Best Text Therapy Services of 2025
Compare the top-rated text-based therapy platforms to find the best messaging service for your needs.
Top Text Therapy Services at a Glance
BetterHelp
Comprehensive text therapy with unlimited messaging and multiple communication options.
Talkspace
Advanced messaging platform with guaranteed response times and multimedia support.
Calmerry
Affordable text therapy platform with flexible messaging options.
Understanding Text Therapy
Benefits of Text Therapy
- 24/7 access to therapeutic support
- Time to process thoughts and responses
- Written record of conversations
- More comfortable for some than face-to-face
- Flexible scheduling and accessibility
Limitations to Consider
- No non-verbal communication cues
- Response times can vary
- May not be suitable for severe conditions
- Requires written communication skills
- Limited real-time interaction
Detailed Platform Reviews
BetterHelp
Why We Recommend It
BetterHelp is the world's largest online therapy platform, offering affordable and convenient access to licensed therapists through messaging, phone, and video sessions.
Pros
- Largest network of licensed therapists (over 30,000)
- Multiple communication methods (text, video, phone, live chat)
- Flexible scheduling and 24/7 messaging
- Financial aid available for those who qualify
- Quick therapist matching (usually within 24-48 hours)
- Easy therapist switching at no extra cost
Cons
- Does not accept insurance
- Therapists are independent contractors, not employees
- Video quality can vary depending on connection
- No medication management or psychiatric services
- Pricing can add up over time
- Some states have limited therapist availability
Messaging Features
Best For
General anxiety and depressionConvenient and flexible therapyThose who prefer text-based communicationPeople with busy schedulesFirst-time therapy seekersLong-distance or rural areas
Talkspace
Why We Recommend It
Talkspace offers online therapy and psychiatry services with insurance coverage options, providing access to licensed therapists and psychiatrists through text, audio, and video.
Pros
- Accepts many major insurance plans
- Medication management available through psychiatrists
- Text, audio, and video therapy options
- Specializes in specific conditions (anxiety, depression, etc.)
- Corporate wellness programs available
- Teen therapy services (13-17 years old)
Cons
- More expensive than some competitors
- Insurance coverage can be confusing
- Video sessions require separate subscription tier
- Fewer therapists than BetterHelp
- Some complaints about customer service response time
Messaging Features
Best For
Those with insurance coverageNeed for medication managementSpecific mental health conditionsTeen and adolescent therapyCorporate mental health benefits
Cerebral
Why We Recommend It
Cerebral provides comprehensive online mental health care combining therapy and medication management, specializing in anxiety, depression, ADHD, and insomnia treatment.
Pros
- Medication management included in all plans
- Specializes in ADHD, anxiety, depression, and insomnia
- Accepts some insurance plans
- Prescription delivery available
- Care counselors for ongoing support
- Comprehensive treatment approach
Cons
- More expensive than therapy-only services
- Experienced regulatory challenges in some states
- Therapy sessions are limited per month
- Customer service complaints
- Not available in all states
Messaging Features
Best For
Those needing medication managementADHD treatmentAnxiety and depression with medicationComprehensive mental health careInsurance coverage seekers
Online-Therapy.com
Why We Recommend It
Online-Therapy.com specializes in Cognitive Behavioral Therapy (CBT) with a structured program including worksheets, yoga videos, and activity plans alongside traditional therapy.
Pros
- Focused on evidence-based CBT therapy
- Comprehensive therapy program with worksheets
- More affordable than many competitors
- Includes yoga and meditation resources
- Structured 8-section therapy program
- Good for specific behavioral changes
Cons
- Does not accept insurance
- Primarily focused on CBT (limited modalities)
- Fewer therapists than larger platforms
- Video sessions limited compared to messaging
- Interface less modern than competitors
Messaging Features
Best For
CBT therapy approachStructured self-help programsBudget-conscious therapy seekersAnxiety and depression managementThose who like homework and activities
ReGain
Why We Recommend It
ReGain specializes in relationship counseling and couples therapy, allowing both partners to participate in joint sessions with licensed marriage and family therapists.
Pros
- Specialized in couples and relationship therapy
- Both partners can participate at same price
- Licensed marriage and family therapists
- Multiple communication methods
- Flexible scheduling
- Relationship-focused resources and worksheets
Cons
- Does not accept insurance
- Limited to relationship issues
- Same price structure as BetterHelp
- No medication management
- Fewer individual therapy options
Messaging Features
Best For
Couples therapy and counselingMarriage issuesRelationship communication problemsPre-marital counselingDivorce supportBlended family challenges
MDLive
Why We Recommend It
MDLive offers comprehensive virtual healthcare including therapy, psychiatry, and primary care services with insurance coverage and 24/7 availability.
Pros
- Accepts most major insurance plans
- 24/7 access to healthcare providers
- Offers therapy and psychiatry services
- Same-day appointments available
- Integrated with many health systems
- Comprehensive healthcare platform (not just mental health)
Cons
- More expensive without insurance
- Focuses on medical model vs. ongoing therapy
- Less personalized than dedicated therapy platforms
- Session-based pricing (not subscription)
- Interface feels more clinical than user-friendly
Messaging Features
Best For
Those with insurance coverageNeed for medication managementMedical and mental health integrationUrgent mental health consultationsCorporate health benefits users
Brightside
Why We Recommend It
Brightside combines therapy and psychiatry with a data-driven approach, specializing in depression and anxiety treatment with medication management.
Pros
- Combines therapy and medication management
- Data-driven personalized treatment plans
- Accepts some insurance plans
- Specializes in depression and anxiety
- Regular provider check-ins
- Medication delivery included
Cons
- More expensive than therapy-only services
- Limited therapy session frequency
- Not available in all states
- Primarily medication-focused approach
- Newer platform with less reviews
Messaging Features
Best For
Depression and anxiety with medicationThose needing psychiatry servicesData-driven treatment approachInsurance coverage seekersComprehensive mental health care
Calmerry
Why We Recommend It
Calmerry offers affordable online therapy with licensed therapists through video sessions and messaging, focusing on accessibility and convenience.
Pros
- Very affordable pricing
- Licensed therapists in all 50 states
- Video and messaging therapy
- Easy to switch therapists
- No long-term commitment
- Financial assistance available
Cons
- Does not accept insurance
- Fewer features than larger platforms
- Less therapist availability
- No phone therapy option
- Newer platform with smaller network
Messaging Features
Best For
Budget-conscious therapy seekersAnxiety and depressionFirst-time therapy usersVideo therapy preferenceSimple, straightforward therapy
Amwell
Why We Recommend It
Amwell provides comprehensive telehealth services including mental health therapy, psychiatry, and primary care with insurance coverage and 24/7 availability.
Pros
- Accepts most major insurance
- Comprehensive healthcare platform
- 24/7 provider availability
- Therapy and psychiatry services
- Integrated with health systems
- Same-day appointments
Cons
- Expensive without insurance
- Less focused on ongoing therapy relationships
- Per-session pricing adds up
- More clinical than user-friendly
- Not therapy-specialized
Messaging Features
Best For
Insurance coverage holdersMedication management needsIntegrated healthcare approachCorporate health benefit usersUrgent consultations
Lasting
Why We Recommend It
Lasting is a couples therapy and relationship wellness app that combines therapy sessions with interactive exercises, communication tools, and relationship assessments.
Pros
- Specialized in couples and relationships
- Affordable app-based therapy option
- Interactive exercises and assessments
- Science-based relationship tools
- Both partners can use together
- Licensed couples therapists available
Cons
- Does not accept insurance
- App-based may feel less personal
- Limited to relationship issues
- Therapy add-on increases cost
- No medication management
Messaging Features
Best For
Couples therapy and pre-marital counselingRelationship communication issuesMarriage enrichmentBudget-conscious couplesTech-savvy couplesSelf-guided relationship work
Doctor On Demand
Why We Recommend It
Doctor On Demand offers virtual healthcare including therapy, psychiatry, and primary care with board-certified providers available 24/7 and insurance coverage.
Pros
- Accepts major insurance plans
- Board-certified providers
- 24/7 availability
- Therapy and psychiatry services
- Same-day appointments
- Integrated with many employers
Cons
- Expensive without insurance
- Session-based (not subscription)
- Less personalized than dedicated therapy apps
- More medical than therapeutic approach
- No messaging therapy
Messaging Features
Best For
Insurance coverage holdersMedication management needsUrgent mental health consultationsCorporate benefit usersIntegrated healthcare needs
Pride Counseling
Why We Recommend It
Pride Counseling offers online therapy specifically designed for the LGBTQ+ community, with licensed therapists experienced in LGBTQ+ issues and affirming care.
Pros
- LGBTQ+-specialized therapists
- Affirming and inclusive environment
- Multiple communication methods
- Flexible scheduling
- Financial aid available
- Easy therapist switching
Cons
- Does not accept insurance
- Same price as BetterHelp
- No medication management
- Smaller therapist network
- Limited to LGBTQ+ community
Messaging Features
Best For
LGBTQ+ individualsComing out supportGender identity explorationLGBTQ+ relationship issuesDiscrimination and minority stressFinding affirming care
How to Choose the Right Text Therapy Service
Communication Style
Consider response times, messaging features, and whether you want additional communication options like video sessions.
Privacy & Security
Look for platforms with strong security measures and clear privacy policies for your sensitive communications.
Therapist Quality
Evaluate the platform's therapist qualifications, matching process, and ease of switching if needed.
Our Recommendation
For most people seeking text therapy, we recommend:
- BetterHelp for comprehensive text therapy with multiple communication options
- Talkspace for those wanting insurance coverage and advanced messaging features
- Calmerry for budget-conscious individuals seeking quality text therapy
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