If I’m not the right fit, you still deserve a next step.
My practice doesn’t bill insurance, and I’m not paneled with Apple Health, Molina, or any other plan. That means I’m not a workable option for everyone who reaches out — and I’d rather point you somewhere useful than leave you with nothing. Everything below is real, current, and reachable without me. Take what fits and ignore the rest.
If you need someone today
Call or text 988
Free, 24 hours a day. You don’t have to be in danger to call. Overwhelmed counts.
1-800-799-7233 · text START to 88788
Free, 24 hours a day. You don’t need to have decided anything about your relationship, and you don’t need to use the word abuse. If something is happening that you can’t name yet, this is a good place to say it out loud.
Then, when you’re ready
If you have Apple Health, Molina, or another Medicaid plan
Call the member services number on the back of your card and ask for behavioral health. Apple Health covers outpatient therapy. Ask specifically for someone experienced with relational trauma, betrayal trauma, or complex PTSD — most people don’t know they’re allowed to ask, and asking changes who you get matched with.
1-866-789-1511
Free, 24 hours a day, statewide. Despite the name, they refer for mental health as well as substance use — including support for people affected by someone else’s drinking. A good first call when you don’t know where to start.
Dial 2-1-1
Local low-cost counseling, legal aid, housing, and food assistance, sorted by where you live.
If you’re uninsured, or your deductible makes coverage useless
A nonprofit network of licensed therapists offering reduced-fee sessions. One lifetime membership fee, then sessions in roughly the $40–$70 range. You can filter by specialty and by telehealth. openpathcollective.org
If you have Medicaid or solid behavioral health benefits, Open Path asks that you use those instead, so their reduced-fee slots stay open for people who have nothing.
Most Washington counties have one, with a sliding scale for people without Medicaid. Dial 2-1-1 to find the one nearest you.
If you need someone who understands betrayal trauma specifically
These directories list therapists with specific training in partner trauma and compulsive sexual behavior. Some take insurance; some hold sliding-scale slots. It’s worth asking each one directly.
Not a replacement for therapy — but if you’re waiting six weeks for an intake, this is the difference between held and alone.
- S-Anon and COSA — for people affected by a partner’s sexual behavior
- Al-Anon — where a partner’s drinking is part of the picture
One last thing, offered freely: if you’ve reached the point of looking for a therapist who specializes in this, you already know more about your own situation than you’re giving yourself credit for. Being turned away for financial reasons is not a verdict on whether you’re ready, and it isn’t a verdict on whether what happened to you was serious enough. It was. Keep going until someone answers.
Teresa Zuvela, LMHC is a Certified Sex Addiction Therapist (CSAT) and Certified Partner Trauma Therapist (CPTT) providing telehealth betrayal trauma therapy in Washington State.
This page is a list of resources, not medical advice, and reading it does not create a therapeutic relationship. If you’re in immediate danger, call 911.