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Looking for support? Get free mental health support and counseling from trained listeners via online text chats. You deserve to feel better!
BuddyHelp is an emotional support platform, where we facilitate conversations between people who are in emotional distress with caring, patient, compassionate individuals who will listen, and hold space.
- Overview
- 8 Best Text Therapy Services of 2024, Tried and Tested
- How to Choose the Best Text-Based Therapy Services
- Key Considerations for Text-Based Therapy
- Frequently Asked Questions
- How We Tested and Reviewed Online Text Therapy Services
Text therapy can’t replace talk therapy, but it can be a useful supplement
By
Laura Dorwart,
Laura Dorwart
Laura Dorwart is a health journalist with expertise in disability rights, mental health, and pregnancy-related conditions. She has written for publications like SELF, The New York Times, VICE, and The Guardian.
Learn about our editorial process
•Best for Availability: Talkspace
•Best for Anxiety and Depression: Brightside
•Best for Group Therapy: Circles
•Best for Flexible Communication Options: E-Therapy Cafe
•Best for Cognitive Behavioral Therapy: Online-Therapy.com
•Best Free Resource/Text-Based Emergency Resource: Crisis Text Line
Here are some factors to take into consideration when choosing a text-based therapy service:
•Pricing: Look for a service that fits within your budget and preferred payment model. Most services are offered via weekly or monthly subscriptions. Some platforms offer free trials or discounts for your first session.
•Therapists: Available mental health providers may include licensed therapists, psychologists, marriage and family therapists, psychiatrists, and clinical social workers, to name a few. Some text-assisted therapy platforms also offer peer support and counseling with life coaches.
•Therapy types: What are you hoping to find in a therapist in terms of technique, focus, and modality? Are you looking for cognitive behavioral therapy, traditional talk therapy, emotional support, or help with stress management?
•Cancellation policy: Take note of how easy or difficult it is to switch therapists or cancel your subscription if you’re unsatisfied.
•Live vs. 24/7 messaging: Are you looking for live one-on-one chats with a therapist, or is asynchronous messaging acceptable?
What Does Text-Based Therapy Entail?
Text-based therapy, or text-assisted therapy, is online therapy that is conducted through texting, live chat rooms, messaging, or e-journaling. Some text therapy services offer live chats in a designated “session room,” while others allow you to text your therapist at any time—aka asynchronous texting—via SMS or messaging in an app or online portal.
How Can Text-Based Therapy Services Benefit Mental Health?
Text-based therapy services, like face-to-face therapy and other kinds of online therapy, allow you to find support as you work through life’s difficulties, such as relationship tensions, career issues, and stress. They can also help you deal with the symptoms of some mental health conditions, such as depression and anxiety. In between chat sessions or messages, some therapists may ask you to complete digital exercises, journal entries, or worksheets to build coping skills and reflect on what you’ve discussed in your sessions. Some people may prefer text-based therapy to face-to-face therapy because of the greater sense of privacy and anonymity that texting allows. You may feel more comfortable being honest about the challenges you’re facing without the pressure of a live audio or video session. Others find text-based therapy more convenient and accessible because they live in a remote area, don’t have a predictable time slot each week for therapy sessions, or have a disability that affects their ability to hear, speak, or process language. Research about the effectiveness of text-assisted therapy is ongoing, and the results are mixed. However, recent studies have suggested that text therapy services help treat depression and other common mental health conditions, whether on their own or as an add-on to live online or face-to-face therapy. “For some, text therapy may feel more comfortable than talking on the phone or over video, which might be enough to convince someone who otherwise wouldn’t seek therapy services to try them out—which is a good thing,” explains Owens. “However, in most cases, text therapy is not a suitable alternative to talk therapy; it’s best used in conjunction with video, audio, or in-person sessions.”
Are Text Therapy Services or Apps Right for You?
Text-assisted therapy may be right for you if you: Have a busy or unpredictable schedule Need affordable mental health services Live in a remote or rural area Are an English language learner Don’t want other people to overhear your therapy sessions Feel more comfortable writing about your concerns than talking about them Experience anxiety about live video or phone sessions Are Deaf, have a sensory processing disorder, and/or have any other disability or condition that affects communication Use an augmentative and alternative communication device (AAC) to communicate with others Text-assisted therapy services may not be suitable for you if you: Have been diagnosed with a serious or complex mental health condition Don’t have reliable access to the internet Have been ordered to undergo therapy as part of a court proceeding If you have an urgent mental health need, you shouldn’t rely on text-assisted therapy. Please call or text the Suicide and Crisis Lifeline at 988, text "HOME" to the Crisis Text Line at 741741, or seek emergency medical help right away.
How Much Do Text-Based Therapy Services Cost?
Online therapy is typically paid for via a weekly or monthly subscription. Prices can range from $80 per month to $350 a month or more. Many online therapy subscriptions include at least one weekly live session (via text, audio, or video), as well as unlimited messaging with a mental health provider. Some online therapy platforms also offer pay-per-session payment models, which often cost $50 or more per session.
Does Insurance Cover Text Therapy Services?
Some online therapy services that offer text-based therapy, such as Brightside and Talkspace, take insurance. Other platforms will provide you with a superbill that you can submit to your insurance provider for potential reimbursement.
Is Text-Based Therapy Effective?
One recent study suggests that text-based therapy with a licensed therapist effectively treats certain mental health conditions, such as depression. Research has also found that two-way text messaging therapy can help to treat symptoms of generalized anxiety disorder (GAD). Another study found that text-based therapy is also effective in treating substance use disorders (SUD) and psychotic disorders.
Firsthand Experience
As part of our research, we signed up for talk therapy at all 55 online therapy companies we reviewed. We tested each company's therapy services, and if the company offered other services (such as couples therapy and child or teen therapy), we tested those too. Our testers are located all across the United States and abroad, meaning we have extensive information about each company's services in a variety of areas.
User and Brand Surveys
In addition, we surveyed more than 10,000 therapy users: 105 at each of the 55 online therapy companies and 180 at each of the 25 therapist directories. We collected over 100 different data points in which we asked users to evaluate each company's services, from their therapist's qualifications to whether they found a therapist who met all their needs to how they'd rate the company overall. We also sent questionnaires to each company we considered, asking for their perspectives on the services they provide, and we interviewed former patients and therapists at the companies where possible.
Research
In addition to the extensive research we performed on each of the 55 online therapy companies we reviewed, we also researched dozens of therapy directories. We tested each by searching for appropriate therapists for 37 hypothetical scenarios that might lead someone to search for a mental health provider across 18 ZIP codes. We then rated the results by how well the therapists we found in each directory could address each scenario, looking into whether it had competent, licensed therapists that were qualified to treat these issues.
Nov 2, 2023 · If you’re worried about someone overhearing you, or it’s too hard to say out loud, you can write it down in chat, email or text. Text 587-333-2724 (Monday to Friday, from 3pm – 10pm and Saturday and Sunday from 12pm)
Jun 25, 2024 · 7. Textmagic. If you’re looking for an all-in-one business texting solution, Textmagic is another great option. The platform offers two-way texting, mass texts, SMS marketing, and SMS surveys. Plus, it integrates with other support channels so your support team can take an omnichannel approach to customer service.
Crisis Text Line | Text HOME to 741741 Free, 24/7 Mental Health Support. Need to vent? Text HOME to 741741 to connect with a volunteer Crisis Counselor. Free confidential 24/7 support at your fingertips. Text Us Chat With Us WhatsApp. For international support, click here. How it Works.
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