providers have specialized training in the Little Otter Way, which includes research-backed strategies to keep all members of your family engaged in care.
Click here to learn more about our approach!
Personalized and comprehensive care that works for families.