Best online therapy sites for 2021

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Today millions of people receive the benefit of therapy online. There are several quality online therapy platforms, including free online therapy apps, as well as online therapy paid for by your insurance.

The best online therapy apps help individuals, couples, teens and families with anxiety, depression, addiction, mommy issues, daddy issues, trauma, grief, divorce, parenting, loneliness, career, family, parenting, mental health, relationship and dating challenges — and are low-cost, convenient, and private.

How we analyzed the best online therapy sites:

There are several important factors we used to vet the top online therapy sites to make our recommendations:

Rating and reviewsHow does this online therapy company rate with Better Business Bureau, Trustpilot, and client reviews?
Ease of useIs the online therapy company’s technology up-to-date with a great app, multiple modes of communication and otherwise great user experience?
Price Which sites are a) most price competitive, b) transparent in pricing, c) offer financial aid
Honesty and transparencyHow is customer service? Are there hidden fees? Is it easy to change therapists? Is canceling straight-forward?

Best online therapy site and app: BetterHelp

Our #1 online therapy platform choice is BetterHelp, the most widely used online therapy app that offers therapy via phone, text and video, for fees starting at $65/week. Financial assistance available. A+ BBB rating. Use this link to get 10% off and get connected with a therapist immediately >>

Unlike other top sites like TalkSpace, which also offer quality therapy, all BetterHelp packages include one-on-one therapy — and not just ongoing messaging. Other sites require you pay extra for those sessions.

BetterHelp is also very open and clear about its pricing, and makes it easy to cancel, change therapists, and otherwise manage your account. Here is one of the first emails our editor, Emma Johnson, received from BetterHelp when she first signed up for the service:

How to cancel BetterHelp, change therapists.

We like that the upcoming charge was announced well in advance, and the site proactively offered ways to change therapists, cancel and apply for financial assistance. No need to go hunting for this information — much less get a customer service runaround. This made us feel like BetterHelp truly aims to help clients, and offer quality service.

BetterHelp’s secure app is just as dynamic as its desktop website, and helps make therapy even more accessible, since you can conduct live sessions from your office, car, on walks — wherever works for you.

To get started, you can browse a list of BetterHelp’s therapists, read client reviews, and start the process of feeling better.

If you are considering online therapy, here are some things you should know:

Online therapy reviews

The similarities between traditional therapy and teletherapy (or e-therapy) end right here.

Because the rest of the sign-up process – the time actually spent on the platforms and in your sessions – is all designed to be as convenient and hassle-free as possible from this point on, starting with meeting your therapist, the cost structure, and changing therapists or canceling.

1. BetterHelp: Online therapy review

One of the features that many users like about online therapy company BetterHelp is how much control you have over choosing a therapist, and how often you interact with your therapist.

The onboarding process allows you to choose a BetterHelp therapist’s qualifications and attributes, including:

  • Gender
  • Race
  • Religion
  • Teens
  • Specialists in various needs, including addiction, eating disorders, trauma, grief, sexuality, anxiety, depression, couples and relationship therapy
  • Therapy types, including Psychotherapy, Cognitive Behavior Therapy, Client- or Person-Centered Therapy, Interpersonal Therapy, etc.
  • Experience working with various personal, family and mental health issues
  • Communication and personality style

BetterHelp’s process starts with a text exchange with an online matchmaker, who will ask you about your therapy history, reasons for seeking therapy, and if there are any special considerations you’d prefer (here’s where you’ll want to disclose your preference for, say, a female counselor or a therapist specializing in panic disorders, etc.).

You receive a form, similar to a traditional office’s intake form, to fill out and send back, and then you’re paired with your “primary therapist.”

Because this is all happening in real-time, you will be matched with a therapist within 24 hours.

The timeliness of the process is an especially helpful aspect of BetterHelp — especially for busy moms, or those who struggle with anxiety or depression, or otherwise are eager to start working with a therapist.

BetterHelp members also have access to group therapy sessions for 20 specialty topics — included in your fee.

BetterHelp is less expensive than its competitors with prices starting at $65/week for unlimited texting and one live session per week — and a 10% discount for new clients. Financial assistance is available.

Read Wealthy Single Mommy editor Emma Johnson’s BetterHelp review, including her own personal experience with the app, or get connected with a BetterHelp therapist now and get 10% off >>

Here is her video review:

Where to find therapy

Our #1 pick for online counseling is BetterHelp. Your regular therapist, or a counselor near you, likely also offers online sessions.

BetterHelp offers a large database of more than 11,000 online therapists that it may match you with. The site states:

“We have found that we are able to provide a successful match most of the time; however, if you start the process and you feel your counselor isn’t a good fit for you, you may elect to be matched to a different therapist.”

Each counselor is verified via:

  • Licensing
  • Good standing with their licensing board
  • Video review
  • 100% BetterHelp therapists have a Master’s or Doctorate degree
  • Minimum 3 years and 2,000 hours of training.

“The result of this rigorous 4-5 week process is that only about 15% of the therapists who apply to work through BetterHelp are accepted to the platform,” BetterHelp’s site states. 

BetterHelp worked with Berkeley Well-Being Institute on a study that found BetterHelp to be as effective as face-to-face therapy.  The study found:

  • 98% of BetterHelp users made significant progress
  • 94% of BetterHelp users preferred the service over traditional, face-to-face therapy
  • 70% users reported reduced depression

Listen to Wealthy Single Mommy founder Emma Johnson interview BetterHelp therapist Haesue Jo about anxiety, depression, isolation — and how to find joy, relief and beauty — during the COVID-19 pandemic, on her Like a Mother podcast:

Does BetterHelp offer free online therapy?

BetterHelp does not offer free therapy, but does offer a 10% discount for new clients — as well as financial assistance to those who cannot otherwise afford counseling.

How much does online therapy cost with BetterHelp?

Online therapy offered through BetterHelp costs $65 per week for unlimited messaging with your therapist, as well as weekly phone or video live therapy sessions. The cost of counseling is billed every four weeks.

You can cancel your BetterHelp subscription at any time, and canceling is easy and straight-forward.

Does my insurance cover online therapy with BetterHelp?

BetterHelp states that their online therapy services are not covered through insurance. However, you may receive some coverage depending on the plan you have.

Specifically, BetterHelp shares that you may have to be diagnosed by your therapist with an issue before you can expect reimbursement from your insurance company. Your therapist may also have to send proof of your disorder to your insurance company, including your copies of your medical records.

Does BetterHelp accept Medicaid?

Because each state Medicaid program has its own rules as to what is and is not covered, it can be difficult to answer this question with 100% certainty. That being said, BetterHelp states in their FAQs that most of their services are not typically covered by Medicaid or Medicare. You should check with your state’s Medicaid fee-for-service program to see whether or not services provided by BetterHelp are covered. 

Still, starting at $65 per week, BetterHelp is an affordable option even without Medicaid coverage. In fact, that is comparable to what you might pay as a copay under most common private insurance plans. 

Does BetterHelp have an app for online therapy?

BetterHelp works equally on its desktop site, as well as apps for Android and iOS/Apple products. You can choose a therapist (or switch therapists), manage your account, schedule and engage in live video, phone, message or chat sessions with your therapist through BetterHelp’s secure website or app. Your choice!

How to find a therapist with BetterHelp

To get started with BetterHelp, you can browse the online directory, or start by:

  1. Go to, create a profile, and fill out your preferences and needs.
  2. You will be matched with a therapist within 24 hours.
  3. Start messaging with your therapist immediately.

BetterHelp has an A+ Better Business Bureau rating.

Start counseling with BetterHelp now >>

2. Second best site for online therapy:’s programs are based on cognitive behavioral therapy (CBT). CBT has been developed on the idea that your thoughts are what cause your feelings and behaviors, not external stimuli like people, situations and events.

Unlike other online therapy apps that are really traditional therapy, but online, is an online worksheet and video tutorial program, with therapist support and sessions offered on a tiered-basis. provides a complete toolbox of resources built on the success of CBT:

  • An online, self-directed, 8-module Cognitive Behavioral Therapy course
  • Worksheets — with daily feedback from your personal therapist
  • Journal
  • Live chat, video or phone sessions with your personal certified and licensed therapist
  • Action plan — where you add activities that bring meaning and joy to your life
  • Meditation videos
  • Yoga videos Online therapy review is a dedicated online-based team of consultant therapists, cognitive behavioral therapists, practitioners and support staff that collaboratively works to help people in need of emotional support.

This online therapy company gives you full access to an online therapy program designed for your specific needs with easy-to-follow information and hands-on tools, your daily journal and activity plan, including daily contact with your therapist (Monday-Friday), tests to monitor your progress and access to the forum.’s website is easy to navigate, and with prices that start at $31.96/week.

Read the review or get started now with a 20% off discount to >>

Does offer free online therapy?

No, does not offer free online therapy, but the app does have a 14-day money-back guarantee.

Does have an app for online therapy? does not have an app. Instead, clients log in directly to their accounts via smartphones or tablets.

The online portal allows for text, phone or video appointments.

How much does online therapy cost with    

Therapy offered through starts at just $31.96 per week when you factor in the initial 20% discount you get the first month. This monthly payment includes access to the firm’s online therapy program plus daily contact with your therapist — but no live chats or video sessions. (BetterHelp’s fees are similar, but with all live phone, video, messaging or chat sessions, more like traditional therapy.)

If you want a more robust online therapy program, with more one-on-one sessions with a therapist, there are also two alternate subscription services to choose from that cost $47.96 per month or $63.96 per month.

Does my insurance cover online therapy with does not accept insurance as a form of payment, although they state “it may be a good idea to reach out to your insurance company to see if they will cover online therapy.”

If your insurance company covers online therapy sessions, you may be able to submit your bill to them for reimbursement after your sessions.

How to find a therapist with

  1. Go to and create an account.
  2. Start working through the video and worksheet modules.
  3. Schedule your first 30-minute chat, video or call — your choice — with the therapist assigned to you. You also have 24/7 access to the video and guided meditation and yoga videos immediately.
  4. you can ask questions and interact with your therapist, who will also give feedback to the corresponding worksheets daily Monday-Friday.

Check out now, and 20% off, no discount code needed >>

3. Third best site for online therapy: Talkspace

For Talkspace users, a therapist is chosen for you by a shrink matchmaker of sorts.

Like BetterHelp, TalkSpace allows you to remain anonymous with your therapist, opting for a nickname or a random username instead.

Talkspace: Online therapy review

During an initial text exchange, a virtual matchmaker will ask you about your therapy history, reasons for seeking therapy, and if there are any special considerations you’d prefer (here’s where you’ll want to disclose your preference for, say, a female counselor or a psychotherapist specializing in panic disorders, etc.).

You receive a form, similar to a traditional office’s intake form, to fill out and send back, and then you’re paired with your “primary therapist.”

The speed of registering is an especially helpful aspect of Talkspace — especially for busy moms, or those immobilized with anxiety or depression.

Does Talkspace offer free online therapy?

TalkSpace does not offer a free trial, or any free online counseling. By comparison, BetterHelp offers similar services, but for a lower price.

Does Talkspace have an app for online therapy?

Earlier versions of Talkspace app had several bugs, including crashing at start-up. Updates in February 2020 have addressed these issues.

You can use the app to connect with a licensed therapist via unlimited messaging. Live video is also an option.

The Talkspace app has a 3-star rating on Android and a 4.2-star rating on Apple.

How much does online therapy cost with TalkSpace?

TalkSpace online therapy starts at $65 per week, or $260 per month, for messaging-only therapy, with live therapy is $65 per 30-minute session. A plan with four live talk therapy sessions is $396 per month.

Couples therapy is also offered for $396 per month, with four live sessions.

By comparison BetterHelp’s plan with four live sessions and unlimited messaging is $260 per four weeks — compared with Talkspace’s $396 for the same service. BetterHelp also offers a 10% discount for new users and financial aid.

Does my insurance cover online therapy with TalkSpace?

TalkSpace partners with several U.S. health insurance plans, although individual insurance plan participation varies. In other words, you’ll need to check with your insurance provider to see if online therapy is covered and what you’re expected to pay out-of-pocket — and which online therapy companies your insurance works with.

Talkspace also shares that many of their customers pay for their therapy with a credit card or Paypal then submit their bills for reimbursement through a Flexible Spending Account (FSA).

Read: Talkspace online therapy review

Does Medicaid cover Talkspace?

Talkspace does not currently accept Medicaid or Medicare. This means that if you do not have private insurance, you’ll need to pay for your online therapy through Talkspace out of your own pocket. At approximately $60 per week ($260 per month) for message-only therapy through Talkspace, you can likely find less expensive alternatives. 

One option is BetterHelp, whose services start at $65 per week and include the same unlimited messaging as Talkspace but with the added benefit of one live session per week.

How to find a therapist with Talkspace

  1. Go to and set up an account
  2. Share your preferences and needs via a chat session
  3. Get matched with a counselor within 24 hours and start communicating via chat, message, email, video or phone.

TalkSpace has an A+ Better Business Bureau rating. It is HIPAA complaint.

Start counseling now with Talkspace >>

4. Online therapy UK: My Online Therapy

My Online Therapy is a popular service based in the United Kingdom. Psychologists found on the site specialize in one (or more) of 13 therapies, including:

  • Acceptance & Commitment Therapy
  • Cognitive Analytic Therapy
  • Cognitive Behavioral Therapy
  • Couples Therapy
  • Dialectical Behavior Therapy
  • Dynamic Interpersonal Therapy
  • Eye Movement Desensitization & Reprocessing Therapy
  • Mentalization Based Therapy
  • Mindfulness-based Cognitive Therapy
  • Narrative Therapy
  • Psychodynamic Therapy
  • Schema Therapy
  • Systemic Therapy

My Online Therapy: Online therapy review

My Online Therapy works simply: When you create an account on the website, you will be required to answer a series of questions that are designed to help the site match you with the best possible therapists for your needs. 

Once you have chosen a therapist, you can then book an appointment directly through the website. My Online Therapy offers two formats of therapy: Video and live chat. Video appointments can be 30 minutes long or 50 minutes long, and live chat appointments will be 30 minutes long. 

The site is popular, with a 4.7-star score on Trustpilot based on more than 90 reviews. 

Does My Online Therapy offer free online therapy?

No, My Online Therapy is a paid therapy service and does not offer free treatment. 

Does My Online Therapy have an app for online therapy?

Yes, a My Online Therapy app exists for both Android and Apple Devices. 

How much does online therapy cost with My Online Therapy?    

The cost varies depending on which format you choose and the length of your session. Video appointments cost £49 for a 30-minute appointment and £99 for a 50-minute appointment. Live chat appointments cost £49 and are only available for 30-minute time slots.

Daily coaching services are also available for £75 per week, which allow you to message your therapist anytime without an appointment.

Appointments can be cancelled without penalty with 48 hours’ notice, but any appointment cancelled with less notice will result in a full charge.

Does my insurance cover online therapy with My Online Therapy?

My Online Therapy accepts private insurance for video sessions, but does not accept private insurance for live-chat sessions. Because the company is based in the UK, the specific insurance plans which are accepted may not include popular U.S.-based plans. 

How to find a therapist with My Online Therapy

  1. Go to or download the app to create an account
  2. Answer an introductory questionnaire designed to help the service understand your needs and match you with qualified therapists. 
  3. Select a therapist, and book your first appointment. 
  4. Decide if you would like to continue with this therapist or choose a different professional.

My Online Therapy serves users worldwide.

Best online therapy platform for therapists

GlassDoor reports that BetterHelp pays its contract therapists $29-31 per hour, and is having a “hiring surge.”

The benefits of working with a site like BetterHelp as an online therapist include:

  • Work at home or any other location
  • Flexible hours
  • Built-in technology — you interact with clients via the online counseling platform, so no need to set up or troubleshoot Zoom, Facetime, Skype or other tech
  • 100% HIPAA compliant
  • The therapy site manages billing, bookkeeping and other admin tasks, so you can focus on serving clients
  • High and increasing demand from clients around the country — no need to market your services

Learn more about becoming an online therapist with BetterHelp >>

Frequently asked questions about online therapy

Here are your answers to questions about online therapy pricing, insurance, how it works, and whether online therapy platforms are worth it.

What is online therapy?

Online therapy is what it sounds like: Counseling services that are delivered through digital mediums, instead of in-person, like traditional therapy. Online therapists through reputable sites, are licensed and certified, and provide sessions through video, phone calls, text or email—depending on the client’s preferences.

How does online therapy work?

First, consider your personality type and preferred method of communication.

Would you rather video conference with your therapist, or have a phone call? Text or instant message? Post intermittently on an online message board?

Most services provide at least a couple of these options, but it’s still good to keep in mind which ones are most effective for you.

If online therapy is new to you, be open to trying different communication modes.

Typically, online therapy works like this:

  1. After you are matched with a counselor, there will be an in-take session. This might be over the phone or video, and you may be asked to provide information over email or an online portal.
  2. If you prefer phone or email, that is up to you! You never have to use video (for example) if you don’t want to.
  3. From there, depending on what you agree to with your therapist, you can schedule weekly calls of 30-50 minutes each — very much like a traditional, in-person session.
  4. Most of the online therapy sites offer an option for unlimited email or text communications, to account for unexpected events that arise, or questions or concerns that come up between regular sessions.

Is online counseling safe?

One of the benefits of online therapy is that a quality site makes counseling safe and anonymous — after all, there is no risk of bumping into your neighbor like you might with traditional, in-person sessions.

Some things to look for in an online therapy site if security is a concern:

  • Is the site secure (with an https in the URL)?
  • Up-to-date encryption
  • Compliance with HIPAA requirements
  • Compliance with recommendations for therapists to use secure devices and connections. The National Board for Certified Counselors adheres to strict distance services policies for therapists.

What do you need for teletherapy?

Most telecounseling platforms give you the option to communicate by audio or video — typically a smartphone is enough for either. BetterHelp also gives you the option to connect by laptop or desktop, which not all companies do.

Is online therapy legit? Is teletherapy as effective as in-person therapy?

Online therapy includes a local therapist who offers telephone or Zoom.

While multiple studies find that therapy helps clients improve depression, relationships, and quality of life, one study by researchers at the University of California, Berkeley, found that online therapy is just as effective as in-person traditional therapy:

is online therapy effective? research and studies show yes

If you are researching online therapy platforms, check their Better Business Bureau and Trustpilot ratings, and read review websites for the pros and cons of the different apps.

Does online therapy work? Is online therapy any good?

Again, online therapy, when done well, is just as effective as in-person therapy, studies find.

Advantages of online therapy include:

  • Affordable pricing
  • Access to a wide variety of specialists which may not be available in your area
  • Option to easily switch counselors if the first one is not a match.
  • Convenient — no need to drive anywhere

What are the benefits of teletherapy or online therapy?

Therapy is increasingly acceptable, in part, because the benefits can be so great. There are many reasons why therapy is right for you. These include:

  • You are depressed and don’t know how to stop being depressed
  • You find yourself stuck in your career, relationships, or life challenges, and can’t get unstuck
  • There is turmoil in your relationships, and you want help finding resolve
  • You feel overwhelmed and don’t know how to get a grip
  • Rage. You are angry all the time, for reasons that do not equate with the issues at hand
  • General apathy and fatigue (signs of depression)
  • A sense of guilt or shame colors your life
  • General apathy, sense of unfulfilling relationships, loneliness

Parents can also seek out in-person for children and teens, as well as online therapy for teens aged 13 and older.

Phebe Brako-Owusu, a licensed marriage and family therapist in Tacoma, Wa., says that teens can benefit from therapy for both specific traumas, as well as a vehicle for helping a teen express themselves. “A teen or child could benefit from therapy if they have experienced a change or trauma in their life and there are noticeable behavioral or emotional changes observed by the parent,” Brako-Owusu continues. “Or, if the parent is noticing the child is not being themselves and they’re reluctant to talk to them about it, they could use a session.”

The only difference between online therapy and traditional, in-person counseling, is that with online counseling, you communicate with your therapist by phone, text or video, depending on your preference.

Differences between face-to-face therapy and online therapy

Online psychotherapy is fast becoming a solid alternative to face-to-face therapy. A study by the Berkeley Well-Being Institute determined that online therapy for adult depression from online therapy leader BetterHelp was as effective as face-to-face counseling.

Online therapy sites hire a variety of mental health professionals who are rigorously vetted, but certain professionals are better suited to help you than others.

For instance, do you need a psychiatrist (an M.D. or D.O.), who can prescribe medication? Maybe you only need talk therapy through a licensed psychologist (Ph.D., Psy.D., or Ed.D.), licensed psychological associate or (L.P.A.) licensed professional therapist (L.P.C.). For specific issues and specialized family or relationship help, licensed clinical social workers (L.C.S.W.), or licensed marriage and family therapists (L.M.F.T.) may work best.

CallonDoc is a secure online psychiatry service that connects you to a psychiatrist by phone, where you can get the prescriptions and other care you need for issues including depression, anxiety and panic disorder. Virtual sessions and prescription refills start at $39.99.

If you aren’t sure which professional is a good fit, there’s a good chance that the online therapy platform will help you choose.

Make sure any site you choose is HIPAA compliant, meaning they abide by federally mandated health care privacy standards.

This safeguards your information and transcripts of your sessions against any data breaches, hackers, etc.

Top therapy sites BetterHelp, Talkspace, and MDLive therapy all boast HIPAA compliance in easy-to-find spots on their sites, so finding out whether your site is covered shouldn’t be difficult. 

Once you’ve figured out whether online or face-to-face therapy is right for you, how you’d like to communicate with them, and whether or not they’re qualified, it’s time to sign up!

Our choice for online therapy is BetterHelp, which lets you choose from thousands of licensed, certified counselors, starting at $65/week for unlimited text, voice, video or email sessions. Better Business Bureau A+ rating. Financial aid available Learn more about low-cost online therapy with BetterHelp >>

Advantages of face-to-face therapy

Face-to-face therapy provides a personal experience and additional benefits such as:

  • Predictability – An office visit secures a designated time and place to receive therapy and may help with establishing a routine for care. 
  • Visual cues – Clients experience the therapist’s body language, facial expressions and tone of voice. If you lean toward sensory interaction or are extroverted, this may help.
  • Safety – Mental health conditions in which a person may be in crisis or a danger to themselves or others may benefit from face-to-face counseling.
  • Variety – Some therapeutic approaches require in-person meetings such as animal-assisted therapy, expressive arts therapy and music therapy. 

Disadvantages of face-to-face therapy

Therapists must protect your privacy, but there is the very real possibility that you could run into someone you know while walking into, or out of your appointment. This may be especially troubling when dealing with custody issues if your ex-spouse is looking for fuel to deny or limit access to your child.

Other disadvantages include:

  • Expense – According to GoodTherapy, an online therapy resource site, an in-person session can cost $65 – $250 per hour. Online options tend to be much more affordable. 
  • Waiting – Instead of getting therapy right away, you must wait until your scheduled appointment time. Depending on the client load of a therapist, that could be weeks or even months in the future.
  • Scheduling – Typically in-person counseling requires scheduling an appointment during business hours, or otherwise working around the counselor’s availability. This may mean taking off work early, or otherwise creating inconvenience for you.
  • Travel time – Traditional therapy requires you commute to the appointment, which adds time on either end of the session. Most of us are busy! 

Is counseling online as good as face-to-face therapy? Which one is better?

Online therapy is great for moms because it provides coveted flexibility, is very affordable, and has all the other benefits that come with traditional, face-to-face, in-person counseling.

Your comfort level with technology, individual needs and session expectations will play a huge part in determining if online therapy fits.

Technology gives us more options to heal. The flexibility of online therapy, stability of face-to-face counseling or a carefully timed mix may be the answer. 

But sometimes you prefer face-to-face, in-person interaction, and that is great, too!

Is online therapy right for me?

As a single mom, your children depend on you — and that can be a big weight to carry. Emotional setbacks are nothing to feel ashamed of. Nearly 60% of adults know someone suffering from mental illness, based on a survey by the American Psychological Association.

If you are unsure, thankfully online therapy is very affordable, and our partner BetterHelp offers a 10% discount for new clients.

Frequently asked questions about online therapists

Are online therapists legit?

Each platform has its own criteria, but check to see whether an online therapy site requires of its therapists:

  • Advanced, relevant degree such as a master’s or doctorate
  • Licensure in their state
  • Advanced hours of practice (BetterHelp requires a minimum of 2,000 hours)
  • An internal review process — and not just automatic enrollment

Often, a therapist promotes that their services are available via phone or Zoom, which may be fine — but check to make sure the person is certified and credentialed in their state, and has relevant education and training.

How to choose an online therapist

If you’re looking into online therapy, grappling with your personal preferences is the first step. Being confident in your choice is crucial to establish trust and build a positive relationship with a professional counselor.

Frequently asked questions about the cost of online therapy

Understandably, the pricing of online counseling is often a major consideration for whether you use the service, and which one you choose.

How much does online therapy cost?

Where traditional therapy can cost hundreds of dollars each session (and God forbid you have multiple sessions in a week!), online therapy can be drastically cheaper.

Talkspace’s unlimited sessions cost between $128-$396 per month, depending on the tiered program you choose.

BetterHelp starts at $65 per week for unlimited messaging and weekly live sessions with your counselor. It’s also worth noting that BetterHelp offers new clients a 10% discount, as well as financial aid for those who qualify. MDLive therapy is the priciest online provider because their network of professionals operates on a name-your-price basis according to experience and specialty.

An in-person live session with traditional therapy costs between $50 to $400, with the average session about $145.

Online therapy and teletherapy sites that take insurance?

Talkspace and MDLive both work with major insurance plans.

Does Medicaid pay for online therapy?

Medicaid is a program that is run jointly between the federal and individual state governments. As such, the federal government gives each state a large amount of freedom to decide which services are covered by their Medicaid programs. This means that whether or not Medicaid pays for online therapy, online counseling, and other telemental health services will depend on the state in which you live and have coverage.

Currently, 33 states require their Medicaid plans to cover online therapy. You will need to check with your state’s Medicaid fee-for-service program to determine whether or not you are covered for online therapy. 

Online therapy sites with free therapy?

Sorry, there is no free online therapy (unless you count watching old Oprah episodes on YouTube). 7 Cups is a free peer-listening site, but its therapy sessions are fee-based.

Is online therapy worth the money?

A quality therapist who is a good match for the client, and a client dedicated to growth and change can be a wonderful experience. There are never guarantees with therapy.

Is online therapy cheap?

Online counseling platform BetterHelp is the most affordable online therapy that provides counseling for pricing starting at $65 per week for unlimited access, which is far below a typical in-person traditional therapy session, which costs $50-$200+. Other online therapy apps pricing is also typically lower than traditional therapy — though a local counselor may offer online sessions for the same price as their in-office fee.

Frequently asked questions about online relationship counseling

How does relationship counseling work online?

The experience with online therapy with online therapy company BetterHelp, or its sister site ReGain for couples, is very similar with traditional, face-to-face counseling:

  1. Create a joint account online at, which is confidential, HIPAA compliant and otherwise secure
  2. Choose your preferences — race, gender, age, political leanings, religion, gay or straight, specialty, etc. —for your licensed, certified counselor
  3. Get paired with a therapist, and start communicating within 24 hours.

At BetterHelp, everything written via the chat function is visible to both partners and the counselor. If either partner would like to speak with the counselor privately, you can schedule an individual live session.

Because BetterHelp’s system does not allow for 3-way live calls or videos, you must be in the same place and share a screen with your partner to communicate with the therapist.

How to save an unhappy marriage or relationship

Is online relationship counseling effective?

Researchers at Northwestern University’s Family Institute and Center for Applied Psychological and Family Studies found that couples counseling has a positive impact in 70% of couples studied — supporting decades of research that found the same.

How much does online relationship therapy cost?

3Online therapy app / siteCost
Talkspace Basic plan costs $260/month for texting only. Plan with weekly live sessions is $396
BetterHelpStarting at $65 per week for unlimited messaging and weekly live sessions, or $260 per four weeks. Financial aid available.
Traditional face-to-face couples counseling$65-350+/hour

Dating red flags — and when to call it quits

Share in the comments:  Have you used online therapy sites? What has been your experience? founder Emma Johnson is an award-winning business journalist, activist and author. A former Associated Press reporter and MSN Money columnist, Emma has appeared on CNBC, New York Times, Wall Street Journal, NPR, TIME, The Doctors, Elle, O, The Oprah Magazine. Winner of Parents magazine’s “Best of the Web” and a New York Observer “Most Eligible New Yorker," her #1 bestseller, The Kickass Single Mom (Penguin), was a New York Post Must Read. A popular speaker, Emma presented at the United Nations Summit for Gender Equality. Emma's Top Single Mom Resources.


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