Affordable and Secure Online Counseling and Therapy in Pennsylvania Since 2017 Schedule an


You can do anything online these days. Order food. Take classes. Find love. And now with eTalkTherapy, you can even talk with a professional therapist by video or phone.

Owned and operated in Pittsburgh since 2017, eTalkTherapy provides affordable, convenient, and quality counseling from experienced mental health therapists who work exclusively with you.

If you’re struggling with isolation, anxiety, depression, relationships or just need to talk, eTalkTherapy is here to listen. Get a free consultation today at”


Real Therapists, Real Therapy: Choose from one of our Licensed Professional Counselors or Therapists today. Unlike other telehealth services, we provide you with real therapy from an experienced and dedicated counselor who works exclusively with you; not by texting with someone who is on-call. AND no subscriptions are necessary.


Real change starts here: Since 2017, our telehealth experts have been here to help you.

With flexible appointment times and days (including evenings and weekends), your appointments with eTalkTherapy are always confidential and HIPAA compliant.

WHAT’S NEW AT eTalkTherapy

Are you struggling with COVID burnout or pandemic anxiety? Contact us today for a safe and convenient consultation with one of our caring and experienced therapists.

Due to the financial impact of Coronavirus (COVID-19), we now offer significantly lower rates based on your financial need.  Contact us for details.


Schedule a session with a Therapist or Pennsylvania Licensed Counselor TODAY.  Choose between two convenient options: live online video or telephone. It’s easy, affordable and HIPAA compliant. Don’t let scheduling conflicts, long distances, or bad weather stop you from getting the help you need!


Let’s face it, relationships and marriages can be difficult, but they are not impossible. Our therapists will help you and your significant other identify where connection, communication and expectations are stuck and unrealistic. If there has been infidelity or a loss of intimacy, your relationship or marriage is going to need expert care and support in order to heal. Our goal is to restore harmony, healthy boundaries and practical expectations to your relationship. By providing encouragement, highlighting strengths and supporting you and your significant other in a way that is not about choosing sides, we will explore new ways to trust, communicate and create a relationship that is healthy, honest and balanced.

Most people attribute the failure of a relationship or marriage to their significant other. Blaming someone else or trying to change the other person instead of focusing on your own expectations and responsibilities seems like an easy way out, but it soon becomes clear that nothing changes unless you do.

Stop fighting against your relationship and start fighting for it! If you feel it’s finally time to talk about the issues that are damaging your relationship or marriage, then contact us today. Our rates are very affordable, the sessions are private, and the results may just surprise you in a positive way. Sessions are conducted live on video through our HIPAA compliant site.

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At eTalkTherapy we believe good therapy is a right and not a privilege. That’s why we provide affordable therapy that meets you where you are.

Whether you use your laptop, smartphone or tablet, our experienced and licensed therapists have flexible schedules and are ready to talk with you today.

We provide quality individual therapy and couples counseling either through live video or by phone. Unlike other telehealth providers, we offer lower rates, flexible appointment times, and you pay as you go. There are never any subscriptions needed or hidden fees attached to our services. In short, we are therapists and licensed counselors, not life or wellness coaches. We provide the same type of therapy that you would receive during a traditional office visit.

Have questions or need more information? Contact us today to schedule a free phone consultation or to schedule your first appointment.

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Making the transition from classroom to clinical setting can often feel daunting. It is our goal to challenge and help you blossom and sharpen your counselor identity through an existential and phenomenological lens. By fostering compassion, humor and consistent boundaries, we will provide you with professional guidance to help you move toward your goal of becoming a licensed counselor in Pennsylvania.

Our supervision style promotes growth, respect, confidence and a strong professional identity in the existential, humanistic and phenomenological traditions. It is grounded in our greatest strengths, which are teaching, coaching, and mentoring. We are genuine, person-centered, direct and engaging. Having experience in a wide array of private practice and agency settings, we will provide you with a comprehensive experience covering all aspects within our field that will aid in your success far beyond supervision.

We currently offer individual supervision for counselors working towards their Pennsylvania LPC licensure. Supervisees will be accepted on a case-by-case basis. Our rates are competitive and our schedules flexible enough to meet your needs.

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Individual therapy (sometimes called “counseling” or “psychotherapy”) is a process through which clients work one-on-one with a highly trained therapist or licensed counselor to explore their feelings, beliefs, thoughts, behaviors, relationships and life issues. In order to work through challenging life problems, painful memories, trauma, depression or anxiety, a qualified therapist will help a client gain insight into the issues that have them feeling “stuck,” “hopeless” or “lost” in life. Good therapy provides a confidential, non-judgmental space for people to have a better understanding of themselves and others, set personal goals, and work toward desired change through meaningful conversation and problem solving. A client and therapist may work together for only a few sessions or for several months or years, depending on the client’s unique needs and personal goals for therapy.

How can eTalkTherapy help? We want to build a relationship with you, not just provide a quick fix. We want to give attention to your life, not just your symptoms or a diagnosis. Our approach is about exploring meaning, solving problems, finding peace, and helping you live fully with yourself and others. Many people who seek therapy are coping with major life challenges, unresolved trauma or grief, or trying to manage depression or anxiety. Others may simply desire personal growth and greater self-knowledge.

Together we will find solutions and rediscover meaning, so you can create a life worth

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Free Consultation

Are you ready to get started or do you have questions about our services? Phone consultations are at no cost and no obligation to you, and may take up to 20 minutes to complete. Limited to one free phone consult per person. The free consultation is not to be considered a therapy or counseling session.

start your free consultation

Meet Our Experienced Team

We want to build a relationship with you, not just provide a quick fix. We want to give attention to the entire framework of your life, not just your symptoms or a diagnosis. Together we will find solutions and rediscover meaning, so you can create a life worth living.

Don Laird
Christina Pettinato
Christina Pettinato
Mandi C. Dalicandro-Turk
Mandi C. Dalicandro-Turk
Kema Mesko
Kema Mesko
Mary Mehlburger
Therapist / Psicoterapeuta
“Tambien hablo español”


Don Laird, NCC, LPC, DCC

Don is a Licensed Professional Counselor, a National Certified Counselor and a Distance Certified Counselor with more than 17 years of experience helping those who have struggled with life and mental health issues. Through the use of meaningful conversation, Don will help guide you on a path to wellness, purpose and better mental health. Don is interested in your story – how you arrived at this point in your life – and where you go from here.

Don’s specialties include anxiety, depression, guilt, meaning and purpose, relationship issues, parenting, caregiver issues, grief and loss, spirituality, and life and career transitions.

In addition to providing therapy and professional counseling, Don offers consultation services, education and wellness seminars, and LPC supervision. As an adjunct professor at Carlow University, he also teaches graduate and undergraduate courses in existential psychotherapy, psychology of film, and counseling theory. Contact Don today to begin your journey to better mental health and a life worth living.

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Christina Pettinato

Christina Pettinato, NCC, LPC, DCC

Christina is a Licensed Professional Counselor, a National Certified Counselor, and a Distance Certified Counselor with more than nine years of experience serving adults, teens, and children at one of Pittsburgh’s premier mental health clinics.

She is a caring and professional counselor who values the therapeutic relationship and is supportive and attentive to your needs and goals. Christina will respect you as a person first and as a client second. She will help you navigate your issues and pain with proven problem-solving techniques, coping skills, mindfulness and self-reflection. She is interested in getting to know you as a person, not just as a set of problems or symptoms. Her specialties include, autism spectrum and ADHD in adults, depression, anxiety, life transitions, trauma, self-esteem, caregiver issues, meaning, and mindfulness.

Through the art of conversation and meaning-based approaches to therapy, along with empirically validated methods, Christina will help you on your journey to better mental health. She is ready to talk with you today.

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Mandi C. Dalicandro-Turk

Mandi C. Dalicandro-Turk, MSPC

Mandi is a therapist with over 6 years experience working with adults, couples, adolescents, and first responders. Mandi works with an array of issues, and is passionate about supporting others. She feels strongly that human-beings benefit from the experiences of learning, growing, and developing throughout each stage of life.

Areas of Focus: anxiety, depression, chronic stress, relationship issues, life transitions, self-esteem and confidence, autoimmune issues, critical incidents, PTSD, infidelity, divorce, loss of connection, break up recovery, developing a strong authentic identity, parenting, burnout, grief and loss.

As an adjunct professor, Mandi teaches courses focusing on organizational psychology, research methods, biopsychology, human development, leadership, motivation, genetics, and stress. She volunteers for a Critical Incident Stress Management Team that assists public safety personnel after the experience of a critical incident. Among her latest projects, Mandi focuses on research related to clinical levels of stress, vicarious trauma, and compassion fatigue. Mandi also creates the curriculum for seminars, workshops, and continuing education. She earned her Bachelor’s degree in Psychology summa cum laude and Master’s degree in Professional Counseling from Carlow University.

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Kema Mesko

Kema Mesko, LPC, NCC, BSN, RN

Are you struggling and not sure where to begin? Navigating your way through postpartum depression, infertility struggles, anxiety, depression, relationship problems and other women’s issues can often feel extremely overwhelming and hopeless. You’re not alone and there is hope. Kema will help define your goals and strengths and work at your pace toward self-discovery, confidence and wellness. In short, she will help get your life back on track.

With her 17+ years as a Labor and Delivery Nurse, as well as her extensive clinical training at The University of Pittsburgh and Carlow University, Kema knows first-hand the importance of caring for the mind and spirit as well as the body. Through mindfulness, self-reflection, problem-solving techniques and finding purpose, she will help you work through your struggles.

Kema’s goal is to provide support, while working to set goals for your future and develop the tools necessary to reach them. Contact her today to start the change you want to see in your life.

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Mary Mehlburger, BS, MA

Mary is a caring, compassionate, and experienced therapist who is supportive and attentive to your needs and therapeutic goals. Her approach is client centered as she infuses techniques from cognitive behavioral, existential, and other clinically validated methods of counseling. Mary feels that people need to be seen, to be heard, to be understood, to have a sense of connection, and to feel they can achieve greater levels of meaning and purpose in spite of the issues that have them feeling stuck in life. In short, she is interested in getting to know you as a person first and a client second.

Mary sees both English and Spanish speaking adults and older adolescents struggling with anxiety, depression, self-esteem issues, grief and loss, trauma, and socio-cultural issues, as well as those facing challenging life transitions. Working in various clinical settings for several years has led Mary to see therapy as a collaborative and creative effort designed to meet your unique goals. Through meaningful conversation, Mary will join with you on your journey to better mental health, problem solving, awareness, and wellness. Contact her today.

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Get Started on Your Path to Better Mental Health Today! Choose from One of Our Affordable Therapy Options (Sliding-Scale Available)

phone therapy

30-minute phone session
60-minute phone session for $60

NO deductibles, NO co-pays,
NO hidden fees, NO surprises

Great for individuals on the go

Pay as you go – NO subscriptions

Get Started

live online therapy

60-minute live video session

HIPAA compliant website

NO deductibles, NO co-pays,
NO hidden fees, NO surprises

Great for individuals OR couples

Pay as you go – NO subscriptions

Get Started

live online therapy

30-minute live video session

HIPAA compliant website

NO deductibles, NO co-pays,
NO hidden fees, NO surprises

Great for individuals OR couples

Pay as you go – NO subscriptions

Get Started

SLIDING-SCALE AVAILABLE: Contact us for more information. We do not accept insurance – More Details.

Our services are far more affordable, accessible and easier to schedule than a traditional in-office therapy appointment. There are never any treatment caps or limits to the number of sessions you may need.


Here are just some of the issues we treat through our online services. Not seeing what you need or do you have more questions? Contact us

life transitions
relationship problems
women's issues
men's issues
self image/esteem


Anxiety is intense, excessive and persistant worry and fear about everyday situations that does not stop once a situation is over.

  • Anxiety Disorder
  • Post-Traumatic Stress Disorder
  • Generalized Anxiety Disorder
  • Panic Attacks
  • Social Anxiety Disorder
  • Racing Thoughts


Depression is more than just feeling sad or having the blues. It can impact your sleep, appetite, daily activities, work, and interest in life.

  • Seasonal Affective Disorder
  • Hopelessness
  • Postpartum Depression
  • Fatigue
  • Loss of Meaning
  • Loss of Energy
  • Guilt
  • Worthlessness


These are life changing events or situations that cause us to re-examine our present sense of being.

  • Divorce
  • Career Change/Burnout
  • Seperation
  • Illness or Accident
  • Empty Nest
  • Aging Issues
  • Grief and Loss
  • Caregiving


Wellness is the active process of making healthy choices to enhance a more positive lifestyle and well-being.

  • Mindfulness
  • Holistic Life Coaching
  • Wellness Coaching
  • Chronic Illnesses & Mental Health
  • Mind & Body Connection
  • Breathing and Meditation


All couples run into relationship issues, but there are times when therapy can help by exploring new ways to communicate and trust.

  • Excessive Arguing
  • Sex and Intimacy
  • Communication
  • Trauma
  • Trust
  • Financial


There are many mental health and wellness issues that are unique to women.

  • Postpartum Depression
  • Menopause
  • Body Image
  • Sex
  • Infertility
  • Confidence and Esteem
  • Pregnancy Issues
  • Premenstrual Dysphoric Disorder


There are many mental health and wellness issues that impact men differently.

  • Erectile Dysfunction
  • Substance Abuse
  • Confidence and Esteem
  • Changing Roles
  • Body Image
  • Sex
  • Anger
  • Purpose and Meaning


People with low self-image or confidence often feel shame, guilt and doubt, and are their own worst critic.

  • Depression
  • Negative Self-Talk
  • Anxiety
  • Shame and Guilt
  • Body Image
  • Social Anxiety
  • Inner-Critic
  • Substance Abuse

Frequently Asked Questions (FAQ)?

Still Not Sure Where to Start?

Here are some questions we frequently get about online therapy.
Click on the question (or the + sign) to see the answer.
Still don’t see what you need? Contact Us

Convenience and Affordability: Since you attend sessions through online-live video or on the phone from the comfort of your home, dorm room or office, you can schedule your therapy or coaching sessions for times that are the most convenient for you and your busy schedule. There are never any hidden fees, copays, deductibles or subscrition fees with our services just good therapy that is affordable and convenient.

eTalkTherapy Makes Counseling, Therapy and Coaching Accessible: eTalkTherapy offers easy access for college students, busy professionals, stay-at-home parents, business travelers, caregivers, retirees, new parents, those living in rural or remote areas, as well as those living with physical illnesses or mobility limitations.

Similar to a traditional in-office therapy visit, but with eTalkTherapy you choose between two convenient options: live online video or telephone to talk with your therapist. It’s easy, affordable and HIPAA secure. You pay for sessions as you go. So once you’ve decided to try eTalkTherapy, you will be directed to our registration page where you will:

  • Create a private username and password to get access to our therapy services and scheduling calendar.
  • Answer a few questions about yourself and the issues you are currently facing.
  • Choose your counselor or therapist then select a day and time for your appointment.
  • Enter payment information. Plans start as low as $40 per session.
  • Begin the counseling process in the way that you want: live-video or phone.

Yes. Counseling of any kind, including online counseling, does have certain limitations; one of the key concerns is its credibility. Many people wonder if online counseling or therapy can ever live up to the benefits of an office visit. Clinical evidence now suggests that online therapy has the same or better outcome results as an in-office appointment. In a study published in the World Journal of Psychiatry, clients receiving mental health treatment through video conferencing reported “high levels of satisfaction.”

Teletherapy, Popular  in the Pandemic, May Outlast It, The New York Times

Online therapy effective at treating depression and anxiety, University of Pittsburgh Schools of the Health Sciences,

Stop Lumping Video Therapy In With Text-Based Therapy,

eTalkTherapy is different from BetterHelp and TalkSpace for many reasons: These large, nationwide tele-mental health providers are not unlike big box stores. Their services may seem appealing, but review their “Terms and Conditions” and their equally complicated “subscription” packages, which are often confusing and do not reflect best practices.

Additionally, therapy-by-text is NOT therapy. It’s life coaching at best. This method of conducting counseling is more about giving advice and can be unethical when it comes to providing professional help. eTalkTherapy offers live-video or phone counseling from highly trained, experienced and licensed therapists. You work exclusively with ONE dedicated therapist, NOT with someone who is on-call.

We believe therapy is a right, NOT a privilege.

Our therapists have years of clinical and private practice experience. eTalkTherapy is NOT their first job in the mental health field. We also recognize that one size does not fit all. And, if it is determined that your issues are better suited for in-person therapy or a higher level of care, we will direct you to resources in your area for help.

We may be a small practice, but our hearts are big and so is our level of care and professionalism. Contact us today and experience the eTalkTherapy difference.

We do not take insurance. Most insurance plans charge high copays, deductibles or hidden fees. Moreover, mental health services may not be covered under your existing plan or the number of sessions may be limited. With eTalkTherapy there are never any surprises with our fees, which are comparable and, in most cases, far less costly than any insurance copay or deductible. LEARN MORE

eTalkTherapy can be useful and helpful for most, but online counseling is not appropriate for people who are seeking ongoing treatment for a severe or complicated clinical diagnosis or are experiencing persistent suicidal or homicidal thoughts or acts. If it is determined during our sessions that your case is not appropriate for online counseling in any form, you will be given information on resources in your area if applicable. We do not provide assistance or paperwork for disability claims, legal matters or legal disputes.

How Do We Compare?

Cost Without Insurance$90.00-$150.00
per session
per session*
Cost With Insurance
(if covered)
per session
per session*
Additional Fees+Co-pays
Convenient Hours and LocationNOT ALWAYSYES
Sliding Scale Available
*Fees based on services provided


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If you have any questions or would like more information, use the form below to get in touch with us. Please note: This form is for those seeking more information about online therapy or LPC supervision. We DO NOT respond to any third-party solicitations or sales calls. You must be 18 years old or older to use this form.


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