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Treatment

The Best Online Therapy Platforms According to our Testing Results

Looking for the best online therapy services? HelpGuideโ€™s staff surveyed real users and personally tested and reviewed the top platforms to rate them on therapist quality, affordability, privacy and security, user experience, and effectiveness.

Abstract illustration of a woman sitting on the floor, a hand reaching out to her from a computer screen, symbolizing the best online therapy services.

The Best Online Therapy Platforms According to our Testing Results

Looking for the best online therapy services? HelpGuideโ€™s staff surveyed real users and personally tested and reviewed the top platforms to rate them on therapist quality, affordability, privacy and security, user experience, and effectiveness.

Abstract illustration of a woman sitting on the floor, a hand reaching out to her from a computer screen, symbolizing the best online therapy services.

We independently test and review all of the services we recommend. When you sign up through our links, we may earn a commission, which helps support our nonprofit mission.

HelpGuideโ€™s reviews of the best online therapy platforms


    BetterHelp

    Large therapist selection, fast appointment times.

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    Online-Therapy.com

    Specializes in CBT, the most widely studied form of therapy.

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    Brightside

    Accepts a wide variety of insurance, including Medicare and Medicaid.

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    Talkspace

    Hour-long appointments. Takes insurance.

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    Data research and comparative analysis
    User surveys
    Professional feedback
    Hands-on testing

    Best online therapy platforms according to our testing results

    BetterHelp is most suitable for:People looking for a broad selection of therapists without using insurance
    Starting price:$65-$100 per week (billed monthly)
    Insurance accepted?No
    Financial aid:Available (25% of users)
    Therapy types:Individual, couples, teens
    Session formats:Video, audio, text messaging
    Time to first session with therapist:1-2 days
    Psychiatry services:No
    User experience: What real users and testers found

    Survey and tester insights

    We surveyed 100 BetterHelp users across the United States and had two of our in-house staff test BetterHelp. In our survey results we found that the biggest strength was accessibility. Regardless of location, users were able to schedule timely sessions, including during evenings and weekends.

    • Overall satisfaction: 88/100
    • Value for cost: 74/100
    • Empathy rating: 80/100
    • Privacy and security rating: 84/100
    • Platform navigation rating: 88/100

    โ€œI was more aware of my emotions, could cope better with things that were stressing me, and I became more confident.โ€

    Survey respondent

    โ€œMy therapist helped me get through serious anxiety. I wish I couldโ€™ve continued, but it became too expensive.โ€

    Survey respondent
    • Fast sign-up:
      77 percent of survey users completed sign-up in under 20 minutes, and 64 percent had their first session within 3 days.
    • Flexible matching:
      78 percent stuck with their first therapist, but switching therapists was rated easy or very easy according to 77 percent of respondents.
    • Varied approaches to therapy:
      64 percent of survey users received a blended approach, structured + casual, and 69 percent valued active listening the most.
    • Technical glitches:
      32 percent experienced technical issues, mostly around video quality or session connection.  
    • Slow customer support:
      While only 16 percent of users had to contact customer support, 43 percent of them had to wait 2-3 days or more for a response. 

    69%

    Active listening

    58%

    Empathy and
    compassion

    53%

    Nonjudgmental attitude

    47%

    Consistency and
    reliability

    Overall satisfaction:

    Value for cost:

    Empathy rating:

    Privacy and security rating:

    Platform navigation rating:

    โ€œPrior to this, I was skeptical that Iโ€™d be a good fit for telehealth therapy. Now I feel much more comfortable with it.โ€

    Sheldon Reid, Staff Writer

    โ€œI wish I wasnโ€™t auto-matched with a therapist at the start. I wouldโ€™ve preferred and expected at least two options. More options appeared when I decided to switch therapists.โ€

    Sheldon Reid, Staff Writer
    Sign-up process:

    BetterHelpโ€™s sign-up takes 10 to 20 minutes for most people (77 percent), but nearly 40 percent wanted more transparency on therapist qualifications and pricing upfront. Here’s what happens:

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    Tested by: Sheldon Reid, Staff Writer

    Tested by: Chris Saranchock, Director of Operations & Multimedia

    • Group therapy sessions, covering subjects as diverse as “Finding Your Voice as a Black Person” and “Parents/Caregivers of Neurodivergent Children.”
    • Classes aimed at coping with common issues such as anxiety, substance abuse, relationship problems, trauma, depression, and grief.
    • Journals and worksheets that you can opt to share with your therapist.
    • A goals dashboard that is personalized based on your therapy sessions and allows you and your therapist to set targets in therapy and track your progress.
    • Unlimited texting with your therapist.

    Perhaps the biggest downside to BetterHelp is that it doesn’t currently accept insurance. In fact, in our survey, financial limitations and no insurance coverage were the most common reasons for users cancelling the service. However, they often offer discounts. Our tester was able to reduce the per-session cost from $90 to $72 for the first month of therapy using HelpGuideโ€™s discount code. One in four of our survey respondents were also able to receive discounted pricing or financial aid from BetterHelp.

    Since BetterHelp doesnโ€™t yet work with insurance companies, they donโ€™t need to share any of your health information with them, which may be an important consideration if youโ€™re concerned about privacy issues. BetterHelp is certified by the Health Information Trust Alliance (HITRUST), meaning its security and privacy practices have been independently audited and verified against a widely recognized set of controls for protecting sensitive health information. That said, it’s still important to review BetterHelpโ€™s privacy policy to understand how your information may be used and manage advertising tracking preferences.

    Online-Therapy.com is most suitable for:People looking for cognitive-behavioral therapy (CBT) without using insurance
    Starting price:$60-$120 per week (billed monthly)
    Insurance accepted?No
    Financial aid:Available (19% of users)
    Therapy types:Individual, couples
    Session formats:Video, audio, and text messaging
    Time to first session with therapist:1-3 days
    Psychiatry services:No
    User experience: What real users and testers found

    Survey and tester insights

    We surveyed 100 Online-Therapy.com users across the United States and had one of our in-house staff test Online-Therapy.com. In our survey, users described the platform as reliable, private, effective, flexible, and user-friendly. Both the users and our tester appreciated the quality of therapy and the tools included on the platform, such as worksheets.

    • Overall satisfaction: 87/100
    • Value for cost: 78/100
    • Empathy rating: 80/100
    • Privacy and security rating: 90/100
    • Platform navigation rating: 88/100

    โ€œOnline-Therapy.com helped me go from stuck to thriving.โ€

    Survey respondent

    โ€œMy confidence skyrocketedโ€”I felt more in control of my emotions.โ€

    Survey respondent
    • Fast sign-up:
      78 percent of survey users completed sign-up in under 20 minutes, and 65 percent had their first session within 3 days.
    • Flexible matching:
      80 percent stuck with their first therapist, but switching therapists was rated easy. 
    • Varied approaches to therapy:
      The most commonly used techniques reported were mindfulness and meditation (37 percent), CBT (33 percent), and trauma-informed care (22 percent). 
    • Technical glitches:
      73 percent reported no technical issues.
    • Lack of price transparency:
      26 percent of users reported surprise charges.

    71%

    Active listening

    57%

    Empathy and
    compassion

    46%

    Nonjudgmental attitude

    39%

    Clear communication

    Overall satisfaction:

    Value for cost:

    Empathy rating:

    Privacy and security rating:

    Platform navigation rating:

    โ€œI enjoyed my experience with Online-Therapy.com. Worksheets, tools, and yoga were helpful.โ€

    Chris Saranchock, Director of Operations & Multimedia

    โ€œI may go back to her as my therapist, and I would have gone back to my BetterHelp therapist at the time as well, so the quality of the therapy was excellent on both platforms.โ€

    Chris Saranchock, Director of Operations & Multimedia
    Sign-up process:

    Online-Therapy.comโ€™s sign-up takes under 20 minutes for most people (78 percent), but 34 percent wanted more information on therapist qualifications upfront. Here’s what happens:

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    Tested by: Chris Saranchock, Director of Operations & Multimedia

    Brightside Health is most suitable for:People wanting to use insurance for depression or anxiety treatment
    Starting price:$75 per week (billed monthly at $299)
    Insurance accepted?Yes
    Financial aid:Available (24 percent received)
    Therapy types:Individual, teen
    Session formats:Video with unlimited messaging between sessions
    Time to first session with therapist:1-2 days
    Psychiatry services:Yes
    User experience: What real users and testers found

    Survey and tester insights

    We surveyed 100 Brightside users across the United States and had one of our in-house staff test the platform. In our survey results we found that the biggest strength was value for money, therapy experience, and security ratings. The length of the questionnaire was the primary source of frustration for both our tester and surveyed users, but 81 percent still completed the sign-up in under 20 minutes.

    • Overall satisfaction: 85/100
    • Value for cost: 80/100
    • Empathy rating: 79/100
    • Privacy and security rating: 90/100
    • Platform navigation rating: 79/100

    โ€œBrightside helped me reframe my thoughts and take better care of myself.โ€

    Survey respondent

    โ€œBrightside changed my perspective on therapy. I felt heard.โ€

    Survey respondent
    • Good value for the money:
      34 percent used insurance with no copay and 40 percent used insurance with a copay.
    • Facilitated progress towards goals:
      Scored 80/100 for results and progress, with benefits such as reduced anxiety and stress, better emotional regulation, and improved sleep and communication. 
    • Varied approaches to therapy:
      64 percent of survey users received a mix of a structured and conversational approach to therapy, with CBT the most commonly used technique (41 percent). 
    • Technical glitches:
      45 percent of users experienced technical issues, mostly around video and sound quality or the trouble connecting.
    • A frustrating questionnaire:
      43 percent of users complained about the length of the questionnaire and the lack of clarity in the questions.

    70%

    Empathy and compassion

    68%

    Active listening

    49%

    Nonjudgmental attitude

    43%

    Experience with my specific issue

    Overall satisfaction:

    Value for cost:

    Empathy rating:

    Privacy and security rating:

    Platform navigation rating:

    โ€œVery good experience, the platform was easy to navigate and the therapists were knowledgeable and goal driven.โ€

    Joseph Collerain, Production Coordinator

    โ€œBesides some camera glitches with my second therapist, I noticed no problems with the site.โ€

    Joseph Collerain, Production Coordinator
    Sign-up process:

    Brightsideโ€™s sign-up takes under 20 minutes for most people (81 percent), but nearly 43 percent complained about the length and lack of clarity of questions in the questionnaires, and the lack of pricing transparency. Here’s what happens:

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    Tested by: Joseph Collerain, Production Coordinator

    Talkspace is most suitable for:People looking for fast insurance approval and therapist matching
    Starting price:$69 – $109 per week (billed monthly) without insurance; average copay with insurance $15-30
    Insurance accepted?Yes
    Financial aid:No
    Therapy types:Individual, teen, couples
    Session formats:Video, audio, and text messaging
    Time to first session with therapist:1-3 days
    Psychiatry services:Yes
    User experience: What real users and testers found

    Survey and tester insights

    We surveyed 100 Talkspace users across the United States and had one of our in-house staff test Talkspace. In our survey results we found that the biggest strengths were insurance coverage and satisfaction with the quality of therapy. Users described the platform as professional, convenient, effective, and life-improving.

    • Overall satisfaction: 88/100
    • Value for cost: 75/100
    • Empathy rating: 82/100
    • Privacy and security rating: 87/100
    • Platform navigation rating: 90/100

    โ€œTalkspace made me a better person. I applied what I learned and saw real improvement.โ€

    Survey respondent

    โ€œI loved it, but I stopped when I couldnโ€™t afford it anymore.โ€

    Survey respondent
    • Fast sign-up:
      77 percent of survey users completed sign-up in under 20 minutes, and 65 percent had their first session within three days. 
    • Good insurance coverage:
      47 percent used insurance with a copay, 25 percent used insurance with no copay.
    • Noticeable results:
      Recorded a 77/100 goal progress rating, with users reporting benefits such as better coping skills, reduced anxiety, and stronger emotional awareness and confidence.
    • High satisfaction rating:
      86 percent of users would use Talkspace again.
    • Can get expensive without insurance:
      23 percent received discounted pricing, while many others cited pricing as a major drawback, cost or financial issues being the most common reason for stopping therapy.

    68%

    Active listening

    51%

    Empathy and
    compassion

    44%

    Nonjudgmental attitude

    41%

    Consistency and
    reliability

    Overall satisfaction:

    Value for cost:

    Empathy rating:

    Privacy and security rating:

    Platform navigation rating:

    โ€œI could verify if therapy would be covered by insurance before having to create an account, which I really appreciated. And instantly told me what my copay would be ($15).โ€

    Lawrence Robinson, Managing Editor

    โ€œTherapist seemed very understanding and empathetic, with a good sense of humor. Provided some interesting insights I hadnโ€™t considered before.โ€

    Lawrence Robinson, Managing Editor
    Sign-up process:

    Talkspaceโ€™s sign-up takes 10 to 20 minutes for most people (80 percent), but 33 percent were frustrated by the length of the questionnaires. Here’s what happens:

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    Tested by: Lawrence Robinson, Managing Editor