Little Otter

We are a digital mental health company founded in 2020 by Dr. Helen Egger and Rebecca Egger. We provide virtual care for children aged 0-18 and their families.

Our services include:

• Individual therapy for children and parents
• Couples counseling
• Family therapy
• Psychiatry consultation
• Medication management
• Parent coaching

We treat conditions like depression, anxiety, trauma, PTSD, ADHD, self-harm, behavioral challenges, OCD, prenatal and postpartum mental health, and challenges related to couples, families, co-parenting, siblings, and LGBTQ identity. We do not assess for Autism Spectrum Disorder.

Care is delivered through a virtual platform. The process starts with an initial call to understand family needs, followed by matching with clinicians for a kickoff call within 24 hours. Progress is tracked using the Little Otter app.

Our results show that 80% of children improve significantly in 12 sessions, 3 out of 4 parents see a notable reduction in anxiety and depression, and 61% of families report less stress. We accept various insurance plans, including Independence Blue Cross (PA, DE), AmeriHealth (NJ), Sana, Florida Blue, Kaiser - Northern California, Blue Cross and Blue Shield of Minnesota, and Blue Cross and Blue Shield of North Carolina. Therapy sessions are HSA/FSA eligible.

Co-founder Dr. Helen Egger, a child psychiatrist with over 30 years of experience, developed our Family Mental Health Check-up and measurement-based care model.

Our mission is to make family mental health care accessible, effective, and personalized.

We provide high-quality, personalized care using our clinicians, virtual care technology, and mental health data. Our core values include:

• Being rooted in science through evidence-based care.
• Providing personalized and integrated care with custom teams of expert-trained clinicians who are employees.
• Maintaining a family-focused approach by centering parents, children, and their relationships in our decisions.
• Setting a new standard for quality care backed by measurable outcomes.

We have 11-50 employees. Our work environment is flexible and remote-first. We prioritize evidence-based care. All our clinicians are Little Otter employees, led and trained by experts in child mental health.

We offer a flexible, remote-first work environment, a “take-what-you-need” vacation policy, and parental leave. Employees receive medical, dental, and vision benefits for themselves and their dependents.

We support our team’s commitment to evidence-based care by providing ongoing provider training and covering annual fees to maintain certificates or licenses. Clinicians can also make their own schedules.