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Top picks

Online therapy services we feature

By Karnacology Editorial Team · Published

Disclosure: Karnacology is reader-supported. If you sign up for a service through links on this site, we may earn an affiliate commission at no extra cost to you. This never changes what we publish. See our full affiliate disclosure.

These are the online-therapy services we currently feature. Summaries are based on each provider's own published information - we have not clinically evaluated these services, and this is not medical advice.

The short version

  • Online-Therapy.com CBT program — A structured, CBT-based online therapy program for individuals and couples.
  • Talkspace Therapy + psychiatry — Online therapy and psychiatry through secure messaging and live video.
  • Brightside Health Psychiatry — Online psychiatry and therapy focused on anxiety and depression.

Compare at a glance

Feature availability is summarized from each provider's own published materials — always confirm details on the official site.

FeatureOnline-Therapy.comCBT programTalkspaceTherapy + psychiatryBrightside HealthPsychiatry
Works with insuranceNot a listed featureYesNot a listed feature
Psychiatry / medicationNot a listed featureYesYes
Live video sessionsYesYesYes
Messaging with a therapistYesYesNot a listed feature
Structured program (CBT)YesNot a listed featureNot a listed feature
Couples optionYesNot a listed featureNot a listed feature
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The services, in detail

How we work

A restored archive, plus research you can check

Karnacology restores the essay archive of a long-running psychotherapy publishing blog and, alongside it, publishes plain-English guides to modern online-therapy services. Service guides are based on providers' own published pricing, features, and policies - we cite what we can verify and say so when something is unconfirmed. We do not run clinical evaluations.

About this site

Not sure where to start? Our free fit quiz narrows it down in under a minute, and the choosing guide walks through credentials, costs, and policies.

This page is educational, not medical advice. If you are in crisis, call or text 988 (988 Suicide & Crisis Lifeline).

Frequently asked questions

Which online therapy service is best?

There is no single best online therapy service — the right choice depends on what you need. Karnacology features 3 services (Online-Therapy.com, Talkspace, Brightside Health); the comparison table on this page lists each one's focus, format, and positioning, drawn from the providers' own published information, so you can match a service to your situation.

How does Karnacology choose which services to feature?

Karnacology restores the essay archive of a long-running psychotherapy publishing blog and, alongside it, publishes plain-English guides to modern online-therapy services. Service guides are based on providers' own published pricing, features, and policies - we cite what we can verify and say so when something is unconfirmed. We do not run clinical evaluations. You can read more about how this site works on the About page.

Does Karnacology earn a commission from these links?

Karnacology is reader-supported. If you sign up for a service through links on this site, we may earn an affiliate commission at no extra cost to you. This never changes what we publish.

Is this page medical advice?

No. Karnacology is an educational site — summaries here are based on each provider's own published information, and nothing on this page is medical or therapeutic advice. This page is educational, not medical advice. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline), or contact a licensed clinician for diagnosis and treatment.

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