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BetterHelp is an online counseling platform that will pair you with a professionally licensed counselor. Access to counseling can be scheduled at any time, anywhere, and through any smart device. The efficacy of BetterHelp is linked to provider skill and intervention protocols but there are some drawbacks if you fall into certain categories of needs.


  • Flexibility of schedule that is convenient for your schedule
  • Access to a licensed professional counselor


  • Results and efficacy are dependent on your paired provider
  • Scheduled counseling sessions will require and will depend on available internet connection and speeds
  • Not covered through insurance

Our Full Review

By Rocklend Davis, Ph. D.

Updated on: Aug 11, 2020

Our mental health is vital throughout our lifetime, from childhood and adolescence through adulthood.

According to the CDC, our emotional, psychological, and social well-being make up our mental health and help us handle how we deal with stress, relating to others, and making healthy choices.

In 2015, mental illness affected approximately 43 million adults aged 18 or older in the United States.

What is BetterHelp?

There has been an increasing demand for the availability of adequate mental healthcare. BetterHelp can also be thought of as telemental health, which involves the ability to offer mental healthcare across a distance using communication technologies.

Further, the likes of videoconferencing, text messaging, and mobile applications are increasing as well.

A review has indicated the rise of telemental activities in low- and middle-income countries while showing the need to expand these services further to reach more people who need mental health services.

According to their website, BetterHelp may not be the right solution if any of the following are true:

  • You have thoughts of hurting yourself or others.
  • You are a minor or you are under the care of a legal guardian.
  • You are in an urgent crisis or an emergency.
  • You have been diagnosed with a severe mental illness or have been advised to be in psychological supervision or psychiatric care.
  • You were required to undergo therapy or counseling either by a court order or by any other authority.
  • You do not have a device that can connect you to the internet or have a reliable internet connection.

The purpose of this article is to share with you the available research that supports the delivery of online counseling through the BetterHelp platform and to help you determine if this platform is appropriate.

How To Get Started

To get started with BetterHelp, there is a link at the top right of the page that will ask you what type of counseling you are looking for. The options include individual counseling, couples counseling, and teenage counseling.

You will have to answer a series of questions before you get paired with a counselor that may take up to a few hours or a few days.

Once you have set up your account through BetterHelp, you can get counseling based on your needs, availability, and convenience in four ways:

  • Exchanging messages with your counselor
  • Chatting live with your counselor
  • Speaking over the phone with your counselor
  • Video conferencing with your counselor

After being matched with your counselor, there are numerous ways to communicate with first being messaging. You and your counselor will gain 24/7 access to a private and secure dedicated “room” where you can share things that are going on in your life.

Live chat, video, and phone sessions will need to be scheduled with your counselor by clicking a time on their available schedule.

According to BetterHelp, they recommend using their BetterHelp app that can be downloaded from the app store for an iPhone or iPad device.

Android users will need Google Chrome or Firefox on a computer or laptop for video sessions.

Further, video sessions are not currently supported in Internet Explorer or Safari.

Proposed Benefits: Science Determining The Efficacy of Online Counseling

Counseling series may be required when you are experiencing stress, anxiety, relationship troubles, parenting, depression, self-esteem, and anything that is causing interference with your happiness or preventing you from achieving your goals.

Psychoeducational interventions such as face-to-face counseling is classified as a front-line intervention due to its delivery of accurate information to individuals, families, and caregivers about mental health or a specific diagnosis (which may include possible causes and symptoms), management (including associated risks/side-effects) and prognosis, and how affected individuals can stay well.

Also, under the umbrella of mental health is cognitive behavior therapy (CBT). The effectiveness of CBT has on alleviating depressive symptoms, and lowering the risk of relapse has been studied extensively.

Because BetterHelp can provide you with a licensed counseling professional, it is reasonable to assume that counselors utilizing BetterHelp as a platform may use tailored CBT protocols to target psychiatric disorders beyond depression.

That may include anxiety disorders, bipolar disorders, personality disorders, and substance use disorders.

Online Counseling

Availability and access to technology are growing, contributing to more innovative ways linking you to services that may have been only accessible in-person.

Increasing in popularity are synchronous (text messaging) written conversations as web-based mental health interventions.

One study was done to review the available literature regarding the evidence of the feasibility and effectiveness of online one-on-one mental health interventions utilizing text-based synchronous chat.

Through the wide range of mental health targets such as anxiety, distress, depression, eating disorders, and addiction, mental health interventions that were transitioned to online showed significant and sustained improvements in mental health outcomes.

The improvements were equivalent but not superior to treatment as usual.

However, the researchers urge that further research is required to determine whether time requirements for online interventions were feasible in clinical practice.

For instance, authors of a review have determined that it is still too early to recommend e-health interventions based on low-quality evidence, especially for children who are under the age of 10.


A feature of BetterHelp and their synchronous formatting of text messaging is that messages are saved.

However, there are risks to this as the information on your device may not be safe for others who can access your messaging and conversations.

Each counseling session has the options button to “shred” a previous message and will no longer show in your account.

If you wish to have your information or records be released to a third party (Primary Care Physicians, Lawyers, and Insurance companies), you will need to notify your counselor and fill out and sign an authorization form before.

How Much Does BetterHelp Cost?

Membership through BetterHelp ranges from $40 to 70$ per week and you will be billed to your credit card or PayPal account monthly.

You also have the availability to cancel your membership at any time for any reason.

To get further details regarding pricing for membership, you will have to complete a questionnaire.

From there, you will be directed to a page that offers a comparison of BetterHelp versus Traditional In-Office setting, at which they will ask for your payment information.

For an individual membership, you will get unlimited access to text, video, audio messaging, and a weekly live session for $65. As you are being billed every four weeks, the total cost will be $260 monthly.

A la carte services are not listed on their website.

Your subscription and billing cycle will start once you have been paired with a counselor.

Alternatives to BetterHelp

Performing a general search through google will provide you with results to an alternative platform of BetterHelp.

Talkspace is another alternative online platform that provides users with access to licensed therapists to help with mental health.

Starting with Talkspace will require you to perform an online assessment. You will select your therapist from a list of available matches.

Talkspace also has a search bar feature that can allow you to look up in-network partners and providers to work with your employers, health plans, and employee assistance programs to make this service more affordable.

Talkspace offers an array of pricing for its therapy service, and it is not cheap. There are three unlimited therapy messaging subscription services for individuals at Plus, Premium, and Ultimate.

The price range per month for each of the services start at $260 to $396/month with all packages giving you unlimited messaging with your therapist. However, the increase in cost is associated with the live video call.

With the Premium package, you will receive one live 30-minute session, and the Ultimate contains four live 30-minute sessions.

Monthly couples therapy and teenage therapy are also available at $396 and $260, respectively.

Live video calls are available a la carte for a cost of $65 per session.

The Bottom Line

Robust research exists in providing CBT and psychoeducational through counseling sessions.

Still, a lack of consistent research regarding web-based therapy indicates that it may be too early to recommend this service long-term.

While the services that you are getting through BetterHelp may be comparable to face-to-face counseling sessions, reimbursement from insurance may not be covered.

Online counseling should not serve as a substitute for face-to-face therapy. It is important to note that your BetterHelp provider will not make any official diagnosis to fulfill a court order or prescribe any medication.

Meaning your services may be limited by the severity of your condition or urgency of your request.

Certainly, BetterHelp will provide ease and convenience of receiving counseling sessions without leaving the comfort of your own home.

However, you are still required to put in the same effort as if you were in a face-to-face counseling session.

Compared to the alternative, Talkspace, BetterHelp may be a more affordable and reasonable option for online counseling help.

While most insurance providers do not cover mental health, Talkspace may have the ability to lower the cost, but this is dependent on their available partnerships.

It is imperative that you seek approval from your physician before receiving counseling sessions, even if it is from a licensed provider.

Customer Reviews

4.7 Stars out of 1658 Reviews
5 Star:86% 4 Star:6% 3 Star:0% 2 Star:0% 1 Star:5%
93% Recommend This Service
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Posted on Jul 28, 2021


By Chrissy L. , Marion Springs, MI

I love BetterHelp! I was with them for almost 4 years. After hard work with an amazing therapist I dealt with Covid no problem, I was in therapy before it and was more calm than others! The therapist Karen I had was amazing. I even had financial issues and emailed BetterHelp that they helped me! Customer service has been amazing.

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Easy to use

Decent price

Fabulous customer service

Wish Android and Apple was the same but they are different

Posted on Jul 28, 2021

Very helpful

By Akriti M., Denmark, Verified Reviewer

I was a bit hesitant about using the online service for therapy but I was connected to a great therapist. We had weekly video sessions and the sessions really helped me calm my anxiety and improve my relationships.

Length of Use: Less than 3 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Great therapist

Clear communication - by text, video call

Good video quality and great interface for the app


Posted on Jul 28, 2021

Much needed!

By Mich L., Washington, DC, Verified Reviewer

My therapist has definitely been so patient with me and so encouraging, and made me feel like I have a safe space to talk things through. The groupinars are also another interesting resource here, touching on several topics so you can find whatever you want to work on.

Length of Use: Less than 3 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Easy scheduling

Therapist is easily accessible via messaging


No “cons” were specified in this review

Posted on Jul 28, 2021

Honest and in the moment

By Luke G., Portland, OR, Verified Reviewer

The honesty and ability to meet you where you are at are exceptional with BetterHelp. I feel heard, respected, and challenged to do the work while being supported.

Length of Use: 6–12 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

The flexibility

Easy to use

Journal sharing

Counseling is not a quick fix

Need to have good signal

Difficult to get diagnosed

Posted on Jul 27, 2021

BetterHelp thanks

By Miriam P., Weston, FL, Verified Reviewer

I never thought BetterHelp will be so great and helpful. I am so thankful for their help. Recommend every person in need of advice and help to give them a try. No regrets.

Length of Use: 3–6 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

My counselor

No “cons” were specified in this review

Posted on Jul 27, 2021

It came as a gift and I'm happy to recommend it

By Nochia E., North Carolina, Verified Reviewer

The app is so convenient and manageable. The layout is easy to follow. There is a variety of counselors to choose from too. I would recommend it for anyone who is an introvert like myself, you can message counselors, write journal entries, and more. I definitely recommend BetterHelp.

Length of Use: Less than 3 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Ability to message counselor

Journal entries

App layout

No “cons” were specified in this review

Posted on Jul 27, 2021

Finally found what I needed

By RK H., Brooklyn, NY, Verified Reviewer

After seeing a therapist for a long while and realizing I needed a change, needed better help. I searched high and low - called everyone who took my insurance but realized how hard it is to find good help. I gave BetterHelp a whirl and couldn't be happier. My counselor listens, supports...actually helps! Highly recommend this platform!

Length of Use: 1–2 years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Easy and quick to sign up/be matched

The cost isn't prohibitive

My therapist is basically in my phone - super portable/accessible

The groupinars are great

The app glitches and makes my sessions difficult at times

Posted on Jul 27, 2021

Great mental health resource

By Kat B., Bloomfield Hills, MI, Verified Reviewer

I recommend reaching out to BetterHelp if you are struggling mentally or just want to improve the overall quality of your life. The flexibility of being able to chat in a texting style, over the phone, or via video caters to anyone's comfort level and style.

Length of Use: 6–12 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Many experienced counselors to work with

Flexibility of scheduling

Able to use a variety of communication methods


Posted on Jul 27, 2021

Awesome - incredibly fast and responsive

By Erin E. , Washington

I asked my workplace EAP program to be placed with a counselor I had seen in the past and within less than an hour I got an email confirmation that I could begin texting my last therapist. Thank you for making things so easy to get support when life hits hard and fast at times.

Length of Use: Less than 3 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Connection with past therapist

Ease of choices in communication

Quick responsiveness

No outgoing video

Posted on Jul 27, 2021

Amazing therapy app

By Lizeth S., Baltimore, MD, Verified Reviewer

Therapy with BetterHelp has been amazing and I’ve only had it for a month so far! Great therapist with help 24/7 when needed. Yes, they might not get back to you in 2 seconds but my therapist has done great with responding on the same day and gives great counseling.

Length of Use: Less than 3 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons




First therapy call dropped by accident

Notifications are sent via text, email, and through app

Posted on Jul 26, 2021

I never give 5 stars

By Siobhán O., Ireland, Verified Reviewer

Highly recommend this service, especially as a starting off point toward healing. Admin wise some things are unclear. This could be improved with some tutorials I think. Such as scheduling times are unclear because of unknown specified time zones. IDT is India date-time?! Given for my region and I live in Ireland. I also don’t understand whether if I miss a week of my Zoom session, do I just lose out on that? Or can I have another session the following week? Overall positive. Always room for improvement.

Length of Use: Less than 3 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Online accessibility

Excellent beginning point toward healing

Choice of audio or video

Unclear admin things

Website specifies being able to message counselor but it’s not really a ‘selling point’ as my counselor for instance has a full time job outside this co and doesn’t have time to respond

Unclear processes

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