Most Inclusive Online Therapy

Talkspace is our pick for flexibility, but Talkiatry is the best for psychiatry

We independently research, test, review, and recommend the best products—learn more about our process. If you buy something through our links, we may earn a commission.

Not all therapists have the training or cultural sensitivity to help all patients. This can result in microaggressions or further harm. “If someone cannot trust their therapist to be affirming of their experiences or to not bring their own subconscious biases to the session, it can be difficult or even impossible to establish a trust and rapport with that therapist,” explains Hannah Owens, LMSW, a subject matter expert we consulted on this project.

However, there are therapists that specialize in working with survivors of racial trauma, people experiencing discrimination based on sexual orientation or gender identity, people who are immigrants, children of immigrants, and people who speak a language other than English. Therapist-patient relationships based on shared cultural identity can help make mental health treatment safer, more welcoming, and more effective.

Since it's hard to know where to look for these therapists, we did the research for you by evaluating 55 online therapy companies and 25 directories, surveying over 100 users at each, and testing the platforms ourselves. Here are the online therapy companies we found to be inclusive, culturally sensitive, and LGBTQ+ affirming. 

Most Inclusive Online Therapy of 2023

Why Trust Us
55
Companies reviewed
5,775
Total users surveyed
350
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.

Best for Flexibility : Talkspace


  • Price: $276 - $516 monthly
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It 

With video, phone, and messaging options plus subscriptions at different price points, you can find a format and price that works for you more easily. Talkspace also scores high overall in terms of both user satisfaction and diversity.

Pros & Cons
Pros
  • Subscription plans with different price points

  • Accepts insurance

  • Users rated it positively for diversity 

Cons
  • Expensive without insurance

  • You can’t choose your therapist

  • Text-based therapy isn’t for everyone

Overview 

Founded in 2012, Talkspace was one of the very first online therapy companies. It offers individual, couples, and teen counseling in all 50 states, with three different tiers of therapy services available in a subscription format, including unlimited messaging with your therapist and weekly virtual live video sessions. Talkspace also offers psychiatry and medication management services for a separate fee. In addition to its out-of-pocket prices, which may be unaffordable to some therapy seekers, Talkspace also accepts many different insurance plans, making it one of our most accessible options. 

Talkspace isn’t specifically designed with diversity in mind, yet as one of the largest online therapy providers, it offers a wide range of diverse clinicians. This increases the likelihood of finding a therapist who understands or shares a similar cultural identity with you.

This diverse base of therapists is reflected in our user survey data, with 90% of users rating Talkspace’s diversity of providers as good, very good, or excellent compared to an 86% average across the other 54 companies we reviewed. Twenty-four percent said Talkspace was better than previously used services in supporting BIPOC patients, compared to a 16% average. Twenty-six percent said it was better than previously used services at supporting patients who have experienced racism, compared to a 12% average. Additionally, Talkspace users were overwhelmingly satisfied with its services, with 90% rating it as good, very good, or excellent overall.

Plans & Pricing

Talkspace offers a variety of plans, including:

  • Messaging therapy: Starts at $69 per week and includes unlimited text, video, and audio messaging with guaranteed therapist responses five days a week
  • Live therapy: Starts at $99 per week and includes four live 45-minute sessions per month via chat, phone, or video call
  • Live + messaging therapy: Includes messaging plus four live sessions and starts at $129 per week

Talkspace accepts several insurance plans, including Premera, Cigna, Optum, Gatorcare, Aetna, Blue Cross, and Blue Shield.

For all plans, you’ll schedule sessions in your private online portal, and if your plan includes live sessions, it's possible to schedule them all at once.  There’s no requirement to wait between sessions, so you can schedule a few in one week and then skip weeks if you want. Live sessions (video, audio, or live chat) and messaging occur directly in your portal.

Best for Psychiatry : Talkiatry


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

Talkiatry is an online psychiatry company that has excellent user satisfaction rates, and its diversity scores are well above average according to the users we surveyed.

Pros & Cons 
Pros
  • Scores high for user satisfaction 

  • Performs well for diversity

  • Longer than average visits

Cons
  • You need insurance to use it

  • Only available in 30 states

  • No option for psychotherapy without psychiatry

Overview 

Talkiatry was established in 2020 as an online outpatient psychiatry and medication management service, meant for anyone age 6 and above who needs treatment for conditions like ADHD, anxiety, depression, and PTSD. Talkiatry prides itself on the diversity and cultural humility of its psychiatrists, with providers who specialize in treating different races and ethnicities, various age groups, and members of the LGBTQIA+ community. 

Talkiatry stands apart from the competition because of the personalized, quality care its clinicians provide. Whereas many psychiatrists—particularly online psychiatrists—can be impersonal, focusing primarily on prescribing medication, those at Talkiatry spend 60 minutes with you during the first visit and 30 minutes for follow-ups. They’ll also recommend a psychiatry-therapy combo when appropriate.

Talkiatry’s high standard of care is evident in our user survey— 89% of users rated Talkiatry’s psychiatry services positively overall compared to a 77% average across the other medication management services we reviewed, and an impressive 95% rated its services overall as good, very good, or excellent. Seventy percent of users (above average) would start their search for a new mental health provider at Talkiatry if they needed services again. 

This company also performed well for having clinicians who can support BIPOC communities, LGBTQ+ communities, and survivors of racism and discrimination. 

Plans & Pricing

You can only get services from Talkiatry if it accepts your insurance, which might leave many uninsured or underinsured people without care. Talkiatry says that the price of your session will depend on the specific services you need, the length of the session, and the details of your insurance plan.

Sessions are only conducted over video chat. You can opt for psychiatry or psychiatry combined with therapy, but not stand-alone therapy.

You’ll start off with an assessment, then get a list of potential matches. After you select a therapist, you’ll be able to schedule on their calendar. 

Best With Insurance : Amwell


  • Price: $109 to $279
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

Amwell ranks positively overall in terms of user satisfaction and has higher than average scores for diversity. It accepts a number of insurance plans and can treat a range of concerns, from LGBTQ-specific issues to OCD, and it has providers who are able to speak multiple languages besides English. 

Pros & Cons 
Pros
  • Accepts a wide range of insurance plans

  • Offers psychiatry and medication management

  • Culturally informed, diverse therapists

Cons
  • Not designed explicitly for diverse patients

  • You need to sign up to view clinician bios

  • No phone or text therapy available

Overview

Amwell is a telehealth company offering mental health care along with general medical care in all 50 states. It provides both therapy and psychiatry services to anyone aged 10 and above, and accepts a wide range of insurance plans, making it an affordable and accessible option for insured therapy seekers looking for experienced, culturally informed clinicians. 

While it’s not designed with inclusivity in mind, Amwell performed comparatively well for diversity in our user survey: 86% of respondents rated therapist diversity good, very good, or excellent, compared to a 79% average. It also scored above average for languages spoken other than English and for having more therapists who can address racial and cultural issues than other services users had previously tried. 

Eighty-eight percent of Amwell’s users rated its services as good, very good, or excellent overall, so you’ll have a good chance of getting quality care here. It’s particularly good for the insured because it accepts a wide range of plans and says it’s continuously expanding coverage. This is a big selling point, considering 24% of Amwell users said that whether or not a company accepts insurance was the most important factor they looked for in an online therapy service, compared to a 13% average. Sixty-one percent of users said Amwell accepted their insurance, which is well above the 54% average across the other companies we reviewed.

Plans & Pricing

Amwell doesn’t offer session bundles or subscriptions—it’s a book-as-you-go system, which is great for people who don’t want to get locked into a plan. Its per-session, out-of-pocket prices are as follows:

  • Therapy: $109 for a master’s-level clinician and $129 for a doctoral-level clinician; sessions are around 45 minutes long and are conducted by video. There are no messaging and phone options. 
  • Psychiatry: $279 for the first visit (45 minutes), and $109 for follow-ups (15 minutes) conducted by video. Phone and messaging options aren’t available.

Amwell also accepts many insurance plans—if you are able to use insurance to pay for Amwell’s services, you will only be responsible for your copay.

Best for Latinx Community : Aguirre Center for Inclusive Psychotherapy Online Therapy


  • Price: $60-$200 per session
  • Is Insurance Accepted?: No
  • Type Of Therapy: Individual Therapy
Why We Chose It

The Aguirre Center for Inclusive Psychotherapy is culturally affirming, trauma-informed, anti-oppressive, and sex-positive. Many of its practitioners are Latinx and can speak to issues like being a first-generation immigrant and living in a multicultural home.

Pros & Cons 
Pros
  • Committed to inclusivity

  • Clinicians come from various countries

  • Latinx-owned business

Cons
  • Doesn’t accept insurance

  • Most clinicians are limited to only a few states

  • Limited number of therapists

Overview 

The Aguirre Center for Inclusive Psychotherapy is an online therapy company that offers individual, relational, and group therapy as well as psychological assessments. Additionally, it offers in-person care along with virtual sessions, setting it apart from other online therapy companies that do not offer in-person services. In fact, 72% of our users rated Aguirre as good, very good, or excellent overall, and 77% felt the same about the diversity of its providers. 

It’s clear that Aguirre aspires to eliminate all types of cultural barriers to mental health care. Its core values include being anti-oppressive, anti-racist, weight inclusive, feminist-informed, and affirming of ethical non-monogamy and kink communities. But it really shines when it comes to providing for the Latinx community. It’s owned by Latinx licensed psychologist Sophia Aguirre, PhD, who runs a team of culturally informed therapists, about half of whom are Latinx or Afro-Latinx. Two practitioners are bilingual and can conduct sessions in Spanish. Its Latinx therapists also come from many different countries, including Ecuador, Puerto Rico, and the Dominican Republic.

Aguirre’s website states that it offers services in 31 states, but most clinicians only offer therapy in one or two states (primarily in Georgia, as that’s the state where the office is based). There are also only 13 clinicians available. We look forward to seeing Aguirre grow to support the Latinx community even more. 

Plans & Pricing

Aguirre isn’t a subscription service like Talkspace or BetterHelp. Instead, it functions more like in-person therapy—you’ll sign up for an initial appointment and discuss arrangements with your therapist directly. Some therapists may offer a sliding scale. 

Fees vary, but in general, you can expect to pay the following:

  • Individual therapy: $200 to $250 for assessment, then $125 to $200 per session 
  • Couples counseling: $150 to $215 per session
  • Group therapy: $65 per session

Aguirre offers a free, 15-minute introductory phone consultation that you can schedule directly on the website. From there, you’ll schedule an assessment appointment that lasts around an hour. You can continue with sessions once a week or every other week, depending on your needs and the clinician’s availability.

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


Why We Chose It 

This directory connects LGBTQ+ therapists of color with patients across the country, thereby increasing access to safe, culturally inclusive care. Besides connecting people to therapists, it’s a healing justice organization that aims to increase financial access to care and help practitioners develop their skills and build community.

Pros & Cons 
Pros
  • LGBTQIA-friendly therapists across the country

  • Registered nonprofit with a clear mission

  • Diverse, culturally affirming therapists

Cons
  • Availability of therapists varies by location

  • Not all therapists accept insurance

  • Directory doesn’t help process insurance

Overview

National Queer and Trans Therapists of Color Network (NQTTCN) is an online therapy directory created specifically so that LGBTQIA+ individuals and BIPOC can find a mental health provider with the same or similar ethnic, cultural, racial, gender and sexual identities. Rather than working for one online therapy company, NQTTCN functions more like a phone book of providers, listing the names and bios of therapists and psychiatrists who identify as LGBTQIA+ and BIPOC who you can contact individually. This makes it an excellent option for queer and trans people of color. You’ll find practitioners with diverse specialties and backgrounds across the country on the network. This is essential for therapy seekers who face intersectional discrimination and its subsequent mental health effects. 

NQTTCN’s Statement of Community Care demonstrates its commitment to healing justice and describes how the mental health system has been used to “pathologize or criminalize [various] communities.” It provides a safe alternative to therapy rooted in ideology from a White, cis, non-disabled perspective. 

There are currently 30 states with providers listed on NQTTCN. As it’s a directory rather than an online therapy company, you’ll need to make scheduling and payment arrangements with clinicians directly. This also means that you won’t be bound to a subscription, bundle, or plan. This affords many more options than would otherwise be available on a more traditional online therapy site that matches you with a provider, but it means you’ll have to do a little more work (you won’t get support with processing insurance, for example). Each provider sets their own rates, therapy formats, and session frequency. Some may accept insurance.

Of the 180 users we surveyed about NQTTCN, 84% rated it good or very good overall, and 24% reported that the most important thing to them when looking for a therapist was finding a therapist with a similar identity or cultural background as them, which was a considerably higher percentage than most of the other 24 directories we reviewed. Additionally, an impressive 99% of users were able to find a provider who met all or most of their needs.

Plans & Pricing

Because each provider sets their own rates, the cost of a therapy or psychiatry session varies from clinician to clinician. You can find each provider’s rate in their bio on the directory, and many offer sliding scale fees or take insurance.

Best for Cis Gay Men : Gay Therapy Center


  • Price: Starts at $185 per session
  • Is Insurance Accepted?: No
  • Type Of Therapy: Group Therapy, Individual Therapy
Why We Chose It

All therapists at Gay Therapy Center are part of the LGBTQ community and can treat a range of issues, from OCD to addiction. It also provides culturally affirming couples counseling for issues like jealousy in open relationships and communication issues.

Pros & Cons
Pros
  • Therapists are LGBTQIA+

  • Personalized matching services

  • Clinicians have a range of specialties

Cons
  • Doesn’t accept insurance

  • May be too expensive for some

  • Limited number of therapists who aren’t men

Overview 

Gay Therapy Center offers individual and couples therapy for LGBTQIA+-identifying folks. Its individual services focus on “LGBTQ+ Anxiety and Depression,” “LGBTQ+ Affirmative Therapy for Low Self-Esteem,” and “LGBTQ+ Gay Sex Therapy”; its couples therapy services include “LGBTQ+ Couples Counseling,” “LGBTQ+ Therapy for Cheating, Infidelity, Affairs, and Betrayal,” and “LGBTQ+ Open Relationship Counseling.” It also offers in-person sessions in New York, Los Angeles, San Francisco, and Washington DC. 

All clinicians are from the LGBTQIA+ community and can treat a wide spectrum of issues along with culturally specific ones, such as experiencing internalized shame around sexual orientation. However, most of the therapists in this company identify as white, cisgender, gay men, so it may not be the best choice for every LGBTQIA+ person. Still, Gay Therapy Center is absolutely a solid resource for cis gay men seeking mental health support. 

One thing that really stands out is the personalized matching service. New patients consult with the owner of the company to discuss needs, preferences, and possible matches. This may help provide a better match than an algorithm and may make patients feel more well taken care of. People do seem happy with their practitioners: 29% of survey respondents said their therapist supported their identities, compared to a 20% average across other companies. 

Plans & Pricing

Sessions take place via live video. They start at $185, though California residents may get an associate therapist (who is working under supervision) for $120. 

The website doesn’t indicate that there are any package deals. Our best guess is that each clinician sets up their own payment system with clients. The majority of users paid either once monthly (32%) or per session (37%).

Gay Therapy Center isn’t in-network with any insurance, but residents of California, New York, and Washington DC may get out-of-network coverage if they provide a bill.

Best for Trans-Affirming : TherapyDen


Why We Chose It 

Therapy Den is an online therapy directory welcoming to transgender therapy seekers that connects them to practitioners across the country.

Pros & Cons
Pros
  • Has trans therapists 

  • Has practitioners nationwide

  • Provides a wide range of services

Cons
  • Some areas have fewer or no trans therapists

  • It’s unclear if some credentials are verified

  • Not designed explicitly for the trans community

Overview

TherapyDen is an online therapy directory dedicated to inclusivity and diversity in the mental health care system, providing affirming care for therapy seekers of any gender, ethnicity, and financial situation. Most notably, TherapyDen’s homepage has a carousel of listings for trans therapists, which immediately indicates it’s a safe space for the community.  Trans clinicians across the country are easy to find via search filters, though some areas have fewer trans clinicians than others (and some have none at all).

The quality of therapists seems to be solid, too. Forty-three percent of our surveyed users said the qualifications of therapists on the site were excellent, which was above average compared to other directories we reviewed. Seventy-five percent rated its diversity positively, which seems to be a selling point across the board: 35% of users said finding a therapist with a similar identity was important to them, second only to therapist qualification in terms of importance. 

One thing to note is that not all practitioner’s credentials appear to have been verified. Many therapists don’t have a green “verified” button near their profile picture that states the directory has ensured their licensing information is correct and up to date. Keep this in mind when searching for practitioners, and consider verifying independently. 

Plans & Pricing

TherapyDen is a directory, which means fees, scheduling, and therapy format vary by provider. You can search for therapists who accept insurance. 

Best for Affordability : Open Path Collective


Why We Chose It 

Open Path Collective offers affordable therapy that makes inclusive, culturally informed therapy accessible to more people.

Pros & Cons 
Pros
  • All therapists have a similar rate 

  • Culturally inclusive search criteria

  • Offers additional resources

Cons
  • Therapist availability not always current

  • Many are student practitioners

  • Doesn’t accept insurance

Overview 

Open Path Collective is an online therapy directory that strives to make therapy more affordable and accessible across the U.S. and Canada. It achieves this by charging low out-of-pocket rates for individual, family, and couples counseling at prices more comparable to an insurance copay than a traditional self-pay rate. Although this is a directory of independent providers rather than employees at an online therapy company, every provider listed on this directory must agree to charge these low prices, guaranteeing that you can find a therapist who fits your financial needs. According to the website, it’s matched more than 90,000 low or middle-income clients with therapists, which meets an urgent need for affordable mental health support. Without collectives like Open Path, many more therapy seekers would be unable to access treatment.

One of the best things about Open Path is that therapy sessions for all clinicians fall within the same range: $30 to $60 for individual counseling and $30 to $80 for couples or families. These prices sit below the average cost of therapy in the United States, with most sessions ranging from $60 to $200 each. Not only does this make Open Path Collective more accessible, but it can also significantly streamline and shorten the therapist search process. It saves you the time it takes having to sift through providers and find an affordable one that meets all of your other needs. 

A whopping 97% of the users we surveyed said that they were able to find a therapist through Open Path Collective who met all or most of their needs, and 90% rated the directory as good or very good overall. Additionally, 83% reported that the diversity of the therapists listed on Open Path Collective was good or very good.

Plans & Pricing

Open Path charges a $59 one-time membership fee to access its listings and other resources. Per session, you'll pay:

  • $30 to $60 for individual counseling
  • $30 to $80 for family or couples counseling 

The range in price depends on the therapist’s experience. Open Path doesn’t accept insurance.

Best for Black Community : Therapy For Black Girls


Why We Chose It 

The Therapy for Black Girls directory destigmatizes mental health and fosters connection between Black women. 

Pros & Cons 
Pros
  • Serves all 50 states

  • Free to use the directory

  • Includes both psychiatrists and therapists

Cons
  • Sister Circle online community has a fee

  • Minimal search functions

  • Number of clinicians varies by location

Overview 

Therapy for Black Girls is an online therapy directory that focuses specifically on connecting Black girls and women to Black woman-identifying therapists and psychiatrists. This serves an important purpose as therapy stigma, accessibility, and a lack of cultural sensitivity among providers have held back many Black people from seeking out therapy in the past. Only one in three Black adults gets mental health support when needed. Black women in particular are at risk for mental health issues as they experience the intersections of racism, anti-Blackness, and sexism and are often more likely to avoid seeking treatment.

Since Therapy for Black Girls exclusively offers therapists who are Black women, therapy seekers can count on the fact that they’ll have a practitioner who relates—at least in some way—to their experience as a Black woman in America. And users are largely satisfied—91% rated this directory positively compared to an 87% average, and a notable 98% of users found a provider who met all or most of their needs.

Its Sister Circle Online Therapy Group can provide additional benefits, as research indicates collective memory and community building can enhance the healing process of those affected by racism.

Plans & Pricing

Since Therapy for Black Girls is a directory, plans, policies, therapy formats, and fees vary by provider. To get started, you’ll search the directory to find an appropriate therapist whom you’ll contact directly. 

Best for Group Therapy : Kip Therapy


  • Price: $95 to $250 per session
  • Is Insurance Accepted?: No. Can provide receipt for reimbursement
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It 

Kip Therapy features diverse practitioners who offer services at varying price levels and has ongoing group therapy sessions addressing intersectional issues.

Pros & Cons 
Pros
  • Offers affordable services

  • Excellent ongoing group therapy 

  • Therapists are diverse

Cons
  • Limited to New York

  • Lukewarm user satisfaction

  • Some therapists are interns

Overview 

Kip Therapy is an online therapy company that offers individual and group therapy for adults, young people and families, and people struggling with identity issues, as well as therapy for couples and people dealing with issues like anxiety, depression, eating disorders, and substance abuse. Kip specifically claims to “work hard to serve clients who have felt misunderstood by other psychotherapists—including queer clients, people of color, and people who identify as transgender.” Kip shows a strong awareness of intersectionality and a commitment to inclusion with its diverse roster of practitioners serving clients with a variety of needs. 

Kip Therapy really shines when it comes to group therapy. Current and past groups include:

  • Queer Women’s Group
  • Beyond Monogamy for Partners
  • BIPOC Men’s Group
  • Queer and Questioning Adolescents
  • Transgender and Gender Expansive Group
  • Personal Narrative Therapy Group

Group therapy brings together people with similar backgrounds, challenges, and concerns in a reliable safe space where trust and rapport can be built with both the facilitator and the other group members. This can be especially useful for those who have experienced discrimination in other settings.

Since Kip offers services from both experienced and emerging practitioners, you can get therapy for as low as $65. While therapy from inexperienced clinicians can be effective, it likely can’t match that of a pro. Unfortunately, that may be why user satisfaction isn’t the best at Kip. Seventy-three percent of users rated it as good, very good, or excellent overall, which is well below the average of the other 54 companies we surveyed. Additionally, only 70% of users felt they found a therapist who met all or most of their needs. If you’re cautious about getting an inexperienced therapist, we recommend trying one of the Kips’s groups instead.

Plans & Pricing

Group therapy takes place on Zoom. Fees range from around $20 to $65 depending on the group, whether it offers a sliding scale, whether you’re a returning member, or whether you’re a current Kip client.

For individual therapy, you’ll start with a free or $25 consult, depending on the provider’s experience level. Session rates vary by tier:

  • Tier I (Emerging Therapist): $65 to $95 per session
  • Tier II (Resident Fellow): $130 to $150 per session
  • Tier III (Senior Clinician): $170 to $225 per session

Couples counseling is $200 per session with a Tier I or II therapist, or $250 per session with a Tier III therapist. The same rates apply for adolescent therapy.

Best for Addiction Recovery : Mindful Care

Verywell's Rating
4.2

  • Price: $49 per month for substance abuse; Individual therapy: $50 for 20-minute sessions; $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It 

Mindful Care is one of few online services specializing in addiction recovery, and it also performs well in terms of diversity.

Pros & Cons 
Pros
  • Treats opioid and alcohol addiction

  • Above average for diversity

  • Affordable alternative to rehab

  • Limited to six states

  • Insurance only accepted in three states

  • Doesn’t treat all addictions

Overview 

Mindful Care is an online therapy company that provides individual and group therapy, plus addiction recovery through its medication-assisted program Mindful Recovery. As a harm reduction program, Mindful Recovery doesn’t require abstinence. It focuses on supporting those considering or in the process of reducing or quitting substances like alcohol and opioids.

Substance-use coaches at Mindful Care have advanced alcoholism and substance-use coaching certifications, plus master’s degrees in mental health disciplines. Since programs start at $49 a month for weekly recovery sessions and $35 for each group session, it’s an affordable option for those who don’t have the luxury of entering costly rehab programs.  

Eighty-six percent of our users rated Mindful Care’s diversity of therapists as good, very good, or excellent, while 92% of users rated it positively overall, which are both well above the average of the companies we surveyed. Unfortunately, Mindful Care doesn’t treat all addictions and its services are limited to a handful of states: Connecticut, Florida, Illinois, New Jersey, New York, and Michigan.

Plans & Pricing

Mindful Care has tiered self-pay pricing for the services it offers:

  • Substance-use coaching: $49 to $300 monthly; includes a 30-minute assessment, then weekly or biweekly meetings, unlimited texting, monthly support group, and referral and support should you want to enter detox or rehab programs
  • Microtherapy (20 minutes): $50 per session without insurance and can be scheduled the same day
  • Group therapy (60 minutes, conducted over video): $35 per session without insurance
  • Individual therapy (40 minutes): $100 per session without insurance
  • Psychiatry (medication management): Initial 40-minute evaluation is $175, follow-up 20-minute appointments are $75

Mindful Care is also in-network with many insurance plans, and it states that it will verify your insurance coverage before your first session.

Best for Asian Community : Octave Online Therapy


  • Price: $170 to $275 per session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It 

Octave has therapists from a range of Asian backgrounds who specialize in cultural issues and racial trauma.

Pros & Cons 
Pros
  • Therapists from a variety of Asian backgrounds

  • Wide range of languages spoken

  • Specializes in racial and cultural issues

Cons
  • Final fee information only available after a match

  • Limited to six states and Washington DC

  • Only accepts a few forms of insurance

Overview 

Octave is an online therapy company that offers individual, couples, and adult family counseling, as well as workshops and groups. In fact, it has a group specifically designed for “cultural issues and racial trauma,” though the company’s group therapy services are currently on hold until they can meet in person again. 

Octave’s therapist team includes solid representation from the Asian community—you’ll find Cantonese, Mandarin, Farsi, Punjabi, Japanese, and Korean speakers, among others. Additionally, you can search for therapists specializing in racial trauma and cultural issues by using a filter for these topics when you search for a therapist on the site. This commitment to inclusivity seems to be appreciated by users; 19% said Octave was better than previously used services at supporting people who have experienced racism, compared to a 12% average.

Octave also appears to be making therapy more accessible for diverse therapy-seekers: 19% of users said Octave was better than previous services for having therapists that speak their language, compared to an 11% average. Thirteen percent of users surveyed were of Asian descent, well above the 7% average across the other online services we reviewed, suggesting that Octave is generally more appealing to members of the Asian community than its competitors. 

Octave sessions take place over live video and typically last for 45 minutes. Frequency isn’t mentioned on the site, which means the therapist and patient most likely determine that. 

Plans & Pricing

Cost varies according to location and session type, and insurance coverage varies by state. Octave does accept multiple insurance plans, meaning many of its clients only pay a copay. Self-pay rates are as follows:

  • Individual therapy: $170 to $250 per session
  • Couples or family therapy: $190 to $275 per session
  • Group therapy: Averages $75 per session

Compare the Most Inclusive Online Therapy of 2023

Best For
Price
Is Insurance Accepted?
Does it Accept HSA/FSA?
Type Of Therapy
Communication Options
Reset All
Talkspace Best for Flexibility $276 - $516 monthly Yes Yes Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Live Chat, Messaging, Phone, Video Chat Learn More
Hide, not for me
Talkiatry Best for Psychiatry Depends on your insurance Yes. BCBS, Cigna, United Health, Aetna, Tricare, Medicare, and others Yes Individual Therapy, Medication Management, Psychiatry Video Chat Learn More
Hide, not for me
Amwell Best With Insurance $109 to $279 Yes Yes Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Video Chat Learn More
Hide, not for me
Aguirre Center for Inclusive Psychotherapy Online Therapy Best for Latinx Community $60-$200 per session No Yes Individual Therapy Messaging, Video Chat Learn More
Hide, not for me
National Queer and Trans Therapists of Color Network Best for LGBTQ+ Community N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me
Gay Therapy Center Best for Cis Gay Men Starts at $185 per session No No Group Therapy, Individual Therapy Phone, Video Chat Learn More
Hide, not for me
TherapyDen Best for Trans-Affirming N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me
Open Path Collective Best for Affordability N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me
Therapy For Black Girls Best for Black Community N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me
Kip Therapy Best for Group Therapy $95 to $250 per session No. Can provide receipt for reimbursement No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy Audio, Video Chat Learn More
Hide, not for me
Mindful Care Best for Addiction Recovery $49 per month for substance abuse; Individual therapy: $50 for 20-minute sessions; $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry session Yes No Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Video Chat Learn More
Hide, not for me
Octave Online Therapy Best for Asian Community $170 to $275 per session Yes No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy Audio, Video Chat Learn More
Hide, not for me

Final Verdict

The best culturally informed online therapy services will be different for everyone. What works for one person may not for another, which is why it’s essential that you vet services yourself before trying them. Even though we love what Talkspace has to offer, it's important that you find the best fit for your needs. From the initial assessment to scheduling to the therapy session itself, your experience should feel safe and welcoming.

Keep an eye out for platforms with plenty of clinicians from your background or who are culturally informed about it. If you’re part of the LGBTQ+ community, the National Queer and Trans Therapists of Color Network (NQTTCN) is a great option. Meanwhile, Aguirre Center for Inclusive Psychotherapy has predominantly Latinx clinicians to choose from, so if that’s your background, it’s a good place to start. Additionally, online therapy directories like Open Path Collective, TherapyDen, and Therapy for Black Girls are useful places to start your search for a culturally informed and affirming therapist.

Guide to Choosing the Best Culturally Informed Online Therapy

Who Is Culturally Informed Online Therapy For?

Inclusive, culturally informed online therapy is for people who would benefit from therapy that considers their race, ethnicity, national background, sexual orientation, gender identity, language, religion, and other identities. “People who belong to marginalized communities have historically been abused by the mental health care system,” explains Hannah Owens, LMSW, a subject matter expert. “Whether it is ignoring the symptoms and needs of the client to overdiagnosing severe mental illness, people from BIPOC and LGBTQIA+ communities have traditionally had far more troubling and scarring experiences dealing with uninformed therapists and psychiatrists than White and cis-het people have.” 

Some barriers to mental health care for marginalized communities include less access to care (due to location or therapy deserts, where there are few to no mental health care providers), stigma surrounding seeking mental health care, the high financial burden of being uninsured or underinsured, the inability to take time off from work or to afford childcare for a session, a mental health system heavily biased towards White and heterosexual norms, as well as racism, discrimination, and bias from providers. Online therapy with culturally informed and affirming clinicians can break down these barriers and make mental health care more affordable and accessible.

A culturally informed therapist can share your background or not. Regardless, they must be sensitive and aware of how your identity factors into the origins of your mental health issues, which treatment approaches would work best for you, and what behaviors are truly an indication of something wrong rather than simply being cultural or identity-based differences between yourself and your provider.

For example, trans people of color face higher rates of depression than others and may need therapy that speaks directly to issues like shame around gender and self-image. They also need therapists who affirm their identity instead of pathologize it.

If you’ve ever felt like therapists don't understand you, seem judgmental of you, or simply aren’t able to relate to you and truly meet your needs, consider finding a culturally informed therapist.

Comparing Culturally Informed Online Therapy Providers

When vetting therapists, you’ll need to consider the criteria you’d use for any therapist, plus culturally specific ones:

These criteria could be: 

  • Cost: Therapy is only accessible if it’s affordable. On this list, you’ll find a range, from free resources up to therapy costing $300+ a session. Considering that treatment typically needs to be consistent to be effective, it’s important that you find someone you can afford long-term. 
  • Ease of use: The more streamlined and simple the processes of matching with therapists, scheduling sessions, and making payments are, the more mental and emotional energy you can put toward healing.
  • Accepts insurance: It’s not always easy to find a therapist who accepts insurance, but it’s well worth the search for one. Keep in mind that even with therapists who do accept insurance, coverage varies. Always check with your insurance provider about coverage before signing up for a subscription or scheduling an appointment.
  • Scheduling/flexibility: Flexibility is key to staying in therapy when life gets busy. Look for therapists who have the availability you need, such as nights and weekends, and who are willing to work with you to meet your needs (such as changing session dates when needed). 
  • Plans to choose from: Consider whether you want a therapist who has availability between sessions, like Talkspace—which has text therapy available five days a week. Keep an eye out for plans with multiple tiers at different price levels.
  • Availability in your state: Teletherapy can be confusing, as some therapists are licensed to practice in only one state, while others are licensed in several. Large platforms are your best bet for ensuring you’ll find options in your area.
  • Platforms: Consider if you prefer video, live chat, audio, text, or some combination when looking at plans. Live chat or texting can be a good option if you have social anxiety or need to keep things private. On the other hand, if you need a face-to-face session to truly connect, look for video plans.
  • Cultural identity or awareness: Of course, you’ll want to be sure that the platform or therapist you choose can support your unique needs. Look for therapists with similar backgrounds or with expertise in your cultural issues, and for directories or services that feature extensive cultural search criteria and diverse therapists.

How Do I Choose a Culturally Informed Online Therapist?

It's important to understand therapists' qualifications and experiences. Therapists can have a range of certifications. Master’s level therapists include marriage and family therapists (MFTs) and licensed clinical social workers (LCSWs). Doctoral-level therapists include psychologists (PhDs or PsyDs). While a doctoral-level clinician has more education, you can still get great therapy from an MFT or LCSW. Associate therapists are also supervised.

Therapists may specialize in or be a part of a specific group, like BIPOC, immigrants and children of immigrants, or LGBTQ+ people. If being able to relate to your therapist is important to you, consider getting treatment from someone with your background.

It’s important to find the right fit, and sometimes, the first therapist you work with isn’t the one. So before you sign up for a service, look for information on the process of switching therapists.

What If I Am Considering Self-Harm?

If you’re at risk for self-harm or suicide, don’t delay reaching out to a crisis line:

There are also typically local emergency mental health service lines, such as those found here

Frequently Asked Questions

How Do I Find a Culturally Informed Online Therapist?

You can find a culturally informed online therapist through an internet search or by reading resources such as those found here on Verywell Mind. Referral or word of mouth is another option, so ask people in your community if they have any recommendations. Some online therapy services offer to match you with a therapist if you find the process of searching for one yourself overwhelming.

What Is the Difference Between a Culturally Informed Therapist and a Regular Online Therapist?

A culturally informed online therapist is affirming of and sensitive to your race, nationality, immigration status, religion, gender identity, relationship modes, and sexual orientation. Often, a culturally informed therapist comes from your background and has experienced many of the same issues you have. Culturally informed therapists strive to make patients from all backgrounds feel welcome and safe in therapy.

Do Culturally Informed Online Therapists Accept Insurance?

Much like any therapist, culturally informed online therapists may or may not take insurance. And, just because a therapist takes insurance doesn’t mean you will be covered. Check with your plan to ensure a specific therapy service is covered and whether in-network providers are available.

Are Culturally Informed Online Therapists More Expensive?

The cost of sessions with culturally informed therapists falls on a wide spectrum. However, many offer sliding scale or low-cost services to help accommodate low-income and middle-income individuals. As with any therapist, price varies according to location and insurance coverage. Fees will also depend on the experience of the therapist—student therapists or those working under supervision will be less expensive.

Methodology

Our methodology for evaluating online therapy companies is comprehensive and data-driven. To fairly and accurately review the best online therapy programs, we sent questionnaires to 55 online therapy companies and surveyed 105 current users of each. We also surveyed 180 users of 25 different online therapy directories. This allowed us to directly compare services offered by gathering qualitative and quantitative data about each company and its users’ experiences.

Specifically, we evaluated each company on its cultural and identity-based informed and affirmative services, including how many companies employed a diverse staff of providers, cultural- and identity-specific individual or group treatment, and the ability to filter provider options by cultural and identity-based qualifications. We then looked at therapist qualifications, the types of therapy offered, quality of care, client-therapist communication options, session length, medication management practices, and the therapist assignment process to determine if these aspects were specifically affirming and informed. Finally, we looked at cost, value for money, whether the company takes insurance, overall user satisfaction, and the likelihood clients would recommend them. Read our full online therapy methodology to see how we evaluated each service.

Counselor advising young lesbian couple at their home

StefaNikolic / Getty Image

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.
  1. Owen J, Tao KW, Imel ZE, Wampold BE, Rodolfa E. Addressing racial and ethnic microaggressions in therapy. Prof Psychol Res Pract. 2014;45(4):283-290. doi:10.1037/a0037420

  2. National Alliance on Mental Illness California. Mental health in Black communities: Challenges, resources, community voices.

  3. Johns Hopkins Medicine. Mental health among African American women.

  4. Chioneso NA, Hunter CD, Gobin RL, McNeil Smith S, Mendenhall R, Neville HA. Community healing and resistance through storytelling: A framework to address racial trauma in Africana communities. J Black Psychol. 2020;46(2-3):95-121. doi:10.1177/0095798420929468

  5. Öst LG, Karlstedt A, Widén S. The effects of cognitive behavior therapy delivered by students in a psychologist training program: An effectiveness study. Behav Ther. 2012;43(1):160-173. doi:10.1016/j.beth.2011.05.001

  6. Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. Harm reduction.

  7. National Center for Drug Abuse Statistics. Average cost of drug rehab.  

By Brittany Elyse Vargas
Brittany Elyse Vargas has been exploring topics around psychology, mental health, mind-body medicine, and psychospiritual development for the past twenty years. She’s written professionally for over ten years as a journalist, copywriter, and ghostwriter. Brittany is committed to rigorous reporting and to tackling topics on the cutting edge of the wellness, healing, and the mindfulness movements.

Edited by
April McCormick
April McCormick

April is the health editor for performance marketing at Verywell. Her work has appeared in Time, Parents Magazine, The Huffington Post, TripSavvy, Parenting.com, First Time Mom and Dad, Mama Mia, All4Women, the New York Times Bestseller, A Letter To My Mom, and more.

Learn about our editorial process