The Best Online Therapy for Depression in 2023

We’ve researched the best online therapy platforms for depression in 2023 based on cost, session types, and more.
This content is researched and written independently of the views or opinions of Everyday Health's editorial team. Everyday Health may earn a commission from purchases of featured products in this article.

Teletherapy platforms offering online counseling for depression provide a way for people currently in therapy and those new to counseling to access services in a more private and sometimes more affordable manner. This is an emerging delivery method, and you may be wondering how to get started. Finding the best online therapy platform may take some time, but the best online therapy for depression is one that fits your lifestyle, budget, and individual needs. With that in mind, here are our eight picks for the best online therapy websites to help treat depression.

Our Top Picks for the Best Online Therapy for Depression

  • Best Online Therapy for Depression That Offers Medication Management: Brightside
  • Largest Network of Licensed Therapists for Depression: BetterHelp
  • Best Online Therapy for Depression That Accepts Insurance: Talkspace
  • Best Online Therapy for Couples Dealing With Depression: ReGain
  • Best Online Cognitive Behavioral Therapy (CBT) for Depression: Online-Therapy.com
  • Best Online Therapy for Depression That Supports Members of the LGBTQ+ Community: Pride Counseling
  • Best Online Therapy for Depression That Offers Same-Day Availability: Sesame
  • Best Online Therapy for Depression for Teens: Teen Counseling

Why You Can Trust Us

We independently investigate and recommend products and services we believe will enrich the lives of our readers and meet their specific needs. We’ve spent hundreds of hours of in-depth research on the online therapy market. You can trust our review because we did the legwork for you in these specific ways:

  • Engaged in ongoing independent research
  • Spent over 245 hours testing eight brands, deployed surveys that included over 200 participants each, and interviewed focus groups
  • Went behind the paywall for two months with eight brands to mystery shop our best online therapy choices
  • Contacted brands’ customer service teams to ask questions and gauge responsiveness
  • Consulted six leading psychologists and psychiatrists
  • Became customers of online therapy providers ourselves
  • Reviewed academic research about the efficacy of online therapy versus in-person therapy
  • Read hundreds of verified customer reviews from trusted third parties such as the Better Business Bureau (BBB) and Trustpilot

Learn more about how we researched and evaluated the best online therapy brands via our online therapy methodology page.

Best Online Therapy for Depression: Side-by-Side Comparison

Online Therapy

Session Types

Cost and Payment Options

Prescribes Medication

Accepts Insurance

Brightside

Live video and messaging

$299 per month for unlimited messaging and four live video sessions; additional video sessions for $59 each; $95 per month for medication plan; $349 per month for medication + therapy

Yes

Yes

BetterHelp

Messaging and live chat, phone, and video sessions

$60 to $90 per week, based on your geographic location, preferences, and therapist availability; plans billed monthly

No

No

Talkspace

Messaging and live chat, phone, and video sessions; live workshops

$69 to $109 weekly depending on subscription; billed monthly; Psychiatry is $249 for initial consult, $125 for subsequent sessions

Yes; Talkspace Psychiatry only

Yes

ReGain

Messaging and live chat, phone, and video sessions

$60 to $90 per week, based on your geographic location, preferences, and therapist availability; plans billed monthly

No

No

Online-Therapy.com

Messaging and live video and voice-only sessions

$50 to $110 weekly depending on subscription

No

No

Pride Counseling

Messaging and live chat, phone, and video sessions

$60 to $90 per week, based on your location, preferences, and therapist availability; plans billed monthly

No

No

Sesame

Live video

Ranges from $60 to $300+ per session, depending on therapist, type of session, and geographic location

Yes, if seen by an MD or authorized provider

No

Teen Counseling

Messaging and live chat, phone, and video sessions

$60 to $90 per week, based on your geographic location, preferences, and therapist availability; plans billed monthly

No

No

Best Online Therapy for Depression That Offers Medication Management: Brightside

Pros

  • Offers therapy and medication management for depression
  • Free assessment available
  • Accepts insurance
  • Therapy sessions are 45 minutes long
  • Has an app for iOS devices

Cons

  • Appointment times are limited with some providers
  • No counseling sessions for children and teens
  • Does not have an app for Android devices

Session Format Messaging and live video

Cost $299 per month for unlimited messaging and four 45-minute video sessions; additional video appointment for $59; $95 per month for medication plan; $349 per month for medication plus therapy

Prescribes Medication Yes

Accepts Insurance Yes

Combining medication and counseling may be an effective way to manage depressive symptoms, according to a past study. If your treatment plan for depression includes medication and counseling, Brightside offers a centralized solution for accessing both. When our reviews team surveyed 200 Brightside users in January 2023, we found that the majority (68 percent) of respondents chose the therapy and medication plan.

Brightside depression symptom tracker.
Brightside tracks your depression symptom score as you go through treatment.

You are matched with a mental health provider on the basis of a long questionnaire. The questionnaire includes questions from the Patient Health Questionnaire (PHQ-9), a validated questionnaire used often by mental health providers to assess the severity of depression. You don’t have to register or pay anything upfront before taking the assessment. You’ll then receive a personalized treatment recommendation. Providers include physicians, psychiatrists, therapists, and psychiatric nurse practitioners.

Your therapist may recommend a combination of self-care tools, live weekly video sessions, and messaging. They may also recommend medication or a combination of medication and therapy. Brightside therapy providers use a type of cognitive behavioral therapy (CBT) called the Unified Protocol (UP). A systematic review and meta-analysis published in July 2021 in the journal Clinical Psychology Review found that UP was beneficial for patients with anxiety and depression.

Brightside Plan Options and Prices

Brightside offers three separate plans: a medication plan, a therapy plan, and a medication plus therapy plan.

The medication plan costs $95 per month ($45 for your first month) without insurance. This plan includes a psychiatric provider evaluation and ongoing provider support and monitoring of your care.

The therapy plan costs $299 per month and includes unlimited messaging and four monthly 45-minute video sessions. If you need additional live sessions, you can purchase them at $59 each.

The combination medication-plus-therapy plan costs $349 per month ($249 for your first month) and includes the features of both the medication plan and the therapy plan, but costs $45 less than if you were to pay for them separately.

Your cost may be lower if you use insurance, depending on the details of your plan. You can check insurance eligibility when you go through the sign-up process or by emailing support@brightside.com.

Use Brightside promo code "EDH60" for $60 off your first month of cash plans.

Largest Network of Licensed Therapists for Depression: BetterHelp

Pros

  • More than 30,000 licensed therapists on the platform
  • Financial aid for those who qualify
  • Simple and streamlined process for changing counselors
  • Between-session “homework” available, which may improve the therapy experience for some

Cons

  • Insurance not accepted
  • For adults only

Session Format Messaging and live chat, phone, and video sessions

Cost $60 to $90 per week, based on your geographic location, financial aid eligibility, length of session, and type of therapists; plans billed monthly

Prescribes Medication No

Accepts Insurance No

BetterHelp is the world’s largest online therapy platform, with more than 30,000 mental health experts, including psychologists, licensed marriage and family therapists, licensed clinical social workers, and licensed professional therapists. Because so many therapists work with BetterHelp, you may have more to choose from who are licensed in your state compared with other online therapy platforms for depression. Simply enter your city and state or ZIP code on BetterHelp’s “Find a Therapist” page if you want to choose your own therapist. Alternatively, you can let BetterHelp match you with a therapist during the sign-up process. All counselors have at least a master’s degree in a related field and three or more years of experience.

How you work with your therapist will depend on your goals and meeting preferences. A BetterHelp subscription includes live sessions, unlimited messaging, weekly group support sessions, an online journal, and digital worksheets. Live sessions happen via chat, phone, or video appointments, which are limited to four sessions each month.

You will have access to unlimited messaging, which takes place in a dedicated online room that is private and secure. Here, you can share thoughts and concerns and ask questions. Your therapist will read the messages and respond when they’re able to. BetterHelp is not transparent about how often its therapists respond to messaging. One answer to a question about therapist response times posted on the BetterHelp website states that it depends on the counselor. Our reviews team’s survey of more than 1,000 online therapy users found that 50 percent of BetterHelp users received same-day responses, with close to 13 percent receiving responses within a few minutes. The remaining BetterHelp users reported receiving responses within a few days or a week (17 and 25 percent, respectively), and 8 percent reported waiting more than one week.

A BetterHelp menu for depression-related group sessions.
Group sessions to support people with depression include “Wellness Support for Women With Depression” and “Depression & DBT: Overcoming Depression 5-Minutes at a Time.”

Outside of sessions and messages, BetterHelp has some extra features included with a subscription that can support your mental health. Your BetterHelp therapist may offer some homework in the form of digital worksheets. There is also an online journal with daily prompts that can help you with reflection. When we surveyed 200 BetterHelp users in January 2023, 83 percent of respondents indicated they liked the online journal feature on the platform. Additionally, our reviews team tester had access to weekly group sessions on topics related to depression.

BetterHelp Plan Options and Prices

A BetterHelp subscription costs $60 to $90 per week, depending on location, length of therapy sessions, type of therapist, and financial aid eligibility. BetterHelp has licensed therapists in all 50 states. Plans are billed monthly. It’s also one of the few online therapy companies that offer ongoing financial assistance for those who qualify.

Our BetterHelp review offers more detail about the online therapy platform.

Use BetterHelp promo code "everydayhealth" for 20 percent off your first month.

Best Online Therapy for Depression That Accepts Insurance: Talkspace

Pros

  • Accepts several insurance plans
  • Offers counseling and psychiatry services
  • Authorized providers can prescribe medication
  • Provides individual, couples, and teen counseling

Cons

  • Some plans rely on messaging for communication
  • Can be costly if you’re only looking for a few sessions

Session Format Messaging and live chat, phone, and video sessions; live workshops

Cost $69 per week for Messaging Therapy, $99 per week for Video Therapy Plus Messaging, and $109 per week for a combination of Live Video Therapy Plus Messaging Plus Weekly Workshops, with plans billed monthly; Talkspace Psychiatry costs $249 for the first session and $125 for follow-up sessions

Prescribes Medications Yes, Talkspace Psychiatry

Accepts Insurance Yes

Talkspace offers online counseling sessions to adults and teens ages 13 to 17. If you need medication management, Talkspace Psychiatry — a separate service within the platform — provides this treatment for adults.

Talkspace intake questionnaire asking about the main concerns of someone looking for help.
When our reviews team tested the platform, our tester found that they could get matched to a therapist who specialized in supporting people with depression.

Licensed therapists and counselors offer online help for anxiety, depression, mood disorders, and more. Talkspace has high standards for therapists, requiring 3,000 or more clinical hours and at least a master’s degree in a related field. Talkspace has therapists licensed in all 50 states and allows users to switch therapists anytime. A Talkspace user we interviewed in our focus groups appreciated the number of therapists to choose from when switching therapists on the platform.

One thing that sets Talkspace apart from some of its competitors is that it accepts insurance from an extensive list of carriers that includes Optum and Cigna, among others. This is not always the case with other online counseling platforms. In our January 2023 survey of 200 Talkspace users, the majority (60 percent) of respondents used their health insurance to pay for their online therapy.

Talkspace also offers online psychiatry appointments. These sessions are not as focused on talk-therapy as sessions with a Talkspace counselor or psychologist, but they allow access to an online psychiatric prescriber trained in mental health care and prescription management. That said, it may get costly if you need both medication management through the psychiatry plan and counseling through the therapy plan.

Talkspace Plan Options and Prices

After submitting an intake questionnaire, you can choose which plan to subscribe to. Here are the costs for the Talkspace subscriptions:

  • Messaging Therapy Text, video, and audio messaging; $69 per week; $316 per month
  • Live Therapy + Messaging Four 30-minute live therapy sessions per month,  $99 per week; $396 per month
  • Live Messaging + Therapy + Weekly Workshops Text, video, and audio messaging; four live 30-minute sessions per month; access to live workshops; $109 per week; $436 per month
  • Psychiatrist Sessions $249 for first consultation and $125 for any follow-up visits

You can find more details by reading our comprehensive Talkspace review.

Use Talkspace promo code "EVERYDAYTS" for $100 off your first month.

Best Online Therapy for Couples Dealing With Depression: ReGain

Pros

  • Therapists and counselors specialize in relationship counseling
  • Ability to attend sessions alone or invite your partner
  • Financial aid for those who qualify

Cons

  • Sessions require you and your partner to be in the same location
  • No private messaging; your partner can see all messages with your therapist
  • Price is the same for single sessions and couples sessions

Session Format Unlimited messaging and one live chat, phone, or video session per week

Cost $60 to $90 per week based on your geographic location, preferences, and therapists; plans billed monthly

Prescribes Medication No

Accepts Insurance No

When your partner is dealing with depression, you may feel hurt, isolated, or confused, according to a study published in the journal The Qualitative Report. Because of this, Cleveland Clinic recommends couples attend therapy together so both partners can gain an understanding about depression and the treatments that are available. Therapists on ReGain have a specific interest and expertise in relationship therapy. Additionally, each therapist has a master’s degree or doctoral degree in their field and at least three years and 1,000 hours of clinical experience.

Although ReGain is an online platform designed for couples, you do not have to invite your partner. If you choose to do so, you can invite them at any point. The fee is the same whether you use the platform with your partner or alone.

ReGain offers unlimited messaging and one live phone or video counseling session per week. Both you and your partner will share an account for communicating with your therapist, where you will both have access to any written messages or information your counselor provides.

ReGain Groupinar menu for webinars on depression.
The ReGain Groupinar “Perinatal Mental Health Explained” teaches attendees about perinatal mood disorders, such as postpartum depression.

ReGain offers other features that can support couples navigating depression. Groupinars are virtual group webinars that can help individuals and couples learn more about mental health in relationships. Also, there is a private online journal for each partner, which our reviews team testers found easy to use.

ReGain Plan Options and Prices

Subscription prices average $60 to $90 per week, depending on geographic location, preferences, and financial aid eligibility. Plans are billed monthly and include one weekly live session and unlimited messaging.

Read more about the platform’s features and our review of its couples therapy in our ReGain review.

Use ReGain promo code "everydayhealth-rg" for 20 percent off your first month.

Best Online Cognitive Behavioral Therapy (CBT) for Depression: Online-Therapy.com

Pros

  • Focus on CBT, an evidence-based treatment method with a high success rate treating a variety of behavioral health issues
  • Toolkit of resources included as part of treatment plan
  • 20 percent discount the first month for all new joiners

Cons

  • Only offers individual therapy sessions
  • Live sessions not available with basic plan
  • No services for kids or teens

Session Format Messaging and live video or voice-only sessions

Cost $50 to $110 weekly depending on subscription; 20 percent discount first month for new subscribers; plans billed monthly

Prescribes Medication No

Accepts Insurance No

There are several counseling methods for treating depression, including CBT. This form of treatment for depression involves making an effort to change unhelpful thinking patterns and behavioral patterns, according to the American Psychological Association. What sets Online-Therapy.com apart from other platforms is that it prioritizes CBT for depression. This is different from other online sites that have therapists trained in CBT but don’t require it as a counseling method.

Learning modules called sections on Online-Therapy.com.
Each section focuses on an aspect of CBT, for example, “Problematic Thoughts,” and includes action items like worksheets.

Each of the three Online-Therapy.com plans includes a comprehensive toolkit consisting of therapist-assigned worksheets, journals, meditation and yoga videos, activity plans, and assessments to help you check your progress. The eight sections included with the worksheets may help you challenge and overcome problems related to depression or other mental health issues. Online-Therapy.com considers these tools to be important parts of CBT since they provide you and your therapist a foundation to work from. Sometimes called “homework assignments,” these tools are what set CBT apart from talk therapies, according to the South Central Mental Illness Research, Education, and Clinical Center (PDF).

Our reviews team tester found that it took about 10 minutes each to complete the learning sections and their associated digital worksheets. Your therapist will provide feedback based on the information you share on the worksheets within 24 hours, Monday through Friday. Since the communication through the worksheets is not in real time, you do not have to schedule a session with your therapist. But if you want live video, voice, or chat sessions, you can upgrade to the standard or premium plan.

Online-Therapy.com Plan Options and Prices

The basic Online-Therapy.com plan is not CBT, since it doesn’t involve talk therapy, but it comes with self-paced worksheets, yoga and meditation videos, journal, activity plan, and tests, as well as unlimited communication with your therapist through messages and the worksheet. Online-Therapy.com states that your therapist will respond within 24 hours, Monday through Friday. This plan is $50 per week with a 20 percent discount the first month for new subscribers. Subscriptions are billed monthly.

The standard plan has the same perks as the basic plan, with the addition of one live session per week and unlimited messaging. This plan is $80 per week with a 20 percent discount the first month for new subscribers. Subscriptions are billed monthly.

The premium plan has the same features as the basic and standard plan, with the addition of two live sessions with a therapist per week and unlimited messaging. This plan is $110 per week with a 20 percent discount the first month for new subscribers. Subscriptions are billed monthly.

Best Online Therapy for Depression That Supports Members of the LGBTQ+ Community: Pride Counseling

Pros

  • Therapists are familiar with depression as it relates to the LGBTQ+ community
  • Financial aid for those who qualify
  • Simple process to change counselors

Cons

  • Does not accept insurance
  • Counseling is not available for teens under 18 years old

Session Format Messaging and live chat, phone, and video sessions

Cost $60 to $90 per week, based on your geographic location, preferences, and therapists; plans billed monthly

Prescribes Medication No

Accepts Insurance No

Members of the LGBTQ+ community are more susceptible to mental health conditions like depression, according to the National Alliance on Mental Illness. And having an online platform dedicated to serving this community ensures a safe and private way to access mental health services.

Pride Counseling is part of the BetterHelp group. Therapists with Pride specialize in working with members of the LGBTQ+ community on issues like depression. Specific LGBTQ+ experience depends on the counselor, however.

Therapists offer unlimited chat-room messaging and one live counseling session per week, via live chat, video, or phone.

Pride Counseling Plan Options and Prices

Pride Counseling costs $60 to $90 per week, depending on geographic location and financial aid eligibility. Plans are billed monthly and include unlimited text messaging via a dedicated chatroom. Live sessions are scheduled with the therapist and conducted via a live chat, phone, or video session.

Use Pride Counseling promo code "everydayhealth-pc" for 20 percent off your first month.

Best Online Therapy for Depression That Offers Same-Day Availability: Sesame

Pros

  • Same-day appointments
  • Offers couples, family, and individual therapy
  • Generous cancellation policy

Cons

  • Video sessions only
  • Limited same-day availability in some states
  • Expensive if you need long-term or frequent sessions

Session Format Live video

Cost Ranges from $60 to $300+ per session, depending on the therapist, type of session, and geographic location

Prescribes Medication Yes, if seen by an MD or authorized provider

Accepts Insurance No

When you need immediate help for depression symptoms, access to same-day appointments can feel critical. Sesame is a direct-to-patient care marketplace that features a pay-as-you-go system for both mental health care and medical care — such as for urinary tract infections, sore throats, rashes, back pain, and cold and flu symptoms. Sesame works with providers licensed in all 50 states. You’ll need to enter your ZIP code to find out if there are therapists with same-day availability in your region.

Sesame psychiatry providers in San Francisco.
Sesame has a toggle to show appointments with providers within two hours.

The process of finding and making an appointment is simple. Once you enter your ZIP code, you’ll see a row of telehealth providers that have same-day availability, as well as the amount of time you can expect to wait for an appointment and the cost. You can also click on “All Telehealth Visits” to access providers who may not have same-day availability but may be available on a future date. Users can search the directory for a therapist's credentials as well, making it easy to narrow the search for providers who treat depression.

Our reviews team tester was able to find and book a same-day online therapy appointment easily, using just their email to create an account. There were no lengthy questionnaires, and therapists were able to provide as-needed care without the pressure of booking multiple follow-ups.

Session options include video therapy, video mental health consult, video psychiatry, prescription refill, and video couples therapy.

Sesame Plan Options and Prices

Sesame prices are based on your geographic location. To determine the costs for your sessions, you will need to search by your geographic location. Here are the starting costs for someone living in San Francisco:

  • Video Mental Health Consult $39
  • Video Psychiatry Consult (New Patient) $130
  • Video Therapy Session (New Patient) $105
  • Video Couples Therapy Session $105
  • Video Prescription Refill $39

If you join Sesame Plus for $10.99 per month or $99 per year, you get $20 off all virtual therapy visits.

Best Online Therapy for Depression for Teens: Teen Counseling

Pros

  • Counseling rooms and chat options ideal for teens
  • Financial aid for those who qualify
  • Parents can attend sessions if invited by teen

Cons

  • Does not accept insurance
  • Therapists do not diagnose teens
  • Not approved for court-mandated counseling

Session Format Messaging and live chat, phone, and video sessions

Cost $60 to $90 per week and is based on your geographic location, and financial aid eligibility; plans billed monthly

Prescribes Medication No

Accepts Insurance No

Approximately 13 percent of the U.S. population ages 12 to 17 experienced at least one major depressive episode in the last year, according to the National Institute of Mental Health (NIMH). And only a few online counseling platforms for depression provide mental health services specifically targeted toward teenagers. The ability to message their therapist and use their smart devices for therapy may make Teen Counseling an attractive option if you’re looking for the best online therapy for teens. According to a review published in 2014 in the Journal of the Canadian Academy of Child and Adolescent Psychiatry, adolescents tend to prefer online therapy using technology to in-person therapy.

Although each Teen Counseling therapist is licensed to work with members of all ages, the platform states that its therapists specialize in helping teens ages 13 to 19. You can find more information about each therapist’s teen-specific qualifications and experience after you create an account and browse the therapist directory. Teens can meet privately with a therapist in an online counseling room that is accessible only to the therapist and teen. A parent needs permission to join the room.

As with all therapy sessions, what is discussed is private, unless a teen shares that they are thinking about harming themselves or someone else, they indicate abuse (sexual, physical, or emotional), or they divulge information about serious neglect.

Teen Counseling Plan Options and Prices

Teen Counseling costs $60 to $90 per week, depending on your geographic location and financial aid eligibility. Subscriptions are billed monthly and include unlimited message exchanges as well as one live session per week. Live sessions can be conducted via chat, phone, or video.

How to Tell Whether You Need Online Therapy for Depression

Whether or not you need therapy for depression depends on a few factors, like symptom severity, duration, and your overall physical and mental health. Keeping track of the frequency and severity of symptoms by using journals or apps, such as those provided by Depression and Bipolar Support Alliance, will help your healthcare provider make a proper diagnosis.

One thing to remember is that depression symptoms can range from mild to severe. Some people will experience a variety of symptoms, while others may only have a few. Sharing your symptoms with a mental health provider can ensure you receive a formal diagnosis and treatment plan.

Here are some of the more common signs of depression, according to the NIMH:

  • Loss of interest or pleasure in activities you used to enjoy
  • Persistent feelings of sadness or emptiness
  • Feelings of hopelessness, worthlessness, and pessimism
  • Irritability
  • Difficulty sleeping
  • Feeling unsettled
  • Changes in appetite
  • Lack of energy or fatigue
  • Difficulty remembering, making decisions, or concentrating
  • Increase in aches and pains, headaches, digestive problems
  • Changes in grooming and self-care
  • Withdrawal from social activities
  • Thoughts of death or suicide

There are several forms of depression, including major depressive disorder, persistent depressive disorder, postpartum depression, psychotic depression, and seasonal affective disorder, according to Depression and Bipolar Support Alliance. Your doctor will assess your symptoms and provide the most accurate diagnosis for your symptoms.

Who Should Use Online Therapy for Depression?

Online therapy for depression is meant for individuals seeking help for symptoms related to mild to moderate depression. You may choose online therapy for the ease and convenience of talking to a therapist while at home — in a comfortable, private setting. It can also make it easier to access regular services if transportation is an issue or if you’re living with a health condition that impacts your ability to travel.

Some situations are not appropriate for virtual therapy. For example, if you do not have a private, confidential, and secure location to participate in sessions, or you have concerns about someone within earshot hearing your conversation with a therapist, you may prefer to seek in-person instead of online help for depression in a more private location. “Although online therapy can be a better option for many individuals whose [mental health] symptoms interfere with getting to therapy, at some point the online platform may not offer the exposure and activation benefits that in-person therapy provides,” says Nicole Siegfried, PhD, the chief clinical officer at Lightfully Behavioral Health in Thousand Oaks, California.

You should not use online therapy if you’re having active thoughts about suicide or feel like you’re going to hurt someone else. Instead, call 911, since these are both emergency situations that require immediate medical attention. “The reason that severe cases of depression or other mental health symptoms should avoid online therapy is that more intensive treatment may be necessary. In-person office visits for serious cases allow clinicians to fully evaluate a patient and make recommendations accordingly,” says Deborah Serani, PsyD, a psychologist and a senior adjunct professor of psychology at Adelphi University in Garden City , New York.

Does Online Therapy for Depression Prescribe Medication?

Some online therapy platforms offer prescription medication management for depression if they have licensed providers. For example, Brightside, Sesame, and Talkspace have board-certified psychiatrists and specialized psychiatric nurse practitioners who can prescribe antidepressants — a group of drugs commonly used to treat depression.

Some of the more commonly prescribed antidepressants approved by the U.S. Food and Drug Administration include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).

Your medication for depression should be managed by a licensed prescriber such as a psychiatrist or another physician who can monitor your condition throughout treatment. Not every platform offers medication services, so make sure to ask the provider if this is something they provide.

Does Online Therapy for Depression Work?

Internet-based interventions are effective in reducing depressive symptoms, according to a review published in August 2014 in the journal Health Psychology and Behavioral Medicine. That said, you also need to consider the type of depression, severity, and how long you’ve been experiencing symptoms. While each situation is unique, online platforms are more appropriate for mild to moderate depression.

Online therapy for depression may not be appropriate for severe depression. The best way to determine if virtual counseling is right for you is to talk to your doctor or a licensed mental health expert. They can access your symptoms and decide which delivery method is appropriate.

What to Consider Before Purchasing a Subscription for Online Therapy for Depression

It’s difficult to designate one platform as the best online therapy for depression. Each situation is unique, and the best fit for one person may not be the right choice for another. You can evaluate a company on the basis of session types, providers, schedule, cost, and more. Here are some questions to consider when researching a subscription for online help for depression.

  • Is your current health, both physical and mental, appropriate for online counseling? This may require a doctor’s visit to determine.
  • Does the pricing and insurance coverage meet your budget and expectations?
  • Do you have a physical space for online sessions that accommodates privacy, connectivity, and comfort?
  • Can you afford a monthly plan or a pay-per-session plan?
  • Are the apps and online platforms the providers use compatible with your technology?
  • Do you have the freedom to choose a therapist, or are you matched with one?
  • Does the company provide a straightforward cancellation policy on its website?
  • Does the platform work with your schedule? Check the flexibility and accessibility for session times and days, especially if you need sessions on the weekend, early in the morning, or later in the day.
  • Do you need multiple ways to communicate with your counselor (such as phone, video, online chat, and text)?
  • Does the platform offer multiple counseling sessions such as family or couples?
  • Is the platform HIPAA-compliant?

How to Prepare for Your First Session of Online Therapy for Depression

Once you settle on an online platform and therapist, it’s time to prepare for your first session. Here are some tips to help you get started.

  • Check your internet connection to make sure it can support online sessions.
  • Make sure your software is updated and download any apps you need to communicate with your therapist.
  • Find a secure, private, and quiet location to participate in your online sessions.
  • Confirm your appointment time and preferred method of communication.
  • Make sure the camera and volume work on the device you plan to use for your session.
  • Think about what you want out of these sessions and write down any thoughts or questions to ask during your first appointment.
  • Check your insurance coverage or employee assistance program to see whether they cover online therapy.
  • Plan on “arriving” 15 minutes before your session so you have time to make sure your technology is working and get comfortable.
  • Eat and hydrate prior to your session.
  • Allow yourself 15 to 30 minutes after the counseling session to record any thoughts, impressions, or follow-up questions.

Bottom Line

Online therapy platforms offer an alternative way to access mental health services for depression with a licensed counselor, psychologist, or therapist. Being able to meet virtually allows for flexibility in scheduling, convenience, and privacy. There are several virtual therapy platforms, but not all have therapists that specialize in treating depression. That’s why it’s critical to do your research and ask questions about the types of mental health issues each platform treats.

If access to unlimited messaging and health insurance coverage is a priority, consider Talkspace. It may also be a good choice if you need prescription management for depression symptoms. If you are worried about finding a therapist with availability in your state or who fits into your schedule, BetterHelp might be a good choice since it has the most therapists of all the online therapy platforms for depression. Our Talkspace versus BetterHelp review goes into more detail about the differences between the two companies.

Brightside is our top pick for mental health experts who specialize in depression and medication management for depression symptoms. And finally, if live appointments are your preferred communication method, consider looking into the therapy services offered by Sesame, which offers only live video sessions, some with same-day availability.

It’s critical to find a therapist who uses evidence-based practices and has expertise in providing online services. “Clinicians who provide online therapy should have additional training in utilizing this platform, as there are specific ethical and logistical competencies that are required,” says Dr. Siegfried. Do not be afraid to ask your therapist if they have completed additional training in online services.

In Emergency Situations

If you are in crisis, waiting for an online therapy appointment may not be safe. In case of an emergency, call 911. This includes plans to harm yourself or others. If you’re having suicidal thoughts, you can call the National Suicide Prevention Lifeline at 800-273-8255. Help is available 24/7.

You can also reach out to the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 800-662-HELP (4357). The SAMHSA helpline is a free, confidential, 24/7, 365-days-a-year treatment referral and information service for individuals facing mental or substance abuse disorders.

Frequently Asked Questions

Are online therapy sessions effective?

Yes, online therapy sessions can be effective. A review published in September 2020 in the American Journal of Psychiatry found that teletherapy offers convenient access to mental health services during times of crisis, like the COVID-19 pandemic. The effectiveness often depends on the therapist, type of sessions, number of sessions, and the person receiving therapy.

Can Talkspace prescribe medication?

The therapists available with the general counseling platform cannot prescribe medication, but the licensed prescribers (board-certified psychiatrists and specialized psychiatric nurse practitioners) on Talkspace Psychiatry can. It’s important to note that these are two different plans available on Talkspace. If you need a new prescription or medication management, you should sign up for Talkspace Psychiatry. It has a different fee structure and plan options than Talkspace. Once approved, you will be matched with a prescriber licensed in your state.

Will depression get better on its own?

Depending on the severity of your symptoms, how long you’ve been living with depression, and other health conditions that may impact depression, it often requires treatment to get better. Some people are able to manage minor depression symptoms with lifestyle modifications and coping strategies, but most people need a specially designed treatment plan that includes professional help from a mental health expert, coping strategies, and sometimes medication to feel better, according to the NIMH.

Editorial Sources and Fact-Checking

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