Two of our experienced reviewers tried and tested BetterHelp, participating in several therapy sessions with multiple therapists on the platform over the last three years. Our reviewers have found BetterHelp to be a solid option for those who are new to therapy or don’t have good therapy options through insurance but with a few drawbacks. Here’s all you need to know about whether BetterHelp is worth it.
Cost: $260 – $360 monthly
Insurance Accepted? No
Medication Available? No
Pros & Cons
- 30k+ licensed therapists to choose from
- Affordable online therapy option
- Same-day appointments available
- Your choice of video, phone, or text therapy
- Fast and convenient
- Does not accept any insurance
- Limited choice over your first therapist
- Mobile app has frequent technical issues
- Not all providers offer video or text sessions
- Frequent therapist turnover, according to users
Who Is This Right For
- Therapy-seekers without insurance
- People with mild, uncomplicated mental health symptoms
Overview
BetterHelp is a subscription-based online therapy platform that costs between $260 – $360 monthly and is available for anyone ages 18+ across the US and internationally. During our independent review of their services, they earned an overall rating of 4 out of 5 stars.
When I tried BetterHelp, I found it very easy to sign up and get matched with a therapist. I was excited to have my first video therapy session just 2 days after completing the initial BetterHelp questionnaire. It was easy to attend my session, and I found the webinars offered to be a great added value.
BetterHelp offers individual therapy and group webinars, however it does not offer couples counseling. BetterHelp’s sister site, ReGain is a good alternative for those looking for couples therapy. Meanwhile, teens in need of therapy can find care through the BetterHelp subsidiary Teen Counseling.
Why You Can Trust My Review
Our review of BetterHelp is based on first-hand experience using their therapy services by two of our experienced reviewers. These reviewers – Caitlin and Matt – used BetterHelp by going through the sign-up process, getting matched with therapists, going to therapy sessions, trying and testing all the features, and even putting BetterHelp’s customer service team to the test by switching therapists, requesting refunds, and more. Over the last three years, we’ve learned a lot about BetterHelp while also collectively testing and reviewing multiple other online therapy providers.
Based on our quantitative multi-point scoring criteria, BetterHelp scored 4 out of 5 stars during our most recent review. Our scoring criteria measure 30+ metrics across 12 categories, ranging from quality of user experience to therapist vetting and experience, and more.
Review our scoring criteria for online therapy platforms here.
Review our complete editorial policies here.
Firsthand BetterHelp Reviews
Full reviews and breakdowns of services are valuable, but sometimes you just want to hear a clear recommendation from somebody who’s used the service firsthand. Here are some firsthand experiences from people who have used BetterHelp.
Detailed Review of BetterHelp
BetterHelp offers a variety of ways to access your weekly therapy sessions including video, phone, and live chat. Additionally, BetterHelp clients gain access to a wide range of group sessions and webinars. BetterHelp serves anyone above age 18+ in the US or internationally. BetterHelp costs range from $260 – $360 monthly.
Video & Phone Sessions
Most BetterHelp therapists offer weekly sessions via video and phone. Sessions are usually 30-45 minutes long. I joined my BetterHelp session from my iPhone via the BetterHelp app at home, on my home internet connection. Joining the session from the BetterHelp app was easy – all I had to do was open the app and it prompted me with a button to join the waiting room.
BetterHelp provides plenty of reminders for your session via several routes. I received a couple of emails and several text messages in the lead-up to my appointment. BetterHelp allows you to adjust these reminder settings from your account settings if you prefer fewer notifications. During my session, my therapist was a few minutes late, and the video platform was a bit laggy at the beginning of the session, but it seemed to work itself out as the session went on.
The main section of the BetterHelp app is centered around an ongoing message thread with your therapist. During my session, my therapist was able to send me a coping skills worksheet to that thread that described some basic tips for managing feelings of being overwhelmed or stressed. I could complete the worksheet right from the app or website instead of having to download it to my device, which I found convenient.
Therapists can share a variety of worksheets and items with clients directly, including homework, worksheets, and clinical measures. So, therapists and clients can work collaboratively on making progress; the occasional clinical measures that BetterHelp sends you help to visualize your progress over time.
My initial session with my therapist lasted about 40 minutes, during which my therapist got to know me better and discussed issues I was dealing with to a fair degree of depth. She also allowed me to ask questions about her and her experience. After the session concluded, I was prompted with an opportunity to rate the quality of the session. Despite being virtual care, which many people equate with a lack of warmth, I found that the video session would allow a very “human” conversation on par with traditional therapy – assuming you have found a therapist who works well with this kind of platform.
Live Text-Based Sessions
Uniquely, some BetterHelp therapists offer live text-based sessions. Instead of meeting with a therapist via phone or video, live chat sessions allow you to process questions on your own time and respond mindfully.
Text-based sessions could be a good solution for those who find it difficult to set aside time for a call regularly, or who suffer from social anxiety or another disorder that makes it difficult to talk with someone on a phone or video call. Notably, our reviewer Caitlin found that text-based sessions are particularly well-liked by teens and young adults.
Live chat sessions are scheduled in advance and consist of you and your therapist messaging each other in a special live chat thread. The thread disappears at the end of the session, and each session lasts the same length as a video or phone session. Live chat sessions count as one of your weekly sessions, so you won’t be able to have both a live chat and video session in the same week. Not all therapists offer live chat as an option for sessions, so you’ll want to include that in your onboarding questionnaire, and check your therapist’s profile once you are matched.
My live chat therapy session with BetterHelp lasted about 30 minutes, and during that time, I exchanged roughly 1,300 words with my therapist. The live chat platform uses an interesting “live typing” feature that allows both participants to see what the other is writing in real-time, including any mistakes or revisions that might be made. The live typing feature can be toggled off if you prefer.
Overall, I felt that the live chat session was less valuable for me than a traditional, phone, or video session. However, if your therapist is a swift and accurate typist, and conveys themselves well over text, you might find it to be helpful. My therapist was a relatively slow and inaccurate typist, so I felt that we weren’t able to accomplish all that much during the session. My therapist helped me decide on a small goal to help my motivation, as well as some actionable steps for this goal. The therapist was friendly and showed care, however, the experience was certainly less personable than I’d have liked.
While I probably won’t be scheduling any more live chat sessions for myself, I can see how it could be preferable for those who prefer to avoid video or phone sessions for any number of reasons such as social anxiety or difficulties communicating verbally, or for teens who may be more prone to share thoughts and feelings with their therapist via text.
Group Webinars
Group sessions with BetterHelp allow you to attend support groups, classes, or educational webinars hosted by BetterHelp licensed therapists. A BetterHelp subscription includes access to one group webinar per week, in addition to the weekly one-on-one session with your therapist. BetterHelp hosts a huge selection of group webinars including art therapy workshops, addiction support groups, group therapy for self-esteem, and many more.
Group webinars are hosted by BetterHelp therapists via a group Zoom meeting. You can participate in the session with other members but you’re able to turn your camera off, if you’re so inclined. Whichever name you choose to log in with will be visible to everyone at the meeting.
Notably, BetterHelp states that its health data privacy protections and guarantees do not extend to group sessions, as the information you share will be accessible to everyone at the meeting. BetterHelp also states clearly that group sessions should not be used as a replacement for care and are not considered “therapy”.
Journaling
The BetterHelp app includes a built-in journal that offers users the ability to jot down their thoughts either freeform or by following pre-generated journal prompts. Prompts suggested by the BetterHelp journal range from more surface-level to fairly deep self-reflections; you can choose to generate one at random, or browse a list and choose your own.
BetterHelp’s integrated journal can be used as a private place for self-reflection, or entries can be shared with your therapist. Perhaps you discovered something profound that you’d like to share with your provider, or maybe you’re simply noting a topic you’d like to explore at your next session.
The app allows you to send journal entries to your therapist automatically or prompts you to do so manually after you’ve written an entry. BetterHelp states explicitly that you are the only person with access to your journal, and your therapist can only view entries that you elect to send.
Therapist Messaging Outside of Sessions
The BetterHelp app allows you to message your therapist in between sessions if you have a question, concern, or idea to discuss later. BetterHelp guarantees that your therapist will respond at least twice within a given business week. Both of my therapists responded to my questions within a day. This is a useful feature for alerting your therapist to a concern you might have or marking down issues you’d like to discuss in more depth at your next session.
BetterHelp Cost & Insurance
BetterHelp costs range from $260 – $360 monthly (advertised at $65 – $90 weekly). This includes weekly sessions with your therapist, access to BetterHelp’s resource content, and one weekly group webinar. BetterHelp does not accept insurance.
A few key facts about BetterHelp costs:
- BetterHelp does not accept insurance
- BetterHelp’s standard price is $260 – $360 monthly
- Financial aid is available for people in times of financial hardship, potentially lowering the price by 10% – 40%
- You can use FSA or HSA to pay for BetterHelp
- BetterHelp will provide a superbill for out-of-network insurance reimbursement
- Your first month with BetterHelp is due upfront
BetterHelp does not accept insurance but does accept FSA and HSA. Using an FSA or HSA for mental health is fairly common and a great option if you have one of those accounts.
The low monthly cost makes BetterHelp an affordable out-of-pocket option when compared to traditional therapy, which costs $100 – $150+ per session.2 BetterHelp offers financial aid for people experiencing financial difficulties. As you are going through the intake questionnaire, there are some questions related to income and whether or not COVID has impacted your job – how you answer these determines your eligibility for financial aid, which can lower the price by 10% – 40%.
Regardless, you’ll know what your ongoing subscription cost will be at the end of the intake questionnaire before you input your payment details. The first month’s subscription fee is due upfront at the time of signup. For my testing purposes, I created a test account on BetterHelp, paid the fee, and then messaged support stating I’d like to cancel my account and receive a refund. BetterHelp support responded within the day and refunded my payment source after exchanging a couple of quick emails.
BetterHelp Financial Aid
BetterHelp offers financial aid to those who qualify. The application is built into the sign-up process. If therapy is too expensive when you get to the checkout screen, you can click a button labeled “I can’t afford therapy,” to apply to receive a 10% – 40% discount off your monthly rate.
Who Does BetterHelp Serve?
BetterHelp therapy is available for anyone ages 18+ in the United States and in about 200 countries worldwide. BetterHelp is intended as a solution for adults experiencing mild-to-moderate mental health symptoms. Teens ages 13-17 can utilize BetterHelp’s subsidiary Teen Counseling.
BetterHelp previously had subsidiaries including Pride Counseling and Faithful Counseling which specifically served LGBT+ and religious populations, respectively. However, BetterHelp closed these subsidaries and absorbed those therapists into the main BetterHelp platform, now serving those clients through their main site. BetterHelp remains one of the best online LGBTQ+ online therapy options.
BetterHelp is not a couples therapy platform, so those seeking joint or couples therapy should consider other options like ReGain. BetterHelp treats general mental health issues, and OCD is covered under this to a degree, but if you’re seeking a specialist to help with OCD-related symptoms, then NOCD is your best bet. Meanwhile, an online psychiatry platform such as Talkspace would be ideal if you’re seeking medication management.
User Reviews for BetterHelp
Overall, users tend to have a positive sentiment toward BetterHelp across several user review websites. Positive reviews noted that BetterHelp can be an excellent place to find healing, and praised the expertise of BetterHelp therapists. Negative reviews decried the price of the service, technical difficulties, and privacy issues.
Reviews from Apple App Store - 4.8 out of 5 stars | 129K reviews
Positive reviews on the Apple App Store emphasized the convenience of telehealthcare and the ability to seek care while on a busy schedule. Many praised the way the app helps them find and engage with a therapist easily and accessible.
Negative reviews on the Apple App Store tended to state the price of BetterHelp is far too high for the value received, and noted many administrative pains, scheduling issues, and problematic experiences with therapists. Many also criticized the overall design and implementation of the mobile app.
Reviews from Android App Store - 4.6 out of 5 stars | 46.9K reviews
Positive reviews on the Android App Store focused on progress made in therapy and the overall value many believe BetterHelp has added to their lives. Some reviews noted positive experiences with therapists found on BetterHelp.
Negative reviews on the Android App Store tended to focus on the BetterHelp mobile app itself and its technical shortcomings. Many users agreed that the mobile app is not intuitive which can make using the mobile app difficult.
Reviews from Trustpilot - 4.5 out of 5 stars | 6.8K reviews
Positive reviews on Trustpilot tended to emphasize the progress users have made in their lives with BetterHelp, the flexible schedules, and the ability to easily seek a new therapist if they encounter scheduling difficulties or don’t feel like the therapist they matched with is a fit.
Negative reviews on Trustpilot agreed that BetterHelp charges too much for its services, and many were very suspicious of the BetterHelp privacy violation charges the company went through in 2023. As a note, however, this issue has since been resolved, and changes have been made to BetterHelp’s privacy practices.
Who May Want an Alternative to BetterHelp?
BetterHelp is not a good solution for anyone struggling with severe mental health symptoms, those with good in-network options for therapy, or those seeking psychiatric care or medication management.
Those With In-Network Insurance Options for Therapy
BetterHelp doesn’t accept insurance for therapy, so, if you have insurance with mental health coverage, you may be able to get a far better price than you would with cash pay at BetterHelp. Instead, you might want to look for an online therapy provider that accepts insurance such as Talkspace.
People Seeking Psychiatric Care or Medication Management
BetterHelp does not offer psychiatric care or medication management. If you are seeking medication management or psychiatric care, you should look for online psychiatric services such as Talkiatry.
People Struggling with Severe Mental Health Symptoms
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.
BetterHelp, or any online therapy provider, is not a safe choice for those in an active crisis, as therapists cannot respond immediately. BetterHelp 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.
BetterHelp Vs. Competitors
BetterHelp is a great choice for those just needing an easy and convenient way to dip a toe into the therapy world or reduce the impact of burnout or stress. Or, BetterHelp could be an ideal choice for someone who does not have viable in-network therapy options. Meanwhile, Talkspace or Thriveworks may be better if you are seeking psychiatric care, while Online-Therapy.com is great if you’re specifically looking for CBT therapy.
BetterHelp Vs. Talkspace
BetterHelp Vs. Online-Therapy.com
BetterHelp Vs. Thriveworks
Our Final Verdict – Is BetterHelp Worth It?
Below, we discuss several of the most frequently asked questions about BetterHelp. Have more questions? Head over to our ultimate BetterHelp FAQ to learn everything there is to know about the platform.
Frequently Asked Questions
Is BetterHelp Legitimate?
Yes, BetterHelp is a legitimate online therapy platform. Moreover, BetterHelp is one of the largest and well-known services of its kind. BetterHelp thoroughly vets and verifies all of its therapists. Notably, one study indicated BetterHelp is effective in reducing the effects of mild anxiety and depression.1
How Does BetterHelp Work?
BetterHelp is an online therapy platform that allows people across the country to easily access virtual therapy online. The BetterHelp app allows you to meet with a therapist via phone, video, or live chat. You can also message your therapist in between sessions, and access educational group webinars, and a host of excellent self-guided resources.
To learn more about how BetterHelp works, visit our ultimate BetterHelp FAQ for answers, guides, tips, & tricks.
Is BetterHelp Worth It?
BetterHelp is worth it for those who are looking for a fast and convenient solution for therapy. Often, appointments are available same-day, and BetterHelp’s library of resources is great for those just getting started with therapy. It’s also a very affordable option for anyone who doesn’t have good therapy options covered by insurance.
How Much Does BetterHelp Cost?
A subscription to BetterHelp costs $260 – $360 per month.
BetterHelp’s standard rate is $360 per month, but financial aid is available for people in times of financial hardship which may lower the price you pay for BetterHelp to $260 monthly.
BetterHelp sometimes advertises the cost of their service as $65 – $90 per week, but subscriptions are monthly and you don’t have the option to do only one or two weeks per month to save money. With that in mind, you should expect to pay $260 – $360 per month for BetterHelp.
BetterHelp does not accept insurance but they will provide a superbill if you’re seeking out-of-network reimbursement. Also, BetterHelp is FSA and HSA eligible.
How are BetterHelp Therapists Vetted and Verified?
All therapists and counselors on BetterHelp are licensed and accredited psychologists, licensed marriage and family therapists, licensed clinical social workers, or licensed professional therapists. All professionals on BetterHelp must have at least three years and 1,000 hours of hands-on experience.
According to BetterHelp, counselors must provide proper licensure documentation and proof of identity when they apply. BetterHelp then cross-checks their licensure information with their respective state licensing boards. Additionally, BetterHelp requires each therapist or counselor to complete a case study exam to be graded by a licensed clinician and evaluated in a video interview.
How are You Matched with BetterHelp Therapists?
Matching on BetterHelp happens automatically based on your answers from the assessment and preferences you selected during the sign-up process. It is possible to change therapists later and choose from a directory.
How Do I Change Therapists on BetterHelp?
To choose a new therapist on BetterHelp, simply go to the BetterHelp mobile app or website, log in, navigate to your account, and select “Change Therapist”. You will then see a selection of therapists from the directory and you can read profiles and choose someone that fits you better.
Is BetterHelp Good?
BetterHelp is a good option for anyone ages 18+ who has relatively uncomplicated mental health symptoms or is looking to get started in therapy quickly and easily. Everyone’s experience will vary, as finding a good therapist match can be a difficult and trying process, but with over 30k therapists to choose from, BetterHelp could make things a little easier.
Can I Use My HSA/FSA for BetterHelp?
Yes, you can use your FSA or HSA for therapy expenses with BetterHelp. You will simply enter your HSA/FSA card information as your payment type.
How Do I Cancel My BetterHelp Subscription?
You can cancel your BetterHelp subscription at any time. All you do is log in to your BetterHelp account, select “My Account” from the menu then “Payment Settings” and then you’ll see “Quit Therapy”. According to BetterHelp, you must go back to the menu, click “My Account”, select “Personal Information” and then click on “Request Erasure”. Once this process is completed, you will receive a cancellation confirmation email from BetterHelp.
If you have further questions about canceling your account, please contact BetterHelp at: [email protected].
Can I Pause My BetterHelp Subscription?
Yes, you can pause your BetterHelp subscription! You can choose to pause your account for two, four, or six weeks, which extends your payment date by that length of time. Unfortunately, you will not be able to message your therapist or book/attend sessions. If you want, you can unpause your account early.
Does BetterHelp Issue Refunds?
BetterHelp offers refunds on a case-by-case basis and you must meet their criteria to receive a refund. You can email BetterHelp at: [email protected] or call them directly: 1 (888) 688-9296.
How Do I Apply for BetterHelp Financial Aid?
BetterHelp offers financial aid to those in specific circumstances or times of financial hardship. At the time you create your account, you’ll fill out an intake questionnaire with basic information, as well as some details about your financial status and employment. BetterHelp automatically applies any financial aid that you’re eligible for in response to your answers.
Is BetterHelp HIPAA-Compliant?
Yes, BetterHelp has policies consistent with HIPAA standards. Before any sessions (messaging or live sessions), you will be required to sign a form agreeing to their privacy policies.
Please visit BetterHelp’s Privacy Policy and Terms & Conditions for more information.
History & News of Betterhelp
Year Founded:2013
Parent Company: Teladoc Health
Publicly Traded? Yes
Headquartered in: Mountain View, California
Founded in 2013, BetterHelp is one of the most recognized names in the online therapy industry. According to their website, they have 30,000 licensed clinicians in all 50 states and claim to be the largest online counseling platform in the world. In 2015, the company was acquired by Teladoc, a corporation that has a stronghold in the industry and continues to acquire smaller businesses in the telehealth sector.
In 2023, BetterHelp faced a significant offense related to its privacy practices from 2017 to 2020, resulting in a $7.8 million fine imposed by the Federal Trade Commission (FTC). The offense centered around allegations that BetterHelp shared sensitive user data with third parties, including major companies like Meta (formerly Facebook) and Snapchat.
According to an official release by BetterHelp, the company shared encrypted email addresses with Facebook to optimize its marketing strategy between 2017 and 2020. BetterHelp claims that this is a standard marketing practice in the industry, however, the FTC alleges that BetterHelp should have been more clear in explaining this to its users.
When we reached out for information on this, BetterHelp reiterated that the company “does not and has never shared with advertisers, publishers, social media platforms, or any other similar third parties, private information such as members’ names or clinical data from therapy sessions.” Additionally, BetterHelp stated that they have never received compensation for sharing data.
BetterHelp released a statement to Choosing Therapy acknowledging they have worked with the FTC to reach these resolutions to the issue:
- Updated the BetterHelp privacy policy
- Told the advertising companies that received hashed, encrypted information was to be deleted
- Ceased sharing information with other companies for advertising
- Enhanced BetterHelp’s privacy program to better protect personal health information. An independent third party is auditing BetterHelp’s program to ensure information is being protected4
Anyone can visit BetterHelp’s privacy policy for more details as to how BetterHelp handles user data.
Choosing Therapy 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.
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Marcelle, E. T., Nolting, L., Hinshaw, S. P., & Aguilera, A. (2019). Effectiveness of a multimodal digital psychotherapy platform for adult depression: A naturalistic feasibility study. JMIR mHealth and uHealth, 7(1), e10948. https://doi.org/10.2196/10948. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364202/
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Benson, N. M., & Song, Z. (2020). Prices and cost-sharing for psychotherapy in-network versus out-of-network in the United States. Health Affairs (Project Hope), 39(7), 1210–1218. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128060/
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Liz Neporent March 3, 2023 at 9:05 AM UTC. (2023, March 6). Betterhelp Mental Health App Faces $7.8m FTC fine for Sharing Private User Data. Psychiatrist.com. https://www.psychiatrist.com/news/betterhelp-mental-health-app-faces-7-8m-ftc-fine-for-sharing-private-user-data/
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.
Author: Caitlin Bell, MA (Matthew Church, MS)
Medical Reviewer: Benjamin Troy, MD (Kristen Fuller, MD)
Primary Changes: Fully reviewed BetterHelp platform, rewrote entire article based on new review experiences, reformatted entire article to new format. New content written by Matthew Church, MS, and medically reviewed by Kristen Fuller, MD.
Author: No Change
Reviewer: No Change
Primary Changes: Update cost from $60 weekly to $65 weekly; Added price changes into History.
Author: No Change
Reviewer: No Change
Primary Changes: Adjusted cost language, texting with therapist language, and added pausing feature.
Author: No Change
Reviewer: Benjamin Troy, M.D.
Primary Changes: Reassessment of BetterHelp; Updated cost; Updated screenshots/images; Attended live session and added first-person point-of-view; style updates throughout.
Author: Caitlin Bell, M.A.
Reviewer: Dena Westphalen, Pharm.D
Primary Changes: Full reassessment of BetterHelp; New sections: “BetterHelp Detailed Review”, “How It’s Changed”; Updated cost; Updated screenshots/images; Added images and charts for pros/cons and discounts.
Author: Hailey Shafir, LCMHCS, LPCS, LCAS, CCS
Reviewer: Trishanna Sookdeo, MD, MPH, FAAFP
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