Best Online Therapy Services
How online therapy services compare on cost, credentials, privacy and fit.
Updated Sep 2026
Reviews
Independent guides that explain how mental health services work, what they cost, who they may suit and what to consider before choosing one.
Our comparisons are editorially independent. Some links may earn us a commission; this never affects our evaluations, and inclusion is not a medical endorsement. Affiliate disclosure
Comparisons
How online therapy services compare on cost, credentials, privacy and fit.
Updated Sep 2026
Comparing telepsychiatry services for evaluation and medication management.
Updated Sep 2026
Comparing online ADHD assessment and treatment services.
Updated Sep 2026
Comparing online therapy and psychiatry options for anxiety.
Updated Sep 2026
Comparing online therapy and psychiatry options for depression.
Updated Sep 2026
Comparing online and in-person couples therapy options.
Updated Sep 2026
Lower-cost therapy options, from sliding scale to online services.
Updated Sep 2026
Self-pay online therapy: costs, savings and what to check.
Updated Sep 2026
In depth
An online therapy and psychiatry service that is in network with plans covering 100+ million Americans, including Medicare and TRICARE. Self-pay therapy costs $69–$109 a week; psychiatry prescribes non-controlled medication.
Updated Sep 2026
A telehealth program that prescribes oral ketamine for use at home, with clinician oversight and integration coaching, for about $76–$100 a session. Off-label, self-pay and not for everyone.
Updated Sep 2026
A cash-price healthcare marketplace where you book therapists, psychiatric clinicians and doctors directly. Mental health visits start around $34, and ongoing medication care costs $79 a month. No insurance needed; no controlled substances.
Updated Sep 2026
The largest online talk-therapy network, matching adults with a licensed therapist for $70–$100 a week or an average $23 copay with eligible insurance. It does not diagnose or prescribe.
Updated Sep 2026
An online medical service that assesses depression and anxiety and prescribes non-controlled medication for $95 a month ($25 the first month). It does not provide talk therapy.
Updated Sep 2026
A telehealth practice offering video therapy for adults at $169 a session, plus online doctor visits that can prescribe non-controlled medication. Insurance accepted.
Updated Sep 2026
Head to head
The two biggest online therapy services, compared on price, insurance, session length, psychiatry, teens and couples, and privacy — with a clear answer on which to choose.
Updated Sep 2026
A weekly therapy subscription versus a cash-price marketplace for therapy, psychiatry and refills. How BetterHelp and Sesame compare on cost, choice of clinician and medication.
Updated Sep 2026
Both offer online therapy and psychiatry with non-controlled prescriptions. The difference is how you pay — Talkspace through insurance or a weekly plan, Sesame per visit at an upfront cash price.
Updated Sep 2026
BetterHelp is a weekly talk-therapy subscription; PlushCare offers per-session video therapy plus online doctors who can prescribe. Here’s how they compare on price, insurance and medication.
Updated Sep 2026
Both take insurance and can prescribe non-controlled medication. Talkspace is a mental-health specialist with messaging therapy and psychiatry; PlushCare is a medical practice with per-session video therapy.
Updated Sep 2026
Both offer online therapy and non-controlled prescriptions by video. PlushCare takes insurance; Sesame shows upfront cash prices and lets you choose your clinician.
Updated Sep 2026
Every service in our comparisons is assessed against the same criteria. Commercial relationships never change our criteria, our findings or the order in which services appear. Full methodology.
Are clinicians licensed, and can you verify their credentials and the jurisdictions they practice in?
Does the service offer approaches with research support, and does it measure progress?
Are total costs, billing frequency and cancellation terms clear before you sign up?
Does it accept insurance, provide superbills, or offer lower-cost options?
How is health information stored and shared? Is any data used for advertising?
Does the service screen for risk, explain what happens in a crisis and refer to higher levels of care when needed?
How quickly can you start, can you choose or switch clinicians, and are formats (video, phone, messaging) suitable?