How Does BetterHelp Work?

Medically reviewed by Andrea Brant, LMHC
Updated December 5th, 2025 by BetterHelp Editorial Team

BetterHelp provides online therapy via multiple formats, including audio, live chat, and video sessions. Individuals are matched with a licensed mental health professional who has at least a master’s degree and three years of clinical experience. BetterHelp therapy provides evidence-based care for all kinds of mental health challenges, in addition to helping people navigate relationship difficulties and major life transitions. Keep reading to learn more about how BetterHelp works and how it can help you improve your mental health.

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How do sessions work with an online licensed therapist?

With online BetterHelp sessions, you can choose a therapy format that feels right for you. For example, you can communicate with your therapist via audio, video, live chat, or some combination of these methods. Most people have one weekly session, but in some cases, people opt to have more than one session per week depending on their needs.

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Are all therapists licensed?

All the mental health professionals at BetterHelp are fully licensed in their respective states. In most states, licensure typically requires at least a master’s degree and 2,000 to 3,000 hours of supervised clinical experience. BetterHelp also has clinical psychologists, who typically have at least a doctorate. Regardless of their credentials, most therapists at BetterHelp have more than 10 years of experience, with 37% of therapists having at least 15 years of experience

Is there a process for continually verifying therapists?

BetterHelp periodically checks therapist credentials with the National Practitioner Data Bank (NPDB). The platform also has a system whereby therapists receive feedback, which could allow for continuous quality improvement. 

What mental health disorders are treated by the therapists at BetterHelp?

BetterHelp has a network of more than 30,000 licensed mental health professionals with experience treating a diverse array of mental disorders. Please note that your provider won't be able to make any official diagnosis, to fulfill any court order or prescribe medication. Individuals can find evidence-based treatment for the following disorders:

  • Depression
  • Anxiety disorders
  • Obsessive-compulsive disorder
  • Eating disorders
  • Substance use disorder

What treatments might be used by a licensed therapist at BetterHelp for various disorders?

BetterHelp therapists can develop and adapt treatment plans according to the evolving needs of each person during the therapy process. The following are some evidence-based treatment modalities used by BetterHelp therapists:

  • Cognitive behavioral therapy (CBT)
  • Dialectical behavior therapy (DBT)
  • Acceptance and commitment therapy 
  • Prolonged exposure therapy
  • Interpersonal therapy
69%
of BetterHelp clients use
one or more self care & clinical tools
Source: State of Stigma Report, May 2025
Most used tools
Worksheets
Goal & habit tracking
Journal
Support groups
Classes

How does online therapy compare to in-person therapy? 

While some people may prefer in-person therapy, others might prefer to communicate with a licensed therapist from home or a place where they feel comfortable. With BetterHelp, individuals can still have face-to-face contact with their therapist if they choose video calls instead of audio calls or live chat. Online therapy may allow people to combine these modalities according to their evolving needs and preferences. 

They can also reach out to their therapist anytime via in-app messaging and the therapist will respond as soon as they can. This feature may be especially valuable on days when individuals experience significant emotional distress, as they can send a message about what they’re feeling in the moment instead of waiting until their next therapy session. 

Effectiveness of online therapy and in-person therapy

Numerous peer-reviewed studies show that online therapy can be just as effective as traditional therapy sessions. One review of several studies found that online CBT—an evidence-based type of therapy—can be effective for the following mental disorders:

  • Social anxiety disorder
  • Phobias
  • Generalized anxiety disorder
  • Adjustment disorder
  • Obsessive-compulsive disorder (OCD)
  • Depression
  • Substance use disorder
  • Bipolar disorder

How does BetterHelp work in terms of payments?

BetterHelp costs approximately $70 to $100 per week, which is billed as a weekly or monthly subscription. Pricing is based on factors such as your location, referral source, preferences, therapist availability and any applicable discounts or promotions that might apply. Users can pay via credit card, debit card, Apple Pay, Google Pay, and PayPal. 

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How does BetterHelp work with health savings accounts?

Some people find that they can save money on health care by using a health savings account (HSA) or flexible savings account (FSA). Most HSA/FSA providers recognize BetterHelp as an eligible expense, which means that you can use pre-tax income to pay for online therapy services. However, BetterHelp can be more affordable than in-person therapy without insurance. 

Takeaway

BetterHelp serves as a source of evidence-based mental health care that may allow you to connect with a therapist in a way that’s comfortable for you, such as audio, video calls, or live chat. With a monthly subscription, you can receive mental health support from a qualified therapist with full licensure and at least three years of clinical experience.

Therapist availability tends to be extensive, so appointments can typically be made outside of traditional work hours. BetterHelp therapy sessions can also be tailored to your specific needs, whether you want support with mental health conditions, relationship challenges, or major life transitions. Take the first step toward getting mental health support and reach out to BetterHelp today. 

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The information on this page is not intended to be a substitution for diagnosis, treatment, or informed professional advice. You should not take any action or avoid taking any action without consulting with a qualified mental health professional. For more information, please read our terms of use.
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