Best Online Therapy for Anxiety

Our editors independently research, test, and recommend the best products, and articles are reviewed by healthcare professionals for medical accuracy. You can learn more about our review process here. We may receive commissions on purchases made from our chosen links.

Over 40 million adults in the United States—almost 20% of the population—currently live with generalized anxiety disorder. This makes it the most common mental health disorder in the country. Anxiety symptoms can be debilitating and disruptive to your day-to-day life. Addressing them can be difficult, especially if you’re short on time, money, and/or the means to travel. That’s why online therapy for anxiety has become such a lifesaver. 

Online therapy services give anxiety sufferers the ability to meet with therapists and support groups, ask questions via text, and read up on new research and treatments all from the comfort of home. It’s particularly helpful for people who get anxious about traveling or speaking to someone in person. 

In order to determine the best online therapy for anxiety, we surveyed 100 users of each of 33 companies. We also sent detailed questionnaires to the businesses themselves in order to gain further information about them. Here are the companies that came out on top in our reviews.

Best Online Therapy for Anxiety of 2022

Best Overall : Online-Therapy.com


Key Specs
  • Price: $160–$320 per month
  • Accepts Insurance: No, but possible reimbursement with receipt 
  • Number of Therapists: Unknown
Why We Chose It

Online-Therapy.com offers comprehensive treatment for anxiety using therapists who specialize in CBT.

Pros & Cons
Pros
  • Discounted first month

  • Easy-to-navigate site

  • Therapists bios available online

Cons
  • Doesn’t take insurance

  • Can’t choose your own therapist

  • Does not offer medication management

Overview

Anxiety can take many forms, like social anxiety disorder (SAD), illness anxiety disorder (IAD), and performance speaking anxiety (PSA). Online-Therapy.com is one of the few online therapy services that recognize this and structures its services accordingly. 

This Swedish-based company has therapists who are all trained in cognitive-behavioral therapy (CBT), one of the most widely used therapy methods to treat anxiety, because it can help stop negative behavioral cycles that trigger anxious feelings. It does this by pinpointing where those thoughts start so you can manage them before they get out of control. 

Not only do Online-Therapy.com’s therapists specialize in a well-known anxiety treatment method, but they’re also ready to help you no matter where you live in the U.S. The company doesn’t have an app, but its website clearly explains how to sign up, and which features are available once you do. Even their most basic plan includes their toolbox feature, which gives you access to helpful worksheets, self-help videos like yoga and meditation, activity plans, and a journal to help you document your treatment journey and keep track of your progress. 

You can read many of its therapists’ bios on the website as well, which is an advantage over other online therapy companies that do not provide this information.

Once you take a brief survey, you’ll be matched with a therapist who you can then message online anytime you want. 

The following plans are currently available:

  • The Basic Plan: $32 per week. This includes messages from your therapist that you’ll receive daily, Monday through Friday, and access to the eight online sections of their Toolbox, including 25 worksheets, yoga and meditation videos, journals, activity plans, and self-tests. Note that this plan doesn’t include weekly live sessions with your therapist.
  • The Standard Plan: $47.96 per week. This offers all of the above plus weekly therapy sessions by phone, video chat, or live messaging. You also get unlimited messaging with your therapist. 
  • The Premium Plan: $63.96 per week. This includes everything in the Standard Plan, plus your therapist will reply to your messages with more expediency.  

Out of the 33 companies we reviewed, Online-Therapy.com’s subscription costs were about average.

Online-Therapy.com has very high overall customer satisfaction ratings with the users we surveyed:

  • Seventy-four percent said the services they received through the company were either very good or excellent.
  • Eighty-seven percent said they were likely or very likely to be seeing the same therapist after 12 months.
  • Ninety-one percent said they were either likely or very likely to recommend Online-Therapy.com to someone like them.

Best for Group Support : Sesh


Key Specs
  • Cost: $60 per month
  • Accepts Insurance: No
  • Number of Therapists: Unknown
Why We Chose It

Sesh helps you develop an emotional support system by offering a number of different group therapy options.

Pros & Cons
Pros
  • Therapist-led support groups

  • 14-day free trial

  • Anxiety support group available

Cons
  • Doesn’t take insurance

  • No individual therapy offered

  • Only for people 18+

Overview

Sometimes, anxiety can leave you feeling cut off from the rest of the world. Mental disorders like anxiety can be particularly isolating, because it often feels like you’re the only one who truly knows what you’re going through. That’s where group therapy can make a major difference. 

Sesh offers a wide variety of online therapy groups that deal with various emotional health issues. There are regular group support sessions that focus on the experience of anxiety, and sometimes they get rather specific. For example, one group focuses on anxiety that can manifest during pregnancy. Individual session topics are normally offered on a weekly basis at various times to support the needs of members.

The live group video sessions are typically an hour long and are led by licensed therapists via the Sesh app. The $60 a month subscription fee covers unlimited entry into any of the available group sessions. The site also has a blog that includes advice on anxiety management. 

While Sesh does offer a number of group therapy options, they do not offer one-on-one therapy. If you feel your anxiety is severe, it’s best to consult a licensed therapist about starting more targeted therapy. 

Sesh has a high overall customer satisfaction rating with the users we surveyed:

  • Eighty percent of the users we surveyed said Sesh’s services overall were either very good or excellent; 75% rated the company as a very good or excellent value.
  • Ninety-four percent said they were either likely or very likely to recommend Sesh to someone like themselves. 
  • Eighty-nine percent said they were either likely or very likely to still be seeing their Sesh therapist 12 months from now.

Best for Relationships : OurRelationship


Key Specs
  • Cost: One-time $150 fee
  • Accepts Insurance: No
  • Number of Coaches: 20
Why We Chose It

OurRelationship offers professionally guided programs to help couples address mental or emotional issues.

Pros & Cons
Pros
  • Bios of coaches available on website

  • One-time fee

  • You select your own coach

  • LGBTQIA+ friendly

Cons
  • Coaches are mainly doctoral students

  • More of a self-help resource than therapy

  • Not for intensive or long-term needs

Overview

Stress and anxiety can weigh on any relationship, no matter how stable. Whether tension is caused by becoming parents, dealing with job or financial loss, or simply day-to-day stressors, OurRelationship recognizes that every couple can fall out of sync and need a tuneup. Its self-driven programs are designed to help couples get back on track by addressing their issues head-on and learning to communicate better. Programs like this give couples coping with anxiety the opportunity to address their issues without working face-to-face with a counselor, which may be anxiety-inducing for some. 

You won’t be on your own over the course of the program either. You can choose a coach to guide you through it from a sizable list of well-trained, qualified therapists. You can read their bios online, several of which note their experience treating anxiety issues in couples. According to its website, they’ve already helped over 5,000 people improve their relationships through their online programs. 

The program is a relatively inexpensive option, even if you don’t have insurance. It costs less than most of the 33 companies we reviewed. OurRelationship also stresses that its coaches are well-versed in treating couples of all sorts, including military and veteran couples and LGBTQIA+ couples

It should be noted, however, that OurRelationship does not bill itself as a marriage counseling service, so if you think you and your partner need something along those lines, this is probably not the company for you. 

OurRelationship offers services at two price points:

  • The online course only: $50
  • The online course and five 20-minute sessions with a relationship coach: $199 

However, some couples may qualify for OurRelationship’s free program, which is funded by a grant from the U.S. Administration for Children and Families. Those who qualify will have regular video calls with a coach, and receive gift cards to Amazon, Walmart, or Target worth $150 per couple after completing the program.

OurRelationship has a high overall customer satisfaction rating with the users we surveyed:

  • Seventy-one percent said the services overall were either very good or excellent.
  • Eighty-seven percent said its therapists were well qualified. 
  • Ninety-five percent said they were either likely or very likely to recommend the company to someone like them. 
  • Seventy-three percent said the services they received were either a very good or excellent value.

Best for the BIPOC Community : Ayana Therapy


Key Specs
  • Cost: $290 per month
  • Accepts Insurance: No
  • Number of Therapists: Unknown
Why We Chose It

Ayana Therapy aims to connect BIPOC (Black, Indigenous, and People of Color) with licensed therapists who can provide the support they need. 

Pros & Cons
Pros
  • Offers subscription and pay-per-session options

  • Specializes in BIPOC and LGBTQIA+ mental health

  • Cost-effective

Cons
  • Does not accept insurance

  • Bios of therapists not available on the website

  • Does not provide medication management

Overview

Marginalized people tend to have a harder time accessing mental health care, and when you can’t get help, that can trigger more anxiety than you may already have. Ayana Therapy aims to serve these underserved communities by providing a more accessible, online network of therapists who are as diverse as they are well qualified to treat anxiety as they are knowledgeable. Its blog entries, many written by Ayana therapists, offer support for anxiety triggers that disproportionately affect marginalized people like racial trauma, questioning gender, and microaggressions. The service is also widely accessible, as it is available in all 50 states.

Simply fill out a questionnaire, and Ayana Therapy will match you with a therapist who fits your needs and with whom you feel comfortable. Once you’re matched, you can message your therapist from anywhere, at any time, so the stress of needing to stay on a certain schedule to keep up with therapy is eliminated. 

The cost of Ayana Therapy is about average when compared with the other companies we reviewed. You can pay per session or per month on a subscription basis. While not clearly outlined on their site, here’s how the fees break down, based on the gift card pricing:

  • Subscription: $290 for four weekly appointments, billed monthly
  • Single session: $140 each

Ayana Therapy has a high overall customer satisfaction rating with the users we surveyed:

  • Seventy-four percent rated their providers’ qualifications as very good or excellent.
  • Seventy-nine percent said they were either likely or very likely to recommend Ayana Therapy to someone else. 
  • And seventy-four percent said its value was very good or excellent for the money spent.

Best for LGBTQIA+ : Kip Therapy


Key Specs
  • Cost: $75–$175 per session
  • Accepts Insurance: No
  • Number of Therapists: 40
Why We Chose It 

Kip Therapy is one of the few online therapy services that offers mental health support specifically for the LGBTQIA+ community, in the form of individual or group sessions.  

Pros & Cons
Pros
  • Offers couples, family and group therapy

  • All therapists have experience treating LGBTQIA+ people

  • Choose your own therapist

  • Same-day sessions available

Cons
  • Only serves New York

  • Does not offer subscription plans

  • No text-based therapy sessions

Overview

LGBTQIA+ people, especially those who are young, tend to experience higher levels of anxiety than the average person. A 2020 Trevor Project survey found they were 1.75 times more likely to experience symptoms of anxiety and depression than cisgender, heterosexual youth. As such, it’s vital that they have a support system, ideally with a medical professional who can help them cope with the anxiety triggers of daily life

Kip Therapy is a New York-based online therapy service that specifically caters to LGBTQIA+ people. It aims to create an online therapy community for people who may have had a hard time establishing one in the outside world—something which can trigger a lot of anxiety. As the website says: “Kip is a space where you can find the support, understanding, and expertise to guide you towards a place where you belong.”

You can read their therapists’ bios on Kip’s website, and even sort them by what they specialize in treating. Many have ample experience supporting patients with anxiety. You can even check each therapist’s availability on their bio page. Once you decide on a provider, the first step is to schedule a 45-minute session where you can discuss what you’d like to achieve during your sessions. 

Establishing a supportive community is a pillar of Kip’s mission, so it also offers you the option of having sessions with your partner or other family members, and you can join specific group sessions that resonate with you. For example, if you’re struggling with your gender identity, there is an eight-week group that meets weekly to discuss that. The main downside with Kip is it’s currently only available to people living in New York State. 

Kip has multiple types of sessions at different price points:

  • Tier I: $75 per session with a graduate intern
  • Tier II: $105 per session with a postgraduate fellow
  • Tier III: $120–$145 per session with an advanced practitioner
  • Tier IV: $175 per with a senior clinician

Kip Therapy also has a high overall customer satisfaction rating with the users we surveyed:

  • Seventy-five percent said the company’s services overall were either very good or excellent.
  • Seventy-nine percent said its therapists were well qualified. 
  • Eighty percent said the service’s value was very good or excellent for the money spent.
  • Eighty-three percent said they were either likely or very likely to recommend it to someone like them.

Best for Medication Management : Wellnite


Key Specs
  • Cost: $75–$195 per month
  • Accepts Insurance: No
  • Number of Therapists and Doctors: Unknown
Why We Chose It

Wellnite offers online therapy as well as medication management for anxiety at an affordable cost. 

Pros & Cons
Pros
  • Same-day appointments available

  • Offers medication management

  • Affordable

  • Offers CBT via talk and chat

Cons
  • Not in-network with insurance

  • No therapist bios available before signing up

  • Only treats anxiety and depression

  • Does not prescribe controlled substances

    Overview

    Finding an online therapy service that offers both therapy sessions and medication management and isn’t cost-prohibitive is a challenge. Wellnite is one of the few companies that bridge the gap by bundling medication management with your therapy subscription, if you need it, all while keeping costs low. 

    Wellnite is also designed to address your anxiety quickly and efficiently. The same day you sign up, you’ll be matched with a licensed, accredited therapist who specializes in treating anxiety and depression. You’ll also be able to schedule a same-day doctor’s consultation to get set up with the medication prescription that you need and have it delivered to your home. However, it should be noted that the company does not prescribe controlled substances like Xanax (alprazolam) or Ativan (lorazepam). 

    You can have live video sessions with your therapist or opt to do them over the phone if you prefer. While Wellnite doesn’t take insurance, its monthly cost is below average compared to the 33 other companies we surveyed. Wellnite providers specifically treat people with anxiety and depression, so if you have additional mental health issues you’d like addressed, you may need to look elsewhere. 

    Wellnite’s subscription plans are as follows: 

    • The Serotonin Plan: $75 per month. This includes access to four chat-based coaching sessions a month, one monthly doctor consultation, and a 30-day supply of one prescription, if needed.
    • The Mindfulness Plan: $195 per month. You get everything in the Serotonin plan, plus two video-call sessions with a licensed therapist. 

    Wellnite has a very high overall customer satisfaction rating with the users we surveyed: 

    • Seventy-six percent said the overall services they received with Wellnite were either very good or excellent.
    • Ninety-one percent said they were either likely or very likely to recommend Wellnite. 
    • Eighty-nine percent said they were likely or very likely to still be seeing a Wellnite therapist 12 months from now.

    Best for Teens : Talkspace


    Key Specs
    • Cost: $260–$400 per month 
    • Accepts Insurance: Yes 
    • Number of Therapists and Prescribers: Thousands
    Why We Chose It

    Talkspace has designated online counseling for teens struggling with a number of different mental health issues. 

    Pros & Cons
    Pros
    • Offers therapy and medication management services

    • In-network with some insurances

    • Contact therapist at any time in a number of ways

    • Several subscription plans available

    Cons
    • Can only choose from therapists you’re matched with

    • No therapist bios prior to signing up

    • Some services can be cost prohibitive

    • Can’t prescribe controlled substances

    Overview

    Talkspace has been around for almost a decade, so its providers are pros at helping you manage your mental health from the comfort of your home. But what you may not know is that the company also offers specialized teen therapy. 

    Over 30% of teens in the U.S. aged 13 to 18 struggle with anxiety, according to the National Institute of Mental Health. As such, many of Talkspace’s accredited therapists are experienced in helping patients cope with anxiety and stress, and you can request this specific kind of support during the matching process. The site also notes they provide therapists who have experience working with teens ages 13 to 17 and medication management is offered if deemed necessary. 

    Therapists are obligated to keep all conversations private, so they can’t communicate with parents about sessions unless the teen gives express permission (or the therapist believes the child is in danger). This allows teens more freedom to talk about what’s really bothering them, without having to self-censor out of fear of getting into trouble—something which can be quite triggering and anxiety-provoking.

    On Talkspace, you can connect with your therapist in a number of convenient ways—including video and audio chat, live chat, and text—at any time. Cost-wise, Talkspace is in the average range when compared to the other 33 companies we surveyed, and it does accept some insurance policies. 

    Subscription plans range in price from $260 to $400 per month. Exact prices aren’t provided until you check out, as they’re dependent on your location and plan level:

    • The Unlimited Messaging Therapy Plus Plan: Starts at $260 a month. This includes text, video, and audio messaging with your therapist, but no live sessions.
    • The Unlimited Messaging Therapy Premium Plan: This offers all of the above, plus one 30-minute live video session with your therapist a month. 
    • The Unlimited Messaging Therapy Ultimate Plan: This includes all of the above, plus four 30-minute live video sessions with your therapist a month. 

    Talkspace has a fairly high overall customer satisfaction rating with the users we surveyed: 

    • Sixty-nine percent said the overall services they received with Talkspace were either very good or excellent.
    • Sixty-five percent of respondents rated Talkspace’s services as a very good or excellent value.
    • Still, 93% percent said they were either likely or very likely to recommend Talkspace. 
    • And 88% said they were likely or very likely to still be seeing a Talkspace therapist in 12 months.

    Most Affordable Without Insurance : Peer Collective


    Key Specs
    • Cost: $14–$28 per session
    • Accepts Insurance: No
    • Number of Therapists: 35
    Why We Chose It

    Peer Collective helps make the online counseling process easy, accessible, and affordable for everyone. 

    Pros & Cons
    Pros
    • Can choose counselors from long list of matches

    • Free first session

    • Easy to sign up and start sessions

    Cons
    • Insurance not accepted

    • No medication management services

    • Counselors are not licensed therapists

    Overview

    Often, the biggest hurdle for people when deciding to pursue therapy is the cost. As of 2020, 28 million people in the U.S. were uninsured. But simply having insurance does not guarantee that an online therapy service will accept it—or that they will accept any plans at all. This can cause additional anxiety, or even end up deterring many people from moving forward with therapy. 

    Peer Collective aims to bridge that gap by making mental health care as affordable as possible without insurance. It costs as little as $14 for a 30-minute session, up to $28 for a 60-minute session, with a peer counselor. It should be noted that these are not licensed therapists, but rather counselors who have experience with many different mental health issues, especially anxiety. Some people may not feel like they need an accredited therapist to treat their anxiety, and access to peers dealing with similar issues may be just enough support to help them cope on their own.  

    Peer Collective’s counselors can also offer effective coping strategies to help combat stress when it creeps up on you, plus, Peer Collective has a page on its site dedicated to anxiety treatment.

    Note that there’s not much in the form of educational information on the website, and you have to take the questionnaire in order to read peer counselor bios. However, the questionnaire is relatively brief, allowing you to see the peer counselors who are available to help you within minutes of signing up.

    Peer Collective has a very high overall customer satisfaction rating with the users we surveyed: 

    • Seventy-six percent said the overall services they received with Peer Collective were either very good or excellent.
    • Ninety-three percent said they were either likely or very likely to recommend Peer Collective. 
    • Eighty-eight said they were likely or very likely to still be seeing a Peer Collective therapist 12 months from now.
    • Seventy-nine percent said the service was a very good or excellent value.

    Best with Insurance : Cerebral


    Key Specs
    • Price: $29 per month plus copays and medication costs with in-network insurance; $259–$325 per month without insurance
    • Accepts Insurance: Yes
    • Number of Therapists: Unknown
    Why We Chose It

    Cerebral is in-network with numerous insurance plans and offers several therapy plans, as well as medication management, all via its app or website.

    Pros & Cons
    Pros
    • Easy-to-navigate website and app

    • Very inexpensive with insurance

    • Offers medication management

    • Ships prescriptions to your door

    Cons
    • Therapists are assigned via algorithm

    • Insurance coverage varies by state

    • Can be cost prohibitive without insurance

    Overview

    People who have anxiety often benefit from talk therapy, medication, or a combination of the two. Cerebral offers that and more, all of which can be accessed via their app or website. If you need medication, Cerebral will even ship it directly to you so you don’t have to pick it up at the pharmacy. 

    Cerebral will match you with a licensed therapist who specializes in the mental health issues you’re dealing with, whatever they are. You can even text them whenever you like, and they should respond within 24 hours. If you think you may benefit from medication, you can work with a medical prescriber to get on the right prescription, and they’ll track your progress regularly by consulting with you and your assigned therapist. 

    If your insurance is accepted by the company, the service is only $29 a month plus applicable copays. If you don’t have insurance, Cerebral is still quite affordable though may be cost-prohibitive for some. The app stresses that it’s not a good fit for those experiencing suicidal ideation, substance abuse, or schizophrenia

    Subscription plans:

    • The Medication and Care Counseling Plan: $85 per month. This includes evaluation, diagnosis, and prescription from a provider if deemed necessary, and regular video or phone sessions with your therapist.
    • The Therapy Plan: $259 per month. This offers all of the above plus unlimited messaging with your therapist.
    • The Medication and Therapy Plan: $325 per month. This includes everything in the two plans above plus medication management if necessary. 

    Cerebral has a very high overall customer satisfaction rating with the users we surveyed:

    • Eighty-three percent rated the services they received as either very good or excellent, and 81% told us the service was a very good or excellent value. 
    • Eighty-six percent rated their therapist’s qualifications as excellent or very good.
    • A full 95% would recommend Cerebral to someone like them.

    Best for Postpartum : Rethink My Therapy


    Key Specs
    • Price: $99–$159 per month
    • Accepts Insurance: No
    • Number of Therapists: 180 professionals and 300,000+ trained listeners
    Why We Chose It 

    At Rethink My Therapy, treatment for postpartum mental health concerns can include partners and family members. 

    Pros & Cons
    Pros
    • Affordable subscription rates

    • Choose your own therapist

    • Sessions can include your partner or family

    Cons
    • Insurance not accepted

    • Have to sign up to see therapist bios

    • No live chat sessions available

    Overview

    Becoming a parent can be filled with stress and anxiety. Not only are you caring for a new little life—if you’ve given birth, you may also be dealing with extreme body chemistry changes that can trigger postpartum anxiety (PPA) and/or postpartum depression (PPD). Between 10% and 20% of new birthing parents in the U.S. will experience clinical postpartum mood disorders. 

    Rethink My Therapy recognizes that new parents might benefit from treatments that also involve their support systems, like their partner or parents. After you sign up and choose your therapist, you can pick a subscription plan that’s just for yourself or one that includes however many family members you’d like to include.

    Rethink My Therapy may be a new telehealth service, but the New Jersey-based company has already established itself as a comprehensive and affordable option for people coping with postpartum depression when compared to the other 33 companies we surveyed. And, if you and your therapist decide medication should be part of your treatment plan, that can be managed from the same site. 

    While the website is somewhat basic, it’s easy to navigate, sign up for an account, and choose a provider from a long list of bios. Rethink My Therapy has many licensed, accredited therapists who specialize in treating the various mental health issues that parents might face—including couples issues and parenting with PPD. 

    Rethink My Therapy offers three types of subscriptions:

    • Individual therapy or psychiatry: $99 per month. This includes unlimited access to virtual primary care + $0 copays for access to a therapist or psychiatrist as needed for virtual live sessions.
    • Couples therapy: This plan starts at $129 per month, and includes two individual accounts with unlimited access to virtual primary care and $0 copays for individual or joint therapy/psychiatry sessions. 
    • Family therapy: $159+ per month. This plan offers up to four individual accounts with unlimited access to virtual primary care and $0 copays for therapy or psychiatry sessions. 

    And if you’re not 100% sure about trying online therapy for PPD, Rethink My Therapy offers a seven-day free trial. 

    Rethink My Therapy has a very high overall customer satisfaction rating with the users we surveyed:

    • Eighty percent rated the company as very good or excellent, and 82% rated its services as a very good or excellent value.
    • Eighty-eight percent said they were likely to still be working with the same therapist in 12 months.
    • Eighty-nine percent would recommend Rethink My Therapy to someone like themselves.

    Final Verdict

    The online therapy options on this list were all rated highly by our survey of users, but due to Online-Therapy.com’s comprehensive care offerings, intuitive website, and attention to anxiety treatment, it landed in the top spot on this list. 

    All of its accredited therapists are trained in CBT, and many of them also mention anxiety mitigation in their bios. Online-Therapy.com is in the average range of affordability out of the 33 services we surveyed, and a high percentage of users found its services either very good or excellent. 

    Compare the Best Online Therapy for Anxiety

    Company Price App Available Platforms Insurance
    Online-Therapy.com
    Best Overall
    $160–$320 per month No Live video, chat, audio, messaging No
    Sesh
    Best for Group Therapy
    $60 per month Yes Phone, desktop, and tablet via Sesh app only No
    OurRelationship
    Best for Relationships
    $150 one-time fee No Live video and audio No
    Kip Therapy
    Best for the LGBTQ+ Community
    $75 up to t $175 per session No Phone, video, or in person No
    Ayana Therapy
    Best for the BIPOC Community
    $240 per month No Texting and video No
    Wellnite
    Best for Medication Management Services
    $75–$195 per month Yes Live video and phone No
    Talkspace
    Best for Teens
    $260–$400 per month Yes Live video, audio, chat, unlimited messaging Yes
    Cerebral
    Best with Insurance
    $29–$325 per month Yes Live video, phone Yes
    Peer Collective 
    Best without Insurance
    $14–$28 per session No Live video, phone No
    Rethink My Therapy
    Best for Postpartum Depression
    $99 per month for individual therapy, $129 per month for couples therapy, $159 per month for family therapy Yes Live video, phone  No

    Frequently Asked Questions

    What Is Anxiety?

    Anxiety is your body and mind’s response to the anticipation of a perceived threat. Some people have more intense responses than others and have trouble coping. If you have a response that interferes with your daily life, you may have an anxiety disorder, which can manifest as panic attacks, constant feelings of worry or dread, or the need to avoid certain stressors like in-person gatherings.

    Can Online Therapy for Anxiety Help Benefit Your Mental Health?

    Online therapy can help your anxiety and benefit your mental health. A 2021 review of over 17 studies on the subject found it may actually be more effective than in-person therapy. Another review from the same year found that online therapy is just as good as in-person therapy for anxiety.

    Is Online Therapy for Anxiety Right for You?

    Online therapy can be a great service for people with anxiety because it cuts out a lot of factors that might trigger additional anxiety. Many online therapy services offer flexible scheduling, the ability to message your therapist at any time, and the opportunity for phone or live chat sessions instead of face-to-face meetings, in case that aspect of therapy is stressful for you. 

    “If individuals can talk on the phone or via chat and do not necessarily need to see their therapist, it might provide more opportunities for them to seek treatment,” says Dr. Nikki Lacherza-Drew, a psychologist from New Jersey who specializes in cognitive behavioral therapy (CBT). 

    That’s because one of the biggest stressor online therapy removes is the need to commute. “Some individuals get anxious about being late to their appointment or driving/sitting in traffic,” says Dr. Lacherza-Drew. “Online therapy takes the commute out of the equation and provides more control for the person. Set an alarm and pop on the computer or phone for your session.”

    This is also especially helpful for eliminating anxiety about the risk of face-to-face sessions during the COVID-19 pandemic. After all, you might be seeking counseling specifically for COVID anxiety syndrome (CAS).

    That said, online therapy may not be right for you if you’ve already tried traditional therapy and medication management, and you feel like neither has helped you manage your symptoms. If you feel you have severe anxiety, it’s important to discuss that right away with your therapist and together you can decide if a more comprehensive treatment plan may be more helpful.

    How Does Online Therapy for Anxiety Work?

    Each service is slightly different, but usually, you work with a therapist via your preferred communication method (video or audio call, messaging, or live chat) to address your anxiety and come up with a treatment plan that works for you. 

    Once you’ve chosen a specific service that works for you, you’ll have to take some steps to schedule your first online therapy session. Depending on the service, this may include answering a questionnaire about what you’re looking for in a therapist and your scheduling needs, signing up for a subscription, and reading several therapist bios to land on the best match for you, not necessarily in that order.

    After setting up an account, and matching with or choosing a therapist, you’ll likely be asked to schedule an appointment. This might involve looking at your therapist’s availability calendar online and picking a date and time that works for you, or chatting or messaging directly with your new therapist to decide on a date and time together. 

    After that first appointment is scheduled and you feel comfortable moving forward with that therapist, you can work out an ongoing timetable with them either during your sessions or via the service’s online portal.

    Typically, you can manage most things—such as adjusting your appointment schedule, changing therapists, and paying for services—through your private portal. If you have any questions along the way, try reaching out to customer service. 

    During your sessions, your therapist may discuss coping exercises you can do to mitigate your anxiety when it gets overwhelming. Essentially, it works just like in-person therapy, except you’re doing it from the comfort of your home, or wherever else you like.

    How Much Does Online Therapy for Anxiety Cost?

    The cost varies based on the service provider. According to our survey data, there’s quite a wide spectrum of fees just among the 33 companies we reviewed. For example, some online therapy services accept insurance, which, if you have it, can reduce the cost per session to a small copay. (For instance, Cerebral memberships are only $29 per month plus any applicable copays charged by your insurer.)

    Some may accept HSA or FSA cards, or your insurance may reimburse you for some of the cost if the service provider is out of network. Others may use counselors instead of licensed therapists to reduce cost. Counselors tend to be less expensive than therapists because they haven’t been accredited with a professional degree.

    Can I Get a Prescription for Anxiety Medication Through Online Therapy?

    You can get a prescription for medication along with your online therapy for anxiety, but currently only from a small number of services. Teladoc’s medical doctors, for example, have been helping patients manage their medications remotely for over a decade now, so its mental health providers are equipped to do the same with psychiatric medications.

    Typically, an accredited psychiatrist needs to sign off on and manage a patient’s mental health medications, so only online therapy services that offer access to one may also potentially offer medication management.

    Is Online Therapy for Anxiety Covered by Insurance?

    Insurance coverage depends on the online service. Some, like Cerebral and Talkspace, work with a number of common insurance companies, so you might have better luck getting in-network coverage with them. The main benefit to using an online therapy for anxiety that’s covered by your insurance is that your out-of-pocket cost will usually be much less than if you work with a service that doesn’t accept insurance. 

    Others, however, are out-of-network and will only provide you with a receipt (or superbill) which you can use to request reimbursement from your insurance provider yourself. If that’s the case, you’ll have to inquire with your insurance company to understand the process of submitting receipts and claims for your therapy sessions in order to be reimbursed. In these situations, you’ll have to do the legwork of trying to get reimbursed—the companies don't submit the claim on your behalf.

    You may also be able to pay for your therapy with an HSA or FSA card if you have one, or get assistance with costs via an employee assistance plan (EAP) if your employer provides one. Again, you’ll need to inquire about each of these services to iron out the details and learn how each payment plan works.

    What Factors Should I Consider if I’m Looking for Online Therapy for Anxiety?

    In addition to considering cost, whether a company accepts insurance, and the communication methods that work for you, there are several other elements to consider when looking for online therapy for anxiety. They will help you determine not only if online therapy is right for you, but also which specific services cater most to your needs. These factors include:

    • Scheduling flexibility: You can typically decide with your therapist when and how often you have sessions. This is especially helpful for people who may get anxious when they have to adhere to a strict schedule. However, if the service is subscription-based, you may feel more inclined to keep to regular sessions—or it may trigger too much anxiety to attend regularly, which is worth considering before choosing a service with a monthly commitment.
    • Business/payment structure: Is the service subscription-based or do you pay per session? If you can’t afford the monthly fee, it might be worth sticking with a pay-per-session model to help you stay on budget.
    • Communication platforms: If having one-on-one video calls with your therapist is stressful, it’s probably best to choose a service that allows you to select other methods of communication—like live messaging sessions, audio calls, or group therapy.
    • Cost: There are a number of online therapy services that strive to make therapy as affordable as possible, but that may mean choosing a service that uses counselors instead of accredited therapists.
    • Therapist qualifications: Does having a licensed, accredited therapist matter to you? Would you prefer to know their background before being matched with one?
    • Experience with anxiety: Does the service make it clear their therapists have experience treating anxiety and/or offer literature on coping mechanisms?
    • Ease of use: Does the service have a streamlined website and/or app that makes it simple to access what you need?

    Methodology

    Our methodology for evaluating online therapy companies informed this review of online therapy services for anxiety. In order to collect comprehensive data on 33 companies, we sent questionnaires to 100 current users of each. This allowed us to review the best online therapy services for anxiety fairly, impartially, and accurately. We compared companies by looking at users’ qualitative and quantitative reviews of various services offered and evaluating overall user satisfaction, therapist qualifications, types of therapy offered, website usability, cost and value for money, and client privacy protections.

    Edited by
    Simone Scully
    simone-scully-verywell

    Simone is the health associate 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
    and
    Ray Finch
    Ray Finch

    Ray is a copy editor, fact-checker, mental health writer, and editorial producer with over five years of experience.

    Learn about our editorial process
    Was this page helpful?
    9 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.
    1. National Alliance on Mental Illness. Anxiety disorders.

    2. Kaczkurkin AN, Foa EB. Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues Clin Neurosci. 2015;17(3):337-346. doi:10.31887/DCNS.2015.17.3/akaczkurkin

    3. The Trevor Project and Morning Consult. How COVID-19 is impacting LGBTQ youth.

    4. National Institute of Mental Health. Any anxiety disorder.

    5. Keisler-Starkey K, Bunch LN. Health insurance coverage in the United States: 2020. Washington, DC: U.S. Government Publishing Office; 2021:60-274.

    6. Carberg J. Postpartum Depression Statistics. Postpartum depression.

    7. Dunne AL, Lloyd C, Lee S, Daffern M. Associations between the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, alternative model of antisocial personality disorder, psychopathic specifier, and psychopathy-related facets with aggression in a sample of incarcerated males. Personality Disorders: Theory, Research, and Treatment. 2020;11(2):108-118. doi:10.1037/per0000369

    8. Andrews G, Basu A, Cuijpers P, et al. Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: an updated meta-analysis. Journal of Anxiety Disorders. 2018;55:70-78. doi:10.1016/j.janxdis.2018.01.001

    9. Luo C, Sanger N, Singhal N, et al. A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis. EClinicalMedicine. 2020;24(100442). doi:10.1016/j.eclinm.2020.100442