Best Online Therapy Services of 2023

The finest availability, most complete plans, and other benefits are provided by these providers.

According to some estimates, 70% of Americans are unable to receive traditional, in-office treatment due to a variety of barriers, including expense, a lack of access to public transportation, and a paucity of therapists. 1 For anybody looking for mental health assistance, online therapy—that is, treatment delivered remotely through phone conversations, video chats, emails, and text messages—can help close this gap. Online counselling may be as as helpful as in-person appointments, according to research.

The type of internet treatment that is affordable and connects you with a skilled, experienced therapist is the finest. Here are the top-performing online therapy firms out of the 55 we analysed after surveying 105 people at each one.

Guide to Choosing Online Therapy

What Is Online Therapy?

A qualified practitioner can provide mental health assistance via online treatment, commonly referred to as teletherapy, e-therapy, or virtual therapy. These services can be delivered over the phone, as well as through texting, email, and video chat. You may accomplish this in a variety of ways, such as by setting up virtual sessions with a private practise therapist or by utilising an online therapy firm or directory.

You may eliminate a large portion of the necessary due diligence involved in selecting a therapist by choosing to use an online treatment firm or directory. St Louis therapist The primary distinction between directories of therapists that offer virtual treatment and online therapy corporations is that with a directory, you are always free to make your own selection.

Who Is Online Therapy For?

According to clinical psychologist Amy Marschall, PsyD, “Although individual preferences may exist, the majority of people can benefit from online therapy, with comparable results to in-person sessions.” Online therapy may be a great substitute for in-person treatment, whether you choose to conduct your sessions from home, live in a remote place, or are unable to locate a provider nearby.

Remember that while internet counselling can be beneficial for many mental health issues, it is not always the best course of action. Online treatment is insufficient to manage a serious crisis that necessitates inpatient care, according to Dr. Marschall. Also, those who are experiencing psychotic or dissociative symptoms that are impairing their capacity to identify reality require

Is Online Therapy Effective?

Internet counselling may be just as successful as in-person counselling. Here are some findings from research:

According to a 2020 study published in Psychology Research, online treatment may be a good substitute for in-person counselling.

An internet-based depression intervention is just as effective as in-person counselling, according to a 2014 research published in the Journal of Affective Disorders.

Anxiety disorders and depression can both St Louis counseling benefit from online cognitive behavioural therapy, according to a 2018 study published in the Journal of Anxiety Disorders.

A 2020 study discovered that college students have a favourable opinion of online treatment.

Multimodal digital psychotherapy may be an effective treatment for adult depression, according to a 2019 research.

What to Know Before Choosing Online Therapy

It is sense to feel overwhelmed given the plethora of options available when selecting a therapist online. Having said that, there are several factors to take into account before selecting online therapy:

Communication techniques: Email, live chat (usually on a private portal), messaging (akin to text), video chat, and phone calls are popular forms of communication with online treatment. You must decide which approach is best for you. Even in the small hours of the morning or night, messaging and email do not provide the same quick response that live chat offers. Without the need for travel time, phone conversations and video chats create an environment that is comparable to being in person. Therefore, you’ll need to plan your sessions when whatever window is available.


Although though online treatment is potentially more flexible than in-person therapy, you still need to work out a timetable with your therapist. Remember to take into account time zones and the 9–5 workday. Other businesses, like Thriveworks, provide early morning and late evening classes, which is hard to find.

Payment structure:

Companies that provide online treatment often provide one of two payment options: subscription or pay-per-session. You pay the same amount each month to subscription-based businesses like Talkspace and ReGain. Some people even take insurance. These memberships come with specific features, such as a predetermined number of live sessions and additional ways to contact your therapist in between sessions. Yet, other businesses provide a pay-per-session payment plan that is similar to how traditional treatment is invoiced. Then, with online treatment directories like GoodTherapy, the fee schedule is entirely up to the therapist you decide to use.

What If I’m Having Thoughts About Taking My Own Life?

Internet counselling is not appropriate for urgent mental health issues. Suicidal or self-destructive thoughts call for more prompt response.

To speak with people who are trained to offer help to anybody suffering suicidality, call 988, the Suicide & Crisis Lifeline. No, unless the caller and the police cannot agree on safety precautions, the police are not contacted. That is the last option since The Suicide & Crisis Lifelife is aware that alerting emergency personnel may result in terrible events for certain people.

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