Staying Healthy Mental Health The 10 Most Affordable Online Therapy Services for You and Your Family We’ve put together a list of the 10 most affordable online therapy companies that cater to kids, teens, parents, and families. By Erin Heger Updated on April 3, 2023 Share Tweet Pin Email We independently evaluate all recommended products and services. If you click on links we provide, we may receive compensation. Learn more. Photo: Valeriy_G / Getty Images When choosing an online therapy provider, we recommend that you read the company’s privacy guidelines before you sign up to better understand whether it is HIPAA-compliant and whether it shares any private information with third parties. There have been some concerns raised by the Federal Trade Commission (FTC) and several government officials about what user health information online therapy providers collect and what they do with any information they collect. Taking care of your mental health is essential to being able to care for your kids, but spending between $100 and $200 on individual therapy sessions isn’t feasible for many families, especially if more than one family member needs mental health care. Luckily, affordable online therapy is expanding access to mental health treatment by offering lower session fees and more scheduling flexibility and payment options. Online therapy allows you, your partner, or your child to connect with a mental health professional from home via a smartphone or laptop. It is often more convenient and affordable than in-person therapy, saving you time and money on childcare or gas to travel to a therapist’s office. And while online therapy can be more affordable, prices to vary quite a bit. So to help you find the best low-cost virtual therapy to meet your family’s needs—whether that’s therapy for your child, your teen, yourself, or the whole family—we evaluated over 80 online providers by surveying 10,000 users and testing the platforms ourselves. Here are the ones we recommend to families looking for affordable options. Our Top Picks Best With Insurance: Talkspace Best for Teens: Teen Counseling Best for Parents With Anxiety or Depression: Brightside Best for Parental Peer Support: Peer Collective Best Without Insurance: Open Path Collective Best for Postpartum Depression: Hers Best for Children: LiveHealth Online Best for Couples Therapy: E-Therapy Cafe Best Support Group Resource: Circles Best for LGBTQIA+ Affirming: Calmerry Best With Insurance: Talkspace Talkspace Sign Up Now Key Specs Price: $69 to $129 a week Insurance Accepted?: YesTypes of Therapy: Individual therapy, couples therapy, psychiatry, teen counseling, medication management Why We Chose It Talkspace offers a wide variety of services, including individual therapy for both teens and adults, couples therapy, and psychiatry and medication management, all covered by an extensive list of nearly 200 insurance plans. Pros & Cons Pros In-network with hundreds of private and employer-sponsored insurance plans Provides different subscription plan levels Services for teens and adults Offers both messaging and video chats Cons Does not accept Medicaid or Medicare Additional services can add up Overview When more than one family member needs mental health services, costs can rack up quickly—but if your family has health insurance, finding a company that accepts your plan means that you’re only responsible for a copay, which is often far less expensive than an out-of-pocket fee. Talkspace accepts most major health insurance plans that cover individual therapy, teen therapy, and couples therapy as well as adult psychiatry and medication management services, making it the best pick for any family where parents and/or teens need mental health support and need to use their insurance to pay for sessions. While many private practice therapists and online therapy companies do not take insurance, Talkspace accepts nearly 200 insurance plans, including Blue Cross and Blue Shield, Aetna, Cigna, and Premera. If you are not able to use your private insurance with Talkspace, there may be other options available to you. Talkspace partners with hundreds of employers and organizations across the country to include its services as part of employee benefits. You can also receive reimbursement for services from a health savings or flexible spending account. And if you are uninsured or self-employed, Talkspace offers a variety of out-of-pocket subscription plans for different budgets. Plans & Pricing If using your insurance to pay for Talkspace’s services, you will only be responsible for your copay—discuss this with your insurance provider to find out the specific costs. If you're paying out of-pocket, Talkspace offers three subscription levels at various price points for teens and adults: Unlimited messaging: This plan includes text, video, and audio messaging starting at $69 a week. You can message your therapist anytime and are guaranteed a response on weekdays.Messaging and video sessions: For $99 a week, this tier includes the same unlimited messaging features with one live 45-minute therapy session per week.Messaging, video sessions and workshops: With this plan you’ll get the same messaging and video session services plus weekly educational workshops led by licensed therapists. This plan starts at $109 a week. Other services include: Psychiatry and medication management: Cost is $249 for an initial evaluation and $125 per session for follow-ups. You can also bundle this service with other Talkspace therapy services.Couples therapy: The cost for this service varies based on location but starts at $396 per month. User Satisfaction The 105 users of Talkspace we surveyed had positive opinions of the company, with 93% saying they would recommend Talkspace to a friend. Users were also impressed with the quality of therapists available, with 97% reporting they were satisfied or very satisfied with therapist options. Fifty-eight percent of our Talkspace users found the services affordable or very affordable, and 77% rated the company’s value for the money as good, very good, or excellent. Eight percent reported that the most important thing to them when searching for an online therapy service was whether it accepted their insurance, 26% thought that the number of insurance options at Talkspace were better than other companies they’d tried, and 57% told us that they used their insurance to pay for Talkspace’s services. Additionally, 8% of users turned to Talkspace specifically for teen counseling. One of our testers of Talkspace appreciated the expediency of the service, noting that “for me, it took less than an hour for Talkspace to match me [with a therapist], which impressed me.” She also liked that you can schedule up to four sessions at a time—”I appreciated how much this scheduling system prioritizes the needs of the therapy seeker and helps make committing to therapy just a little easier.” Best for Teens: Teen Counseling Teen Counseling Sign Up Now Key Specs Price: $60 to $90 per week Insurance Accepted?: NoTypes of Therapy: Individual therapy Why We Chose It Teen Counseling offers therapy specifically for teens age 13 to 19 and operates on a subscription model ranging in price from $60 to $90 a week or $240 to $360 a month, landing it on the lowest end of the average price of therapy. Pros & Cons Pros Relatively low out-of-pocket costs Providers who specialize in treating teens Can text, chat, video call or talk on the phone with provider Unlimited messaging Cons Chooses therapist for you Does not offer psychiatry or medication management Practices surge pricing Overview If your teenager would benefit from therapy, it’s important to find a provider who specializes in this age group and the challenges and issues that can accompany it, like low self-esteem and bullying. This is where Teen Counseling comes in. Not only do its therapists specialize in treating teens, but it also operates on a simple, flat fee subscription program, with individual therapy sessions costing less than $100 per session. Prices are comparable to rates you might pay with insurance on other platforms, making Teen Counseling a viable option for a family who wants to get their teen the help they need but also keep costs low. A big perk for parents and busy teens is the flexibility Teen Counseling offers by allowing users to attend weekly therapy sessions that best fit their schedule, including early morning, evening, or weekend availability, all for one low monthly cost. To get started with Teen Counseling, you or your teen will fill out a questionnaire about their health history and issues they’re currently struggling with. Teen Counseling will match you with a licensed counselor or therapist and from there your teen can text their therapist anytime. Teen Counseling offers two different therapy “rooms”—one for the teen and one for the parent. These rooms are private unless your therapist thinks your teen may be a danger to themselves or others. Plans & Pricing Teen Counseling does not accept insurance. The cost of a subscription ranges from $60 to $90 a week depending on your location and therapist availability. It is important to note that Teen Counseling, like its parent company BetterHelp, practices surge pricing, so your costs may be higher depending on how much demand there is for mental health services are in your area—while its out-of-pocket costs are still low compared to many other online therapy companies, keep this in mind when considering Teen Counseling. Services included in a Teen Counseling subscription are as follows: Four live 30- to 45-minute video therapy sessions per monthUnlimited text, audio, and video messages between sessions User Satisfaction Of the 105 Teen Counseling users we surveyed, 49% found the company’s services affordable or very affordable, and 70% rated Teen Counseling’s value for the money as good, very good, or excellent. Eighty-six percent of users thought Teen Counseling was good to excellent overall, and 72% would be likely or very likely to recommend BetterHelp to a friend or someone like them. Our tester of Teen Counseling tried out the service with her son, and reported that “the two therapists I tried were professional” and that making use of the texting service between sessions was reliable, noting that “I messaged both of our therapists and heard back from each within 24 hours.” Best for Parents With Anxiety or Depression: Brightside Brightside Sign Up Now Key Specs Price: $95 to $349 a monthInsurance Accepted?: YesTypes of Therapy: Psychiatry, medication management, and individual therapy Why We Chose It Brightside specializes in treating anxiety and depression, making it our go-to choice for parents struggling with these issues, and offers three types of services with low, straightforward out-of-pocket prices. It also accepts five major insurance carrriers, making therapy and psychiatry sessions even more affordable for those with Cigna, Aetna, Optum/UnitedHealthcare, Anthem CA, and Allegiance plans. Pros & Cons Pros Specializes in treating anxiety and depression Relatively low out-of-pocket costs In-network with five major insurance plans Accepts payment from health savings or flexible spending accounts Offers both therapy and psychiatry Cons Cannot pick your own provider Difficult to switch providers No app available for Android devices Overview As a parent, it might feel difficult to attend to your own mental health needs when raising a family, especially if you are dealing with anxiety or depression. Enter Brightside, which specializes in depression, including suicidal thoughts, and all forms of anxiety, including generalized anxiety disorder (GAD), panic disorder, and social anxiety. It offers its services for relatively low monthly pay-per-session prices, and also accepts five major insurance plans, making it easy for parents to access both therapy and psychiatric care from mental health professionals who specialize in anxiety and depression. To start, you’ll submit a detailed intake questionnaire to match you with the best provider to fit your needs. As part of your treatment plan you will also regularly fill our surveys to track your symptoms, giving your team data on your progress. Plus, in addition to regular therapy and psychiatry or medication management sessions, Brightside offers interactive self-care lessons to teach coping mechanisms you can use during times of stress when you aren’t able to connect with your provider. Plans & Pricing When using insurance for Brightside services, you will only pay for copays, coinsurance, deductibles, or prescription costs associated with your plan. Your insurance covers the rest. If paying out-of-pocket, Brightside offers three plans with set prices: Medication only: $95 a monthTherapy only: $299 a month for one session a week; additional sessions cost $59 eachBoth medication and therapy: $349 a month Brightside also offers a crisis care plan for those at risk of suicide. This plan is only available through insurance. User Satisfaction The 105 Brightside users we surveyed said they were impressed with the quality of care they received and the credentials of the therapists and psychiatrists they connected with. Ninety percent of the users we surveyed reported their experience with Brightside was excellent, very good, or good. Users also say the interactive lessons help reinforce concepts introduced to them during therapy sessions. Fifty-one percent of Brightside users told us they sought treatment for depression, and 60% needed help with anxiety. Our Brightside tester “found that both therapists I met with offered outstanding care,” noting that “they were kind and responsive, and my first therapist used the chat feature accessible in the portal to send me helpful worksheets on issues we had discussed after our session.” This touch is something she especially appreciated, as she “found taking the self-care lessons in tandem with the therapy sessions to be very effective—I could use the lesson to reflect on what I had discussed in the session or use the session to talk about what I’d learned in the lesson. It was also helpful to revisit key tenets of [cognitive behavioral therapy] through the lesson that I had discussed with my therapist on my own.” Best for Parental Peer Support: Peer Collective Sign Up Now Key Specs Price: $14 to $28 per session Insurance Accepted?: NoTypes of Therapy: Peer support Why We Chose It Sometimes a parent might need more emotional support than their partner or family can provide. Peer Collective is a peer support platform that connects users to peer counselors who can provide a listening and sympathetic ear about any number of challenges a parent might be facing. And at $14 to $28 a session, it’s one of the most affordable options we reviewed. Pros & Cons Pros First session is free Same day scheduling available Low hourly cost Counselors are trained to to address common mental health issues, like anxiety and depression Cons No medication management Counselors are not licensed therapists Does not offer couples counseling Overview Parenting can be hard, especially if you are dealing with mental health concerns; sometimes, you just need to talk with someone (other than your partner) who’s experiencing the same thing for support and guidance. Peer Collective stands out among the online therapy platforms we reviewed thanks to its unique peer support model. Developed by a counseling psychology scholar, Peer Collective’s mission is to connect users with empathetic listeners, or peer counselors. Parents can turn to this service for support with concerns like parenting issues, depression or anxiety, or relationship problems and be certain that they can speak to someone who has faced the same challenges and will help talk them through their situation. This service is especially helpful for parents who feel like they need an outside opinion and support before addressing any issues with their partner or family. And with its prices ranging between $14 and $28 per hour, Peer Collective is affordable for many. As with other online mental health support services, you’ll start by filling out a short questionnaire to give Peer Collective an idea of your history and needs. The company will provide you with a list of recommendations and you can choose a peer counselor from those suggestions. It’s important to note that Peer Collective does not provide traditional therapy services. The peer counselors at Peer Collective receive training and must pass a series of tests before they can connect with clients, but they are not licensed therapists. This could be one reason why the cost of sessions with Peer Collective is much lower than what you will likely find on other platforms. Plans & Pricing The Peer Collective website does not offer much explanation or information about pricing, but does say sessions range in price from $14 to $28. User Satisfaction The lack of licensed therapists doesn’t seem to deter users, who overall report positive experiences with Peer Collective. Seventy-nine percent of the users in our 2021 survey of the company said Peer Collective was either a little better or much better than similar services they had used in the past. Seventy-nine percent also rated Peer Collective’s services as a very good or excellent value for the money. “Peer support like what Peer Collective provides can be an indispensable support system for parents and families who need outside support and advice when dealing with internal issues,” says Hannah Owens, LMSW, a therapist and subject matter expert for Parents. “It creates a safe space to work through problems with someone who understands what you’re dealing with.” Best Without Insurance: Open Path Collective Open Path Collective Sign Up Now Key Specs Price: $40 to $80 per sessionInsurance Accepted?: NoTypes of Therapy: Individual, group and couples therapy Why We Chose It Open Path Collective is an online therapy directory that offers an extensive network of providers for any member of the family—parents, kids, and teens. Open Path Collective’s payment structure also differs from other platforms in that every therapist in the directory offers a sliding scale fee of between $30 and $80 per session, with the goal of making services affordable for families who are uninsured or underinsured. Pros & Cons Pros Low sliding scale fee structure Suitable for children, teens, and adults Can easily switch therapists Cons $39 membership fee Does not accept insurance Overview Many American families cannot afford health insurance, putting otherwise affordable mental health care options out of reach. Open Path Collective’s standard pricing model and diverse directory of therapists who can treat any age group makes it our top choice for parents, children, or families who cannot use insurance to pay for mental health care. Because every Open Path Collective therapist uses the same fee structure, offering mental health care that ranges between $30 and $80 per session, prospective clients can take cost out of the equation when determining which providers on the platform would be the best fit for them and their family. All therapists in the Open Path Collective’s directory have at least a graduate degree in their specialized field, and you can adjust your search to find therapists who specialize in just about any mental health condition as well as providers who treat children and adolescents. Some providers also offer in-person therapy in addition to online sessions. So, whatever type of help your family is looking for, you can find it through Open Path. Unlike many of the other online therapy platforms featured here, Open Path Collective does not recommend therapists or automatically assign you to a provider because it is a therapy directory—essentially an online phone book. This can be a positive feature for those who would like more control over who they work with, but can also lengthen the process of finding the right fit because you need to reach out to each provider individually. Plans & Pricing Open Path Collective charges a one-time, lifetime membership fee of $39. After that, the sliding scale rates are: $30 to $60 for individual therapy$30 to $80 for couples and family sessions User Satisfaction Overall, users report high levels of satisfaction with Open Path Collective. Some say finding a therapist took longer than anticipated, but once established with a provider, users say they are happy with the quality of care, with 90% rating the directory as good or very good overall. Thirty-six percent of the 180 Open Path users we surveyed said cost was the most important factor to them when choosing a directory and searching for services. Our tester of Open Path Collective was especially impressed with how easy and straightforward it is to search for providers, specifically pointing out that “one of the things that impressed us about Open Path’s search function is that it automatically hides therapists who are not currently accepting new clients, so every search result displayed has potential.” Additionally, she noted that “I really enjoyed being able to browse the site without any pressure at all to sign up. I’m the kind of person who closes a window as soon as they ask for my credit card number to proceed, so I found Open Path really inviting and comfortable to browse in.” Best for Postpartum Depression: Hers Hers Online Therapy Sign Up Now Key Specs Price: $99 per sessionInsurance Accepted?: NoTypes of therapy: Individual Why We Chose It Postpartum depression is, unfortunately, an all-too-common problem faced by birthing parents. Hers is a platform specializing in mental health issues affecting women-identifying and nonbinary folks, including mood disorders related to childbirth and parenting, like postpartum depression. And all of Hers’ postpartum services are available for one flat price. Pros & Cons Pros $99 per session for all therapy services Caters to people assigned female at birth, female-identifying and non-binary people Has providers who specialize in postpartum depression Therapists are all licensed clinicians and doctors are board-certified Cons Does not accept insurance Limited availability of therapists in some states Cannot communicate with therapists outside of sessions Overview Postpartum depression is a condition that affects many parents, and can come with feelings of extreme guilt and shame. It is often helpful for those dealing with postpartum issues to discuss their feelings with a therapist specializing in this condition. That’s where Hers comes in. All therapy sessions with Hers cost $99, which is comparable to other platforms and lower than the average rate per session nationwide, and it’s easy to find providers on the platform who specialize in treating postpartum depression. The platform also offers access to psychiatry services and medication management for $85 a month, which is also far lower than the standard cost of these types of services. In addition to therapy and medication management, the mobile app version of Hers also offers free videos on mental health topics to help teach tools for managing symptoms. Plans & Pricing The cost of all 50-minute talk therapy sessions with Hers is $99. Psychiatric treatment and medication management for anxiety and depression costs $85 a month, or $49 a month for a three-month subscription. User Satisfaction Seventy-five percent of Hers users rated the services’ value for the money as good, very good, or excellent, reporting that the platform is intuitive and easy to use and that therapists offer compassionate care. Users also report that therapists work with them to cultivate mindfulness tools through exercises they can do between sessions. One respondent in our user survey also cited the implementation of goals with her therapist as a positive experience because it helped her see the potential for progress. Four percent of our 105 surveyed users reported that they were a new parent, and 3% sought services specifically for postpartum depression. Our tester of Hers told us that, “during my therapy sessions, I found my provider attentive and knowledgeable,” explaining that “they not only affirmed what I was experiencing but also shared homework I could realistically incorporate into my busy lifestyle.” She also reported that “I felt the therapist I met with was able to meet all of my needs.” Best for Children: LiveHealth Online LiveHealth Online Sign Up Now Key Specs Price: $80 to $95 per sessionInsurance Accepted?: YesTypes of Therapy: Individual Why We Chose It LiveHealth Online offers individual talk therapy for kids ages 10 and older at a price lower than most out-of-pocket services and with the option to use your insurance coverage, making it our top choice for best affordable online therapy for children. Pros & Cons Pros Provides talk therapy for kids ages 10 and older Free sign-up Accepts many types of insurance, including Medicare and Medicaid Relatively low out-of-pocket costs Cons Limited appointment availability Only offers video therapy; no text, chat or e-mail options Medication management services are only for adults Overview Many online therapy platforms only serve adults and the few that do provide services to kids tend to focus on teens ages 13 and older. LiveHealth Online offers therapy for kids as young as 10, making it a great option for families with school-age kids who could benefit from talking with a mental health professional. LiveHealth Online accepts several major insurance plans, including Anthem Blue Cross, Empire Blue Cross and Simply Healthcare Plans, which can lower LiveHealth’s already below-average therapy rates. Most notably, LiveHealth Online also accepts Medicare and Medicaid, which makes it an outlier among many of the major online therapy platforms and gives families with these forms of coverage more options. Plans & Pricing If using insurance, you will be responsible for a copay for each session. If you are paying out of pocket, here is a breakdown of LiveHealth Online’s prices: Video talk therapy sessions with a therapist: $80Video talk therapy sessions with a psychologist: $95Initial consultation with a psychiatrist (only available for adults): $175Subsequent visits with a psychiatrst (only available to adults): $75 User Satisfaction Our survey results indicate LiveHealth Online is easy to sign up with and simple to use. The 105 LiveHealth users in our survey generally reported favorable opinions of the platform, with 90% rating their experience as excellent, very good, or good. Eighty-seven percent of users also said they were likely or very likely to recommend LiveHealth Online to a friend. Our tester of LiveHealth Online was impressed with both her therapist and the virtual platform itself, saying that “The in-app sound and video are high-quality and easy to access,” and “because LiveHealth Online therapists receive additional training in delivering online care, I found the video call experience more seamless and intuitive than on many other online therapy platforms.” She felt that “the therapist was also clear about their expectations, availability, and expertise, which started the session off on the right foot,” and she “was equally happy with my follow-up session. My therapist was easy to talk to and clearly had experience in delivering online care.” Best for Couples Therapy: E-Therapy Cafe E-Therapy Cafe Sign Up Now Key Specs Price: $55 per sessionInsurance Accepted?: NoTypes of Therapy: Individual therapy, couples therapy, marriage counseling Why We Chose It E-Therapy Cafe is a small, boutique online counseling service that offers both individual and couples therapy to parents for an incredibly low per-session rate, especially compared to the cost of couples therapy at other online therapy companies—this means that parents don’t have to choose between getting help for themselves and getting help for the rest of the family. Pros & Cons Pros Providers who specialize in couples therapy $50 half-hour trial session 10% veteran and first responder discount 10% college student discount Cons Does not offer psychiatry or mediation management Sessions are only 30 minutes Overview Many parents would benefit from couples therapy, but because this service is usually not covered by insurance, the extra cost might keep you from seeking the help you need. This could mean trouble for the family as a whole, as challenges that could be addressed in couples therapy might take a toll on your home life (for example, kids witnessing their parents fighting more, which can make being home feel more like volatile and stressful home environment for children). E-Therapy Cafe offers low-cost, pay-as-you-go therapy options as well as subscription membership packages for parents seeking online couples counseling. The membership packages include either four or eight sessions a month and are an especially good deal if you plan to attend sessions once or twice a week. This platform also offers discounts for first responders and veterans, who have higher rates of depression than the general population and who might need couples therapy with their partner to work through their issues together. E-Therapy Care also offers a 10% discount to college students who may benefit from an online therapy model more than an in-person model, since mental health stigma is a common barrier to treatment for this population. So if there’s a young adult in your family, they can access more affordable couples therapy services as well. Plans & Pricing E-Therapy Cafe offers three different options for payment: Pay-as-you-go: $55 per sessionE-Therapy Four: $196 a month for four sessionsE-Therapy Eight: $360 a month for eight sessions User Satisfaction E-Therapy Cafe users report overall favorable opinions of the online counseling platform. Ninety percent of the 105 users in our survey rated their experience with E-Therapy Cafe as good, very good, or excellent overall, and 80% rated the platform as a good, very good, or excellent value for the money. Seven percent of E-Therapy Cafe users reported specifically seeking couples therapy through this platform. One of our testers of E-Therapy Cafe told us that “I tried couples therapy and I feel that my therapist did a very good job making sure that both my partner and I felt safe to speak openly and be heard.” Specifically, our tester liked that her and her partner’s therapist “would always create room for both perspectives.” Best Support Group Resource: Circles Circles Sign Up Now Key Specs Price: $79 a monthInsurance Accepted?: NoTypes of Therapy: Group therapy and support Why We Chose It Circles is an online therapy platform offering group support for life events that can affect a family’s mental health, like grief after a loved one has passed away or separation or divorce from a partner. This platform connects you and any adult members of your family to a community of peers who can relate to your struggles for one low monthly cost. Pros & Cons Pros Free trial available Offers peer support for specific challenges like grief/loss and divorce/separation Ability to privately message facilitators Cons Only for adults ages 18+ No medication management Does not accept insurance Overview Group support can be beneficial to parents who need guidance and assurance from other parents who have faced similar challenges, like choosing to divorce or talking to children about a loss in the family. Circles provides cost-effective options for attending daily group sessions on dozens of subjects, including family-specific topics like parenting and adoption, as well as issues that can affect entire families like grief and loss or divorce and separation. Any adult member of your family can attend peer-led audio group sessions for free, or sessions led by qualified mental health professional for $79 a month. For both the free groups and the groups available with subscription, you can attend as many groups as you like, giving you the most bang for your buck. The mission of Circles is to connect people who can offer peer support to others in a group therapy setting. And given that group therapy is especially helpful for people experiencing big life changes, like a job loss, the death of a loved one, or separation from a partner, Circles is a great choice for support during stressful life events that can change the family dynamic. Plans & Pricing Circles offers a free trial for 14 days. You can also attend peer-led audio groups for free. Access to expert-led, closed group sessions require a subscription, which is $79 a month. User Satisfaction Users in our survey reported generally positive experiences with Circles, though the scores are slightly lower than other online therapy platforms reviewed here. Eighty percent rated their overall experience as good, very good, or excellent and 70% said they were likely or very likely to recommend the platform to a friend. Nineteen percent of our 105 users reported that they were seeking help from Circles for family issues, and 5% were looking for support for relationship or marital issues. Eighty percent rated Circles’ value for the money as good, very good, or excellent. Our tester of Circles attended one of the groups available by subscription, and felt that her group’s facilitator “was lovely, welcoming, funny, and personable.” During her group, “the facilitator guided us with leading questions, which she made sure we each had a chance to answer, though it soon evolved into a more natural group conversation,” and our tester ended up feeling “very heard, supported, and emotionally buoyed by the session.” Best for LGBTQIA+ Affirming: Calmerry Calmerry Review Sign Up Now Key Specs Price: $228 to $360 a monthInsurance Accepted?: NoTypes of Therapy: Individual Why We Chose It Calmerry employs providers who specialize in LGBTQIA+ identities and issues and offers a convenient and affirming space for talking through feelings and processing challenges that you might face as an LGBTQIA+ parent, all for subscription rates rivaling the costs found at other online therapy companies. Pros & Cons Pros Providers who specialize in LGBTQIA+ identities and issues Options for video or text chat communication Discounted first month Multiple subscription plans available Cons No free trial Does not accept insurance Overview Parents who are members of the LGBTQIA+ community face challenges that most heterosexual parents do not, including discrimination and lack of acceptance of their families and their own roles as parents. This means that LGBTQIA+ affirmative care is more important than ever. Calmerry’s therapists are licensed and experienced psychologists, clinical social workers, or licensed professional counselors who specialize in addressing the many different mental health challenges and emotional issues that a member of the LGBTQIA+ community might face, including discrimination and family conflicts that might arise for you as an LGBTQIA+ parent. Calmerry’s online therapy platform is largely message-based, allowing for the exchange of text or audio messages between you and your therapist. This model can help increase therapy access for people who may feel more comfortable discussing their challenges in writing, but may not be best for people who would like more face-to-face interaction with a mental health professional. While the messaging-based subscription option at Calmerry is the most affordable, chat-based services are not really an appropriate substitute for talk therapy; we recommend a plan with both messaging and video sessions, the prices for which are on par with or even lower than other similar services that offer messaging, like Talkspace and BetterHelp. Plans & Pricing Calmerry offers three subscription options: Messaging only: $228 a monthMessaging and one video chat per month: $298Messaging and four video chats per month: $360 User Satisfaction Users in our survey said Calmerry therapists are warm, welcoming, and quick to respond to messages. Our survey indicated overall positive experiences with the app, with 86% of the 105 users we surveyed rated their experience with Calmerry as good, very good, or excellent. When asked what Calmerry did better than other companies, 24% reported that their therapist was more culturally supportive when working with clients who are LGBTQIA+. Our Calmerry tester reported that, “overall, I felt my therapist was able to meet and address my specific needs,” and that “my therapist and I were able to make a connection and find some common ground.” Our tester said that her therapist “was good at relating and identifying with the things I was experiencing.” Specifically, they were able to establish a rapport over both being parents: “As a fellow mom, she was also always good at highlighting the importance of self-care, and how moms especially struggle with taking the time for themselves. As a mom of a toddler, this was reassuring to hear from someone who wasn’t a family member or friend.” Final Verdict Talkspace is our pick for the best online therapy with insurance because it accepts nearly 200 major insurance plans and offers a spectrum of services; additionally, its out-of-pocket rates fall below the national average for in-person therapy sessions. But if these prices are still prohibitive for you and your family, try Open Path Collective—every session is guaranteed to range between $30 and $80, couples and family therapy are available, and you don’t need insurance in order to access this more affordable option. If you are specifically looking for affordable group therapy or support, Circles might be a better choice, since it connects you to peers for a low monthly rate of $79, which is much cheaper than regular one-on-one in-person therapy. If you are seeking therapy for your child, LiveHealth Online may be a better fit since it offers services for kids as young as 10 and also accepts Medicaid and Medicare. Compare the Most Affordable Online Therapy Company Price Insurance Accepted? Who It’s For Talkspace Best With Insurance $69 to $129 a week Yes Individual therapy for teens and adults, psychiatry for adults Teen Counseling Best for Teens $60 to $90 per week No Individual therapy for teens Brightside Best for Parents With Anxiety and Depression $95 to $349 a month Yes Psychiatry, medication management and individual therapy for adults Peer Collective Best for Parental Peer Support $14 to $28 per session No Peer support for parents Open Path Collective Best Without Insurance $40 to $80 per session No Individual, group, and couples therapy for kids, teens, and adults Hers Best for Postpartum Depression $99 per session No Individual therapy for adults LiveHealth Online Best for Children $80 to $95 per session Yes Individual therapy for kids, teens, and adults E-Therapy Cafe Best for Couples Therapy $55 per session No Individual therapy, couples therapy, marriage counseling for adults Circles Best Support Group Resource $79 a month No Group therapy and support for adults Calmerry Best for LGBTQIA+ Affirming $228 to $360 a month No Individual therapy for adults Guide to Choosing the Best Affordable Online Therapy The cost of therapy is a common barrier to treatment, so affordability is an important consideration when choosing the best online therapy platform for you. With that in mind, here are some factors to consider when comparing your options. Cost: The price per session or cost of a subscription are important parts of total cost, but they aren’t the only factors that play into affordability. You’ll also want to consider membership fees, whether the platform offers a sliding scale or accepts insurance, if you can pay with a health savings or flexible spending account, and any add-on costs for additional services you could benefit from.What you need treatment for: Most online therapy platforms have experts who are skilled in treating common mental health challenges, like depression and anxiety. If you are interested in more specialized care or need to treat a more complex disorder, you’ll want to make sure the online therapy platform you choose includes professionals with training in that area. Scheduling: Some online therapy platforms allow for same-day scheduling, while others may not have open appointments for several weeks. Take into account how soon you’d like to start therapy and how often you’d like to meet with a therapist when comparing your options. Location: Not all services for all platforms are available in all states, so read the fine print about where services are offered before signing up. Keep in mind too that therapists can only provide care in the states in which they are licensed. In some cases providers may also charge higher fees depending on where you live. Method of counseling: Online therapy platforms offer more choices than in-person therapy in terms of how your sessions are conducted. For example, some platforms allow users to message their providers 24/7 while others allow for video chat sessions or audio messaging back and forth. Some people prefer using a chat system to discuss their symptoms while others feel more comfortable talking with a provider through a video session. Not all platforms provide all forms of communication, so consider what works best for you when making your choice. Ease of switching therapists: Many online therapy platforms use information from an initial questionnaire you fill out when you sign up to assign you a therapist who may be a good fit. For some people, this may be a good match, but there’s also a chance you may not be happy with your provider. Consider how easy the platform makes it to switch therapists and if you have access to a directory to choose from or if the platform chooses for you. Whether kids can be treated: If you are looking for services for your child, make sure the company treats kids. Some providers only offer therapy services for teens age 13 and up, and some only provide psychiatry and medication management services for adults. Find a company that has providers who can treat the age you need. What Types of Online Therapy Are Offered? Most online therapy platforms offer adult individual therapy. Some—like those on our list—also offer group therapy or therapy for children, teens, families, and couples. Some companies offer only talk therapy and some only psychiatry and medication management, while a few offer both. Several companies focus on a particular age group, identity, or a particular disorder, like obsessive compulsive disorder (OCD). Therapists on these platforms may also offer different therapeutic approaches, like cognitive behavioral therapy (CBT). Online therapists can help with a wide range of issues, from depression and anxiety to post-traumatic stress disorder (PTSD) and eating disorders. If you already have a diagnosis, that will make finding the right specialized provider for your needs much easier. If you are just beginning your therapy journey, a more generalized therapy company with a wide range of providers may be your best bet. What Are Signs My Child or Teen Could Benefit From Therapy? There are several signs to look out for that may indicate your child could benefit from therapy, such as withdrawing from friends, grades dropping at school, or big changes in behavior, like sudden angry outbursts our bouts of crying, says Amy Marschall, Psy.D., a clinical psychologist and subject matter expert for Parents. Changes in sleep patterns, withdrawal from preferred activites, and increased irritability may also be signs a child or teen could benefit from therapy. In some cases, older children or teens will express they would like to talk to someone or mention feeling overwhelmed or sad, Marschall says. For teens especially, online therapy can be a great option, as they might feel more comfortable texting a therapist than meeting with one in person. “As they’ve grown up with the technology, [teens] might find online therapy even more intuitive than in-person sessions,” says Owens. What Can You Do If You Can’t Afford Online Therapy? If you are uninsured or underinsured and cannot afford to pay out-of-pocket for therapy, first look for companies that offer sliding scale fees, like the Open Path Collective directory. Some therapists even offer payment plans allowing you to pay small amounts as you can afford to. If those options are out of reach, you may be able to find free or low cost mental health support through nonprofits, like the Amherst H. Wilder Foundation or the Walk-In Counseling Center. Embracing healthy self-care habits can also go a long way in improving your mental health and boosting your mood, says Nic Hardy, Ph.D., a licensed clinical social worker and subject matter expert for Parents. “Exercise, spending time outside, journaling, and being a part of a community can positively contribute to one’s social and emotional well-being,” Hardy says. What If I'm Having Thoughts of Harming Myself? Thoughts of self-harm should be addressed immediately. You can start by confiding in someone you trust who can help connect you to a mental health professional. It’s important to note that thoughts of self harm are not limited to suicidal ideation, but can include any thought that suggests emotional distress may be eased by physical pain. Thoughts of self-harm do not have to be fatal to warrant attention.If you are experiencing suicidal thoughts, go to your nearest emergency room or call the National Suicide Prevention Lifeline at 988. You can also text “HOME” to 741741 to reach a counselor at the Crisis Text Line. —What If I'm Having Thoughts of Harming Myself? Frequently Asked Questions Is Online Therapy More Affordable Than In-Person Therapy? Online therapy can be more affordable than in-person therapy, especially if more than one family member needs mental health care, but not always. But online therapy does provide you and your family with more options, like the ability to connect with therapists outside of your immediate geographic location. In some cases, the cost of online therapy is lower than in-person therapy because you do not have to pay for gas to travel or for childcare to see a therapist in their office. Is Online Therapy Appropriate for Children? Online therapy can be appropriate for children who feel comfortable with video sessions and who are able to communicate their needs, Hardy says. In fact, research shows online therapy can be as effective as in-person therapy for children and adolescents. But just like adults, some kids are more comfortable with in-person sessions, so if a child expresses that they are having trouble connecting via telehealth, they might do better with in-person sessions. Is Online Therapy Covered by Insurance? Not all online therapy platforms accept insurance, but many do. Keep in mind, however, that even if your online therapy platform of choice accepts your insurance, you will still be responsible for copays, coinsurance, and deductibles. Is There Affordable Online Therapy for Psychiatry & Medication Management? Some online therapy platforms, like Talkspace and Brightside, provide psychiatry services in addition to therapy at rates below the national average. Methodology To determine the most affordable online therapy platforms, we looked at 55 different online therapy companies and 25 online therapy directories and made selections based on cost of sessions or membership, financial aid options, whether insurance is accepted, potential discounts, and the variety of services offered. We also looked to see if companies with more affordable fees treat children and families as well as adults, and examined companies that specialize in certain conditions, like anxiety or depression, or in certain identities, like LGBTQIA+. Companies that covered all these bases—affordability, accessibility, and specialties—were included in our final list. Edited by Hannah Owens and Simone Scully Was this page helpful? Thanks for your feedback! Tell us why! Other Submit Sources Parents uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Cost and insurance coverage. Psychology Today. Out-of-network, out-of-pocket, out-of-options: The unfulfilled promise of parity. National Alliance on Mental Illness. 2016. Posttraumatic stress disorder and suicidal ideation in veterans: Results from the Mind Your Heart study. Psychiatry Research. 2018. Students' benefits and barriers to mental health help-seeking. Health Psychology and Behavioral Medicine. 2014. Psychotherapy: Understanding group therapy. American Psychological Association. 2019. The doctor is out. National Alliance on Mental Illness. 2017. Nonsuicidal self-injury: What we know and what we need to know. Canadian Journal of Psychiatry. 2014. Online treatment and virtual therapists in child and adolescent psychiatry. Child and Adolescent Psychiatric Clinics of North America. 2016. Related Articles Best Online Therapy Platforms to Treat Your or Your Child’s OCD The 11 Best Trauma Counseling Resources for You and Your Family Best Online Therapy for Kids The Best Online LGBTQIA+ Counseling for Children, Teens, and Adults The Best Online Couples Therapy for Parents Best Online Therapy That Takes Insurance and Meets Family Needs Best Online Therapy for Teens Best Online Counseling for Families, Kids, and Teens The Best Online ADHD Therapy Services for Kids and the Parents Who Love Them 11 Divorce Counseling Services We Recommend For Parents and Kids These Are the Best Online Therapy Services for Kids, Teens, and Adults The Best Online Grief Counseling for Parents, Kids, and Families The Best Online Family Therapy Providers What Parents Need to Know About Talkspace Online Therapy 8 Picks for Family-Friendly Online Psychiatry That Takes Insurance The Best Online Psychiatry Services for You and Your Family Newsletter Sign Up By clicking “Accept All Cookies”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Cookies Settings Accept All Cookies