BetterHelp vs Talkspace: A Therapist’s Guide (After 5 Years)

While neither company has a perfect record, I found outright vitriol towards Talkspace in therapist and user reviews that was unlike anything I found in reviews of BetterHelp. There are reports of Talkspace therapists having caseloads of 80 to 100 people (a number I find unfathomable).

Therapists say Talkspace’s policies force them to go against their training and professional ethics. In one case of seeming revolt, frustrated Talkspace therapists sent an open letter to Talkspace in an effort to be heard. User reviews support the impression that Talkspace therapists are overwhelmed and are not consistently providing them with the quality of care they expect.

Talkspace Therapist’s Seemingly Desperate Bid to Be Heard

While there are also complaints from BetterHelp users and therapists, there are fewer of them and they are less severe. Also, BetterHelp therapists are paid more and their reviews indicate they are happier working with BetterHelp. I believe that these happier and more satisfied therapists serve their clients better on BetterHelp.

In conclusion, while users have complained about both BetterHelp and Talkspace, the complaints about Talkspace tend to be far more extreme. Hundreds of user reviews show a consistent pattern: therapists and users are happier with BetterHelp than they are with Talkspace.

To confirm my impressions, I used the AI tool appbot to analyze the sentiment of users towards BetterHelp and Talkspace.

Both companies offer online therapy using a subscription model. This means you pay a recurring monthly fee instead of paying per session. As part of your subscription, you can message with a therapist in addition to (or instead of) getting live sessions. They are undoubtedly the largest platforms offering therapy this way.

Both platforms offer the smoothest and most user-friendly way of starting therapy imaginable. From your phone or computer, you can sign up and get started quickly—usually in less than 24 hours. You don’t have to call one therapist’s office after another hoping someone actually has an opening. You don’t even have to choose a therapist; the platform will choose one for you if that’s easier. The convenience and accessibility BetterHelp and Talkspace offer is like nothing the therapy world has ever seen before. They are popular for a reason.

While BetterHelp and Talkspace might have you believe that online therapy is a good fit for practically everyone, the reality is more subtle.

I believe that online therapy can be excellent. Research suggests that it is often just as effective as in-person therapy. However, it is not a perfect substitute. For me, the gold standard of therapy will always be therapy done in person. The subtle ways that we communicate to one another are too often lost in the online format. So, in that case, who is it best for?

I believe that online therapy is best for people with mild to moderate symptoms. Importantly, online therapy requires more discipline on your part. Are you the sort of person who finds it hard to stick to a routine? The less formal structure of online therapy may make it more difficult for you to stay the course when things become hard in therapy (as they often do).

Many people think about starting therapy but never do. Some of the biggest barriers to starting therapy can be some of the simplest: the fear of making that first call, the struggle to find time in your schedule, the logistical challenges of getting to the office. In this respect, BetterHelp and Talkspace have been a game changer.

Online platforms make it easier to access therapy in the first place, and this may be their most important contribution to the therapy world. If busy schedules or tight budgets rule out commuting to a therapist’s office, online therapy is a great option.

Once you sign up, you will be given a “room” where you can message with your therapist. You can also send voice memos. The messaging feature was great when I wanted to tell my therapist something that was fresh on my mind.

It is important to note that both companies claim that you can get therapy 24/7 on their platforms. The reality is that you can send messages to your therapist 24/7, but your therapist will only respond about once or twice a day.

As far as live sessions are concerned, you can use the scheduler in the app to choose a time that suits your schedule. However, it can sometimes be challenging to find an exact time that works. For many therapists, this is their “side hustle” and their availability may not gel with yours. I suggest you explore this when you first connect with your therapist. The good news is that both sites make it ridiculously easy to switch therapists if you just can’t work with your first therapist’s schedule. (Tip: If you wasted several days of your subscription to find the right therapist, ask customer service if they will extend your subscription to make up for the lost time.)

On both platforms, the technical quality of video sessions was good and facilitated effective therapy. As I mentioned, video therapy will never match the full experience of in-person therapy, but it was not as limiting as I thought it would be. A therapy conversation is not like a normal conversation. People are more thoughtful and there is usually more discrete turn-taking while talking. This kind of interaction works pretty well over video.

It is difficult to compare BetterHelp and Talkspace directly when it comes to pricing. Each company offers different plans that don’t perfectly line up with one another. That said, when you compare the closest plans, BetterHelp is significantly cheaper with prices starting at $65/week while Talkspace starts at $99/week.

These additional factors may impact the math for you:

• If you have an insurance plan that Talkspace accepts, it will be the cheaper option.
• Both companies have different pricing for different locations. Neither of them advertise their local rates upfront, so you need to go through their sign-up process to see what they charge in your area. You can step through the sign-up process to see your local rates by following these links: BetterHelp and Talkspace. (There is no commitment required to do this.)
• The only self-pay Talkspace plan that is cheaper than BetterHelp is their messaging-only plan. However, I do not recommend it because I do not recommend messaging-only as a form of therapy. It may be a helpful tool in a very small number of cases, but it falls far short of what most people need from therapy.
• BetterHelp offers financial aid while Talkspace does not. When you sign up, you can apply by clicking the “Apply for financial aid” link which appears on the screen when you enter your credit card details. The results of your application are immediate. (You will need to renew your financial aid application every three months.)

When I caught an Uber for the first time, I could not believe the convenience and how much money it saved me. I swore I would never go back to taxis again. And I never did! BetterHelp and Talkspace offer the bright hope of the new replacing the old as we step into a better future. For many people, they have undoubtedly succeeded. But not for all…

The reality is that getting therapy is different from hailing a ride. Therapy requires ethics, care, safety and the best interest of the client at the beating heart of it all. After five years, I feel confident saying that BetterHelp is the only company that has forged new territory while staying true to what makes therapy work.