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Talkspace vs BetterHelp 2022: Which Online Therapy Option is Best?

Published: April 22, 2022 Updated: October 31, 2022
Published: 04/22/2022 Updated: 10/31/2022
Caitlin Bell, Editor of Consumer Technology for Choosing Therapy
Written by:

Caitlin Bell, MA

Mental Health Tech Editor
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD, MS
  • Talkspace vs BetterHelp: Similarities & DifferencesSimilarities & Differences
  • Pros & Cons of BetterHelpBetterHelp Pros & Cons
  • Pros & Cons of TalkspaceTalkspace Pros & Cons
  • Talkspace vs BetterHelp CostCost
  • Getting Started with Talkspace & BetterHelpGetting Started
  • Unique Features of BetterHelp & TalkspaceFeatures
  • Who Is Online Therapy Right For?Who It's Right For
  • Who Might Want an Alternative to BetterHelp or TalkspaceAlternatives
  • Final Verdict on Talkspace vs BetterHelpConclusion
  • Talkspace vs BetterHelp CostCost
  • Getting Started with Talkspace & BetterHelpGetting Started
  • Unique Features of BetterHelp & TalkspaceFeatures
  • Who Is Online Therapy Right For?Who It's Right For
  • Who Might Want an Alternative to BetterHelp or TalkspaceAlternatives
  • Final Verdict on Talkspace vs BetterHelpConclusion
  • Additional ResourcesResources
Caitlin Bell, Editor of Consumer Technology for Choosing Therapy
Written by:

Caitlin Bell, MA

Mental Health Tech Editor
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD, MS

Talkspace and BetterHelp are two of the biggest names in online therapy. They serve the entire US and both offer therapy sessions via video, phone, or text. A big difference between the two is cost. BetterHelp costs $60-$90 per week ($240-$360 per month), and is more affordable than Talkspace if you’re paying out-of-pocket. Talkspace costs $69-$129 per week ($276-$516 per month), but they accept many insurance plans making it more affordable for many.

Talkspace also offers psychiatric services and medication management which costs $249 for an initial evaluation and $125 for each additional appointment.

Talkspace vs BetterHelp high-level summary of services and costs.

Choosing Therapy’s reviews are the result of first-hand testing, thorough research, and transparent methodology. Our reviewers are editorially independent so you can trust their recommendations. Some companies reviewed may also be marketing partners. Learn more about our editorial standards, review process, and advertising policy.

Talkspace vs BetterHelp: Similarities & Differences

Talkspace and BetterHelp are often rated two of the best online therapy providers, offering similar services of live video, phone and text-based therapy sessions. Both can be helpful in providing care for anxiety, depression, stress, and other mild mental health concerns.

All the therapists and counselors on both platforms go through rigorous vetting and are licensed to independently practice in the states they serve. Both platforms offer services for teens, couples, and the LGBTQIA+ community among others.

However, there are some key differences between Talkspace and BetterHelp to consider when deciding which is best for you.

Talkspace offers online psychiatry services and medication management to users in the US, in addition to online therapy to those in the US and Canada. Though Talkspace is a more expensive cash-pay option, they accept insurance for online therapy which can make it much more affordable. Talkspace also offers an 8 week CBT-I program to help those struggling with insomnia achieve better sleep.

While BetterHelp does not take insurance, they do have a lower out-of-pocket cost, making it a more affordable option for those without insurance. BetterHelp not only serves users in the US, but international clients as well.

Talkspace vs BetterHelp Review 2022 - Image of main website shots showing what each offers

BetterHelp vs Talkspace Comparison Table

 BetterHelpTalkspace
Cost$60 - $90 per week ($240-$360 per month)$69 -$129 per week ($276-$516 per month)

$249 - initial psychiatric evaluation
$125 - subsequent psychiatric sessions
Communication OptionsLive video, phone or text-based therapy sessions with the option to message your therapist anytime in between sessionsLive video, phone or text-based therapy sessions with the option to message your therapist anytime in between sessions
InsuranceNoYes, several insurance plans accepted
Medication ManagementNoYes
Types of TherapyCouples, Teens, Faith-Based, & LGBTQIA+Couples, Teens, Insomnia, Veterans
Who It’s Good ForAffordable out-of-pocket therapyIf insurance covers, a great choice for therapy and psychiatric services

Pros & Cons of BetterHelp

BetterHelp offers subscription-based therapy to users in the US and internationally. While BetterHelp does not currently take insurance, they do offer affordable out-of-pocket therapy subscriptions starting at $60 per week ($240 per month), and provide financial assistance to those who qualify.

Pros

  • Out-of-pocket costs are more affordable than Talkspace or traditional in-person therapy, and financial aid is available for those who need it
  • BetterHelp offers therapy subscriptions for users in the US and internationally
  • Matching with a therapist is easy and you’re able to select a new therapist if you’d like

Cons

  • BetterHelp does not take insurance
  • You can’t see a psychiatrist and medication management is not available
  • Pricing varies, and your exact cost isn’t known until sign up

20% Discount on BetterHelp
BetterHelp is offering Choosing Therapy readers a 20% discount on the first month of their subscription. If you’re ready to sign up with BetterHelp, click here to automatically apply the discount code “choosingtherapy“. Choosing Therapy is compensated for referrals.

Choosing Therapy partners with leading mental health & wellness companies and is compensated for referrals by the company mentioned above.

Pros & Cons of Talkspace

Talkspace not only offers therapy across the US and Canada, but they also offer psychiatric and medication-management services for those 18 years and older in the US. Talkspace is one of the only online therapy providers that accepts insurance for subscription-based therapy, making it an affordable option for many.  Pricing varies on geographic location and therapist availability, however, and you can’t be certain of the exact cost until you sign-up for a month’s subscription.

Pros

  • Psychiatric and medication management services are available
  • Talkspace accepts many insurance plans

Cons

  • Pricing varies, and your exact cost isn’t known until sign up
  • It can take several days to be matched with a therapist
  • Not all therapists offer live, text-based therapy

Talkspace has thousands of experienced, fully licensed therapists to work with. Answer a few questions to get matched with the right therapist for you then start online therapy for as little as $69 per week. Your actual costs may much less if you have insurance from Cigna, Optum, or UHR. Try Talkspace Now

Choosing Therapy partners with leading mental health companies and is compensated for referrals by Talkspace

Visit Talkspace

Talkspace vs BetterHelp Cost

A big difference between Talkspace and BetterHelp is the cost for each, especially since services are fairly similar. BetterHelp costs $60-$90 per week ($240-$360 per month), while Talkspace costs $69-$129 per week ($276-$516 per month). Talkspace, on the other hand, accepts insurance, and if you can use insurance for therapy the actual out of pocket cost of therapy could be much more affordable. BetterHelp is the more affordable cash-pay option for those who don’t have insurance, however, and they allow you to use your FSA or HSA for therapy subscriptions.

Exact costs for both are dependent on your location and therapist availability, and specific cost isn’t determined until you sign up.

Talkspace psychiatric services are separate from their therapy subscription packages, and cost an additional $249 for an initial evaluation, and $125 for subsequent sessions.

Talkspace vs BetterHelp Review 2022 - Image of cost comparison for each platform.png

Getting Started with Talkspace & BetterHelp

To sign up for BetterHelp, you can download the app from the Google Play Store or Apple App Store. You can also sign up on the BetterHelp website.

To sign up for Talkspace, you can download the app from the Google Play Store or Apple App Store. You can also sign up on the Talkspace website.

When you sign up for Talkspace, you will be taken to a private chatroom to talk with a matching agent. The matching agents are all licensed mental health providers and based upon your answers to assessments they administer, they will match you with three therapists that you can then choose from. This process can take anywhere from one to three days, which can be frustrating if you are hoping to talk to a therapist on the day you sign up. To learn more about this process, you can read our in-depth Talkspace review.

When you sign up with BetterHelp, you will be automatically matched with a therapist based on the information you provide during the sign-up process. You can expect to be chatting with your therapist within one day, with some therapists responding the day you sign up. To learn more about this sign-up process, you can read our comprehensive BetterHelp review.

Therapist Vetting

All of the therapists and counselors on Talkspace and BetterHelp are licensed and accredited in the states they live in. Each of BetterHelp’s therapists have at least three years and 1,000 hours of hands-on experience. Talkspace’s therapists must have over 3,000 hours of experience and undergo additional training in specific therapeutic modalities.

Unique Features of BetterHelp & Talkspace

BetterHelp provides some features that you may find useful to use alongside the treatment plan you and your therapist create. There are journals that you can complete on topics like anxiety, depression and relationships, as well as space to free-write.

BetterHelp also offers live group webinar series on topics like anxiety, depression, trauma, and more. The webinars are all taught via Zoom with a licensed therapist or counselor, and while you can text with the provider, they will not see you and you cannot see or interact with the other participants.

Talkspace psychiatry services and medication management are available as a stand-alone service. You can connect with a licensed psychiatrist or psychiatric nurse practitioner, who can diagnose and prescribe medication. Medications can be shipped and delivered, or you can pick them up at a pharmacy.
Talkspace vs BetterHelp Review 2022 - Image of unique offerings for both, Psychiatry for Talkspace and Groupinars for BetterHelp

Who Is Online Therapy Right For?

Online therapy is a great option for people with busy schedules. It provides the opportunity to connect with a licensed provider on your time. Both Talkspace and BetterHelp have apps that provide the convenience of attending therapy sessions even while you’re away from home.

Online therapy can also be a great alternative for those who live in areas where in-person therapy is unavailable, or for those who are otherwise unable to physically attend therapy. You’re able to conveniently connect with a licensed provider in your state from the comfort of your own home, and don’t have to worry about driving hours to attend appointments.

Who Might Want an Alternative to BetterHelp or Talkspace

BetterHelp or Talkspace may not be the best fit for you if you do not want to pay for a subscription, prefer therapists offering specific modalities or a more specialized area of expertise, are experiencing severe mental health symptoms, or need specific medications that are available only with in-person appointments.

If You Don’t Want Subscription-Based Therapy

For those that do not want to join a subscription-based therapy platform, there are other online therapy platforms that allow you to pay per session. To learn more, you can visit an online therapist directory to find a therapist that will suit your needs.

If You Want More Specialized Therapy

Those looking for therapists offering specific modalities (ie. dialectical behavioral therapy (DBT), person centered therapy, etc.) or more specialized areas of expertise (a sex therapist or someone who specializes in personality disorders, etc.) may find it more helpful to use an online therapist directory. Many therapist directories allow you to filter your search based on specific criteria, and can help you find a fit that’s best suited for your needs.

If You Prefer In-Person Therapy

Those who are experiencing severe mental health symptoms would benefit more from attending in-person therapy vs online therapy. Oftentimes, online therapists and counselors cannot respond to texts immediately, and it should not be used in an emergency situation.

If You Prefer In-Person Psychiatry

Many online psychiatry platforms do not prescribe controlled substances, which some diagnoses may require. These people would benefit from seeing a psychiatrist in person to receive the care and medication they need.

Final Verdict on Talkspace vs BetterHelp

Both Talkspace and BetterHelp are prominent online therapy services for several reasons. Their platforms are user-friendly, and you’re able to quickly match with a therapist. BetterHelp is a more affordable out-of-pocket option than Talkspace, but if you’re able to use insurance with Talkspace, it will likely end up being considerably cheaper. BetterHelp only offers individual therapy, whereas Talkspace psychiatry with medication management is available as a stand-alone offering. This is why, overall, Talkspace beats out BetterHelp.

Talkspace vs BetterHelp Cost

A big difference between Talkspace and BetterHelp is the cost for each, especially since services are fairly similar. BetterHelp costs $60-$90 per week ($240-$360 per month), while Talkspace costs $69-$129 per week ($276-$516 per month). Talkspace, on the other hand, accepts insurance, and if you can use insurance for therapy the actual out of pocket cost of therapy could be much more affordable. BetterHelp is the more affordable cash-pay option for those who don’t have insurance, however, and they allow you to use your FSA or HSA for therapy subscriptions.

Exact costs for both are dependent on your location and therapist availability, and specific cost isn’t determined until you sign up.

Talkspace psychiatric services are separate from their therapy subscription packages, and cost an additional $249 for an initial evaluation, and $125 for subsequent sessions.

Talkspace vs BetterHelp Review 2022 - Image of cost comparison for each platform.png

Getting Started with Talkspace & BetterHelp

To sign up for BetterHelp, you can download the app from the Google Play Store or Apple App Store. You can also sign up on the BetterHelp website.

To sign up for Talkspace, you can download the app from the Google Play Store or Apple App Store. You can also sign up on the Talkspace website.

When you sign up for Talkspace, you will be taken to a private chatroom to talk with a matching agent. The matching agents are all licensed mental health providers and based upon your answers to assessments they administer, they will match you with three therapists that you can then choose from. This process can take anywhere from one to three days, which can be frustrating if you are hoping to talk to a therapist on the day you sign up. Check our in-depth Talkspace review here.

When you sign up with BetterHelp, you will be automatically matched with a therapist based on the information you provide during the sign-up process. You can expect to be chatting with your therapist within one day, with some therapists responding the day you sign up. Read our complete review of BetterHelp here.

Therapist Vetting

All of the therapists and counselors on Talkspace and BetterHelp are licensed and accredited in the states they live in. Each of BetterHelp’s therapists have at least three years and 1,000 hours of hands-on experience. Talkspace’s therapists must have over 3,000 hours of experience and undergo additional training in specific therapeutic modalities.

Unique Features of BetterHelp & Talkspace

BetterHelp provides some features that you may find useful to use alongside the treatment plan you and your therapist create. There are journals that you can complete on topics like anxiety, depression and relationships, as well as space to free-write.

BetterHelp also offers live group webinar series on topics like anxiety, depression, trauma, and more. The webinars are all taught via Zoom with a licensed therapist or counselor, and while you can text with the provider, they will not see you and you cannot see or interact with the other participants.

Talkspace psychiatry services and medication management are available as a stand-alone service. You can connect with a licensed psychiatrist or psychiatric nurse practitioner, who can diagnose and prescribe medication. Medications can be shipped and delivered, or you can pick them up at a pharmacy.
Talkspace vs BetterHelp Review 2022 - Image of unique offerings for both, Psychiatry for Talkspace and Groupinars for BetterHelp

Who Is Online Therapy Right For?

Online therapy is a great option for people with busy schedules. It provides the opportunity to connect with a licensed provider on your time. Both Talkspace and BetterHelp have apps that provide the convenience of attending therapy sessions even while you’re away from home.

Online therapy can also be a great alternative for those who live in areas where in-person therapy is unavailable, or for those who are otherwise unable to physically attend therapy. You’re able to conveniently connect with a licensed provider in your state from the comfort of your own home, and don’t have to worry about driving hours to attend appointments.

Who Might Want an Alternative to BetterHelp or Talkspace

BetterHelp or Talkspace may not be the best fit for you if you do not want to pay for a subscription, prefer therapists offering specific modalities or a more specialized area of expertise, are experiencing severe mental health symptoms, or need specific medications that are available only with in-person appointments.

If You Don’t Want Subscription-Based Therapy

For those that do not want to join a subscription-based therapy platform, there are other online therapy platforms that allow you to pay per session. To learn more, you can visit an online therapist directory to find a therapist that will suit your needs.

If You Want More Specialized Therapy

Those looking for therapists offering specific modalities (ie. dialectical behavioral therapy (DBT), person centered therapy, etc.) or more specialized areas of expertise (a sex therapist or someone who specializes in personality disorders, etc.) may find it more helpful to use an online therapist directory. Many therapist directories allow you to filter your search based on specific criteria, and can help you find a fit that’s best suited for your needs.

If You Prefer In-Person Therapy

Those who are experiencing severe mental health symptoms would benefit more from attending in-person therapy vs online therapy. Oftentimes, online therapists and counselors cannot respond to texts immediately, and it should not be used in an emergency situation.

If You Prefer In-Person Psychiatry

Many online psychiatry platforms do not prescribe controlled substances, which some diagnoses may require. These people would benefit from seeing a psychiatrist in person to receive the care and medication they need.

Final Verdict on Talkspace vs BetterHelp

Both Talkspace and BetterHelp are prominent online therapy services for several reasons. Their platforms are user-friendly, and you’re able to quickly match with a therapist. BetterHelp is a more affordable out-of-pocket option than Talkspace, but if you’re able to use insurance with Talkspace, it will likely end up being considerably cheaper. BetterHelp only offers individual therapy, whereas Talkspace psychiatry with medication management is available as a stand-alone offering. This is why, overall, Talkspace beats out BetterHelp.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Online Therapy 

BetterHelp – Get support and guidance from a licensed therapist. BetterHelp has over 20,000 therapists who provide convenient and affordable online therapy.  Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Online Psychiatry

Hims / Hers – If you’re living with anxiety or depression, finding the right medication match may make all the difference. Get FDA approved medication prescribed by your dedicated Hims / Hers Healthcare Provider and delivered right to your door. Plans start at $25 per month (first month). Get Started

Medication + Therapy  

Brightside Health – Together, medication and therapy can help you feel like yourself, faster. Brightside Health treatment plans start at $95 per month. United Healthcare, Anthem, Cigna, and Aetna accepted. Following a free online evaluation and receiving a prescription, you can get FDA approved medications delivered to your door. Free Assessment

Choosing Therapy Directory 

You can search for therapists by specialty, experience, insurance, or price, and location. Find a therapist today.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp, Hims / Hers, and Brightside.

For Further Reading

  • Mental Health America
  • National Alliance on Mental Health
  • MentalHealth.gov
  • Best Online Therapy Options That Take Insurance

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Caitlin Bell, Editor of Consumer Technology for Choosing Therapy
Written by:

Caitlin Bell, MA

Mental Health Tech Editor
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD, MS
  • Talkspace vs BetterHelp: Similarities & DifferencesSimilarities & Differences
  • Pros & Cons of BetterHelpBetterHelp Pros & Cons
  • Pros & Cons of TalkspaceTalkspace Pros & Cons
  • Talkspace vs BetterHelp CostCost
  • Getting Started with Talkspace & BetterHelpGetting Started
  • Unique Features of BetterHelp & TalkspaceFeatures
  • Who Is Online Therapy Right For?Who It's Right For
  • Who Might Want an Alternative to BetterHelp or TalkspaceAlternatives
  • Final Verdict on Talkspace vs BetterHelpConclusion
  • Talkspace vs BetterHelp CostCost
  • Getting Started with Talkspace & BetterHelpGetting Started
  • Unique Features of BetterHelp & TalkspaceFeatures
  • Who Is Online Therapy Right For?Who It's Right For
  • Who Might Want an Alternative to BetterHelp or TalkspaceAlternatives
  • Final Verdict on Talkspace vs BetterHelpConclusion
  • Additional ResourcesResources
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