#1 · Talkspace
Best for: Live therapy with a licensed clinician for moderate-to-severe depressionLive licensed-therapist telehealth via app; text + video sessions.
For moderate-to-severe depression, live therapy with a licensed clinician is the right answer, and Talkspace is one of the two largest US providers (BetterHelp is the other). Insurance partnerships are the differentiator — many users find Talkspace lands at $0-25/session through their insurer, which is often cheaper than seeing a local in-person therapist.
Strengths
- +Live therapy with US-licensed clinicians — actual treatment, not self-help
- +Insurance partnerships with Cigna, Optum, Aetna, Premera, more — many users pay $0-25/session
- +Psychiatrist access for medication evaluation (Talkspace Psychiatry add-on)
- +Text-asynchronous and video-synchronous options
Where it falls short
- −Therapist quality varies — multiple-therapist trials may be needed
- −Subscription pricing can stack up if you also need psychiatry
- −Text-only tier limits depth of therapy
Pricing
From ~$70/wk (text-only) to ~$130/wk (text + 4 video sessions/mo). Insurance accepted in many US plans.
Platforms
iOS, Android, web
vs. ILTY
Talkspace is the right pick for actual depression treatment with a licensed clinician. ILTY is not a substitute for therapy.