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The future of healthcare isn’t entirely digital. For encounters as intimate as the client-therapist dynamic, a face-to-face relationship is still key.
For those able to afford tech-enabled therapy services, Two Chairs, a San Francisco-headquartered mental healthcare business, may be of interest. The startup believes in the power of in-person therapy, as opposed to the new variety of affordable digital tools meant to replace or coexist with therapy services. Today, the company is announcing a $7 million Maveron-led Series A financing to open additional brick-and-mortar clinics and build out its client-therapist matching app, which leverages technology to pair its customers with a therapist best-tailored to their needs.
The company currently operates four clinics in the Bay Area, where patients can access individual or group therapy. Each of those clinics was built with modern, young professionals in mind using “thoughtful design” to create “non-judgmental spaces.”
A Two Chairs clinic, which emphasizes “non-judgmental” design
The app and clinic interior design are the key differences between Two Chairs and a neighborhood private practice, it says. As far as pricing, at $180 an hour, a session doesn’t differ terribly from a typical session at a Bay Area private practice. The startup currently employs 30 therapists, who also are available over video chat should a client be sick or traveling, with a customer base of “several thousand.”
Two Chairs was founded in 2017 by former Palantir employee Alex Katz (pictured). In a conversation with TechCrunch, Katz admitted procuring real estate for Two Chairs’ brick-and-mortar clinics has been an expensive and difficult endeavor. It’s no wonder venture capitalists tend to favor IT startups devoid of the overhead costs associated with firms in the real estate business. Katz is hoping the latest investment, which brings Two Chairs’ total raised to $8 million, will help the business quickly sign additional leases outside of the most expensive city in the U.S.
The cash will also be used to advance Two Chairs’ matching app. The app surveys potential clients on their history, preferences and goals, then uses a library of data to match the client with the most suitable therapist in its roster and to create a customized treatment plan. Katz says they’ve provided clients with an accurate match 95 percent of the time.
“We know that the client-therapist relationship is the best predictor of an outcome with care and while it sounds intuitive, matching is not a concept that has existed in the mental health field historically,” Katz told TechCrunch.
Two Chairs is one of several mental health startups to capture the attention of venture capitalists lately. Basis, which helps people cope with anxiety and depression through guided conversations via chat and video, emerged from stealth in 2018 with a $3.75 million investment led by Bedrock. Wisdo, a community-focused app that connects people seeking help with those who can offer help, brought in an $11 million investment in December and emotional well-being app Aura raised $2.7 million from Cowboy Ventures in October.
Those three businesses have one thing in common: they are digital-first endeavors looking to innovate on top of a broken mental healthcare model. Two Chairs’ plan to build additional therapy clinics, however, doesn’t feel particularly inventive. Opening a chain of therapy offices, rather, sounds like a hard-to-scale, expensive business idea.
As for the uptick in capital for mental health tech, Katz is satisfied Silicon Valley has finally acknowledged the problem: “I think Silicon Valley venture has had a preference for models that don’t involve brick-and-mortar and minimize the use of people; they prefer software businesses,” he said. “The reason we are taking this approach is we know from the research that really well-matched in-person therapy is really effective. Still, at a high level, it’s exciting. There are a lot of people thinking in innovative ways of how we can provide improved mental healthcare.”
Goldcrest Capital also participated in Two Chairs’ Series A.
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One can only imagine what it was like to work at Uber in the years leading up to Susan Fowler’s infamous blog post. Many of the company’s leaders were said to be overly competitive, sexist and inappropriate — “brilliant jerks,” as Arianna Huffington once said, — and its over-arching “move fast and break things” mentality hardly left room for employees to take a step back and reflect on how the company’s culture was impacting their mental health.
Andrew Chapin joined Uber in 2011 as one of its first hires in New York. He worked his way up to head of vehicle solutions and established Uber’s vehicle finance program, which helps drivers obtain and pay off car leases. He says the struggles within the company gave him severe anxiety, something he was all too familiar with from his stint as a commodities trader at Goldman Sachs.
“There were days when I was walking through lower Manhattan and thinking if I got hit by a car and was in the hospital for a week, it’d be better than going to work,” Chapin told TechCrunch.
At both Goldman and Uber, Chapin would go through rough patches but resisted therapy, in part because of the outlandish costs but mostly because of the hassle. Toward the end of his five-year Uber tenure, he realized the dire need for accessible and flexible tech-enabled tools to help workers endure stressful times, as well as the need to destigmatize the mental health issues prevalent within the tech industry and beyond.
In late 2016, he left Uber to build his own startup. Two years later, he’s ready to share what he’s been working on. Basis, an app meant to help people cope with anxiety, depression and other mental health issues through guided conversations via chat or video, is emerging from stealth today with a $3.75 million investment led by Bedrock. Wave Capital and Lightspeed Venture Partners have also participated in the round.
“Looking back at the Goldman experience of just kind of wallowing in this unpleasant situation, [Basis] would have been an outlet to talk through things and feel lighter,” Chapin said. “At the time, I bottled it up. In retrospect, if I had something to work me through the emotions I was dealing with, it would have been really helpful.”
In the app, users can schedule 45-minute phone calls with unlicensed providers for $35. Because Basis works with paraprofessionals — people trained in research-backed approaches but who don’t have the same certifications as a counseling or clinical psychologist — it’s a much cheaper alternative to paying for a therapist. The startup does not give diagnoses or write prescriptions.
Chapin built the app with co-founder and chief science officer Lindsay Trent, a former research psychologist at Stanford who’d grown tired of watching trained psychologists charge outlandish fees and was hungry for an innovative solution to today’s mental health crises.
“I saw a real gap between what we knew was effective and what people actually received,” Trent told TechCrunch. “Clinicians that are charging $300 a session are not providing optimal care. It’s very frustrating for me.”
Basis provides six pathways: Work, Social, School, Finances, Relationships and Parenting. Within each, users can get same-day access to specialists who they can opt to see on a regular basis or just once.
The idea is that Basis fits into your life much like a SoulCycle class or a call with your best friend — on your terms.
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