We started this because the system is broken.
Sanctum is a clinician-led telehealth therapy platform. Three of us — psychologists who'd spent years working in larger systems — opened the doors in 2018 because the way the US delivers therapy was making people quit before they got better. We're 1,800 clinicians strong now, still clinician-led.
Therapy that works for people who've quit before.
Most people who try therapy and don't continue do so because of bad fit, not bad therapy. Sanctum's whole architecture exists to make fit easier, faster, and cheaper to find.
Get matched →Match over algorithm.
We use intake data, but a human routes every match. Algorithms can't tell who you'll trust — only you can.
Therapists first.
Above-market rates, paid CE time, structured supervision, no required minimums. Burned-out therapists deliver bad therapy. We refuse.
Outcomes over assertions.
Symptom scores tracked at intake, session 4, 8, 16. Annual outcomes report every January. The data drives staffing.
Affordability isn't a side thing.
20% of our caseload sits at sliding-scale rates. We exist because mental healthcare in the US is rationed by waitlist; we wanted to be the platform that wasn't.
1,800 clinicians. 60,000+ five-star reviews.
We hire ahead of demand and staff to keep openings, not waitlists. Our clinicians have manageable caseloads — and they stay.
If you're in crisis right now, use these instead.
Sanctum isn't a crisis service. We can see you for ongoing care once you're safe — but if right now is hard, please reach out below.
988 Suicide + Crisis Lifeline
Talk to a trained responder, in English or Spanish, any time. Phone, text, and chat all confidential.
Crisis Text Line
Free crisis counseling via text — anyone in distress, anytime.
SAMHSA Helpline
Treatment referral and information service for substance use and mental health.
The Trevor Project
Crisis intervention and suicide prevention for LGBTQ+ youth under 25.
Want to practice with us?
Above-market rates. Paid CE time. Structured supervision. We hire ahead of demand and protect caseloads so therapists don't burn out. Always open to LCSWs, LMFTs, LMHCs, psychologists, and psychiatrists.
Apply to join the network →Ready when you are.
Three minutes of intake, matched within 24 hours, first session inside 48. Or browse the team and pick someone yourself.
