Little Otter
Mental health care for young children and their families — ages 0–14, telehealth.
Quick facts
Price
Not reported
Insurance
Aetna, Cigna, Blue Cross Blue Shield, +3 more
States
19 states
Medications
Not reported
Service model
Not reported
Coaching
Not included
FDA-approved only
No
How Little Otter compares
Little Otter is the only large-scale telehealth platform specifically designed for children under 14 and their families, with child psychiatrists on staff. Brightline serves a wider age range; InStride specializes in OCD and anxiety for older children. For families with young children (under 8) whose mental health needs require child-specialized clinicians rather than general therapists, Little Otter fills a gap no other national telehealth platform addresses.
About
Little Otter is a telehealth mental health company focused specifically on young children (ages 0–14) and their families — an age group systematically underserved by the broader telehealth mental health market, which is primarily designed for adults or adolescents. Founded in 2020 by Dr. Rebecca Egger and Dr. Helen Egger, a child psychiatrist from Duke University, Little Otter provides child therapy, family therapy, child psychiatry, and parent coaching through telehealth. Clinical services are delivered by licensed therapists and child psychiatrists with specialized training in early childhood mental health. The family unit is central to the model: treatment plans address both child and parent, recognizing that early childhood mental health is inseparable from family dynamics. Little Otter treats anxiety, ADHD, behavioral challenges, trauma, sleep problems, and adjustment issues in young children. The platform accepts major insurance and offers self-pay options. For families with young children who need mental health support and cannot find child-specialized providers with availability, Little Otter addresses one of the most significant gaps in pediatric telehealth.
What's Included
Convenience
Pricing
Little Otter accepts major commercial insurance. Out-of-pocket costs depend on your plan's mental health copay. Self-pay options are available for uninsured families.
Who this is best for
Families with children ages 0–14 experiencing anxiety, ADHD, behavioral challenges, trauma, sleep issues, or adjustment difficulties who want mental health care from clinicians specifically trained in early childhood and pediatric mental health — not adult providers seeing children as a secondary population.
What to expect
Complete Little Otter's family intake assessment, which covers your child's challenges and your family's goals. A child psychiatrist or senior clinician reviews the intake and recommends a care plan. Care includes individual child therapy, parent coaching, family sessions, and psychiatry when medication evaluation is needed.
How to book
Visit littleotterhealth.com and complete the family intake form. A care coordinator contacts you within a few days to build a care plan.
Seeing patients in 19 states
Telehealth providers must be licensed in the state where you are located. If your state is not listed, this provider cannot legally see you.
Insurance accepted
Aetna · Cigna · Blue Cross Blue Shield · UnitedHealthcare · out-of-pocket · hsa-fsa
Contact the provider to verify your specific plan before scheduling.
Also accepts self-pay patients.
Details
Average wait: Same week
Frequently asked questions
What is Little Otter?
Little Otter provides telehealth mental health care for young children (ages 0–14) and their families — including child therapy, family therapy, child psychiatry, and parent coaching — delivered by clinicians trained in early childhood mental health.
What ages does Little Otter serve?
Little Otter serves children ages 0–14 and their families. For adolescents 15 and older, other platforms like Brightline or Charlie Health may be more appropriate.
Does Little Otter accept insurance?
Yes. Little Otter accepts major commercial insurance including Aetna, BCBS, Cigna, and UnitedHealthcare. Mental health care for children is covered under mental health parity law.
What states does Little Otter serve?
Little Otter is licensed to see patients in 19 states: California, Colorado, Connecticut, Florida, Georgia, Illinois, Massachusetts, Maryland, Michigan, Minnesota, North Carolina, New Jersey, New York, Ohio, Oregon, Pennsylvania, Texas, Virginia, Washington. Telehealth providers must be licensed in the state where you are physically located during your visit.
How do I book with Little Otter?
Visit littleotterhealth.com and complete the family intake form. A care coordinator contacts you within a few days to build a care plan.
What conditions does Little Otter treat?
Little Otter specializes in Mental Health & Psychiatry. Visit their profile for more details on the specific services and conditions they treat.
Get started
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Information on this page, including pricing, insurance acceptance, and state availability, is subject to change. Please confirm all details directly with the provider before making healthcare decisions.
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