The Best Online Therapy for Teens for 2022

By Jared Levenson  ✔️ Updated ✔️ Reviewed ✔️ Fact-checked on May 1, 2023

We independently evaluate, document our experience, and compare the best online mental health apps, courses, and services. Our links may result in a commission. Learn more

Adolescence can be a turbulent time for any teenager. With academic and extracurricular pressures, peer relationships, and digital media constantly in their face, it can be difficult for a teen to manage and maintain good mental health.

Teenagers are often afraid or embarrassed to talk about their problems or feel trapped in negative thinking patterns.

Fortunately, therapy can provide a safe space for teens to express their emotions, unravel their thoughts, and develop healthy coping skills and positive thinking.

In this blog post, we will introduce you to the best online therapy and mental health support options available for teenagers in 2022, as well as our top choice.

1. Talkspace 

Talkspace is a popular online therapy platform. They employ licensed mental health professionals licensed in your state to provide comprehensive mental health care to teens through their Talkspace for Teen online therapy program.

This program has various package options, including text, video, and live sessions, in addition to a popular app – making it a great fit for busy teens.

Importantly, Talkspace accepts insurance and also offers its teen services to all teenagers ages between 13 years and 17 years of age.

2. BetterHelp

BetterHelp is another top online therapy app on the market.

The platform has a comprehensive counseling service with a focus on depression, anxiety, stress, and emotional disturbances. BetterHelp matches the patient with the appropriate therapist, and they offer a broad range of communication methods to choose from, including phone calls, video chat, or messaging.

In comparison to Talkspace, BetterHelp has better reviews and offers lower prices. However, BetterHelp does not accept insurance coverage and their minimum age is 18 years old.

So if you’re teen is between ages 13-17 BetterHelp is not a viable option, but if 18+ then BetterHelp should be considered as a potential choice.

3. Teen Counseling 

Teen Counseling is an online counseling service that connects teens with licensed therapists. It’s easy to use and confidential, providing services through video, phone, or text.

They offer a free trial for new clients, and you can communicate with the therapists without the worry of being seen walking into a physical location. Like Talkspace, Teen Counseling provides mental health services for teens below the age of 18.

Teen Counseling, in comparison to Talkspace, offers more resources for parents. In addition, Teen Counseling specifically focuses on teens whereas Talkspace also caters to couples, adults, and medication management.

Alternatives to Talkspace and Teen Counseling

Here are four alternatives to online therapy and counseling services that cater specifically to providing mental healthcare support to teenagers:

  1. ReGain – ReGain is an online therapy platform that offers private counseling services for teens who are struggling with mental health issues or relationship problems. ReGain connects teenagers with licensed professional therapists who specialize in working with adolescents. Their unique feature includes couples counseling sessions for teens, which can help improve interpersonal relationships with family members and friends. Prices start at $65 per week, and they provide flexible scheduling for sessions.
  2. Pride Counseling – Pride Counseling is an online therapy platform that caters specifically to the LGBTQ+ community, including teens. They provide experienced counselors who are culturally competent and specialize in mental health issues experienced by LGBTQ+ people. Pride Counseling offers unlimited messaging and weekly live sessions at $65 per week. They also provide a private and secure platform to ensure patient confidentiality.
  3. Talkout – Talkout is an online therapy app that provides mental health support for teens through chat, voice, and video calls. Talkout offers unlimited access to licensed therapists who specialize in mental health issues experienced by teenagers. It also provides engaging and interactive tools such as a mood journal, meditation, and breathing exercises. Talkout offers a $39 monthly subscription with in-app purchases for additional features.
  4. RegainUS – RegainUS is a virtual counseling platform offering remote therapy services for teenagers. RegainUS provides a HIPAA-compliant telehealth system for teens to work with therapists specializing in teen counseling. They provide affordable fees starting at $50 per session and offer a free 7-day trial. RegainUS provides access to licensed professional counselors who can help with a variety of issues, including anxiety, depression, self-esteem, and relationship problems.

These online therapy and counseling services support teenagers with mental health concerns by providing privacy, affordability, and flexible access to licensed professional counselors who specialize in dealing with teenage-specific mental health issues. The unique features and counseling methods of each platform make them a viable alternative to in-person therapy.

Best Online Therapy With Unlimited Messaging for Teens

If you are looking for the best online therapy with unlimited messaging for teens, there are a few options to consider.

Your top two choices for online teen therapy are going to be:

  1. Talkspace for Teens –
  2. Teen Counseling –

Talkspace allows teens to message their therapist whenever they need to, while the other option is Teen Counseling, which specifically focuses on providing online therapy services for teens.

Best Online Therapy Specifically Geared Toward Teens

Teen Counseling is the best online therapy specifically geared toward teens. While Talkspace does provide insurance coverage, its services are more broadly marketed.

Does Online Therapy For Teens Prescribe Medication?

In the United States, patients must be at least 18 years old to receive psychiatric care (medications) at this time.

For example, both Talkiatry and Talkspace are two reputable online counseling programs that offer medication management services specifically for teens. Yet, only teenagers 18+ years of age can receive psychiatric care as well.

LiveHealth Online and MDLive provide general mental health services, including medication management for teens.

How to Tell Whether Teenagers Need Online Therapy

If you’re wondering whether your teenager could benefit from online therapy, there are a few signs to look out for.

Some common indicators of mental health struggles in teenagers include changes in behavior, sudden mood swings, increased anxiety or depression, difficulty sleeping, and withdrawal from social activities.

  • Additionally, if your teenager has experienced a traumatic or stressful event, online therapy could provide them with the support and guidance they need.
  • Remember that seeking help is a sign of strength and can greatly benefit your teenager’s mental well-being.
  • Consult with a mental health professional to determine if online therapy is a good fit for your teenager’s needs.

For more information on the best online therapy options for teens, consider checking out resources such as Talkspace, LiveHealth Online, or TeenCounseling. These online therapy programs offer specific services for teenagers and could be a valuable source of support for your teenager’s mental health.

Does Insurance Cover Online Counseling?

If you are struggling with your mental health, it’s important to know if online counseling is covered by insurance.

The good news is that most insurance companies do cover the costs of online therapy services. This includes Medicare, Medicaid, and most private insurance plans.

Coverage may vary depending on your location and specific plan, so it’s important to check with your insurance provider to find out more.

While fees for an online therapy provider may vary, some providers such as Talkspace work with over 50 different carriers, so you can find an option that works for you.

Don’t hesitate to reach out to your insurance provider for more information on mental health coverage.

Is the information shared confidential?

Yes, the information shared between you and your mental health provider is confidential except in certain situations.

  • According to ethical guidelines for doctors, confidential information can be shared without consent if it is required by law or directed by a court, or if it benefits a child or young person.
  • Additionally, your mental health provider can share your information with your consent or if they believe it is necessary to prevent harm to you or someone else.
  • However, they are obligated to inform you before sharing your information whenever possible.

It’s important to openly discuss any concerns about confidentiality with your mental health provider to ensure you fully understand your rights and obligations.

What To Consider Before Purchasing Online Therapy for Your Teenager

If you are considering purchasing online therapy for your teenager, there are several factors that you should consider.

  1. First, make sure that the therapist is licensed in the state that you live in. This will make sure your insurance coverage gets verified. Even if seeing a therapist online, this therapist should be located in your state.
  2. You should also consider the site or app’s security measures to ensure that your teenager’s personal information is protected.
  3. Additionally, pay attention to your teenager’s specific needs when choosing a therapist, and trust your instincts when making your decision. While online therapy can be a great option for some teenagers, it’s important to weigh the potential disadvantages as well.

How to Prepare for a Teen’s First Online Therapy Appointment

Preparing for a teenager’s first online therapy appointment can help make the experience more comfortable and effective. Here are some tips to keep in mind:

  1. Set up a quiet, private space. Find a space in your home where your teen can have privacy and minimize distractions.
  2. Check your technology. Make sure all devices and apps are working properly and have a reliable Internet connection.
  3. Discuss expectations. Talk with your teen to set expectations for the appointment, such as what topics will be discussed and what they hope to get out of the session.
  4. Prepare a list of questions. Encourage your teen to write down any questions or concerns they may have before the appointment.
  5. Focus on self-care. Help your teen practice self-care before and after the appointment, such as getting enough sleep, eating well, and taking breaks throughout the day.
  6. Remember that every teenager’s needs are different, and the most important thing is to make sure your teen feels comfortable and supported throughout the process.

Is online counseling The Best Option?

If you’re struggling with mental health and wondering if online counseling is the best option, there is no simple answer. Online therapy can be effective and convenient for some, but it isn’t right for everyone.

According to a study in the Journal of Medical Internet Research, online therapy can be just as effective as in-person therapy2.

However, it’s important to note that research hasn’t yet shown that online therapy is effective for everyone in every situation. Some people may benefit more from the therapy format than in-person therapy, and it’s essential to find a therapist you trust and feel comfortable with, regardless of whether it’s in-person or online.

Ultimately, the decision to try online counseling should be made after careful consideration and discussion with a mental health professional.

best If You Need To Vent

If you’re looking for the best person to vent to, it’s important to find someone who responds to your words with empathy.

This could be a friend, family member, or even a professional through online therapy. It’s also important to ask for consent before venting to someone and find a balance between venting and dealing with your emotions in other ways like meditation, exercise, or writing.

7 Cups is a 100% free, online chat helpline and therapy service with tons of “paths”, which are like mini-online courses for whatever mental health topic you want to learn about.

We tried 7 Cups and were highly impressed by their “listeners” who made us laugh and were easy to connect with online. So if you want to vent, or simply to have someone listen, 7 Cups is worth a shot.

Remember that venting can be helpful, but it’s not always the best solution for dealing with stress and negative emotions because you aren’t learning any skills while venting, and ultimately learning new emotional coping and communication skills is the key.

It’s important to find healthy coping mechanisms and seek professional help if needed.

Yes, in certain situations, a minor can sign up for mental health services without parental consent.

In all states, a minor has the right to consent to mental health treatment if they are considered to be mature enough to make their own decisions.

Additionally, some states have specific laws that allow minors to access mental health care without parental consent, such as if they are victims of domestic violence, homeless, or experiencing substance abuse or addiction. It’s important to talk to a mental health professional or a legal expert to understand the specific laws and options available in your state.

For more information on state laws regarding minor consent for medical care and parental consent requirements, please refer to the following sources:

Can Parents Participate In The Therapy?

Yes, parents can participate in therapy. Involving parents in their child’s therapy is highly recommended by mental health professionals. Parent participation engagement (PPE) teen therapy is deemed essential for child and family treatment, as it plays a critical role in children’s healing and coping processes.

Establishing clear communication and objectives that are agreed upon by the parent, child, and therapist can help ensure that therapy is heading in the right direction. Therapy can equip children with skills, but having a parent involved in the process is vital for bringing the therapeutic work into the real world.

Are Online Therapists Licensed?

Yes, online therapists are required to be licensed just like traditional in-person therapists.

The American Counseling Association (APA) emphasizes that educational and licensing requirements cannot be eliminated when practicing online therapy1.

Psychologists can provide therapy services through email, videoconferencing, and avatar therapy, but these can only be done legally and ethically by state licensing laws. Moreover traditional in person therapy, therapists need to be licensed in the state where their clients reside.

Does Insurance Cover Online Therapy?

Yes, most insurance companies do cover online therapy services.

However, coverage may vary depending on your insurance carrier, insurance plan, and location.

  • Medicare is now covering online therapy for all Medicare members, and Medicaid coverage for online therapy may depend on your state.
  • The Affordable Care Act and the Mental Health Parity and Addiction Equity Act require insurance companies to cover “medically necessary” treatment, which includes mental health services.
  • Additionally, some online therapy platforms, like Brightside, work with approximately 50 different carriers, including Aetna, Blue Cross Blue Shield, and Anthem, to provide therapy services that are covered by major insurance companies.

Therefore, if you are interested in online therapy, it is important to check with your insurance company to see if it is covered under your plan. If not, please know there are many free online therapy resources for teens.

When A Teen Won’t Talk In Therapy

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What If My Teenager Is Showing Signs of Self-Harm?

If you notice signs of self-harm in your teenager, it’s important to take action. Self-harm can be a sign of serious distress and can have lasting consequences.

Some signs to look out for include behavioral changes, such as mood swings and isolation, and physical changes, such as cuts and bruises.

It’s important to talk to your child and seek professional help. You can text CONNECT to 741741 for free, 24/7 crisis counseling and healthy coping mechanisms. Remember, your child is not alone, and there is help available.

Use the Crisis Text Line, a resource for self-harm for all ages:

Can Parents Attend Teens’ Online Therapy Sessions?

Yes, parents can attend their teen’s online therapy sessions in most cases. However, in most cases, the therapist and the teen meet privately. Yet if the teen wants, or is agreed upon by all parties, parents may attend therapy with their teen as well.

It’s important to discuss this with your therapist and your teen, to ensure everyone is comfortable and on the same page.

Keep in mind that privacy laws may limit the amount of information shared by the therapist.

Nonetheless, online therapy can be an excellent way to seek help for teen mental health concerns, and many online counseling programs offer different modes of therapy, such as video calls or live chat, to accommodate varying needs and preferences.

If you have any further questions or concerns, be sure to ask your therapist or do some more research online for resources that can support your teen’s adolescent mental health wellness.

When Should a Teenager See an Online Therapist?

If you or someone you know is struggling with a mental health condition, it may be helpful to consider seeing an online therapist.

Teenagers can benefit from online therapy if they are experiencing symptoms of anxiety, depression, or other mental health concerns. Online therapy can provide a safe space to share what’s on their mind without being judged or stigmatized.

As the wise proverb goes, “An ounce of prevention is worth a pound of cure.” Meaning, if you can get your teen into therapy before their mental health struggles turn into identity-consuming problems, that is the best time.

In other words, start therapy sooner, rather than later.

As we’ve mentioned, many online therapy programs offer specific services tailored to teenagers or young adults, such as Talkspace, which offers therapy for teens ages 13 to 17.

It’s important to remember that seeking help is a sign of bravery and strength, and there are many options available for support.

What Therapy Works Best for Teenagers?

Is Teen Online Counseling Confidential?

Yes, teen online counseling can be confidential.

However, confidentiality and informed consent issues should be discussed and agreed upon by the teen, their parents, and the therapist before beginning therapy.

It’s important to choose a reputable online counseling platform that prioritizes user privacy and has clear policies regarding confidentiality.

Overall, it’s crucial to have an open and honest conversation with your therapist about confidentiality concerns before starting therapy, such as the various price points of an online therapy program.

Therapy For Teens Conclusion:

Mental health issues are common in teenagers, but seeking therapy can help them deal with stressors, develop healthy coping mechanisms, and improve their overall mental health.

Online therapy services provide teens with the help they need from anywhere and anytime. The two most prominent teen therapy services are:

  1. Talkspace
  2. Teen Counseling

Choosing the right online therapy and mental health providers option for a teenager can be challenging. However, we hope our review of the 3 best online therapy and mental health support options for teens in 2022 will help guide your selection process.

Remember that the most important thing is to find the right professional to meet your needs, such as therapy if your teen has depression, and we hope that our article has made that task easier. Remember, good mental health is crucial for overall well-being; do not hesitate to get the help you need.

We hope this information was helpful!

If you have any further questions about therapy for teens or any suggestions on other mental health professionals, services, apps, or courses for us to review, please leave a comment below. We would love to hear from you and continue providing informative and helpful content.


  1. (n.d.).
  2. Lippke, S., Gao, L., Keller, F. M., Becker, P., & Dahmen, A. (2021, November 3). Adherence With Online Therapy vs Face-to-Face Therapy and With Online Therapy vs Care as Usual: Secondary Analysis of Two Randomized Controlled Trials. Journal of Medical Internet Research, 23(11), e31274.

If You Are In Crisis

If you are experiencing a crisis and need immediate help, do not wait for an online therapy appointment. Instead, it is essential to call 911 or seek emergency medical attention. The 988 Suicide and Crisis Lifeline can also be dialed by calling 988 if you are thinking about self-harm. This lifeline is available 24/7 and can provide you with the immediate assistance you need.

Additionally, you can contact the National Helpline at 1-800-662-HELP (4357) if you are dealing with mental or substance abuse disorders, and they will provide you with confidential assistance at all times. It is crucial to seek help when you need it, and support services are available around the clock.

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