Now open in Pennsylvania · In network with Aetna
You don’t have to figure this out alone.
Online therapy and psychiatric care in Pennsylvania, with a team that knows your name. Most people have their first appointment within 24 to 72 hours.
Expanding to Maryland, Ohio, and Virginia
Start NowRather talk? Call (302) 316-1226.


One of us will be your first call.
How we can help
What brings you here?
Whatever you’re carrying, you can start with one conversation. We see adults 18 and older, including older adults.
Anxiety
Racing thoughts, constant worry, a body that won’t settle.
Learn more →Depression
Heavy days, low energy, losing interest in what you used to love.
Learn more →Trauma & PTSD
Memories that still take over your day or your sleep.
Learn more →ADHD
Focus, follow-through, and years of being told to try harder.
Learn more →Substance use
Steady support for recovery, at a pace that works for you.
Learn more →Couples & family
Conversations that keep going wrong with people you love.
Learn more →Work stress & burnout
Pressure that follows you home and wears you down.
Learn more →Medication support
Psychiatric evaluation and medication, coordinated with your therapy.
Learn more →Getting started
Three simple steps
You don’t need the right words or a diagnosis. Reach out, and we’ll figure out the rest together.
Reach out
Fill out a short form or call us. Tell us as much or as little as you want.
We call you
Hope or Savannah calls you within one business day, checks your insurance, and tells you your cost before anything is booked.
Meet your therapist
Savannah Fyfe, LPC, our Clinical Director, places you with a therapist who fits what you need. Most first sessions happen within 24 to 72 hours.
Or call (302) 316-1226
Why Alignment
Care that stays connected
Behind every therapist at Alignment is a full care team: psychiatric support, care coordination, and clinical leadership.
One team, one plan
Your therapist and prescriber work together and talk to each other, so you never have to repeat your story.
Someone who knows your name
A care coordinator stays with you from your first call through your treatment.
Seen within days
Most people have their first appointment within 24 to 72 hours.
Care your insurance covers
In network with Aetna and adding more plans. You know your cost before you book.
Insurance
In network with Aetna today, and adding the plans above. We check your benefits and tell you your cost before anything is booked. No insurance, or paying on your own? Ask about private rates and our sliding scale.
🔒 Alignment Behavioral Health is HIPAA compliant.

Our story
Why we built Alignment
I spent 30 years on the business side of behavioral health. I knew how levels of care were supposed to work. Then my daughter needed them.
She moved through outpatient therapy, partial hospitalization, intensive outpatient programs, and inpatient stays. After one hospital stay, we got a call the next morning saying she no longer met the criteria to stay. I asked where she should go next. Nobody could tell me.
The clinicians cared, and every one of them was doing their job. What was missing was someone who owned the whole picture: one team talking to each other, following up, and staying with her from one step to the next.
So we built that team. When you reach out to Alignment, you get people who know your name and your story, and who stay with you from the first call on.


Ready when you are.
Reaching out is often the hardest part. Tell us a little about what’s going on, and we’ll take it from there.
Start Now Rather talk? Call (302) 316-1226.If you’re in crisis, call or text 988 anytime, or call 911.