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Top 10 Best Online Therapy Services in 2024 - Invest In Your Mental Health

Katherine Cullen - Writer for Top10
Top 10 Best Online Therapy Services & Sites
The listings featured on this site are from companies from which this site receives compensation. This influences where, how and in what order such listings appear on this site.

Online therapy services present a convenient and innovative approach to mental healthcare. The fact is, in-person therapy has its limits in terms of flexibility, availability, and pricing. Perhaps more significantly, in-person sessions became exceedingly more difficult to attain in the wake of lockdowns and social distancing requirements. These changes resulted in the increased utilization of online healthcare over recent years—and studies suggest that the rise is here to stay.

As the field of online therapy—also referred to as "e-therapy" or "internet therapy"—continues to expand, so does the number of providers available to choose from. When searching for the right virtual therapy service for your needs, it’s important to consider factors such as pricing, modes of communication, and therapists’ backgrounds. 

To help guide your selection, we’ve reviewed the best online therapy services available today.

Our Top 10 Best Online Therapy Services in 2023:

  • BetterHelp - Best online therapy site overall
  • Cerebral - Best for affordable monthly pricing
  • Online-Therapy.com - Best online cognitive behavioral therapy
  • Thriveworks - Best for therapy covered by insurance
  • ReGain - Best for online relationship therapy
  • Pride Counseling - Best online therapy for LGBTQ+
  • Talkspace - Best for unlimited messaging and flexible payment plans
  • Calmerry - Best for a wide range of therapy types
  • Amwell - Best for ease of access
  • Faithful Counseling - Best for devoted christian counselors
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Our Methodology: How We Reviewed the Best Online Therapy Services

Our aim is to offer clear, unbiased, and detailed insights specifically tailored to the nuances of online therapy, helping readers identify the best service for their mental health needs. Katherine Cullen, an expert in therapy and clinical social work, spearheaded our analysis of over 30 digital therapy services. We emphasized factors like therapeutic approaches, platform usability, and client confidentiality. Our editorial and fact-checking teams played a crucial role in ensuring the evaluations were comprehensive and trustworthy.

Evaluation Process

Our evaluation process was meticulous, focusing on a range of quality indicators specific to online therapy. Katherine Cullen's clinical expertise was pivotal in interpreting these findings, ensuring a professional perspective in our assessment. Parallel to this, our editorial team undertook a thorough fact-checking procedure to ensure the integrity and reliability of our findings, thereby delivering reviews that users can trust for making informed decisions.

Evaluation Criteria

Pricing Structure: We analyzed service fees, including weekly and monthly options, to determine affordability and financial implications for users.

Communication Methods: The efficacy of different communication channels (text, voice, video calls) in facilitating therapy sessions was evaluated.

Therapist Expertise and Diversity: We assessed the variety and specialization of therapists, emphasizing areas like anxiety, depression, and addiction treatment.

Accreditations and Hiring Standards: Therapists' credentials (e.g., PsyD, Ph.D., LCSW, LPS) were examined to ensure adherence to high professional standards.

Therapy Modalities: We looked at the range of therapeutic approaches offered, such as Cognitive Behavioral Therapy (CBT) and psychoanalysis, to gauge the comprehensiveness of treatment options.

Our Top 10 Best Online Therapy Services

  • 1
    BetterHelp

    BetterHelp

    exceptional
    9.9
    • Best forMessaging your therapist anytime
    • Pricing$65-$90/week
    • Modes of communicationText, live chat, video call, phone call

    BetterHelp - Best online therapy site overall

    BetterHelp is one of the largest providers of online therapy services, letting you get matched with a licensed professional therapist in less than 24 hours. You’ll be able to communicate with your therapist by phone, video call, live chat, or text messaging.

    While the platform doesn’t take insurance, it does offer financial aid for patients with tighter budgets.

    Why we chose BetterHelp: BetterHelp’s app and online platform are both user-friendly, giving you access to self-help worksheets on various topics, including cognitive behavioral therapy (CBT) and conflict resolution.

    Our experience: BetterHelp reviews are positive and the service is reasonably priced. We like the fact that BetterHelp counselors each go through a rigorous vetting process.

    Pros
    • Message your therapist anytime
    • Studies show the platform is effective
    • Operates in 200+ countries and 82 languages
    Cons
    • Therapists can’t prescribe medication
    • Harder to find specialized therapists
  • 2
    Cerebral

    Cerebral

    very good
    8.8
    • Best forAnxiety, depression, insomnia, bipolar
    • PricingFrom $99/month, $30/month when covered by insurance
    • Modes of communicationPhone, video calls, texting, email

    Cerebral - Best for affordable monthly pricing

    Cerebral offers online talk therapy sessions for people suffering from conditions such as anxiety, depression, and insomnia. Their team of professional counselors provide you with a holistic treatment plan tailored to your needs.

    Cerebral’s two-tiered approach of talk therapy and proper medication prescriptions allows you to manage your symptoms and achieve a more balanced lifestyle.

    Why we chose Cerebral: Cerebral is one of the more affordable options on our list, while still providing you with a high quality of care.

    Our experience: We like the fact that Cerebral’s team checks in with you every month, monitors your medication reactions, and helps you make the necessary adjustments to ensure your treatment progresses as intended.

    Pros
    • Very affordable pricing plans
    • Team of care providers for a holistic approach
    • Online sessions & medications delivered to your door
    Cons
    • Not all plans available nationwide
    • Doesn’t cover all mental health issues
  • 3
    Online-Therapy.com

    Online-Therapy.com

    very good
    8.5
    • Best forTreating non-urgent anxiety
    • Pricing$160-$352/month
    • Modes of communicationVideo, audio, live chat

    Online-Therapy.com - Best online cognitive behavioral therapy

    Online-Therapy.com has a network of counselors from various fields of expertise, with a primary focus on CBT. In addition, their platform hosts a range of interactive worksheets, activities, and self-help assignments to help guide you through its program. 

    Depending on your preference, you can communicate with your counselor via text, audio, or video chat.

    Why we chose Online-Therapy.com: This online therapy provider allows you to switch therapists at any point during treatment. Their journaling tool is another helpful way to keep track of your efforts and improve your well-being. 

    Our experience: In contrast with some other online therapy services, Online-Therapy.com allows you to view recommended therapist profiles and choose your own counselor based on user reviews, specializations, and accreditations.

    Pros
    • Affordable compared to other providers
    • Choose your own therapist and switch anytime you want
    • Easy-to-follow wellness exercises
    Cons
    • Lowest-tier plan does not include live sessions
    • Therapists on the platform cannot prescribe medication
  • 4
    Thriveworks

    Thriveworks

    very good
    8.6
    • Best forTherapy covered by most insurance plans
    • Pricing$15-$99/session
    • Modes of communicationIn-person, video, phone call

    Thriveworks - Best for therapy covered by insurance

    Thriveworks’ services include online, face-to-face, and over-the-phone therapy sessions. Their network of professionals are experienced across a wide variety of specialties, including individual talk therapy, psychiatry, couples/family therapy, child therapy, and more.

    Why we chose Thriveworks: Thriveworks is in-network with most insurance plans, so you only have to cover a copay for therapy sessions. Even if you’re not covered by insurance, Thriveworks is still a very affordable option.

    Our experience: Thriveworks stands out from other online therapy services by offering same- or next-day appointments, keeping wait times to a minimum. You can also contact your therapist between sessions if needed.

    Pros
    • Health insurance from major providers typically accepted
    • Online or in-person at 300+ locations
    • Excellent customer service
    Cons
    • No ability to message with therapists
    • Some services are location-restricted
  • 5
    ReGain

    ReGain

    very good
    8.8
    • Best forTherapists that specialize in relationship therapy
    • Pricing$65-$90/week
    • Modes of communicationVideo, phone, message, live chat

    ReGain - Best for online relationship therapy

    ReGain offers convenient online relationship therapy for couples and individuals. Their service matches you with a licensed therapist specifically chosen to address your needs and goals. Its monthly subscription grants one live video or phone session per week, along with 24/7 access to an online therapist. 

    Why we chose ReGain: ReGain understands everyone’s situation is different and offers reduced fees to those with financial difficulties or disabilities.

    Our experience: With ReGain, you can pick and choose your therapy appointments entirely around your schedule. This makes it a particularly convenient option if you are restricted in time. 

    Pros
    • Therapists specialize in a wide range of relationship issues
    • User-friendly app
    • Discount available to those in need
    Cons
    • Not appropriate for crisis situations
    • Does not work in-network with insurance providers
  • 6
    Pride Counseling

    Pride Counseling

    very good
    8.5
    • Best for LGBTQ+ Counseling
    • Pricing$65-$90
    • Modes of communicationText, video, audio, and live sessions

    Pride Counseling - Best online therapy for LGBTQ+

    Pride Counseling boasts budget-friendly online therapy for members of the LGBTQ+ community. 

    Pride Counseling charges weekly rather than per session, allowing for multiple meetings within the same week. It also has a mobile app that offers access to all of the website’s features, with the added benefit of receiving mobile mental health support.

    Pride Counseling does not include family therapy, support groups, which could be beneficial to LGBTQ+ individuals. They also do not work in-network with insurance providers, although its low weekly counseling rates make it more affordable than traditional in-person therapy.  

    Why we chose Pride Counseling: Perhaps Pride Counseling’s greatest benefit is that it offers a safe, supportive environment for LGBTQ+ community members to address their mental health issues, with all therapists trained specifically for this community’s needs.

    Our experience: Pride Counseling places a strong emphasis on discretion, by giving you the option to sign up with a nickname, while other services typically require your full legal name.

    Pros
    • All therapists specialize in LGBTQ+ counseling
    • Android and iOS app
    • Pay per week rather than per session
    Cons
    • No support group options
    • Does not accept insurance
  • 7
    Talkspace

    Talkspace

    very good
    8.7
    • Best forOnline therapy and psychiatry services
    • Pricing$69-$129/week
    • Modes of communicationVideo, phone, message, live chat

    Talkspace - Best for unlimited messaging and flexible payment plans

    Talkspace is an e-therapy platform that offers counseling and psychiatric treatment for teens, adults, and couples. They employ a detailed matching process to connect you with a licensed and experienced therapist based on your circumstances. 

    They accept insurance and offer three weekly payment plans. The two higher-tier plans include live sessions, but only the highest tier plan includes therapy via messaging with guaranteed daily text responses to any questions you may have.

    Why we chose Talkspace: Talkspace specializes in over 40 areas of clinical therapy, so you can feel confident that your needs will be met.

    Our experience: We were impressed by the expedient response times that Talkspace therapists and counselors demonstrate. Whenever you need the help, their care providers are available to lend support.

    Pros
    • Over 40 clinical approaches and treatments
    • Suitable for adults, teens, and couples
    • Can offer prescriptions through its psychiatry services
    Cons
    • Requires internet connection
    • Live sessions only available on more expensive plans
  • 8
    Calmerry

    Calmerry

    very good
    8.6
    • Best forAffordable therapy, wide range of therapy types
    • PricingFrom $50/week
    • Modes of communicationVideo, message, live chat, and audio message (on iOS only)

    Calmerry - Best for a wide range of therapy types

    Calmerry is an e-therapy network with therapists trained in a wide range of specialties, including grief counseling, couples counseling, and LGBTQ-related therapy. They give you two ways to communicate with counselors–texting and video sessions.

    All plans include texting at anytime, daily responses from therapists, and the option to switch counselors or cancel at any time.

    Why we chose Calmerry: Calmerry performs thorough background checks on its therapists to ensure the quality and reliability of the counseling services you receive.

    Our experience: Calmerry doesn’t simply match you with a therapist; their blog provides information about therapy methods (including CBT, emotion-focused therapy, and dialectical behavior therapy) so you can understand which approach truly fits your needs.

    Pros
    • Convenient app for on-the-go therapy
    • An extensive blog about therapy and mental health
    • Mental health assistants readily available
    Cons
    • Doesn’t accept insurance
    • Questionable privacy protection
  • 9
    Amwell
    very good
    8.5
    • Best forThose who want instant online therapy without the fuss
    • Pricing$109-$129/session, potentially covered by insurance
    • Modes of communicationVideo only

    Amwell - Best for flexibility

    Amwell offers flexible online therapy with a network of over 350 professional counselors specializing in a variety of therapy methods. Their platform is accessible through their website or mobile app, and doesn’t require you to subscribe—instead, they conveniently allow you to pay per-appointment.

    You can search for available therapists by using the filters on the platform, and easily schedule an appointment once you’ve found the right fit. While this means you won’t be able to contact therapists between sessions, the upside is you spend less time waiting for the help you need.

    Why we chose Amwell: Amwell is a one-stop-shop for all of your healthcare needs, including but not limited to therapy services. Its professionals can even write you a prescription if necessary. Additionally, Amwell is connected to 125 insurance providers, which can help lower your out-of-pocket costs.

    Our experience: Unlike most online therapy providers, you don’t have to wait to be matched to a therapist when using Amwell. Their filter-and-find process puts more agency in your hands, giving you the relevant information you need to choose the right counselor.

    Pros
    • Select a therapist and make an appointment straight away
    • Covered by most insurance providers
    • Get a prescription without visiting a doctor’s office
    Cons
    • Doesn’t offer service outside of the United States
    • No communication possible between scheduled appointments
  • 10
    Faithful Counseling

    Faithful Counseling

    good
    8.4
    • Best forClinical therapy that includes biblical teachings
    • Pricing$65-$90
    • Modes of communicationVideo, phone, message, live chat

    Faithful Counseling - Best for faith-based therapy for Christians 

    As of recent, Faithful Counseling merged with Betterhelp, which also delivers clinical therapy for Christians. Its therapists are all licensed and certified within their field and submit declarations as to their beliefs to ensure they conform to the statement of faith. When signing up for the service, you will be directed to fill out a questionnaire that will properly match you with a suitable Christian therapist. 

    A sophisticated matching process is employed to connect you with a therapist specializing in your mental health difficulties and your branch of Christianity. This means it’s a suitable platform if your faith is important and you wish to include biblical teachings in your therapy. Its easy sign-up process, clear and appealing display, and simple functionality in terms of booking appointments make it easy for Christians who want faith-based counseling. 

    Why we chose Faithful Counseling: Though Faithful Counseling merged with Betterhelp, Christian-centered therapy practices are still easy to access. The platform uniquely integrates clinical therapy with Christianity, ensuring a harmonious blend of faith and mental health support. Various Christian denominations are catered to, including Catholic, Protestant, Baptist, and others, allowing users to find counselors who resonate with their specific faith traditions. Spiritual practices like prayer, meditation, and scripture reading are also integrated. This online therapy provider is an ideal choice for believers who want to incorporate biblical principles into their counseling sessions.

    Pros
    • 6,000+ therapists specializing in Christianity-based counseling
    • 24/7 messaging services
    • Accessible via website or the free app
    Cons
    • Matching process can take 1-2 days
    • Can’t choose a specific therapist


How to Compare the Best Online Therapy Services

Service quality, therapist accreditations, cost of care, and modes of communication are essential features to look at when comparing the best online mental health services. We've compiled the chart below so you can easily see how our top 10 online therapy platforms differ in terms of overall user reviews, affordability, and how you'll communicate with your counselor. 

For instance, if you prefer to communicate with your licensed therapist via phone calls, you should check whether this medium is available with a given online counseling service.

What Is Online Therapy and What Makes It a Viable Alternative to In-Person Therapy?


Online therapy is a virtual version of traditional, in-person psychotherapy. Online counselors use the same interventions as in-person providers, including CBT, dialectical behavior therapy (DBT), trauma therapy,