Best Online Therapy Services of 2023

These services offer the best availability, most comprehensive plans, and more

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Online therapy is a convenient way to make caring for your mental health fit into your life and budget. Some estimates suggest 70% of Americans can’t access traditional, in-office therapy because of various obstacles, including cost, lack of public transportation, and therapist shortages.  Online therapy—i.e. therapy conducted virtually through phone calls, video chats, emails, and text messages—can help bridge this gap for anyone seeking mental health support. Research suggests that online therapy can be just as effective as face-to-face sessions.

The best online therapy is the kind that’s affordable and provides you with a qualified, experienced therapist you resonate with. We evaluated 80 different online therapy companies and directories based on services offered, cost, convenience, and availability, surveying over 10,000 users total; here are the companies that scored the highest.

13 Best Online Therapy Services of 2023

Why Trust Us
Companies reviewed
Total users surveyed
Data points analyzed
We surveyed 105 users from each online therapy company and asked the companies to complete questionnaires. Then, we tested the services ourselves, conducted comprehensive data collection research, and evaluated our results with the help of three licensed therapists.

When choosing an online therapy provider, we recommend that you read the company’s privacy guidelines before you sign up to better understand whether it is HIPAA-compliant and whether it shares any private information with third parties. There have been some concerns raised by the Federal Trade Commission (FTC) and several government officials about what user health information online therapy providers collect and what they do with any information they collect.

Best for Availability : BetterHelp

  • Price: $240 to $360+ per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Individual Therapy
Special Offer

Verywell Mind readers get 20% off their first month of BetterHelp membership.

Why We Chose It

BetterHelp has a large network of accredited psychologists, marriage and family therapists, clinical social workers, and licensed professional counselors across the U.S. and internationally, ready to support you through therapy in the format of your choosing within moments of signing up.

Pros & Cons
  • Large number of providers

  • Available in all 50 states and 200 countries

  • Therapist bios available prior to sign-up

  • Chooses your therapist for you

  • Only one subscription plan available

  • Company has questionable pricing and privacy practices


BetterHelp continues to be one of the most well-known online therapy services on today's market. It offers many types of therapy, a robust selection of therapists to choose from, various ways to communicate with your therapist, and a simple interface to sign up for and continue therapy.

After completing a brief questionnaire, an algorithm matches you with a therapist (or a selection of therapists to choose from), often within hours, and you receive access to a private portal.

Therapist Qualifications & Specialties

BetterHelp has a network of over 25,000 licensed therapists, psychologists, social workers, and professional counselors. While each provider has their own expertise and experience, BetterHelp is incredibly selective with who they hire (only 20% of applicants). There are therapists who specialize in trauma, anger, depression, anxiety, addiction, sleep, relationships, and more.

BetterHelp doesn’t provide psychiatric or medication management services.

Plans & Pricing

BetterHelp is a monthly subscription that costs $240 to $360 per month, depending on your location, preferences, and therapist availability. It practices surge pricing, which means it charges more for services in areas where mental health care is in high demand.

The subscription includes:

  • Four live video sessions per month via phone call, video, or online chat
  • Unlimited asynchronous text, audio, and video messages between sessions
  • An online journal that your therapist has access to 
User Satisfaction & Insights

Eighty-six percent of BetterHelp users rated the company good, very good, or excellent overall. Satisfaction extends to the customer service users received when issues did pop up, with 67% saying the service they received was either good or excellent. Unfortunately, when testing the company for ourselves, we found some serious privacy issues with BetterHelp, like BetterHelp sharing user data with Facebook for advertising purposes. This is something to keep in mind when choosing an online therapy service.

Best for Couples : ReGain

  • Price: $360+ per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Special Offer

Verywell Mind readers get 20% off their first month of ReGain membership.

Why We Chose It

ReGain is available around the world and features licensed therapists with thousands of hours of experience, all of whom have expertise in relationship therapy. Once users are matched with a therapist, they can choose when and whether to work with their therapist alone or with their partner.

Pros & Cons
  • Specializes in relationships

  • Tailored sign-up process

  • Multi-location access to sessions

  • Therapist is chosen for you

  • Not HIPAA-compliant

  • Short follow-up sessions


ReGain specializes in relationships of all shapes, sizes, and predicaments. After you sign up, you’re matched with a licensed professional.

You and your therapist will then be assigned to a "room" where an ongoing conversation between the two of you and, if you choose to add them, your partner will be visible to all parties. The platform takes advantage of the continuous but asynchronous format of messaging to allow you come back to topics that come up. The room is also where your video chat sessions will take place, if you choose to have them. Two people can access the same room from different devices from anywhere in the world, making ReGain exceptionally accommodating. If you or your partner want to talk to the therapist one-on-one, you can schedule a solo live session.

ReGain also stresses the importance of privacy and confidentiality, giving users the ability to leave out their name and contact information when they sign up. Whether you’re looking for individual insight into your relationship or an opportunity to work together through your challenges, ReGain therapists are ready to support you for as long as you need.

Therapist Qualifications

ReGain has a team of accredited psychologists, therapists, clinical social workers, and professional counselors trained to treat relationship distress through individual or couples therapy. Their experience and expertise vary, but each therapist has at least three years and 1,000 hours of clinical experience under their belts.

There aren’t any psychiatrists or medical health professionals capable of prescribing medication in ReGain’s network of providers. If you require an official diagnosis or medication management, you will need to seek out alternative support.

Plans & Pricing

There is only one type of subscription plan, and the price ranges from $240 to $360 per month, depending on your location and therapist preference.

Each subscription includes:

  • Unlimited asynchronous messaging available to you (and your partner) 24/7
  • Live video session once per week; the first one is 45 minutes long and following sessions last 30 minutes

After completing the questionnaire and receiving your quote for online therapy, ReGain will ask if you feel like therapy is unaffordable. If you do, there’s a scholarship option available where you can provide more information about your financial situation.

User Satisfaction & Testing Insights

Eighty-eight percent of the users we surveyed said the qualifications of the therapist they were matched with were good, very good, or excellent. We found that we were given ample homework that fit our presenting concerns that we wanted to work on. The option to conduct one-on-one sessions with our therapist was also a nice touch.

Most Comprehensive : Talkspace

  • Price: $69-$109 per week for monthly plans; $65 for each additional live session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Special Offer

Get $100 off your first month using promo code VERYWELL100.

Why We Chose It

With multiple subscription plans, tiered pricing, a wide range of therapy services offered, and an extensive network of therapists across the nation, Talkspace is the best option for anyone looking for a one-stop destination to start therapy.

Pros & Cons
  • Multiple subscription plans with different pricing

  • Insurance is accepted

  • Serves all 50 states

  • Offers multiple forms of therapy and psychiatry

  • Additional resources available on site prior to sign-up

  • No upfront pricing information

  • Extensive directory can be intimidating


As one of the first online therapy companies to hit the block, Talkspace has built up its practice to include individual therapy, couples therapy, teen therapy, and psychiatry and medication management services, making it our top choice for online therapy seekers. It also offers therapy aimed specifically at veterans and the LGBTQ+ community, as well as services for businesses.  

After filling out a brief assessment, you’re matched with a therapist. From there, you can choose how you would like to communicate with them, whether that be through audio or video call, asynchronous messaging via the Talkspace “room” (to which you have 24/7 access), or live chat.

Talkspace is HIPAA-compliant, upfront about how it uses your data, and has an app that users have reported good experiences with. 

Therapist Qualifications

Talkspace has a team of 3,000 licensed therapists, social workers, and mental health counselors across the country with expertise in a range of issues including anxiety, depression, relationship distress, substance use, and more. 

Talkspace’s network of providers also includes licensed psychiatrists who are capable of prescribing medication to clients who are 18 years old or older. Talkspace psychiatrists are also able to work in tandem with other Talkspace providers to provide care to individuals who require medication management in addition to therapy.

Plans & Pricing

Talkspace offers three subscription plans for individual and teen therapy, all priced differently and meant to serve various needs.

  • Messaging therapy: This plan includes unlimited asynchronous text, audio, and video messaging for up to five days per week.
  • Video + messaging therapy: This plan includes everything in the messaging therapy plan, plus four live 30-minute video sessions with your therapist per month.
  • Video + messaging + workshops: This plan includes everything in the video + messaging therapy plan, plus access to weekly workshops provided by Talkspace providers.

Prices for each plan range from about $69 per week to $109 per week, depending on your location, the type of therapy you’re interested in, and what’s included in the plan.

Couples therapy at Talkspace is similar to the video + messaging therapy plan in content, and costs around $109 per week.

Psychiatric services are offered a la carte rather than through a subscription, strictly as live video sessions. The initial 60-minute evaluation with a licensed prescriber is $249. Sessions conducted after the initial evaluation are $125.

Talkspace also works with a growing network of insurance providers and EAPs, making it even more affordable if your plan is in network. 

User Satisfaction & Insights

Of the users we surveyed, 90% rated their overall experience with Talkspace as excellent, very good, or good. After testing Talkspace for ourselves, we found that the sign-up process and getting matched with a therapist was simple, but communicating with a therapist in between live sessions proved to be a headache. 

No online therapy company is perfect, and Talkspace is transparent about the availability of the therapist you’re matched with. The kind of communication you have with them will depend on the provider. Overall, 75% of the users we surveyed said they’d come back if they restarted therapy, and 82% would recommend it to a friend.

Best for Psychiatry : Talkiatry

  • Price: Depends on your insurance
  • Is Insurance Accepted?: Yes. BCBS, Cigna, United Health, Aetna, Oscar, Medicare, and others
  • Type Of Therapy: Individual Therapy, Medication Management, Psychiatry
Why We Chose It

Talkiatry specializes in providing psychiatric and medication management services to adults and children, and it partners with over 60 major insurers to bring down the cost of mental health treatment.

Pros & Cons
  • Team of board-certified psychiatrists

  • Free initial consultation

  • Matched with selection of experts after sign-up

  • Only available in 18 states

  • Need to email for a self-pay quote


Talkiatry is a psychiatry practice founded in 2020 that specializes in the medication management and psychiatric aspects of mental health care. Talkiatry operates a lot like an in-person facility, but gives providers the support and technology they need to treat their clients online. It can be used in conjunction with talk therapy, though the referral from your psychiatrist could be to someone outside Talkiatry.

Keep in mind that signing up doesn’t guarantee a place in this practice. Still, 70% of users said they’d come back to Talkiatry if they needed a similar service again, making it a no-brainer for us in terms of psychiatric care.

Therapist Qualifications

The more than 300 accredited Talkiatry psychiatrists are part of the hive, not independent contractors. In this sense, Talkiatry differs from other online therapy companies, instead operating much like an in-person practice.

According to its website, Talkiatry’s psychiatrists specialize in treating individuals with anxiety, ADHD, bipolar disorder, insomnia, PTSD, depression, and OCD. There are also some mental health conditions that Talkiatry will not treat in the online space because it doesn’t believe it can be done safely. 

Those conditions include:

  • Eating disorders
  • Substance use disorders
  • Schizophrenia

There are also licensed therapists in Talkiatry’s network, but to work with a therapist you must first be working with a psychiatrist or psychiatric nurse practitioner—the company doesn’t offer standalone psychotherapy sessions. If you are not interested in medication, Talkiatry may not be a good fit for you. But if you are, the company's platform makes working with both a psychiatrist and therapist convenient.

Plans & Pricing

Talkiatry isn’t a subscription service. Instead, you pay per session with your psychiatrist, plus the cost of any prescribed medication. The price you pay per session typically depends on your insurance.

All client-to-provider relationships begin with an initial visit via video chat, 60 minutes for adults and 90 minutes for children. After that, visits with your psychiatrist will occur at a frequency that coincides with a schedule you set together, based on your personalized treatment plan. Follow-up appointments are 30 minutes long.

The company's website says it can only see patients with insurance but, if you’re between insurers, Talkiatry encourages you to email to ask about self-pay options.

User Satisfaction & Insights

We tested Talkiatry’s service ourselves and were impressed with the thoroughness and warmth we felt with our psychiatrist from the beginning. 

This sentiment was shared by 85% of the users we surveyed who said their prescriber’s bedside manner was excellent, very good, or good. When we asked them what else they liked about their prescriber, 58% said their prescriber really took the time to listen to them, 44% said their prescriber didn’t make them feel rushed during sessions, and 35% found their prescriber to be empathetic and caring. 

Best for Anxiety and Depression : Brightside

  • Price: $95-$349
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Individual Therapy, Medication Management, Psychiatry
Why We Chose It

Brightside is an online therapy service that specializes in depression and anxiety. Its focused approach has resulted in a curated treatment plan that draws on multiple approaches, including therapy, medication, and self-care, to provide care that users can rely on. 

Pros & Cons
  • Multiple tiers of service provided

  • Free assessment available

  • Free self-care program available prior to sign-up

  • Only accepts five insurance providers

  • Chooses your therapist for you


Compared to its competitors, Brightside provides a broader scope of care to its users in respect to depression, anxiety, and panic disorders.

After completing an assessment, you can meet your matched therapist or start with the free self-care resources provided. Your therapist is available to you via live video chats and an unlimited messaging feature. Between live sessions, you have access to self-paced audio lessons and exercises to continue building on the progress you’re making.

Therapist Qualifications

With a team of psychiatrists, physicians, psychiatric nurse practitioners, and therapists, all of whom have years of experience and current licenses to operate in your state, you can rest assured that you’ll be well taken care of. 

Brightside specializes in treating depression and anxiety disorders, with medication and psychotherapy. The psychiatrists and psychiatric nurse practitioners at Brightside are able to support any psychiatric care, including prescribing and managing medication. The website notes that the one condition Brightside does not treat or prescribe medication for is ADHD, so if this is a diagnosis you’re seeking support with, Brightside isn’t for you.

Plans & Pricing

Brightside has three subscription plans, all of which can be offset if you have an in-network insurance provider. 

  • Medication only: $95 per month, plus your pharmacy copay or $15 for medication; includes an initial 15-minute video consultation with a psychiatrist, ongoing provider care and monitoring, and self-care tools to use at your own pace
  • Therapy only: $299 per month; includes unlimited messaging and, after an initial 45-minute session, one 30-minute therapy session per week (additional video sessions can be purchased for $59 per session)
  • Therapy + medication: $349 per month; includes everything in the other two plans
User Satisfaction & Insights

After testing Brightside ourselves, we found that while Brightside only does one thing, it does it very well. By specializing in helping individuals struggling with depression and anxiety, Brightside has been able to create a treatment plan that’s beloved by users; 90% of the ones we surveyed gave the company an overall rating of good to excellent, and 75% said they were likely or very likely to recommend Brightside to a friend.

Most Affordable : E-Therapy Cafe

  • Price: $196-360 per month; $55 a session
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Why We Chose It

As a boutique online therapy service, this team of therapists may be small, but the therapy services it provides are still mighty—and affordable.

Pros & Cons
  • Exact pricing for plans clearly displayed

  • All therapists and life coaches are licensed and certified

  • Discounts for students, veterans, and first responders

  • No medication management services

  • Sessions expire within 30 days of purchase


In addition to individual therapy, E-Therapy Cafe offers relationship and marriage counseling, LGBTQ+ counseling, couples counseling, trauma counseling, military counseling, bridal coaching, and prescriptions for emotional support animals.

We liked that it pulls out all the financial stops with discounts, insurance reimbursements, and financial aid, making online therapy with E-Therapy Cafe more affordable and accessible.

Therapist Qualifications

E-Therapy Cafe has a small team of licensed therapists, social workers, and certified life coaches to provide mental health support to individuals and couples. Its team doesn’t include psychiatrists and therefore the company doesn’t offer medication management services.

Plans & Pricing

E-Therapy Cafe has multiple options for online therapy:

  • E-Therapy Shot: Pay per session, $55 each (one $50 trial session available per client)
  • E-Therapy Four: Subscription plan that includes four sessions per month with your therapist, $196/month
  • E-Therapy Eight: Subscription plan that includes eight sessions per month with your therapist, $360/month

Subscription plans and pay-as-you-go rates apply to individual and couples therapy as well as coaching sessions. Each plan includes a set number of sessions with your therapist as determined by the plan you opt in to as well as an online chat service located within a private portal. These sessions take place with your therapist either via 30-minute live video, e-journal entry with a 700 word maximum, or 30-minute instant chat. Sessions can be stacked and expire within 30 days of purchasing them.

User Satisfaction & Insights

While E-Therapy Cafe’s team of therapists is smaller than those of its competitors, 80% of users we surveyed said they were either satisfied or very satisfied with the selection of therapists available, and 90% said they found the therapists’ qualifications to be good, very good, or excellent. 

After testing this company ourselves, we agree with these sentiments, although it’s easiest to pick a therapist with open availability by keeping two tabs open while sifting through therapist bios.

Best for Flexibility : Thriveworks

  • Price: Session rate varies by provider; Start at $99 per session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

Thriveworks has in-person centers all over the country, therapists have same or next day availability for appointments, it accepts insurance, and it offers both therapy and medication management services.

Pros & Cons
  • Same-day appointments are available

  • Multiple ways to connect with therapists

  • Self-pay is an option

  • Lenient cancellation policy

  • Not available in every state

  • Messaging is unavailable

  • Membership fee is separate from cost of therapy session


Thriveworks entered the mental health space in order to bring a greater level of flexibility and convenience via online therapy. It also has brick-and-mortar offices and offers in-person services across the country except for in New York, North Dakota, South Dakota, Vermont, and West Virginia.

You select a therapist and an appointment date/time that works for you, create an account, complete a brief form, and enter your payment information. This company has done everything it can to accommodate users, including offering a cancellation policy that lets you cancel or reschedule for free with 23.5 hours’ notice. This flexibility is why 80% of users we surveyed said they would recommend this company to a friend.

Therapist Qualifications

Thriveworks’s network has more than 3,000 providers, including licensed social workers, therapists, professional counselors, psychologists, and psychiatrists. Each provider has their own experience and skill set to support individuals experiencing a range of issues including anxiety, addiction, relationship distress, depression, trauma, and more. Thriveworks is highly selective. It only hires about 4% of applicants, according to its website.

For individuals seeking psychiatric care, Thriveworks’s psychiatrists and psychiatric nurse practitioners (NPs) are available for online consultations and follow-ups as well as prescribing medication and medication management. 

Plans & Pricing

Plans and pricing with Thriveworks isn’t as straightforward as other online therapy companies. Pricing depends on the provider you choose and the treatment you receive. 

If you’re paying out of pocket, you can expect prices to start at $99 per session. There’s also a $39 membership fee that’s required to schedule your first session with your therapist, though that membership can be waived or canceled later for those who need financial assistance. If you cannot get it waived and choose to cancel the membership after your first session, keep in mind that you will not be able to communicate with your therapist between sessions via phone calls and emails. That’s a perk reserved for members.

User Satisfaction & Insights

Thriveworks has many providers in its network that offer early and late appointments and availability as soon as the next day. This was a crucial deciding factor for the 41% of users who said that morning, evening, and weekend availability was important to them when choosing an online therapy service. However, after signing up for Thriveworks ourselves, we noticed that finding a therapist was a shot in the dark due to the lack of an intake questionnaire or matching process. 

Best for Accessibility : LiveHealth Online

  • Price: $80-95 per therapy session; $175 or less for an initial psychiatry session; $75 per follow-up
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Children's Therapy, Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

LiveHealth Online makes mental health support obtainable with its free sign-up process, pay-per-session payment structure, and access to accredited psychiatrists and licensed therapists all within the same platform.

Pros & Cons
  • Talk therapy and medication management available

  • Free sign-up

  • Choose your own provider

  • Transparent pricing

  • Available only in the U.S.

  • Only offers video sessions


LiveHealth Online is a telehealth platform that offers talk therapy, medication management services, and telemedicine services at affordable prices. Without subscription or membership pricing, users don’t have to pay for perks they don’t intend to use. 

After signing up for free by entering some basic information, you can navigate from the website to the portal with the service you need: psychology, psychiatry, or medication. From the portal you choose, you can schedule an appointment with any providers who have upcoming availability. 

Special note: Once you have an account, you can input more information about yourself under settings at a later time.

Therapist Qualifications

LiveHealth Online is a team of licensed therapists, psychologists, and board-certified psychiatrists. Providers within the LiveHealth Online network specialize in and can offer support to individuals who struggle with anxiety, grief, panic attacks, life transitions, and more. Psychiatrists are also available to evaluate, diagnose, and prescribe and manage medication. 

Plans & Pricing

LiveHealth Online differs from online therapy companies like Talkspace and BetterHelp in that it doesn’t require you to pay anything before connecting with a therapist. You pay per session booked with your therapist, nothing more.

The catch is you’re limited to video sessions with your therapist. Messaging isn’t available between sessions. 

If you’re paying out of pocket, here’s what pricing can look like:

  • $80 per visit with a therapist
  • $95 per visit with a psychologist
  • $175 for initial evaluation with a psychiatrist and $75 per follow-up visit
User Satisfaction & Testing Insights

When we tested LiveHealth Online for ourselves, we particularly enjoyed the simplicity of the website and the ease of signing up. According to our survey, most LiveHealth Online users were similarly pleased with their overall experience and level of care received. Ninety percent rated their overall experience as excellent, very good, or good, and 87% said they were very likely or likely to recommend LiveHealth Online to a friend.

Best With Insurance : Teladoc

  • Price: $0-$299
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Individual Therapy, Psychiatry, Teen Counseling
Why We Chose It

Our highest-rated telehealth company, Teladoc accepts a large number of popular insurance plans (and some Medicare and Medicaid plans, which is unusual for teletherapy and telepsychiatry companies) and can be accessed all across the U.S.

Pros & Cons
  • Accepts a wide range of insurance plans

  • Available in all states

  • Medication management offered

  • Choose your own therapist

  • Limited insurance information prior to sign-up

  • No free trials or discounts


Teladoc is available across all 50 states and offers therapy and medication management services. Although Teladoc stresses its acceptance of insurance and doesn’t provide clear pricing until you sign up and choose a provider, you aren’t charged without knowing what it will cost you out-of-pocket. There’s also a step in the sign-up process that confirms if Teladoc accepts your insurance plan before you continue.

After filling out a brief medical history assessment, you can choose an expert from a list of those matched to you based on your requirements and desired services, view prices that correlate to your situation, select your preferred dates/times, and meet with your provider either via phone or video.

Through its intuitive app and website, you can work with a licensed therapist or psychiatrist from the comfort of your home.

Therapist Qualifications

Teladoc has a team of accredited psychiatrists, psychologists, counselors, and social workers available to support a variety of mental health needs, including anxiety, depression, grief, work-related stress, trauma, and more. Since there are psychiatrists available, medication management is also available to you. 

Plans & Pricing

Teladoc doesn’t have subscription plans like Talkspace or BetterHelp. Upon signing up, you are encouraged to select a provider. Once you’ve selected a provider, you pay per therapy session or psychiatry visit.

If you’re paying out of pocket, the pricing for Teladoc’s services are as follows:

  • $90 per therapy session
  • $299 for initial psychiatry consultation; $199 per follow-up visit
User Satisfaction & Insights

Signing up for online therapy is straightforward for both individuals and couples. After signing up ourselves, we found that we were able to message our therapist between sessions after our initial session, which is a perk we weren’t aware of before signing up. Overall, 97% of the users we surveyed reported being satisfied with the company as a whole, which was the highest rating amongst the companies we reviewed.

Best for Family Therapy : Little Otter

  • Price: $90 intake session fee; $540 for assessment bundle; $2,040 for 12-session bundle; $500 for psychiatric evaluation; $250 for each psychiatric follow-up
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Children's Therapy, Couples Therapy, Family Therapy, Teen Counseling
Why We Chose It

Little Otter offers a myriad of coaching, therapy and medication management services specifically for children ages 0 to 14 and their parents and families.

Pros & Cons
  • Free initial informational call

  • All therapy is HSA/FSA eligible

  • Therapy session packages are discounted

  • Only available in 11 states

  • Only accepts one insurance provider


Although Little Otter’s focus is offering personalized therapy for children, it also provides coaching and counseling services for parents as part of its “whole family” approach to evidence-based therapy.

After choosing between diving head-first into a welcome session or taking a child and family assessment, you’ll complete a short quiz, and either schedule your session or move on to complete an additional expert-designed assessment. Since Little Otter is currently only available in 11 states, the quiz asks for your zip code to ensure services are provided in your area. 

Once you complete the mental health assessment, you’re given a report with Little Otter’s findings, a “what can I do” section with tips on addressing current issues within the home, and the ability to schedule a welcome session with your assigned “care lead” or therapist. 

Therapist Qualifications

Little Otter’s team is made up of licensed therapists, child psychiatrists, and BCBA-certified parent specialists, all trained in the “most up-to-date clinical practices for early childhood development,“ according to its website.

Each provider is there to assist children and their families in identifying and addressing mental health conditions like ADHD, depression, anxiety disorders, and more. Child psychiatrists are available to diagnose and prescribe medication as well as work in tandem with a child’s pediatrician.

Plans & Pricing

Little Otter isn’t a subscription service. Instead, you pay per session. There are also bundles you can purchase to offset the costs of individual sessions.

Here are the prices for Little Otter’s services:

  • $90 for a 30-minute welcome session with your care lead, the clinician coordinating your Little Otter care team
  • $200 for a 45-minute session with your assigned therapist
  • $500 for a 75-minute general psychiatric evaluation
  • $250 for a 30-minute psychiatric follow up or medication management visit

Here are the prices for Little Otter’s bundles:

  • Assessment bundle: $540 for a 90-minute assessment session plus one 45-minute therapy session
  • 12-session bundle: $2040 for 12 45-minute therapy sessions
User Satisfaction & Insights

Fifty percent of users said they found their therapists’ qualifications much better than that of other online therapy companies. One thing to note: When we tested Little Otter ourselves, we found it extremely challenging to switch providers. After a bit of back and forth between our tester and their care lead, the switch never occurred. 

Best for LGBTQ+ : National Queer and Trans Therapists of Color Network

Why We Chose It

The National Queer and Trans Therapists of Color Network (NQTTCN) is a constellation of accessible resources for the often underrepresented queer and trans people of color (QTPoC) within the LGBTQ+ community. This nonprofit is more than a directory and offers support to not only those seeking mental health support, but to those providing it as well.

Pros & Cons
  • Mental Health Fund available to cover financial costs

  • Filters make finding a provider simple

  • Multiple ways to contact provider prior to sign-up

  • Queer and trans therapists provide affirming services to their community

  • Limited to 30 U.S. states and two Canadian provinces

  • Not all therapists in the directory accept insurance


NQTTCN is a nonprofit that intertwines social justice and mental health support to provide a multitude of accessible resources to the LGBTQIA+ community, particularly queer and trans people of color (QTPoC). 

Therapist Qualifications

The mental health practitioners found on NQTTCN include licensed therapists, behavioral health workers, psychologists, social workers, counselors, case managers, and peer support counselors—all of whom identify as members of the QTPoC community.

Each provider in the directory brings their own expertise, experience, and preferred modalities to the table, specializing in areas such as identity issues, trauma, relationship conflict, sexual wellness, and more. Cognitive behavioral therapy (CBT), meant to identify and change undesirable patterns of thought and behavior, and solution focused brief therapy (SFBT), a strength-based approach that zeros in on solutions rather than problems, are two of many therapeutic approaches practiced by the practitioners found on this directory. Others include:

It wouldn’t be unheard of to find a practitioner who intertwines various approaches in their practice. The real goal is to find a practitioner whose approach you agree with or aligns with your needs. Unfortunately, if you require medication, you will need to look elsewhere for a psychiatrist who can prescribe it for you.

Plans & Pricing

The cost of therapy depends on the provider. This directory shows you the average cost per session with the provider you click on. We’ve seen these sessions listed for as low as $60 and as high as $200, but this is a starting point. You can find more information about the cost of therapy with a specific provider by visiting their website, which is listed in their bio.

Aside from the general cost of sessions with a provider, there are other variables to consider, like whether they accept insurance or offer a sliding scale option. Keep these in mind during your search.

User Satisfaction & Insights

Eighty-three percent of the users we surveyed were either satisfied or very satisfied with the selection of therapists to choose from in the directory, and 81% were pleased with their qualifications. After testing the directory ourselves, we found that NQTTCN is a valuable resource for both therapy seekers and providers who identify as LGBTQ+ and QTPoC.

Best for Black Communities : Therapy For Black Girls

Why We Chose It

Therapy for Black Girls is a directory of over 800 therapists and providers—a majority of whom identify as Black or as women of color—that cater to women and girls of color. 

Pros & Cons
  • Excellent selection of additional resources

  • Has many search options to find a therapist

  • Can be matched with a therapist upon request

  • Hard to identify therapist specifications

  • Payment depends on therapist


Therapy for Black Girls puts an emphasis on de-stigmatizing therapy for communities of color, particularly the Black community. It has created an entire platform dedicated to providing the support and resources its users may seek, including a directory of therapists who offer online therapy, in-person therapy, individual therapy, group therapy, or combination of the above.

Therapist Qualifications

The Therapy for Black Girls directory lists licensed counselors, therapists, psychiatrists, psychologists, psychotherapists, and social workers specializing in supporting the Black community with issues such as anxiety, depression, addictions, trauma, grief, and more. 

From insurance to specialty to type of therapy to availability, you can filter through the Therapy for Black Girls directory to find a provider that meets your needs. That includes a need for psychiatrist-approved medication management. It also doesn’t hurt that this directory includes providers all around the country and in some parts of Canada, making it even more accessible to find a therapist near you.

Plans & Pricing

One drawback of this directory is that it doesn’t provide a lot of detail around how much therapy costs. The directory lists whether or not a therapist is taking on new clients, but you need to dig deeper (by way of visiting each provider’s website) for more pricing and scheduling information.

User Satisfaction & Insights

For the targeted audience Therapy for Black Girls seeks to support, we found that this directory checks all of the boxes in terms of ease, accessibility, and available resources. Eighty-four percent of users said that the qualifications of the therapists found on this directory were good or very good, and 70% said the therapist they worked with met all of their needs. Not to mention it's beloved by its users, with 84% likely or very likely to recommend it to a friend. 

Best Directory : GoodTherapy

Why We Chose It

Of the directories we reviewed, GoodTherapy had the most extensive selection of licensed providers, available internationally, with a wide array of certifications for online therapy seekers to choose from.

Pros & Cons
  • Detailed provider bios available prior to sign-up

  • Good collection of in-depth articles on therapy and mental health

  • Filters make searching for therapists efficient

  • Available internationally

  • In-person and hybrid models available

  • Not every provider offers online therapy

  • Acceptance of insurance and payment depend on the therapist


GoodTherapy is more than an extensive directory of providers; it’s a mental health hub that provides you with access to educational material, blog posts, support groups, and treatment facilities. 

Therapist Qualifications

GoodTherapy’s directory includes counselors, licensed therapists, psychotherapists, and social workers who specialize in areas such as relationships, sexuality, grief, addiction, anxiety, depression, eating disorders, trauma, and more. With a laundry list of techniques (which you can filter by), it’s easy to find a therapist who uses the one you’re looking for. There are also psychiatrists available in the directory that you can find by filtering your search to providers who offer medication management.

Plans & Pricing

Since this is a directory of independent providers, the logistics—insurance, payment, availability, and communication method—depend on the provider you work with, though 83% of users rated the number of therapists who offered payment options (such as sliding scales) as good or very good.

User Satisfaction & Testing Insights

GoodTherapy has consistently rated high in our directory user surveys, namely due to the strides it’s taken to destigmatize mental health. Of the 180 users we surveyed, 86% rated it as very good or good. After testing the directory for ourselves, we noticed that while GoodTherapy strives to make mental health care more accessible, it doesn’t explicitly claim any social justice goals like some of its competitors. For a company that aims to make mental health accessible and inclusive, this could steer potential therapy seekers away.

Compare the 13 Best Online Therapy Services of 2023

Best For
Is Insurance Accepted?
Does it Accept HSA/FSA?
Type Of Therapy
Communication Options
Reset All
BetterHelp Best for Availability $240 to $360+ per month No Yes Individual Therapy Messaging, Phone, Video Chat Learn More
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ReGain Best for Couples $360+ per month No No Couples Therapy, Individual Therapy Audio, Live Chat, Messaging, Video Chat Learn More
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Talkspace Most Comprehensive $69-$109 per week for monthly plans; $65 for each additional live session Yes Yes Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Live Chat, Messaging, Phone, Video Chat Learn More
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Talkiatry Best for Psychiatry Depends on your insurance Yes. BCBS, Cigna, United Health, Aetna, Oscar, Medicare, and others Yes Individual Therapy, Medication Management, Psychiatry Video Chat Learn More
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Brightside Best for Anxiety and Depression $95-$349 Yes Yes Individual Therapy, Medication Management, Psychiatry Messaging, Video Chat Learn More
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E-Therapy Cafe Most Affordable $196-360 per month; $55 a session No No Couples Therapy, Individual Therapy Live Chat, Messaging, Video Chat Learn More
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Thriveworks Best for Flexibility Session rate varies by provider; Start at $99 per session Yes Yes Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Phone, Video Chat Learn More
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LiveHealth Online Best for Accessibility $80-95 per therapy session; $175 or less for an initial psychiatry session; $75 per follow-up Yes Yes Children's Therapy, Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Video Chat Learn More
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Teladoc Best With Insurance $0-$299 Yes No Couples Therapy, Individual Therapy, Psychiatry, Teen Counseling Audio, Video Chat Learn More
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Little Otter Best for Family Therapy $90 intake session fee; $540 for assessment bundle; $2,040 for 12-session bundle; $500 for psychiatric evaluation; $250 for each psychiatric follow-up Yes No Children's Therapy, Couples Therapy, Family Therapy, Teen Counseling Messaging, Video Chat Learn More
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National Queer and Trans Therapists of Color Network Best for LGBTQ+ N/A N/A N/A N/A N/A Sign Up Now
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Therapy For Black Girls Best for Black Communities N/A N/A N/A N/A N/A Sign Up Now
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GoodTherapy Best Directory N/A N/A N/A N/A N/A Sign Up Now
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Final Verdict

A key advantage of online therapy is more flexible scheduling options, and BetterHelp wins out as the best company for availability because it offers users a wide variety of times and methods to connect with a therapist. It scored highly for overall appeal to online therapy users, who rated it favorably in various categories, like the quality of therapists and prescribers, ease of navigating the website, and ratio of needs met by its providers. For couples looking for talk-therapy, you'll be well served by ReGain.

While Talkspace does offer psychiatric services, it has a heavy focus on talk therapy. So if you’re interested in working with a psychiatrist, Talkiatry may be a better place to start due to its specialization in psychiatry. If you’re seeking therapy for a younger age group, Little Otter specializes in providing mental health support to kids 0 to 14, making it a great option since Talkspace isn’t available to anyone under the age of 18.

Guide to Choosing Online Therapy

What Is Online Therapy?

Online therapy, also known as teletherapy, e-therapy, or virtual therapy, is a way to receive mental health support from a licensed professional online versus in person. These services can be provided over the phone, or via video chat, email, or messaging. You can go about this in several ways, including scheduling virtual sessions with a therapist in private practice or by using an online therapy company or directory. 

By opting to use an online therapy company or directory, you take a good chunk of the research that’s required when choosing a therapist off of your plate. The main difference between online therapy companies and directories with therapists that provide virtual therapy is that with a directory, you always get to choose your therapist. With some online therapy companies, there’s a matching process involved where the company selects a therapist or a curated list of therapists for you based on the information you provide to them.

Who Is Online Therapy For?

“While individual preferences exist, most people can benefit from online therapy, with comparable outcomes to in-person sessions,” says Amy Marschall, PsyD, a clinical psychologist. Whether you prefer conducting therapy sessions from home, you live in a rural area, or you can’t find a provider you want to work with near you, online therapy can prove an excellent alternative to in-person care.

Keep in mind that while online therapy can help with many mental health concerns, it isn’t the best course of treatment for all conditions. “If someone is in a major crisis and requires inpatient care, online therapy is not adequate to address that,” says Dr. Marschall. “In addition, people with dissociative or psychotic symptoms that are interfering with their ability to distinguish reality need in-person care.”

How Does Online Therapy Compare to In-Person Therapy?

Online therapy can be just as effective as in-person therapy. Here’s what research has shown:

  • A 2022 study published in Clinical Psychology: Science and Practice found that teletherapy delivered comparable outcomes to in-person therapy.
  • A 2020 study published in Psychology Research found internet-delivered therapy may be a viable alternative to in-person therapy.
  • A 2018 study in the Journal of Anxiety Disorders found that online cognitive behavioral therapy is acceptable, effective, and practical health care for anxiety disorders and depression.
  • A 2020 study found that higher education students view online therapy positively.
  • A 2019 study found that multimodal digital psychotherapy is a potentially effective treatment for adult depression.

What to Know Before Choosing Online Therapy

Given how many choices there are when choosing a therapist in the online space, it is understandable to feel overwhelmed. That being said, there are some things to consider before choosing online therapy:

  • Methods of communication: Common types of communication with online therapy include video chat, messaging (similar to text), email, live chat (typically in a private portal), or phone calls. You’ll need to determine which way works for you. Messaging and email allow you to contact your therapist at the wee hours of the night or morning, but don’t guarantee the immediate response live chat does. Phone calls and video chats create a similar atmosphere to what you’d experience in person, sans transportation time. But you’ll need to schedule your sessions within whatever window your therapist has available. Some companies, like Talkspace and BetterHelp, offer a combination of communication channels for you to reach your therapist, depending on your subscription plan.
  • Availability: Online therapy may be more flexible than its in-person counterpart, but you’ll still need to coordinate your schedule with your therapist’s. Think 9-5, and don’t forget to consider time zones. There are some companies, such as Thriveworks, that offer early morning and late evening sessions, which isn’t easy to come by.
  • Payment structure: Online therapy companies generally offer one of two payment structures: subscription or pay-per-session. With companies that offer subscriptions, like Talkspace and ReGain, you pay the same amount every month. Some even accept insurance. These subscriptions include certain features, like a set number of live sessions and alternative ways to reach your therapist in between appointments. Other companies, however, offer a payment structure that’s pay-per-session, which resembles the way traditional therapy is billed. Then, with online therapy directories such as GoodTherapy, the payment structure depends solely on the practitioner you choose to work with.
  • Insurance: Not every online therapy company works with or accepts insurance, but some do. The companies that don’t accept insurance may offer some kind of financial support to offset your out-of-pocket costs, so be sure to check with the online therapy company you’re interested in.
  • Type of therapy: One of the more important choices to make when you choose online therapy is the type of therapy you’re searching for. Most offer individual therapy, but there are some that also offer couples or family therapy. Some also cater to certain age groups, mental health conditions, cultural backgrounds, and sexual identities. It’s worth keeping these things in mind when you’re choosing a company. 
  • Therapist qualifications: It’s crucial to choose a therapist that has a specialization in what you’re seeking therapy for. Some companies have you fill out an intake questionnaire and use an algorithm to match you with a therapist. Others let you pick yourself, either from a curated list based on an intake questionnaire or from a directory of practitioners. Most companies provide therapist bios for you to dig into, though the level of detail varies. No matter the method, make sure to consider your therapy goals and personal comfort. This is someone you’ll be spending a lot of time opening up to and connecting with, so you want to feel comfortable with them. Bonus points if you resonate with them on a personal level.
  • Medication management: Not everyone who seeks out therapy needs medication. There is a treatment plan out there for everyone. Some online therapy companies include medication management with their subscription plans. Unless you know you require medication, you might benefit from a subscription plan that includes only therapy sessions.

It’s important to know that even the best online therapy has to offer isn’t appropriate for everyone. For example, if you are in crisis, are suicidal, or have a serious mental illness such as schizophrenia or a psychotic disorder, you might need a higher level of care than online therapy services can provide.

How Do I Know What Kind of Therapist I Need? 

The key to knowing which type of therapist is right for you is having a good grip on what your goal is for therapy. Similar to in-person practices, the type of providers available depends on the online platform. Some offer only therapists, some only psychiatrists, and some a combination of providers, including counselors and social workers. Each type of provider is appropriate for a variety of therapeutic goals, needs, and treatments. 

Here’s what you need to know:

  • Psychiatrists are medical doctors who have gone through 12 or so years from college to medical school and through a residency specializing in mental health care. Psychiatrists may include therapy in their sessions, but prescribing medication is often the focus.
  • Psychologists have either a master’s or doctoral degree and the training to practice psychotherapy. Clinical psychologists, typically involved in talk therapy, can diagnose and treat mental health conditions. Having a master’s degree is the minimum education qualification to provide counseling, but the level of experience or education doesn’t necessarily mean you’ll receive lower-quality treatment. Except in five U.S. states, psychologists cannot prescribe medication, regardless of their level of education.
  • Licensed family and marriage therapists (LMFTs) have either a master’s or doctoral degree and at least two years of clinical practice under their belts. They’re able to assess, diagnose, and treat a range of mental health conditions and psychological distress in family systems—this includes individual, couples, and family therapy. 
  • Licensed professional counselors (LCPs) have a master’s degree in mental health counseling and 2,000 to 3,000 hours of required field training. While counselors are similar to LMFTs and social workers in their level of education, training, the populations they serve, and the problems they address, counselors differ in that they typically offer support with a specific set of issues, often in a short-term capacity.

Social workers have been trained to integrate psychology and sociology to provide support and guidance to improve people’s lives, sometimes referring clients to external resources and services to provide that wider net of care. 

  • Masters-level licensed social workers (MSWs or LMSWs) have had training in psychology and may provide therapy in supervised settings. 
  • Licensed clinical social workers (LCSWs) are MSWs that have received their clinical licensure, giving them the ability to provide therapy without supervision.

Beyond the degrees they’ve earned, each therapist and counselor has their own unique combination of additional training and specializations. 

Some focus primarily on treating individuals and/or groups of people with a wide range of mental health issues, using techniques such as:

There are further specializations and techniques for specific diagnoses—like obsessive-compulsive disorder (OCD) or personality disorders— and aimed at helping people of particular identities, like gender-affirming care for transgender folks. Some therapists counsel people in a certain stage of life, like teens. Still, other therapists focus on trauma, which may be treated with modalities like somatic therapy or EMDR. For couples and families, some therapists practice approaches like the Gottman Method. Some professionals specialize in sex therapy to help those facing intimacy issues.

If you’re not sure what kind of therapist is best for you, some companies offer matching sessions with professionals who can help you find the right provider for you. Others have you fill out intake forms to help match you with a therapist who’s a good fit. 

Are There Free Online Therapy Options?

There are free options available, though it’s important to note that you will not receive the same personalized care as you might with your own therapist.

That said, here are some of those options:

  • The CRISIS Text Line: This is a confidential text line available to you 24/7 if you ever need immediate assistance and prefer the comfort of a text (or WhatsApp) thread. If you text “HOME” to 741741, you’ll be connected to a trained crisis counselor via live messaging. These crisis counselors are there to provide support, not medical advice. Sometimes this support takes the shape of a referral, and in cases of imminent risk, where the texter and crisis counselor can’t come to an agreed-upon plan of safety, the supervisor may contact emergency services.
  • The Samaritans: This is a 24-hour, completely confidential hotline that’s available to those in crisis and the people who are supporting someone in crisis. It doesn’t use caller ID or call tracing so you can remain anonymous. You can call this hotline day or night at 212-673-3000. While there’s no mention of nonconsensual active rescue, they do conduct a risk assessment at the beginning of every call to determine your mental state.
  • NYC Well: This is a free service local to the NYC area that’s available 24/7. It lets you call, text, or chat to receive mental health support from a trained NYC Well counselor or peer-support specialist while remaining absolutely anonymous. There is also a relay service available for the hearing impaired (dial 711) and interpreters for over 200 languages. For support, text “WELL” to 65173, call 1-888-NYC-WELL (1-888-692-9355), or access an online chat service.
  • 7 Cups: This company provides a 24/7 online chat room service at no charge. It also offers online therapy for $150 per month, but signing up for therapy isn’t required to be a part of a chat room. You can enter a chat room and be connected to a trained “active listener” within seconds of setting up your username. That’s right—it’s an anonymous service. 
  • The Therapy Fund at the Loveland Foundation: Established by Rachel Cargle, the Loveland Foundation provides the Black community with access to mental health resources. By partnering with a handful of online therapy companies and directories, Loveland offers vouchers to cover the cost of four to 12 therapy sessions. The Therapy Fund sign-up form opens quarterly. To sign up, visit its website.

Privacy and Online Therapy

Is Online Therapy Confidential?

As with anything else you do online, you will want to make sure you’re taking your data and privacy into account with online therapy. Practitioners are required to follow licensing regulations, state laws, and HIPAA regulations (the federal law protecting personal health information) that ensure safety and confidentiality.

Online therapy strives to be as confidential as in-person therapy in that whatever is discussed in the client-to-therapist relationship stays within the relationship. There are, however, exceptions to confidentiality including:

Some to note:

  • A therapist may need to disclose confidential information for scientific or medical purposes.
  • Psychologists may need to disclose confidential information to protect the client or others from harm.
  • A therapist may be required to report abuse or neglect of children, the elderly, or people with disabilities.
  • Therapists may need to disclose confidential information to obtain payment for services rendered to the client.

Should I Be Concerned About My Privacy When Using Online Therapy Services?

The rise of data as a commodity has left people wary of using online services, including online therapy. The best practice is to check the privacy policy of any online therapy company you’re considering. Look for any mention of what it does and doesn’t do with your data. It’s even better when it explicitly states that it is HIPAA-compliant. 

Image Text: Seek help now. If you are having a personal crisis and need to talk to a trained professional immediately, call the suicide hotline number

Verywell / Designed by Amelia Manley

Frequently Asked Questions

  • How Much Does Online Therapy Cost?

    The cost of online therapy varies just as in-person therapy does, depending on the service and level of support you choose. The average cost of therapy in America is between $60 and $200 per session and the 55 companies we reviewed fall squarely within that average, as well as to either side. Some online therapy companies offer pay-per-session rates, while others have subscription or membership models.

  • How Is Online Therapy Billed?

    If you have insurance, and your insurance is accepted, your health plan will be billed. You are responsible for copays, deductibles, and anything else your insurance provider will not cover. 

    If you don’t have insurance, you are expected to pay the amount billed to you unless other arrangements have been made, such as financial aid, funds, or a superbill for reimbursement purposes.

  • Does Insurance Cover Online Therapy?

    In many cases, insurance does cover online therapy. “With legal changes requiring reimbursement for this service,” says Dr. Marschall, “therapy has gotten much more accessible, and people can be seen from the privacy of their homes.” There are also online therapy services that choose not to accept insurance but offer competitive self-pay costs instead. 

  • Do Medicare and Medicaid Cover Online Therapy?

    Medicare and Medicaid do currently cover online therapy and started doing so during the pandemic. This extension of online therapy benefits could change if and when the public health emergency is lifted. As of right now, it’s covered. But like you generally do with any insurance, you will want to check that the online therapy service or practitioner you choose is covered.


To compile this list of best online therapy services, we surveyed over 10,000 users - 105 users of 55 different online therapy companies and 180 users of 25 different online therapy directories. We made our choices based on cost, accessibility, availability, services offered, and who can be treated (including kids and teenagers and those living with specific mental health concerns). We sent questionnaires to each online therapy company and consulted with three subject matter experts to help us evaluate each company, and tested each company's services ourselves.

Woman review online therapy Choices

Verywell Mind / Designed by Amelia Manley

Article Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. Pescatello MS, Pedersen TR, Baldwin SA. Treatment engagement and effectiveness of an internet-delivered cognitive behavioral therapy program at a university counseling centerPsychother Res. 2021;31(5):656-667. doi:10.1080/10503307.2020.1822559

  3. Anxiety and Depression Association of America. Treatment.

  4. Lin T, Heckman TG, Anderson T. The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clin Psychol Sci Pract. 2022;29(2):167–178. doi:10.1037/cps0000056

  5. Andrews G, Basu A, Ciujpers P, et al. Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysisJ Anxiety Disord. 2018;55:70-78. doi:10.1016/j.janxdis.2018.01.001

  6. Hanley T, Wyatt C. A systematic review of higher education students’ experiences of engaging with online therapyCouns Psychother Res. 2021;21(3):522-534. doi:10.1002/capr.12371

  7. Marcelle ET, Nolting L, Hinshaw SP, Aguilera A. Effectiveness of a multimodal digital psychotherapy platform for adult depression: a naturalistic feasibility studyJMIR Mhealth Uhealth. 2019;7(1):e10948. doi:10.2196/10948

  8. Clinical Practice Guideline for the Treatment of PTSD. How do I choose between medication and therapy?. American Psychological Association.

  9. American Association for Marriage and Family Therapy. About marriage and family therapists.

  10. American Psychological Association. Ethical principles of psychologists and code of conduct.

  11. Centers for Disease Control and Prevention. Health Insurance Portability and Accountability Act of 1996 (HIPAA).

By Alex Shea
Alex Shea (she/her) is a practicing therapist, self-published author, and life coach based in Florence, Oregon. In addition to Verywell Mind, her writing, which largely focuses on interpersonal relationships, has been published in HuffPost, Byrdie, Mindbodygreen, and The Wellnest.

Edited by
Simone Scully

Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

Learn about our editorial process
Hannah Owens
Hannah Owens

Hannah Owens is the Mental Health/General Health Editor for performance marketing at Verywell. She is a licensed social worker with clinical experience in community mental health.

Learn about our editorial process