01TalkspaceBest Overall
Therapy from a $10 average copay
- Takes Medicare and TRICARE
- Psychiatry on the same account
9.70ExcellentEditorial score
Editor’s pick · Reviewed November 2026
Updated on
Best Online Depression Treatment & Therapy
- Licensed clinicians only
- 8 services compared
#1 Best Overall
Therapy from a $10 average copay
9.70
Visit Site
Weekly therapy for low mood
9.50
Visit Site
Insured video therapy, about $15
9.30
Visit Site02BetterHelp
Weekly therapy for low mood
- $70–$100 a week, cancel anytime
- Message, chat, phone or video
9.50ExcellentEditorial score
03Rula
Insured video therapy, about $15
- In network with 100+ plans
- Often booked for the next day
9.30GreatEditorial score
04Talkiatry
In-network psychiatrists
- About $30 a visit with insurance
- Diagnosis and medication care
9.10GreatEditorial score
05Sesame
Depression visits from about $34
- $79 a month for ongoing refills
- No insurance needed
9.00GreatEditorial score
06PlushCare
Therapy and a prescriber in one
- $169 a session, insurance accepted
- Same-day appointments
8.90Very GoodEditorial score
07Lemonaid Health
Antidepressant care, $95 a month
- $25 for the first month
- Ages 25–64, no talk therapy
8.80Very GoodEditorial score
08Better U
At-home ketamine, from $500
- For treatment-resistant symptoms
- Off-label, medical screening required
8.60Very GoodEditorial score
How We RankEvery service uses licensed clinicians.Prices and coverage come from each provider’s published information.Commercial relationships never decide inclusion or order.Not for emergencies: call or text 988.
If you are having thoughts of suicide or self-harm: call or text 988 in the US, or call 911. The services below are not crisis services. See Get Help Now.
How to Choose the Best Online Depression Treatment
The best online depression treatment depends on how severe your symptoms are and whether you want therapy, medication or both. This online depression treatment comparison covers eight telehealth services we have reviewed, with prices, insurance and the limits of each.
Depression and anxiety often occur together, so it is worth comparing online anxiety treatment too. If price matters most, see the cheapest online therapy options.
Online Therapy for Depression
Talk therapy, including CBT, is a first-line treatment for mild to moderate depression. BetterHelp, Talkspace, Rula and PlushCare offer licensed therapists by video, and BetterHelp and Talkspace add messaging for ongoing depression care between sessions. For more platforms, see the best online therapy services.
Antidepressants and Online Medication Care
Talkspace, Sesame, Rula, Talkiatry, PlushCare and Lemonaid Health can prescribe antidepressants after an evaluation. A prescription is never guaranteed. Lemonaid Health is for adults aged 25 to 64 and does not include talk therapy. For psychiatrist-led care, compare the best online psychiatry services.
When Standard Treatment Has Not Worked
Better U prescribes oral ketamine for home use with clinician oversight. This use is off-label, it is not covered by insurance and many people are screened out for safety reasons. It is not a first step, and it is not for anyone in crisis.
Where Online Care Works Well
- Starting therapy without a long wait
- Sessions from home on low-energy days
- Antidepressant prescriptions with regular follow-up
- Therapy and medication from one account at some services
Limits to Know
- Not suitable for a crisis or thoughts of suicide
- Severe depression may need in-person care
- Therapy-only services cannot diagnose or prescribe
- A visit does not guarantee a prescription
What to Look For
- Therapy, medication or both: Decide what you want first. Not every service offers both.
- Licensed clinicians: Confirm your therapist or prescriber is licensed in your state.
- Follow-up care: Depression treatment takes time. Check how ongoing sessions and check-ins work.
- Total cost: Compare the weekly, monthly or per-session price and how to cancel.
- Insurance: Check your plan is in network before you enroll.
How Much Does Online Depression Treatment Cost?
Online depression therapy and medication costs fall into three groups:
Pay Per Session
From about $34
Sesame visits start around $34. Rula is $150 and PlushCare $169 a therapy session without insurance.
Weekly or Monthly
$69–$109 a week
BetterHelp and Talkspace therapy, or $79–$95 a month for medication care at Sesame or Lemonaid Health.
With Insurance
$10–$30 a visit
Talkspace averages $10, Rula about $15, BetterHelp $23 and Talkiatry around $30.
Our Top-Rated Online Depression Therapy
Talkspace is our top pick for online depression treatment: therapy and psychiatry on one account, an average $10 therapy copay with insurance (including Medicare and TRICARE) and self-pay plans from $69 a week. Choose BetterHelp for weekly therapy with messaging between sessions, and Sesame for depression care without a subscription or insurance.
Our #1 Pick: Start Today
Featured Provider
Therapy from a $10 average copay
- Takes Medicare and TRICARE
- Psychiatry on the same account
9.70ExcellentEditorial score
Editor’s pick · Reviewed November 2026
Compare More Care Options
Online Depression Treatment: Frequently Asked Questions
What is the best online therapy for depression?
We rank Talkspace first for therapy and psychiatry on one account with insurance, BetterHelp for weekly talk therapy, Rula for low copays and Sesame for pay-per-session visits and low-cost prescriptions.
Can I get antidepressants prescribed online?
Yes, after an evaluation and when clinically appropriate. Talkspace, Sesame, Rula, Talkiatry, PlushCare and Lemonaid Health can prescribe antidepressants. BetterHelp cannot.
How much does online depression treatment cost?
Therapy costs $69–$109 a week by subscription, or from about $34 a visit on Sesame. Monthly medication care is $79 at Sesame and $95 at Lemonaid Health. Insurance can lower these costs.
Does insurance cover online depression treatment?
Often. Talkspace, Rula, BetterHelp, Talkiatry and PlushCare accept insurance. Coverage depends on your plan and state.
Is online therapy effective for depression?
For mild to moderate depression, research supports online therapy as a reasonable option. Severe symptoms or thoughts of suicide need in-person or crisis care.
What should I do if I am in crisis?
The services on this page are not for emergencies. In the US, call or text 988 (Suicide & Crisis Lifeline), or call 911. See our Get Help Now page for more resources.
How We Rank Services
Clinician Credentials
We check that clinicians are licensed and that their credentials can be verified.
Transparent Pricing
Clear prices, billing frequency and cancellation terms. We look at total cost, not just the headline rate.
Scope of Care
What each service does and does not provide, from talk therapy to prescribing, and how it handles crisis.
Privacy & Access
How your data is handled, how quickly you can start and whether insurance is accepted.
Medical Disclaimer
The information on ExploreMentalHealth is provided for educational and comparison purposes only. It is not medical advice and does not replace consultation with a qualified healthcare professional. Some links on this page may earn us a commission, which never affects our conclusions. If you are in crisis, call or text 988 in the US, or visit Get Help Now.