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The Best Online Treatment for Anxiety in 2025

Headshot of Melissa Boudin, PsyD

Author: Melissa Boudin, PsyD

Headshot of Melissa Boudin, PsyD

Melissa Boudin PsyD

Dr. Melissa, clinical psychologist with 15+ years, specializes in depression, anxiety, trauma, and grief, focused on improving mental health access and resources.

See My Bio Editorial Policy
Headshot of Kristen Fuller, MD

Medical Reviewer: Kristen Fuller, MD Licensed medical reviewer

Headshot of Kristen Fuller, MD

Kristen Fuller MD

Kristen Fuller, MD is a physician with experience in adult, adolescent, and OB/GYN medicine. She has a focus on mood disorders, eating disorders, substance use disorder, and reducing the stigma associated with mental health.

See My Bio Editorial Policy
Published: March 31, 2025

Choosing Therapy may earn commissions from the companies reviewed when you click links on this page. Learn more about our editorial standards, review process, and advertising policy.

  • Detailed ReviewsDetailed Reviews
    • Brightside HealthBrightside Health
    • TalkiatryTalkiatry
    • Open Path CollectiveOpen Path Collective
    • Online-Therapy.comOnline-Therapy.com
    • LunaJoyLunaJoy
    • Grow TherapyGrow Therapy
    • GrouportGrouport
    • TalkspaceTalkspace
  • Other CompaniesOther Companies
  • Final VerdictFinal Verdict

We’ve spent hundreds of hours testing more than 50 therapy platforms to determine who offers the best online therapy for anxiety, narrowing it down to the top nine options. All of the companies that made our list offer convenient and affordable care with licensed professionals. Some will stand out to you based on the insurance they accept, the age ranges they serve, or the added ability to prescribe medication if needed.

Our Favorite Therapy Platforms for Anxiety

  • Best Overall - Brightside Health | Read review
  • Best for Anxiety Medication - Talkiatry | Read review
  • Most Affordable Therapy - Open Path Collective | Read review
  • Best for CBT - Online-Therapy.com | Read review
  • Best for Women - LunaJoy | Read review
  • Best for Using Insurance - Grow Therapy | Read review
  • Best for Group Therapy - Grouport | Read review
  • Best for Social Anxiety - Talkspace | Read review

Best Overall

Brightside Health Logo
Free Assessment Visit Brightside Health
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)
  • Cash-Pay Cost: $95–$349 monthly

  • Accepts Insurance? Yes

Pros & Cons

  • Pros Icon Accepts insurance
  • Pros Icon Prescribes medication
  • Pros Icon Has crisis program
  • Cons Icon Customer service can be slow
  • Cons Icon Teen care not available in all 50 states
Jump to review

Best for Anxiety Medication

Talkiatry Logo
Get started! Visit Talkiatry
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Cash-Pay Cost: Insurance only

  • Accepts Insurance? Yes

Pros & Cons

  • Pros Icon Can prescribe controlled substances
  • Pros Icon Treats kids, teens, & adults
  • Cons Icon Only serves in-network clients
  • Cons Icon No cash-pay options
Jump to review

Most Affordable Therapy

Open Path Logo
Get started! Visit Open Path Collective
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Cash-Pay Cost: $30–$70 per session

  • Accepts Insurance? No

Pros & Cons

  • Pros Icon Offers discounted rates
  • Pros Icon Allows you to hand-pick your therapist
  • Cons Icon Mandatory membership fee due upfront
  • Cons Icon Must meet income requirements
Jump to review

Best for CBT

Online-Therapy.com Logo
Get started! Visit Online-Therapy.com
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Cash-Pay Cost: $240–$480 Monthly

  • Accepts Insurance? No

Pros & Cons

  • Pros Icon Comprehensive CBT care
  • Pros Icon Phone, video, & text sessions
  • Cons Icon Doesn’t accept insurance
  • Cons Icon Doesn’t prescribe medication
Jump to review

Best for Women

LunaJoy logo
Get started! Visit LunaJoy
Rating:
Overall rating of 3.5 out of 5 possible.
(3.5 out of 5)
  • Cash-Pay Cost: $35–$240 per session

  • Accepts Insurance? Yes

Pros & Cons

  • Pros Icon Focus on women’s health
  • Pros Icon Accepts most insurance
  • Cons Icon Not available in 50 States
  • Cons Icon Can’t prescribe controlled substances
Jump to review

Best for Using Insurance

GrowTherapy Logo
Most Insurance Accepted Visit Grow Therapy
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Cash-Pay Cost: Varies by provider

  • Accepts Insurance? Yes

Pros & Cons

  • Pros Icon Biggest range of insurance accepted
  • Pros Icon Great search tool
  • Cons Icon Some states may have few provider options
Jump to review

Best for Group Therapy

Grouport logo
Get started! Visit Grouport
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)
  • Cash-Pay Cost: $100–$140 monthly

  • Accepts Insurance? No

Pros & Cons

  • Pros Icon Consultation can connect user to the best possible group
  • Pros Icon Includes webinars and community events
  • Cons Icon No insurance
  • Cons Icon Not all groups available across the US
Jump to review

Best for Social Anxiety

Talkspace Logo
Save $85 On Your First Month Visit Talkspace
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Cash-Pay Cost: $276 – $436 Monthly

  • Accepts Insurance? Yes

Pros & Cons

  • Pros Icon Many insurance plans accepted
  • Pros Icon Prescribes medication
  • Cons Icon No choice on initial therapist
  • Cons Icon Can be pricey without insurance
Jump to review
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Why Trust Us

300+

Companies Reviewed

2,350+

Hours of Testing

1,150+

Data Points Analyzed

Choosing Therapy’s reviews are fair, honest, thorough and based on firsthand experience. To date, we’ve reviewed mental health solutions offered by more than 300 companies. That has involved more than 2,350 hours of firsthand use and consideration of over 1,150 data points. Our editorial policies outline a rigorous review process, but they all boil down to this: produce reviews that our own friends and family can rely on. Learn more here.

Learn more

Detailed Company Reviews

Here are the best online therapy services we’ve used that each have unique features for those dealing with anxiety:

Best Overall - Brightside Health

Brightside Health Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cash-Pay Cost: $95–$349 monthly
Insurance Accepted: Yes
Medication: Yes
Location: All 50 United States & D.C.

For most people, Brightside Health is the best option for managing anxiety online. It offers therapy, psychiatry, and crisis management for people 18+ across the U.S. and teens 13+ in 38 states. With services tailored for anxiety, depression, and more, Brightside combines quality care with affordability, offering competitive cash-pay prices and accepting many major insurance plans.

Free Assessment

Visit Brightside Health

Pros & Cons

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Pros Icon Pros
  • Accepts many insurance plans
  • Same-day appointments often available
  • Offers therapy, psychiatry, & crisis case
Cons Icon Cons
  • Customer service can be slow
  • Teen care not available in all 50 states

Cost

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Brightside Health costs range from $95–$349 monthly, depending on the services you need. Brightside Health also accepts many insurance plans and your copay or coinsurance fees may vary depending on your insurance plan.

Brightside Health offers three subscriptions for cash-pay members:

  • Psychiatry ($95 monthly): This plan gives you an initial consultation with a psychiatrist and ongoing care every month.
  • Psychiatry Maintenance ($45 monthly): After you become established with your prescriber for 90 days and have a stable ongoing prescription, you can change to a maintenance plan that includes maintenance care and unlimited messaging with your prescriber.
  • Therapy ($299 monthly): This plan gives you four live video sessions with a therapist monthly.
  • Psychiatry + Therapy ($349 monthly): This plan combines everything offered by the psychiatry and therapy plans for a reduced rate.

Learn more about Brightside Health’s pricing in our full review of Brightside Health.

Overview

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Brightside Health offers therapy and medication management for individuals 18+ across the U.S. and 13+ in 38 states. With Brightside, you can access weekly therapy sessions with licensed therapists, unlimited messaging, and prescriptions for a wide range of mental health conditions, including anxiety, depression (postpartum and menopausal included), insomnia, and PTSD. This bundled service could be a great option for many people with anxiety who need both medication and therapy services.

Brightside Health mobile app dashboard
Brightside Health Depression score progress
Brightside Health upcoming appointments view.
Brightside Health resources and exercises
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Brightside offers affordable and comprehensive care, delivering exceptional value for its cost. Additionally, it goes beyond basic care to provide extras, including a Suicide Prevention Program, interactive lessons, and weekly progress tracking shared with providers to ensure users are getting the best possible care for their needs.

Visit our full review of Brightside Health for a more in-depth look.

See full Review

Best for Anxiety Medication - Talkiatry

Talkiatry Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cash-Pay Cost: Insurance only
Insurance Accepted: Yes
Medication: Yes
Location: 43 States

Talkiatry is your comprehensive solution for online psychiatry and therapy. With full-service diagnostics for individuals 5+ in most U.S. states, Talkiatry provides exceptional psychiatric care alongside therapy options for those who need additional support. It’s an ideal platform for managing anxiety with medication.

Get Started Now

Visit Talkiatry

Pros & Cons

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Pros Icon Pros
  • Treats children (5+), teens, & adults
  • Psychiatry appointments are longer than most online platforms
  • Provides detailed, individualized care plans
Cons Icon Cons
  • Doesn’t accept cash-pay; must have in-network insurance
  • Must be established with a psychiatrist before referring to therapy

Cost

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Talkiatry costs depend on your insurance benefits; however, copays often range between $20–$50. Currently, it only accepts patients with in-network insurance coverage. It does not accept FSA/HSA as a form of payment.

To learn more about insurance verification, read our comprehensive review of Talkiatry.

Overview

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Talkiatry is a convenient option for managing anxiety, offering virtual care with licensed psychiatrists and nurse practitioners. With the ability to prescribe medication, including controlled substances when appropriate, Talkiatry provides accessible, medication-focused treatment tailored to your needs.

Talkiatry specializes
Talkiatry locations
Screenshot of Healow app and data from Talkiatry
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Talkiatry’s service is detailed and thorough, making it even more suitable for people with more severe symptoms of anxiety. However, it doesn’t accept cash pay, so you’ll need in-network insurance to use its services.

To learn more about how Talkiatry works, visit our full Talkiatry review.

See full Review

Most Affordable Therapy - Open Path Collective

Open Path Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cash-Pay Cost: $30–$70 per session plus a one-time $65 membership fee
Insurance Accepted: No
Medication: No
Location: US & Canada

We chose Open Path Collective as the most affordable option for online anxiety treatment because it offers therapy sessions at significantly lower rates than most platforms. With fees ranging from $30–$70 per session—plus a one-time membership fee upfront—Open Path provides access to licensed therapists at an extremely reasonable price point, making it an excellent choice for those seeking affordable care.

Get Started Now

Visit Open Path Collective

Pros & Cons

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Pros Icon Pros
  • Offers discounted rates to those who can’t afford therapy
  • Allows you to hand-pick your therapist
Cons Icon Cons
  • Mandatory membership fee due upfront
  • Must meet certain requirements to qualify

Cost

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Those who meet Open Path’s criteria can pay a one-time membership fee of $65 and gain access to the platform’s collection of therapists and interns for $30–$70 per session. Cost varies based on the level of the therapist’s experience (interns still undergoing supervision offer sessions for $30, other therapists on the platform cost between $40–$70).

To access these therapists and prices, you must meet the following criteria:

  • You can’t have behavioral health insurance
  • You must have an annual household income below $100,000

Read more about cost in our full Open Path Collective review.

Overview

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Open Path Collective is designed to help those who are uninsured, underinsured, or facing financial barriers to traditional therapy. The platform allows you to hand-select a therapist from a wide range of providers based on your specific needs.

Image of Open Path Collective home page
Image of Open Path Collective therapist directory search
Image of Open Path Collective therapist search filters
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Therapists listed on Open Path are available for both online and in-person sessions in select locations, offering a variety of anxiety treatments and approaches. Open Path’s mission is to make therapy accessible to those who might not otherwise be able to afford it, and it executes this mission with a strong commitment to quality care.

Learn more about the platform’s services in our Open Path Collective review.

See full Review

Best for CBT - Online-Therapy.com

Online-Therapy.com Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cash-Pay Cost: $240–$480 Monthly
Insurance Accepted: No
Medication: No
Location: US & International

Online-Therapy.com offers a unique combination of live therapist sessions and a structured, self-guided CBT course, as well as additional tools such as a journal space, activity plan, and yoga videos, and even couples therapy options. Its focus on CBT provides a practical, hands-on approach, making it an excellent option for online anxiety treatment.

Get 20% Off Your First Month

Visit Online-Therapy.com

Pros & Cons

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Pros Icon Pros
  • Unique CBT worksheets
  • Offers video, phone, & text sessions
  • Simple pricing system
Cons Icon Cons
  • Doesn't accept insurance
  • Limited choice over initial therapist
  • CBT only; no other types of therapy

Cost

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Online-Therapy.com costs range from $240–$480 monthly (advertised as $60–$120 weekly), though it offers 20% off your first month of service. This includes sessions and unlimited messaging with your therapist, access to the full Online-Therapy.com CBT course, plus some extra features. Online-Therapy.com does not accept insurance.

Online-Therapy.com offers three online therapy subscriptions:

  • Basic ($240 monthly): This plan gives you access to the full toolkit that Online-Therapy.com offers including the full CBT course and unlimited messaging with a therapist.
  • Standard ($360 monthly): This plan includes full access to Online-Therapy.com, plus a weekly live session with a therapist.
  • Premium ($480 monthly): This plan includes everything the standard plan offers, but with two live sessions per week instead of just one.
  • Couples Therapy ($480 monthly): This plan is for couples who would like to attend joint sessions. While it is the same price as the premium plan, you only get one live session weekly rather than two.

Online-Therapy.com offers financial aid for students, veterans, and those with low income. During sign-up, you can fill out a financial aid application which will update the cost automatically, if you’re approved. All new users are eligible for 20% off their first month. While Online-Therapy.com does not accept insurance, the company will generate a superbill for potential out-of-network reimbursement by your insurance.

To learn more about Online-Therapy.com’s pricing, visit our full review of Online-Therapy.com.

Overview

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Online-Therapy.com offers virtual therapy through video, phone, and live chat sessions, along with a self-guided CBT course. Available to anyone 18+ in the U.S. or internationally, this platform is designed for those seeking a structured approach to anxiety treatment. Subscriptions range from $240–$480 monthly.

Joining Online-Therapy.com
Online-Therapy.com areas of focus
Online-Therapy.com Sections and Worksheets
Online-Therapy.com yoga videos
Online-Therapy.com problem identification worksheet
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A standout feature of Online-Therapy.com is its integrated online CBT program, which includes eight learning sections with virtual worksheets. These worksheets help you understand CBT while also facilitating communication with your therapist. CBT is one of the most effective therapeutic modalities for anxiety due to its evidence-based approach, which aims to identify and change maladaptive thought patterns and behaviors to alleviate symptoms and improve overall functioning.

To take a deeper look, visit our full Online-Therapy.com review.

See full Review

Best for Women - LunaJoy

LunaJoy logo
Rating:
Overall rating of 3.5 out of 5 possible.
(3.5 out of 5)

Cash-Pay Cost: $35–$240 per session
Insurance Accepted: Yes
Medication: Yes
Location: 13 US States

We included LunaJoy in our list of the best online anxiety treatments because it specializes in supporting women’s mental health. With a focus on issues unique to women, such as hormonal changes, pregnancy, and postpartum anxiety, LunaJoy offers a tailored, empathetic approach to treatment. Its specialized care makes it an excellent choice for women seeking a more personalized solution for managing anxiety.

Get Started Now

Visit LunaJoy

Pros & Cons

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Pros Icon Pros
  • Access to 24/7 Care Navigator for free
  • Includes an affordable option for group therapy
  • Specializes in women’s issues such as postpartum anxiety
Cons Icon Cons
  • Unclear whether they prescribe stimulants
  • Not available in all 50 States

Cost

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LunaJoy costs $35–$240 per session, depending on the services you need.

Here’s a pricing breakdown for LunaJoy’s services:

  • Medication management appointment: $240 for initial 60-minute session, $150 for follow-up 30-minute sessions
  • Therapy session: $150 for initial, $125 for follow-ups, 60-minute sessions
  • Coaching session: $100, 60-minute sessions
  • Group session: $35, 60-minute sessions

Many providers on the platform accept insurance, which can significantly reduce costs. Accepted plans include Cigna, Optum, Humana, BlueCross BlueShield, Meridian, Medicare, and more.

Learn more specifics on cost in our LunaJoy review.

Overview

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LunaJoy is a specialized mental health platform dedicated to providing comprehensive care for women, with a focus on anxiety, depression, and ADHD. It offers therapy, medication management, and group support, addressing mental health conditions that uniquely affect women, such as postpartum anxiety. LunaJoy’s providers are trained to understand the specific challenges women face, ensuring a more personalized treatment experience.

LunaJoy Screenshot of homepage
LunaJoy screenshot FAQs on insurance coverage
Lunajoy screenshot of patient information form to schedule appt
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Serving clients in 13 U.S. states, LunaJoy makes high-quality, women-centered mental health care accessible online. It’s a refreshing service that acknowledges the unique needs of women, offering a targeted and supportive approach to mental health.

For additional information, visit our review of LunaJoy.

See full Review

Best for Using Insurance - Grow Therapy

GrowTherapy Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cash-Pay Cost: Varies by provider
Insurance Accepted: Yes
Medication: Yes
Location: All 50 US states

Grow Therapy simplifies the process of finding a therapist who accepts insurance, allowing users to browse providers in their state without needing to input extensive personal information. The site can also be sorted by next available appointment, so it’s possible to find a match and get seen the next day.

Most Insurance Accepted

Visit Grow Therapy

Pros & Cons

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Pros Icon Pros
  • Wide range of insurance plans accepted
  • Search by specialty, online/virtual appointments, next available appointment, insurance plan, cash-pay cost, and many other filters to find your best fit
  • More than 15k providers on the platform
Cons Icon Cons
  • No one set cost as providers set their own rates
  • Not all providers offer virtual sessions
  • Some states may have smaller pools of therapists to choose from

Cost

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Since Grow Therapy providers set their own rates, cash pay costs on the platform vary widely. Someone may pay anywhere from $75–$175 for a therapy session, or $80–$250+ for a psychiatric appointment.

However, since Grow Therapy has providers who accept a wide range of insurance plans, this will be the route that many people take instead of cash pay. Exact copays will vary depending on insurance plan, but users can expect to pay anywhere from $0–$50 per session when using insurance benefits.

Users only pay for sessions and there are no other costs associated with using the platform.

Get a full breakdown of cost in our Grow Therapy review.

Overview

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Grow Therapy has over 15k therapists on its platform, who accept a wide variety of insurance plans, including Medicaid and Medicare in some states. It also has a tool for users to see what their out-of-pocket expenses might be with their insurance plan before scheduling an appointment.

Grow Therapy Therapist Directory
Grow Therapy Insurance Coverage
Grow Therapy Providers
Grow Therapy Sign-Up Process
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Since Grow Therapy offers both therapy and medication management, it could be a great option for those with in-network insurance coverage looking for both services on one platform. Some providers also offer in-person sessions—you can filter by this if you’re interested in hybrid online/in-person care.

Read more in our Grow Therapy review.

See full Review

Best for Group Therapy - Grouport

Grouport logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cash-Pay Cost: $100–$140 monthly
Insurance Accepted: No
Medication: No
Location: All US states

Grouport’s goal is to provide group therapy support for a wide range of concerns. While its core offering is a DBT group that includes weekly homework, it has expanded to include groups for issues related to borderline personality, anxiety & depression, relationship issues, anger management, grief, trauma & PTSD, and more.

Get started!

Visit Grouport

Pros & Cons

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Pros Icon Pros
  • One-on-one consultation matches users to the best group for their needs
  • Subscription includes webinars and community events
  • Great resource for those looking for DBT support
Cons Icon Cons
  • Not all groups are available in all states
  • No insurance acceptance
  • No way to communicate between sessions

Cost

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Grouport’s DBT skills groups are available for $100 monthly (advertised as $25 per week) after an initial $299, which covers the first 12 sessions. All other support groups cost $140 monthly (advertised as $35 weekly). Grouport does not accept insurance at this time, but you may be able to get reimbursed by your insurance if you submit a superbill.

Get a full breakdown of cost in our Grouport review.

Overview

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Group therapy can be a meaningful addition to one-on-one therapy, giving users an extra boost throughout the week. Or, some may find that weekly group therapy sessions are enough to meet their needs. Either way, the Grouport Anxiety & Depression group could be a great tool in anyone’s anxiety support toolbelt.

Grouport's Landing Page
Grouport's Results
Grouport info form
Grouport Group Options
Grouport therapy groups
Grouport membership info
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If you have multiple mental health concerns and you’re not sure which group would best suit your needs, you can schedule a free call with a Care Coordinator who can help you get matched.

Learn more about whether this platform is right for you in our Grouport review.

See full Review

Best for Social Anxiety - Talkspace

Talkspace Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cash-Pay Cost: $276–$436 Monthly
Insurance Accepted: Yes
Medication: Yes
Location: US & International

Talkspace offers a variety of anxiety treatment options, including video, phone, and messaging sessions. It also provides psychiatric services, therapy for couples and teens, and the flexibility to combine therapy and medication management.

Save $85 off your first month with code CT85

Visit Talkspace

Pros & Cons

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Pros Icon Pros
  • Accepts most major health insurance plans
  • Can prescribe medication
  • Couples & teen therapy available
Cons Icon Cons
  • Not much control over initial therapist choice
  • Doesn’t prescribe controlled medication

Cost

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Talkspace offers three subscription plans for cash-pay members:

  • Messaging Therapy: $276 monthly, with daily responses from your therapist via text, audio, or video messages.
  • Video + Messaging Therapy: $396 monthly, which includes four 45-minute video sessions and messaging therapy.
  • Video + Messaging Therapy + Workshops: $436 monthly, combining therapy and workshops on mental health topics.

Psychiatry services are billed separately, with an initial evaluation costing $299 and follow-up sessions at $175 each. Couples therapy starts at $436/month, and teen therapy is available at the same rates as adult therapy. Talkspace accepts many insurance plans, including some Medicare options.

Learn more about Talkspace pricing by visiting our full review of Talkspace.

Overview

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It can be really difficult to start your therapy journey when you have social anxiety. Talkspace can ease some of this burden by offering a wide range of ways to conduct therapy sessions—if you’re not ready to have a video or phone-call session with your therapist, you could start with a live-text session, or simply message back and forth. Additionally, Talkspace will do the work of matching you with a therapist, though you’re of course free to switch if it’s not a good fit.

Choose Type of Service on Talkspace
Image of clinical progress tracker in Talkspace app
Talkspace exercises and resources
Talkspace insurance coverage and copay information
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If your therapist determines that medication could be helpful, you can access Talkspace’s medication management services.

When one member of our team used Talkspace for anxiety treatment, they were impressed with the services offered and thought Talkspace was a great solution for anyone with an in-network insurance plan. Without insurance, the prices can be a bit higher than the competition.

Visit our full Talkspace review for a full breakdown of everything it has to offer.

See full Review

Other Companies We Considered

While we’ve highlighted our favorite platforms for online anxiety treatment, there are several others worth considering. BetterHelp offers accessible therapy with a range of licensed professionals. Teen Counseling specializes in therapy for teenagers, while Little Otter provides tailored mental health care for kids and their families. If you’re in-network, UpLift provides quality care as well.

BetterHelp

BetterHelp Logo Square
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Price: $280–$400 monthly
Insurance Accepted? No

Visit BetterHelp

Learn MoreShow less

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As long as you can find a good BetterHelp therapist for your needs, it’s a well-designed platform that makes accessing therapy easy. With over 30,000 therapists, it provides a lot of options, often offering same-day appointments. Costs range from $260 – $360 monthly (advertised at $65 – $90 weekly). BetterHelp does not accept insurance. Through BetterHelp’s financial aid program, you can save 10% – 40%.

When one of our team members tried BetterHelp for online therapy for anxiety, they were impressed by the convenience and speed with which you can get set up with a therapist. Upon sign-up, they had session options as soon as same-day, which is very rarely possible with traditional therapy.

To learn more, read our full review of BetterHelp.

Teen Counseling

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Rating:
Overall rating of 3.5 out of 5 possible.
(3.5 out of 5)

Price: $280–$400 monthly
Insurance Accepted? No

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Teen Counseling is worth it if you have a teen interested in therapy, particularly due to the flexibility of attending sessions online via video, text chatting, or phone. Teens with mild mental health symptoms are the ideal clients for this service. Particularly, I found that teens tend to love the live messaging feature since it helps them plan out what they want to say in advance – plus, a lot of teens feel more comfortable over text.

Little Otter

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Rating:
Overall rating of 0 out of 5 possible.
(Rating Pending)

Price: $200 per 45-minute session
Insurance Accepted? Yes, limited

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Little Otter exclusively treats the youngest pediatric mental health patients, making it ideal for pre-teens. It’s a great resource for those looking for online anxiety treatment for their child aged 0-14; however, it’s only available in 13 states.

Little Otter costs $20 for a 30-minute “Kickoff Session” and $200 per 45-minute live therapy session. Session bundles are available, which help to reduce ongoing costs. They also offer child psychiatry, which costs $500 for an initial, 60-minute evaluation, and $250 for 30-minute follow-up sessions. A truly unique offering of Little Otter is its specialized ADHD program. This is available as a pay-per-service plan or a subscription plan, with costs similar to their regular psychiatry offering.

Thriveworks

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Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cash-Pay Cost: $135–$240 per session
Insurance Accepted? Yes

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Thriveworks provides online and in-person counseling for kids and teens, individuals, and couples. It’s good for both online and in-person sessions. Costs range from $99 – $199 per 60-minute session. Ultimately, costs depend on your location and the therapist you choose. Thriveworks accepts many major insurance plans, which could decrease these costs.

For more information about everything they offer and how exactly to sign up, you can read our in-depth Thriveworks review.

Final Verdict

“No matter your preference or needs, there’s a version of online anxiety treatment on this list to support your journey. For comprehensive, all-around care, Brightside Health is our top pick. If you’re seeking medication management, Talkiatry is the go-to. Talkspace shines for those looking to use insurance, while Open Path Collective offers an affordable option without sacrificing quality. For those who prefer CBT, Online-Therapy.com provides structured CBT treatment. LunaJoy focuses on women’s mental health, while Mindbloom offers the best at-home ketamine therapy for anxiety. If you’re looking for a simple and accessible tool to manage stress, Calm is the top anxiety app.”

Headshot of Melissa Boudin, PsyD Melissa Boudin, PsyD

Frequently Asked Questions

Is Online Therapy Good for Anxiety?

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Yes, online therapy can be a great tool for those struggling with anxiety. Online therapy makes getting care for anxiety convenient, affordable, and quick. It’s particularly helpful in instances where in-person services aren’t available, or where other circumstances make it difficult to attend traditional therapy sessions.

Which Therapy is Best for Anxiety?

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Cognitive Behavioral Therapy (CBT) is one of the best therapy modalities for dealing with anxiety symptoms. CBT therapy helps those suffering from anxiety learn how their behaviors and thoughts interact and create anxiety. To learn more, read our guide on how CBT works for anxiety.

Who Should Not Use Online Therapy?

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Online therapy is not ideal for those suffering from severe mental health symptoms such as suicidal ideation, hallucinations, or psychosis. Those suffering from severe mental health symptoms should seek in-person care.

If you currently have severe mental health symptoms and need immediate help, you should dial 911, visit the nearest emergency room, or call the National Suicide Prevention Lifeline at 800-273-TALK (8255) or by dialing 988.

Any online therapy provider is not a safe choice for those in an active crisis, as therapists cannot respond immediately. Online therapy is also not ideal for those with a serious mental illness (SMI) such as bipolar disorder, schizophrenia, eating disorders, personality disorders, or treatment-resistant depression.

What Do You Talk About in Therapy for Anxiety?

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In general, therapy for anxiety starts with identifying the patient’s goals for therapy and what they expect to work on. Your therapist will likely ask about your symptoms and when they started. Likewise, you can expect your therapist to go over coping skills to help manage anxiety symptoms and improve self-care. A common modality of therapy for anxiety is Cognitive Behavioral Therapy (CBT) so expect to discuss thought patterns and behaviors. But if you’re having trouble thinking about what to discuss with your therapist or how to bring up difficult subject, read our article with ideas and tips for what to talk about in therapy.

Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • World Health Organization (2022, June 8). Mental disorders. World Health Organization. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders

  • American Psychological Association. (2017). “What is Cognitive Behavioral Therapy?” https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral

  • Church, Matthew. (Oct. 2024). “Brightside Health Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/brightside-health-review/

  • Church, Matthew. (Oct. 2024). “Talkiatry Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/talkiatry-review/

  • Church, Matthew. (Aug. 2024). “Talkspace Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/talkspace-review/

  • Church, Matthew. (Sep. 2024). “Online-Therapy.com Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/online-therapy-com-review/

  • Suarez-Angelino, Lena. (Dec. 2024). “LunaJoy Review: My Experience, Pros & Cons, & Cost” https://www.choosingtherapy.com/lunajoy-review/

  • Church, Matthew. (June, 2024). “Mindblood Review: Cost, Pros & Cons, & My Experience.” https://www.choosingtherapy.com/mindbloom-review/

  • Bell, Caitlin. (April, 2024) “Calm App Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/calm-app-review/

  • Church, Matthew. (Aug. 2024). “BetterHelp Review: Cost, Pros & Cons, & My Experience.” https://www.choosingtherapy.com/betterhelp-review/

  • Liu, Michelle. (Aug. 2024). “Teen Counseling Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/teen-counseling-review/

  • Sprintis, Randi. (April, 2024). “Grouport Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/grouport-review/

  • Bell, Caitlin. (Sept.2024). “Grow Therapy Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/grow-therapy-review/

  • Bell, Caitlin. (Aug. 2024). “Thriveworks Counseling Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/thriveworks-review/

Show more Click here to open the article sources container.

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

Update: March 31, 2025
Author: Melissa Boudin, Psy. D. (No change)
Medical Reviewer: Kristen Fuller, M.D. (No change)
Primary Changes: Fact-checked all information and made changes to the recommendations list based on research and product testing. Companies removed from list: Calmt. Companies added to the list: Grow Therapy and Grouport. Changed Talkspace from Best for Insurance to Best for Social Anxiety. Updated where necessary to improve factual accuracy and readability.
Update: December 24, 2024
Author: Melissa Boudin, Psy. D. (New author)
Medical Reviewer: Kristen Fuller, M.D. (No change)
Primary Changes: Complete rewrite of article. Fact-checked all information and reconsidered/made changes to the recommendations list based on research and product testing. Updated where necessary to improve factual accuracy and readability. Companies removed from list: BetterHelp, Teen Counseling, Litter Otter, and Grouport. Companies added to the list: Mindbloom and Calm
Original Publish Date: October 8, 2024
Author: Matthew Church, M.S.
Medical Reviewer: Kristen Fuller, M.D.
Show more Click here to open the article update history container.

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