Top online therapy compared

About Top online therapy compared

Online therapy services differ more in how they charge than in what they include: every brand here offers therapy, and most add psychiatry, general medical care or a pharmacy beside it. The main trade-off is what you pay to start against what you keep paying afterwards. Some brands quote a monthly plan and a separate session fee, some charge only by the visit, and the gap between those two models is wide. Availability is the next lever, since most answer around the clock while a few take booked sessions only. Geography matters just as much, with nearly every service here sitting in the US or Canada and a single brand covering Brazil. Insurance acceptance settles many decisions, and it is close to the norm. Read on for the plan price beside each name, the clinician mix behind it, and the support channels that answer once you have signed up.

How we picked

Every brand here is scored on a published set of weights: cost carries 40%, the offer and what a plan includes carries 40%, and trust carries 20%. Cost and offer together decide most of the order, which is why the entry price and the price you keep paying are read apart, and why a brand with free therapy can sit above a brand with a cheaper single session. Trust looks at the named legal entity, the headquarters country, insurance acceptance and the support channels on offer. Figures come from what each service publishes about itself: pricing pages, terms of service, privacy policies and app store listings. Ranges stay ranges, so a brand quoted as a spread is judged on that spread rather than on its cheapest point, and a listed plan price is never mixed with a session price. Brands are ordered by score, and sponsored partners would be listed first. No brand here is a paid partner. Readers who weigh cost differently can use the same figures: the median plan price in this ranking is €17.53 and the median session is €69.28.

Our top picks

1. 1. Sesame Care

   Sesame Care earns its place in this ranking with a plan that is easy to budget: the Sesame Care plan runs $10.99 a month and single telehealth visits cost $34, so the entry price and the ongoing one are both published. It covers the US only, answers 24 7, and places doctors, nurse practitioners, therapists and psychiatrists in the same service, with email, phone and a help centre on hand. The clear limitation is payment, since insurance is not accepted and sessions come out of your own pocket. Talkspace, ranked next, also answers 24 7 and pairs therapy and psychiatry at $19.99 a month, but it does accept insurance.

   • Consultation price: $34
   • Plan price per month: $10.99
   • Insurance accepted: No

   Pros

   • The Sesame Care monthly plan at $10.99 ranks 6 of 37 brands compared on plan price, putting the ongoing charge near the cheap end of the table
   • Clinicians doctor, nurse practitioner and therapist place therapy and psychiatry in the same service as everyday medicine
   • Availability of 24 7 plus a mobile app means a visit can start at any hour without going through a clinic reception desk
   • The service list online gp, prescriptions and weight loss reaches therapy, psychiatry, contraception, menopause and hair loss alongside general medicine
   • Support runs on email, phone and help centre, so members can pick a phone call, an email or the help centre

   Cons

   • Insurance accepted is no, so members pay the Sesame Care monthly plan at $10.99 and each consultation at $34 themselves.
   • It runs in a single market: US, with the operating company registered in US.
   • On consultation price it sits 22 of 34 brands compared, so the entry cost is above the cheapest in that table.
   • DocMorris lists pharmacy in online gp, prescriptions and pharmacy, a service area outside the Sesame Care list of online gp, prescriptions and weight loss.

2. 2. Talkspace

   Talkspace is in this ranking because it is the therapy specialist of the group: its clinicians are therapist and psychiatrist and its services stop at therapy, psychiatry and prescriptions, which keeps the plan focused rather than general. The Talkspace plan runs $19.99 a month, with a session at $69, the service answers 24 7, and support reaches you by email, chat, phone and a help centre. Insurance is accepted. The drawback is the refund position, because the money back window on the Talkspace plan is 0 days, so a cancellation leaves nothing back. BetterHelp, ranked next, shares that route with 14 days, but charges €70 to €100 a month and runs across US, CA and GB.

   • Consultation price: $69
   • Plan price per month: $19.99
   • Insurance accepted: Yes

   Pros

   • A monthly plan at $19.99 gives a predictable recurring cost, with a single consultation at $69 for anyone testing the service first.
   • therapy, psychiatry and prescriptions covers therapy, psychiatry and prescriptions, and therapist and psychiatrist puts both disciplines in one service.
   • Availability runs 24 7 and there is a mobile app, so sessions do not wait on office hours.
   • Insurance is accepted, so part of the cost can come back through a policy.
   • Support runs on email, chat and phone, covering written, chat, spoken and self service routes.

   Cons

   • The money back window is 0 days, so there is no refund cushion if a plan is cancelled early.
   • Free delivery is not offered, so any medication sent out does not arrive free of a delivery charge.
   • Talkspace runs in US, so readers outside the US have no sessions to book here.
   • Against online gp, prescriptions and weight loss, Talkspace has no online doctor service, so general medical queries sit outside therapy, psychiatry and prescriptions.

3. 3. PlushCare

   PlushCare combines therapy with general medical care and lifestyle services, and the PlushCare plan runs $19.99 a month, below the €17.53 figure typical of this ranking. Support by email, phone and a help centre is solid, insurance is accepted, and the service answers 24 7 across US. The cost of a single session is the weak point, at $129, well above the €69.28 category median, and the money back window on the PlushCare plan is 0 days. The clinician roster is also narrower, limited to doctor and therapist, and Doctor On Demand, ranked next, widens it to doctor, nurse practitioner and therapist.

   • Consultation price: $129
   • Plan price per month: $19.99
   • Insurance accepted: Yes

   Pros

   • A single account covers everyday care, with online gp, prescriptions and weight loss spanning weight loss, hair loss, sexual health, skin, therapy, menopause and contraception.
   • Clinicians include doctor and therapist, so therapy sits in the same service as doctor appointments and repeat prescriptions.
   • Urgent care runs 24 7, which suits anyone whose symptoms arrive late or at the weekend.
   • Insurance is accepted, so part of the recurring cost can be offset where a policy applies.
   • Support runs on email, phone and help centre, giving a phone line and email alongside a self help centre.

   Cons

   • Consultations at $129 rank 33 of 34 on price, so a single visit costs more than most listed services.
   • The money back window is 0 days, so a plan that does not suit cannot be refunded.
   • Service runs in US, which rules it out for anyone living outside the country.
   • DocMorris lists online gp, prescriptions and pharmacy, including pharmacy dispensing, which is not part of online gp, prescriptions and weight loss.

4. H4. Hims

   Hims is the odd one out in this ranking, and it earns its place through catalogue rather than clinical depth. Services run online gp, prescriptions and weight loss, with therapy sitting beside online general practice, prescriptions, weight loss, hair loss, sexual health, skin and menopause, and markets reach US, GB and CA, so therapy from this brand travels further than from the Gulf-based brand above. Founded in 2017 and based in US, it offers a mobile app. The cons: psychiatry is not on that services list, and support runs on chat and help centre only, with no phone or email.

   • Free delivery: No
   • Mobile app: Yes
   • Markets: US, GB, CA, and 1 more

   Pros

   • Service breadth leads this group: online gp, prescriptions and weight loss runs wider than online gp, prescriptions and pharmacy at DocMorris and adds therapy and menopause on top of the usual GP, prescription and hair loss work.
   • A mobile app is available, matching the 94.6% of brands on the site that offer one, and keeping repeat orders alongside the consultation.
   • Prescription handling is a core strength: 90.9% of brands in the online doctors category offer prescriptions.
   • Therapy and menopause are the unusual additions. Only 100% of brands in the online therapy category offer therapy, and online gp, prescriptions and weight loss lists it in the same account.
   • Ordering works in US, GB and CA, so the account spans every market on the list rather than a single country.

   Cons

   • Free delivery is not offered, so shipping is charged on top of the treatment price and needs weighing before a recurring order.
   • Support runs on chat and help centre only, with chat and a help centre, while 67.5% of brands on the site still run a phone line.
   • A service list alone does not settle a weight loss or hair loss comparison: online gp, prescriptions and weight loss and online gp, prescriptions and pharmacy cover the same core lines.

5. B5. Brightside: best for Brightside

   Brightside is an online service offering psychiatry and therapy by video for conditions such as anxiety and depression.

   • Markets: US

   Pros

   • Offers psychiatry, therapy, or combined care with dedicated providers
   • Treats a broad spectrum of anxiety or depression conditions including severe cases
   • Includes tailored plans, messaging support, and proactive progress tracking
   • Provides specialized programs for crisis care and teen mental health support

   Cons

   • Online only service without in person visits for those preferring clinics
   • Focus stays on mood and anxiety concerns rather than broader general health

6. C6. Calmerry: best for Calmerry

   Online therapy and virtual counseling platform covering depression, anxiety, OCD and relationship counseling.

   • Markets: US

   Pros

   • Licensed therapists vetted for evidence based counseling across many specialties
   • Message therapists any day and join live video sessions remotely
   • Quick matching pairs clients with a therapist suited to personal needs
   • Self therapy tools support progress between scheduled counseling sessions

   Cons

   • Entirely online format with no in person office visits
   • Requires a device and steady connection for messaging and video

7. 7. Serenis IT: best for Serenis IT

   Italian online medical centre where users complete a questionnaire to be matched with an online psychologist, with psychiatry and nutrition also offered.

   • Markets: IT

   Pros

   • Questionnaire matching presents professional CV and calendar before booking
   • Network includes qualified psychologists, psychotherapists and psychiatrists with practical experience
   • Covers individual therapy, couples work, ADHD paths, coaching and nutrition
   • Online organization with in studio session option for city residents

   Cons

   • Matching relies on questionnaire answers rather than fully open profile browsing
   • Studio sessions remain limited to city residents while management stays online

8. 8. Pleso Therapy: best for Pleso Therapy

   Pleso Therapy connects clients with verified, accredited online therapists, with online booking and secure payment.

   • Markets: GB, PL, RO, and 1 more

   Pros

   • Personalised matching system connects clients with suitable therapists
   • Carefully vetted professionals with minimum three years experience
   • Wide choice of verified therapists for different concerns
   • Simple online booking with protected payment and easy switching

   Cons

   • Online sessions only, with no in person meeting option
   • Matching starts with a quiz that takes time to complete
   • Therapist choice stays within one closed online platform

9. O9. OurRitual: best for OurRitual

   OurRitual is a couples therapy service that combines sessions with vetted experts and personalized digital tools.

   Pros

   • Matched expert sessions available together or separately on your schedule
   • Personalized digital tools that support growth and connection
   • Guided exercises and expert reflections that encourage steady progress
   • Ongoing support focused on practical and sustainable results

   Cons

   • Limited to relationship focused therapy rather than broader care
   • Built around regular sessions plus digital follow up work

10. 10. ActuateCare: best for ActuateCare

    Virtual care provider offering virtual primary care, virtual urgent care and virtual behavioral health, with a pharmacy service and plans for individuals, employers and brokers.

    • Markets: US

    Pros

    • ActuateCare combines virtual primary, urgent and behavioral care in one service.
    • The service includes pharmacy support alongside virtual consultations and treatment.
    • It serves individuals, employers and brokers with tailored plan options.
    • It uses advanced technology and diagnostics to support safety and outcomes.

    Cons

    • It operates virtually only without physical clinics for in person visits.

What to look for

Therapy in every package

Therapy is the reason these services are here, and it appears across the whole field, with the category figure at 100%. What separates the brands is the rest of the offer, so check whether psychiatry, general practice or a pharmacy comes under the same plan.

What a session costs

Session fees vary more widely than plan fees. The typical consult here is €69.28, with most clustering from €37.49 to €84.63. A cheap session price can still be the dearer option across a year of weekly appointments.

What the plan costs

The monthly plan is the figure that renews, so it matters more than the headline session price. The typical plan price in this ranking is €17.53, with most clustering from €11.61 to €43.91. A cheap plan paired with expensive sessions is not the cheap route, so weigh the two figures together.

Insurance

Insurance acceptance is close to the norm here, at 88.9% of brands in this ranking against 11.1% that do not take it. Where a brand accepts insurance, the real question is whether your own cover includes that brand.

Availability

Round the clock access is common, at 81.8% of brands here, while 9.1% take booked sessions only. Availability decides how quickly you can start, and how quickly you can change clinician if the match is wrong.

Support once you are a member

Support matters most after a plan is running. A help centre appears for 91.7% of brands in this ranking, email for 83.3% and phone for 75%. Live chat is the scarcest of all, at 33.3%.

Frequently asked questions

Top online therapy compared by country

• Australia
• Canada
• France
• Germany
• Netherlands
• Spain
• United Kingdom
• United States

The data behind this ranking

All data and the CSV