BetterHelp is one of the largest online therapy platforms, founded in 2013. With more than 34,000 licensed therapists and millions of users across 200+ countries, it provides virtual counseling through messaging, phone, and video sessions. BetterHelp focuses on individual talk therapy, but its sister sites—ReGain (for couples) and Teen Counseling (for teens)—cover other needs. It does not offer psychiatry, family therapy, or medication management.
Conditions BetterHelp Addresses
According to the company, BetterHelp therapists can help with:
- Stress and anxiety
- Depression
- Trauma and abuse
- Relationship issues
- Parenting support
- Self-esteem challenges
- ADHD
- Anger management
- Grief and loss
How Much Does BetterHelp Cost?
BetterHelp charges $70 to $100 per week, billed monthly ($280–$400+ per month). Costs vary depending on location and demand. Insurance is not accepted, but you can pay with an HSA or FSA card. Students, veterans, and low-income users may qualify for financial aid. While in-person therapy with insurance may be cheaper, many users still find BetterHelp a convenient option.
Pros and Cons of BetterHelp
Pros
- Available in all 50 states and 200+ countries
- Quick therapist matching
- User-friendly website and mobile app
- Financial aid and discounts available
- Licensed therapists only
- Easy to switch providers
- Flexible communication options (chat, phone, video)
Cons
- One subscription plan only
- No psychiatry or medication management
- Does not accept insurance
- No family therapy; redirects for couples/teens
- Therapists cannot diagnose conditions
- Quality of therapy sessions can vary
What We Found in Our Testing
We signed up in states including New York, Missouri, California, and Massachusetts, as well as in the UK. Our testers included parents, professionals, and students seeking help for a wide range of issues. In addition, we surveyed 100 users and spoke with licensed therapists and experts.
Overall, 89% rated BetterHelp “good” or “excellent”. Most users found the therapists well-qualified, though experiences varied. Some sessions felt professional and supportive, while others felt too brief or generic. The messaging option was convenient, but not a replacement for live therapy.
How Sessions Work
BetterHelp sessions last 30–45 minutes and can be held by video, phone, or live chat. Users also have access to unlimited messaging, journaling features, and educational webinars (“groupinars”). We found video sessions to be the most effective, while chat and phone felt less personal.
Ease of Sign-Up
Signing up takes about 20–30 minutes. The intake questionnaire is thorough and inclusive, covering gender identity, sexual orientation, therapy goals, and preferences for therapist style. However, you must pay before receiving a therapist match, which some may find frustrating.
Switching and Canceling
If you’re unhappy with your therapist, you can switch at any time through the portal. Canceling is also straightforward, with options to downgrade to a weekly or “maintenance” plan. No refunds are given for unused sessions.
Our Final Verdict
BetterHelp is a reliable and accessible option for online therapy, particularly for those who need flexibility and can’t attend in-person sessions. Its convenience, inclusivity, and wide therapist pool make it appealing, but the lack of insurance coverage and variable session quality are drawbacks. Overall, it’s worth considering—especially if you value flexibility and need consistent access to licensed therapists.
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