BetterHelp Review - How Effective Is It?

By Rocklend Davis, Ph. D.
HighYa Staff
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.

Pros and Cons

  • 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

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

Start your review of BetterHelp:
  • 1169 Customer Reviews
  • 92% Recommend This Service
4.6 out of 5
5 star: 85% 4 star: 6% 3 star: 0% 2 star: 0% 1 star: 6%

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  • BetterHelp has changed my life

    • By Donna W.,
    • Portland, OR,
    • Oct 20, 2020
    • Verified Reviewer
    • Length of Use: 3–6 months
    Overall Experience:

    Signing up was fast, easy, and thorough. I’m very skeptical about the level of professionalism from online therapists and BetterHelp literally answered all my questions, left me with no concerns, and follows up on a regular basis to be sure my needs are being met.

    Pros and Cons:

    • The amount of information provided about the therapists
    • Messaging daily and getting support before the next video appointment
    • The amount of detailed questions used to match me with a therapist
    • I can’t do video appointments outside of my home because of WiFi
    • Not their fault, but it is hard to afford since my husband lost his job due to COVID

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

  • My therapist is amazing

    • By Alexandra M.,
    • Toronto, Ontario, Canada,
    • Oct 19, 2020
    • Verified Reviewer
    • Length of Use: 3–6 months
    Overall Experience:

    She is helpful and understanding of my problems and responds quickly. She's able to adapt to new problems that arise and is available in a variety of mediums from phone to video.

    Pros and Cons:

    • I feel heard
    • I have a great connection with my therapist
    • I'm responded to quickly
    • Sometimes difficult to schedule a time that works for me

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

  • It made a big difference in my life

    • By Ana C.,
    • Portugal,
    • Oct 15, 2020
    • Verified Reviewer
    • Length of Use: Less than 3 months
    Overall Experience:

    Very good, good feedback, easy platform, someone you can trust, the gift, asking for reviews about the therapist.

    You feel that there is always someone on the other side.

    The journal, tips to write and think about.

    It was a rewarding experience.

    Besides being online it worked much better than going to a physical place.

    Pros and Cons:

    • The therapist
    • Tha plataform
    • Always punctual
    • No “cons” were specified in this review

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

  • They make you their top priority

    • By Cierra D.,
    • Minnesota,
    • Oct 15, 2020
    • Verified Reviewer
    • Length of Use: 1–2 years
    Overall Experience:

    I am very happy with my experience with BetterHelp, they make you feel heard, offer great support and options to help how you'll get through something hard in life, and are just open and genuine.

    Pros and Cons:

    • That I can speak to someone 24/7
    • Conveniently right on your phone
    • Genuine connection the therapist gives
    • Wish it was easier to have our therapist talk to others like if someone need them to reach out to a judge or probation officer

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

  • Great counseling at an affordable price

    • By Darren S.,
    • Wales, United Kingdom,
    • Oct 15, 2020
    • Verified Reviewer
    • Length of Use: Less than 3 months
    Overall Experience:

    I was recommended BetterHelp by a friend when I decided I needed therapy. I could not afford £70 a session that a face to face counselor would charge and BetterHelp was much much cheaper. I found having a one to one via video was very effective and also liked the fact I could message her daily if needed.

    When you first sign up you are asked a series of questions, and from that, a counselor is matched to you according to your needs. If the counselor is not suitable you can change at any time.

    I found my counselor Melissa very knowledgeable and highly qualified too. She listened and did not judge, she made me feel human again after my mental health declined. After two months of counseling, I feel much better in myself, something I have not felt for 2 years.

    Pros and Cons:

    • Cheap cost
    • Counselor is matched according to my needs
    • Easy video platform and messaging
    • Customer service was amazing, and kind when I struggled with payment
    • Only American counselors

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

  • 10/10 would recommend

    • By Peggy F.,
    • Texas,
    • Oct 15, 2020
    • Verified Reviewer
    • Length of Use: 6–12 months
    Overall Experience:

    When I first start BetterHelp I had no experience with therapy. This platform made it so easy for me to attend sessions wherever I was, whenever I needed it. I really can't imagine a better way to start therapy.

    Pros and Cons:

    • The flexibility
    • The counselor
    • The journaling reminders
    • It was hard to get used to a video session but after a while I loved it
    • There were technical issues from time to time, but I think they were more related to internet than anything else

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

  • Counseling

    • By JoEllen S.,
    • Houston, TX,
    • Oct 15, 2020
    • Verified Reviewer
    • Length of Use: 3–6 months
    Overall Experience:

    BetterHelp has been a great counseling source for me. I have enjoyed my experience and Dr. Skinner is wonderful and has a very caring personality. He offers great advice and is always on time for our sessions.

    Pros and Cons:

    • Very personable and relatable
    • Great advice
    • Responds in a timely matter
    • No “cons” were specified in this review

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

  • BetterHelp counsel

    • By Bre C.,
    • Oklahoma,
    • Oct 14, 2020
    • Verified Reviewer
    • Length of Use: 6–12 months
    Overall Experience:

    My overall experience with BetterHelp has been wonderful. Expect results. I enjoy how they customize your council to you when you are trying to find your match in a counselor. There are really no cons about it except the occasional technical glitch with video chatting and wishing that I could speak to my counselor more because I love her that much. If growth is what you are seeking you will definitely get that with BetterHelp.

    Pros and Cons:

    • Convenient - accessible anywhere
    • Resourceful - many tools to help along you journey
    • Affordable - quality service for half the price
    • No “cons” were specified in this review

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

  • Extremely helpful

    • By Raquel R.,
    • Vancouver, British Columbia, Canada,
    • Oct 14, 2020
    • Verified Reviewer
    • Length of Use: Less than 3 months
    Overall Experience:

    You have tons of different resources that you can use throughout the week, without waiting for your typical weekly session with your counselor. You can also share and communicate your participation on these resources to your counselor during the week and you both can discuss more in-depth on the weekly session. I cannot recommend BetterHelp enough!

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

  • Dealing with loss of a loved one

    • By Jessica R.,
    • France,
    • Oct 13, 2020
    • Verified Reviewer
    • Length of Use: Less than 3 months
    Overall Experience:

    I heard about BetterHelp from a friend, having to live after losing my soulmate it was hard to open up again, to talk about the situation, the fact that I'm here and she's not. Having a counselor has helped me with it, though it is still painful, at least I have found a way to look back and remember the 17 long years together, full of memories, and they are the ones that keep me moving forward.

    Pros and Cons:

    • Chat sessions
    • Phone sessions
    • Worksheets
    • No “cons” were specified in this review

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

  • Please do it

    • By Joseph J.,
    • Chicago, IL,
    • Oct 12, 2020
    • Verified Reviewer
    • Length of Use: 3–6 months
    Overall Experience:

    Overall, my experience has been great with BetterHelp. The counselors that they offer are top-notch and have a genuine concern for their clients. If you're struggling with something in your life, please use BetterHelp.

    Pros and Cons:

    • The large selection of counselors
    • The resources they offer
    • The option to do messaging, phone call, or video
    • No “cons” were specified in this review

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

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