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If therapy on your time and in your own space sounds appealing, you’re not alone.

While not the right solution for everyone, online therapy — also known as telehealth — is quickly becoming one of the top ways people seek mental health services.

Whether you’re new to therapy or curious about how online counseling works, you’ll want to take some time to research what’s available. With that in mind, here are our top 10 recommendations for online therapy.

Online therapy involves remote therapy sessions that you do via video calls, chat rooms, email, or telephone. It has spiked in popularity ever since therapists expanded their offerings to keep people safe during the COVID-19 pandemic.

Many people prefer teletherapy because it’s often more convenient, private, and affordable than face-to-face sessions. Online platforms also help make therapy more accessible to people who have time constraints, must stay at home, or live in remote areas.

Our team of medical experts carefully vetted each online therapy service. They considered the medical credibility, business practices, and social impact of each platform to ensure they meet our high standards.

A mental health professional from the Healthline Medical Network medically reviewed this article to provide insights, offer advice, and verify that the medical content is accurate.

We considered many criteria when selecting the best online therapy platforms, including:

  • mental health professionals who are all licensed psychotherapists, psychologists, or psychiatrists
  • a simple sign-up process
  • positive customer feedback
  • flexible payment options and fees
  • a range of subscription options and services
  • insurance coverage
  • financial assistance
  • therapists with a wide range of expertise, including anxiety, depression, trauma, relationship issues, substance use, grief, and eating disorders

Best overall


Why we chose it: Talkspace offers several communication platforms, therapy options, and flexible subscription plans. Plus, the company can prescribe medication and accepts insurance.

Platforms: audio, chat, messaging, video

App available: yes

Read our review of Talkspace.

With over 3,000 licensed therapists and multiple subscription plans, Talkspace takes the spot for best overall online therapy.

After signing up, you’ll complete an assessment and choose your payment plan. Then, a consultation therapist will match you with several therapists. You’ll choose the one that fits your needs. You’ll begin working with them within a few days.

Therapists treat a variety of conditions or concerns, including:

In addition to individual counseling, they also offer specific services for couples and teens. Plus, Talkspace Psychiatry offers personalized psychiatric treatment and prescription management from a licensed prescriber.

Price: Talkspace has several subscription plans available, with prices ranging from $69 to $129 per week. These plans include text, video, audio messaging, and live sessions. Some subscribers express frustration about having to sign up for an entire month of services, which means you’ll still be billed for the month if you cancel early.

Psychiatry services cost $249 for an initial evaluation and $120 for follow-up sessions.

Coverage: If you have an employee assistance program (EAP) with behavioral health benefits, you may be eligible for coverage. Check with your employer.

Largest network of licensed counselors


Why we chose it: BetterHelp has the largest network of qualified therapists and a user-friendly platform. It’s easy to switch therapists and cancel your plan. Plus, the company provides financial assistance to qualified individuals.

Platforms: audio, chat, messaging, video

App available: yes

Read our review of BetterHelp.

BetterHelp has access to over 12,000 licensed, accredited, and experienced counselors. The company excels at matching therapists to your individual needs and preferences.

BetterHelp’s licensed psychologists, clinical social workers, and marriage and family therapists specialize in areas like:

  • anxiety
  • depression
  • relationships
  • parenting
  • addiction
  • grief
  • eating disorders
  • life transitions
  • religion

BetterHelp also offers individual, couples, and family counseling. Sessions with your therapist take place via video conferencing, exchanging messages, chatting live, and speaking over the phone. Users rave about the live sessions, with many saying it’s the reason they chose BetterHelp.

After completing a questionnaire and setting up your account, a computer program will match you with a therapist for your specific needs. Typically, this takes about 24 hours, and you always have the option of requesting a different counselor.

Price: Prices range from $60 to $90 per week, billed monthly.

Coverage: BetterHelp doesn’t accept insurance, so you’ll pay out of pocket for counseling services. Financial assistance is available for those who qualify, and you can cancel your membership at any time.

Best online therapy for CBT

Why we chose it: uses CBT to treat a range of mental health conditions and behaviors, making it great for self-improvement. Treatment includes yoga, meditation, and worksheets.

Platforms: audio, text, video

App available: no bases their entire operation on CBT. This approach is a top pick when treating a variety of mental health conditions, including:

  • depression
  • anxiety
  • alcohol and drug issues
  • eating disorders
  • phobias

CBT helps you identify, challenge, and overcome negative or unhelpful thinking and develop behavior modifications that help you think and interact more positively. uses a toolbox of resources, including worksheets, an online journal, a 30-minute weekly live chat with your therapist, and messaging. Some users express concern about therapists only being available Monday through Friday for 8 hours per day, compared with other sites that offer 24/7 support.

Price: Prices range from $39.95 to $79.95 per week, depending on the plan you choose.

Coverage: They don’t accept insurance, but new subscribers get 20 percent off of their first month’s fees.

Best online therapy for mental and physical health


Why we chose it: With a user-friendly platform and the ability to select your healthcare professional, Amwell is our top pick for mental and physical health services. You have the option to hide your view of your face during sessions.

Platforms: audio, video

App available: yes

Read our review of Amwell.

If you’re looking for an online telemedicine platform that offers care for physical and psychological health, consider Amwell.

With online doctor or therapist visits available 24/7, Amwell is a great site for one-stop shopping. Here’s how it works: Create an account, choose the doctor or therapist that works best for you, then schedule a visit via their web-based or mobile app program.

Amwell provides counseling for:

  • anxiety
  • depression
  • PTSD or trauma
  • life transitions
  • couples therapy

Price: The cost of a psychologist or counselor visit varies from $109 to $129 based on the therapist and lasts about 45 minutes. Your therapist will have either a master’s degree or doctorate in their field. They also offer online psychiatrists who can prescribe medications.

Coverage: If your health insurance plan provides coverage for mental health services, your out-of-pocket costs may be lower. Amwell doesn’t provide a subscription-based service. If you need to talk with a medical doctor for other health conditions, the visit costs $79.

Best for online psychiatry


Why we chose it: MDLive provides treatment with a psychiatrist, lets you choose your provider, and provides low cost prescriptions.

Platforms: phone, video

App available: yes

Read our review of MDLive.

MDLive, a comprehensive telemedicine platform, has a division specifically for psychiatry services. Their psychiatry division offers both counseling and prescription management with a board certified psychiatrist.

MDLive can help with:

  • anxiety
  • addiction
  • depression
  • bipolar disorder
  • PTSD and trauma
  • panic disorders
  • grief and loss

It takes about 15 minutes to set up an account with MDLive. Once registered, you can search through their network of psychiatrists and choose the one that’s right for you. When you’re ready to schedule an appointment, you can choose between secure online video, phone, or the MDLive app.

Price: MDLive doesn’t offer a subscription-based service. To see a psychiatrist, you can expect to pay $284 for your first visit and $108 for each follow-up appointment.

The platform also offers behavioral health counseling sessions with a licensed therapist for $108. This is a nice feature if you need to transition from a psychiatrist to ongoing sessions with a therapist.

Urgent care appointments cost $82 and dermatology appointments are $95.

Coverage: If you have health insurance and your plan provides coverage for mental health services, your out-of-pocket costs may be lower.

Best online therapy for your budget

7 Cups

Why we chose it: Offering free services and a low cost monthly plan, 7 Cups is our top pick for affordable online therapy. The platform provides counseling, emotional support, and peer support.

Platforms: chat, text

App available: yes

Read our review of 7 Cups.

Affordable online therapy, free 24/7 emotional support, and chat rooms with people who understand what you’re going through make 7 Cups one of the largest emotional support systems.

Specialties and areas of expertise include:

  • addiction
  • anxiety
  • bipolar disorder
  • depression
  • family
  • grief
  • parenting
  • substance use
  • trauma

Price: Online therapy and counseling with licensed therapists are $150 per month — significantly less than other online therapy platforms. Plus, 7 Cups offers emotional support and access to speak with a trained volunteer (not a licensed counselor) at no charge. This option is appropriate for support and to help connect you with services.

If you need more in-depth treatment, opt for the paid subscription plan with a licensed therapist. After creating an account, you’ll choose the free version or paid subscription. If you go with the trained volunteer option, which is free, you’ll have access immediately. The subscription option requires more information to help match you with the right therapist.

Coverage: Services offered by this site are generally not covered by health insurance.

Best online therapy for couples


Why we chose it: With counselors who specialize in relationships and plenty of satisfied clients who report positive outcomes, ReGain is our top choice for couples therapy.

Platforms: chat, messaging, phone, video

App available: yes

Read our review of ReGain.

When you need couples counseling, you want a licensed therapist who’s trained in dealing with relationship issues. This is why ReGain is the top pick for best online therapy for couples.

All therapists are licensed and include accredited psychologists, licensed marriage and family therapists, licensed clinical social workers, and licensed professional counselors.

After you complete a questionnaire, the automated system will match you with a therapist. Two users share an account and participate in live sessions with the therapist together. If one person needs to speak privately with the therapist, an individual session is scheduled. They don’t support three-way live sessions, so both partners need to be together in the same room to communicate with the therapist in real time.

Price: Prices range from $60 to $90 per week, and this includes both partners.

Coverage: Services offered using this site are generally not covered by health insurance.

Best online therapy for teens

Teen Counseling

Why we chose it: Teen Counseling is a fantastic resource for teens, parents, and guardians. The platform has therapists who specialize in finding solutions to teen issues and encourage positive changes.

Platforms: chat, messaging, phone, video

App available: yes

Read our review of Teen Counseling.

Teen Counseling is an online platform just for teens ages 13 to 19. They offer live chats, phone calls, video conferencing, and messaging in a “private” counseling room with a licensed therapist.

Some of the issues therapists can address during counseling sessions include:

  • anxiety
  • stress
  • depression
  • bullying
  • eating disorders

Although parents don’t have access to this room, a therapist must report abuse and if the teen is a danger to themselves or others. Parents can complete the registration process, which includes being matched with a licensed counselor. Your teen will receive a code inviting them to join their private room.

Price: Prices range from $60 to $90 per week.

Coverage: Services offered using this site are generally not covered by health insurance.

Best online therapy for the LGBTQ community

Pride Counseling

Why we chose it: Offering a safe, supportive space for LGBTQ people to obtain mental health care, Pride Counseling connects you to a LGBTQ affirming therapist.

Platforms: chat, messaging, phone, video

App available: yes

Read our review of Pride Counseling.

At Pride Counseling, therapists recognize that the LGBTQ community deals with mental health conditions at a disproportionately higher rate and want to make help accessible for everyone.

After you sign up, you’ll be matched with a counselor who fits your objectives, preferences, and the type of issues you’re dealing with. All their counselors specialize in serving the LGBTQ community, but different counselors have different approaches and areas of focus.

Areas of expertise include:

  • anxiety
  • stress
  • depression
  • trauma
  • family conflicts
  • relationships
  • eating disorders

All therapists are licensed and include accredited psychologists, licensed marriage and family therapists, licensed clinical social workers, and licensed professional counselors. Counseling sessions take place with your therapist via video conferencing, phone calls, chatting live, and exchanging messages.

Price: Prices range from $60 to $90 per week.

Coverage: Services offered by this site are generally not covered by health insurance.

Best online therapy for single video sessions

Doctor on Demand

Why we chose it: Doctor on Demand is our top pick for people who want to do single sessions instead of subscribing to a plan. The platform provides psychologists and psychiatrists. You can also connect to a healthcare professional for health and wellness checkups.

Platforms: video

App available: yes

Read our review of Doctor on Demand.

Not sure you want to commit to a subscription plan? No problem. Doctor on Demand offers single video chat sessions with trained mental health professionals who are licensed psychiatrists and therapists.

After an initial assessment, you can browse their selection of psychiatrists and therapists and book an appointment.

Areas of expertise include:

  • anxiety
  • depression
  • bipolar disorder
  • trauma
  • postpartum depression
  • anger management

If medication is part of your therapy, a psychiatrist can order electronic prescriptions to the pharmacy of your choice. They also have appointments available with medical doctors for other physical conditions.

Price: Psychology appointments are $129 for a 25-minute consultation and $179 for a 50-minute consultation. Psychiatry appointments cost $299 for an initial 45-minute consultation and $129 for a 15-minute follow-up.

Coverage: Doctor on Demand accepts insurance. Check with your insurance company to see if your plan is approved.

Company Best forPrice Accepts insurance Therapy formatsApp available Prescribes medications
Talkspace overall $69–$129 per week yes audio, chat, messaging, videoyesyes
BetterHelp licensed counselors $60–$90 per week noaudio, chat, messaging, videoyesno
Online-Therapy.comCBT$39.95–$79.95 per week no audio, text, videonono
Amwellmental and physical health$109–$129 per visit yes audio, videoyesyes
MDLiveonline psychiatry$108 per session yesphone, videoyesyes
7 Cups affordability$150 per month no chat, textyesno
ReGain couples$60–$90 per week nochat, messaging, phone, videoyesno
Teen Counseling teens$60–$90 per weekno chat, messaging, phone, videoyesno
Pride Counseling LGBTQ$60–$90 per week no chat, messaging, phone, videoyesno
Doctor on Demandsingle video sessions$129–$179 per session yesvideoyesyes

What to look for in virtual counseling programs

To choose an online therapy program, think about which issues you want to focus on and your goals. Decide your communication preference and how often you wish to have sessions and their duration.

Questions to ask when comparing providers:

  • What does the plan include?
  • How much does the subscription cost?
  • What is the price for add-ons?
  • What are the cancellation and refund policies?
  • Are all therapists licensed?
  • What does the therapist matching process entail?
  • Is it possible to switch therapists?

How to find the right virtual therapist

Take the time to find a teletherapist who is a good match for your needs, preferences, and expectations. If you prefer a specific type of therapy, find a therapist specializing in this treatment modality. You can also ask a healthcare professional, colleague, or friend to recommend a therapist.

Many online platforms use your answers from an online questionnaire to match you with a therapist. You may have the option to choose a therapist specializing in a specific issue or condition. If possible, visit the company website to read bios and online reviews to get a feel for different therapists, their approaches, and what to expect.

Sometimes it’s possible to have a short consultation with your therapist before committing to sessions. You can ask your potential therapist about their approach, the expected outcomes, and the approximate duration of treatment.

You’ll also want to make sure the therapist’s availability suits your schedule, especially if you plan to contact them outside of standard hours.

Questions to ask yourself when choosing a virtual therapist:

  • What expectations do I have for my therapist?
  • Do I prefer my therapist to be of a specific age or gender?
  • Do I feel comfortable enough to be open, honest, and vulnerable with this therapist?
  • Does this therapist seem trustworthy, respectful, and competent?
  • How much time can I devote to homework outside of sessions?

How to afford therapy

There’s no doubt that therapy is expensive. The average out-of-pocket cost for a session can range from $75 to $150. Fortunately, online counseling — in many cases — is more affordable.

If you have insurance that covers mental health services, start by contacting them to see if the service you’re interested in is part of their network. You’ll also want to find out if the online platform you’re using takes insurance. Many companies do not, so it’s worth looking at a few different sites to see if one fits your needs and accepts insurance.

Some top online therapy programs offer different subscription plans to make counseling more affordable. Some private therapists who provide online counseling offer a sliding scale, with some willing to lower costs as much as 50 percent.

The other place to check is with your EAP. Many employers offer mental health benefits as part of their EAP package.

Finally, community-based behavioral health clinics offer free or low cost services to anyone who qualifies.

Like in-person therapy, online therapy is a counseling session with a licensed therapist or psychiatrist. But instead of meeting in an office, your sessions take place at home.

How your therapist leads a meeting is up to you. The most common forms of delivery include live videos, phone calls, and messaging. And the best part? Many professionals are available morning, afternoon, or night, and on weekends, making therapy more accessible than ever.

For some people, this method of counseling may take some time to get used to. But for others, virtual visits will be the reason they start and stick with therapy.

If you already have a therapist that offers online counseling, you’re set. But if your counselor doesn’t offer virtual sessions or you’re new to therapy, plenty of online services and platforms are available.

Is online therapy effective?

Plenty of research supports the effectiveness of online therapy. In general, live video calls are most similar to face-to-face therapy sessions and offer the most benefit.

Many people appreciate the variety of available communication formats, such as text, video calls, and chat rooms. A 2019 study suggests that psychotherapy platforms offering several digital communication options are effective in treating depression.

According to a 2017 review, internet-based CBT is an economical and effective way to treat several psychiatric conditions, including phobias, bipolar disorder, and obsessive-compulsive disorder (OCD).

A 2021 review found that live video psychotherapy sessions were as effective as in-person sessions. The video sessions involving CBT for anxiety, depression, and PTSD were most effective.

Who is online therapy best for?

Teletherapy is good for people who prefer a range of communication formats and are comfortable using technology to communicate and disclose personal information. You must have a quiet, private area, a functional device, and a strong, reliable internet connection.

Online therapy helps to treat mild to moderate symptoms of mental health conditions such as anxiety, depression, and OCD. It may also help to treat chronic pain, panic disorders, and PTSD.

Online therapy is also suitable for people who:

  • feel more comfortable in their own environment
  • cannot leave their home due to a disability or health condition
  • lack transportation access
  • live in a rural or remote area
  • have a busy or changing schedule
  • want an affordable therapy option

While text therapy can be helpful, it’s not a perfect fit for everyone. Some people miss face-to-face contact, while others feel more comfortable outside of the house.

Online therapy is not for people who have psychosis, suicidal intent, or an emergency situation.

What kind of therapist is right for me?

To determine the best type of therapist for your needs, consider your main reason for having therapy and whether you require a diagnosis or medications.

There are different types of mental health professionals, including the following:

  • Psychologist. Psychologists offer psychotherapy that relates to behaviors, emotions, and thoughts. Psychologists have a doctoral degree, typically a PhD or PsyD. In most states, they are unable to prescribe medications.
  • Psychiatrist. A psychiatrist is either a doctor of medicine (MD) or osteopathic medicine (DO). They diagnose and treat mental health conditions and can prescribe medications.
  • Licensed marriage and family therapist (LMFT). LMFTs have a master’s degree. They provide counseling to families and married couples to resolve specific concerns and treat mental health conditions. In some states, LMFTs can diagnose mental health conditions.
  • Licensed professional counselor (LPC). An LPC has a master’s degree. They treat mental health conditions, and in some states, can diagnose them.

Does insurance cover online therapy?

Due to the COVID-19 pandemic, more insurance companies have begun to cover online therapy. Online therapy coverage depends on your insurance plan, the therapist you choose, and state regulations.

Does Medicare cover virtual counseling?

Medicare is now covering online therapy for all Medicare members. Medicare Advantage plans also cover online therapy. When it comes to Medicaid, your coverage depends on your state. You can call the number on your Medicaid card for more information.

Is virtual counseling secure and confidential?

There are personal and financial privacy considerations to think about when using online therapy. Read the website for details about how each platform manages security and protects your information.

Companies should offer transparency regarding how they collect and use your data. Reach out to the platform if you have specific questions regarding privacy and confidentiality, so they can clarify any gray areas. Find out the process for deleting your account data if you cancel your plan.

Online therapy platforms on this list follow Health Insurance Portability and Accountability Act (HIPAA) federal guidelines to encrypt information and keep health data private. For example, companies encrypt all messaging systems and do not record video calls.

However, HIPAA laws may not prevent companies from sharing some of your personal data that you submit to an app, questionnaire, or chat box, especially if you do so before you start an account.

According to Consumer Reports, online therapy platforms may provide information to third parties, including Facebook. It’s possible that companies can use this data for targeted ads and marketing research, which is something to consider when dealing with sensitive information. Your profile information may also be visible to users if you use an app to connect to a community support group.

Online therapy is making mental health services accessible and more affordable for many people.

With the ability to see a counselor at your convenience and in your own home, virtual visits may become the new norm, at least for a while.