These are trying times.
Worries about COVID-19 are as rampant as the pandemic and the isolation of quarantine is a challenge in and of itself.
It's a good time to talk to a therapist.
If you don't already have one who is available for a video visit, there are other options to finding one online who you can talk to via text, phone, or video.
Over half of Americans with mental-health issues do not receive treatment.
Cost is the biggest issue, even for those with health insurance, as not all plans cover the treatment they may need.
Emotional factors might also prevent someone from seeking help, not to mention practical ones involving time and transportation.
Online therapy removes many of these obstacles.
It might seem strange to conduct something as intimate as therapy on a smartphone or tablet, but having an in-home talk with a mental-health professional could help ease the stigma and awkwardness that some feel in seeking a therapist’s assistance.
It also allows for sessions at different times of day, like late in the evening, and removes travel complications.
Then there's price.
Online therapy is often more affordable than an in-office visit, particularly for those without insurance.
There are some caveats before you sign up.
Make sure the professional you're speaking to is a licensed therapist.
That means checking to see if they are a psychiatrist (an M.D.
or D.O.), licensed psychologist (Ph.D., Psy.D., or Ed.D.), licensed psychological associate (L.P.A.), licensed professional counselor (L.P.C.), licensed clinical social worker (L.C.S.W.), or licensed marriage and family therapist (L.M.F.T.).
Then look into whether the site or app is HIPAA-compliant, which means it would have to meet federal privacy standards that apply to health care.
We've put together some sites and apps that offer mental-health services in the form of one-on-one therapy via video and text.
We've also included some apps that guide you through exercises designed to ease some common issues.
If you are experiencing an immediate mental-health crisis, call the National Suicide Prevention Lifeline at 1-800-273-8255.
Doctor on Demand
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The Doctor on Demand site is designed as a portal to one-on-one video chats between physicians and patients.
The specialties available extend to mental health.
Using the site or the app (Android, iOS), you can speak to a doctorate-level psychologist or a psychiatrist.
An appointment can start within minutes after you sign up.
The cost to speak with a psychologist is $129 for 25 minutes and $179 for 50 minutes; for a psychiatrist, it's $229 for an initial 45-minute visit and $129 for a 15-minute followup.
Doctor on Demand does accept several types of health insurance, so prices may be lower for those in participating plans.
Many major employers also offer discounts.
Doctor on Demand is HIPAA-compliant.
BetterHelp
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BetterHelp matches users to therapists who are psychologists (PhD or PsyD), marriage and family therapists, licensed clinical social workers, or licensed professional counselors.
Users can text their therapist in a "room" on the site or in the app (Android, iOS).
The text chat is the default option, but users and therapists can schedule video chats at mutually convenient times.
If a user is not pleased with the therapist they've been matched with, they can switch.
BetterHelp does not accept insurance but the cost of services is in the very reasonable range of $40 to $70 per week (billed montly).
BetterHelp is HIPAA-compliant.
BetterHelp has offshoot apps designed to support those with specific concerns: ReGain (Android, iOS) for couples, Teen Counseling (Android, iOS) for teens, Pride Counseling (Android, iOS) for the LGBTQ+ community, and Faithful Counseling (Android, iOS) for those who prefer a therapist who shares their Christian faith.
Talkspace
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Talkspace's main service is Unlimited Messaging Therapy, which puts customers in touch with a licensed professional therapist via text, audio, and video messaging for $65 per week.
Those who also wish to add one live video session per month can opt for the premium plan at $59 per week.
There's also the LiveTalk plan that brings customers a live video chat with a therapist each week, as well as the unlimited messaging, for $79 per week.
The service also offers couples therapy for $99 per week.
US medical professionals with a National Provider Identifier number can enter it when registering to receive a free month of Talkspace.
A COVID-19 stress and anxiety management program is available to all subscribers for free.
Counselors in Talkspace can be licensed professional counselors (LPCs); have a Master of Science in counseling psychology, clinical psychology, clinical counseling, or educational psychology; licensed mental health counselor (LMHC); licensed marriage and family therapist (LMFT); licensed and independent clinical social worker (LICSW); doctor of psychology (Psy.D); or psychologists (Ph.D).
Talkspace is HIPAA-compliant.
MD Live
MD Live offers video or phone visits with board-certified physicians, including psychiatrists.
An initial visit is $259 and follow-up visits are $99.
MD Live is HIPAA-compliant.
Moodpath
Moodpath is not therapy or a substitute for it but it is a way to track anxiety and depression and provides helpful data to discuss with a therapist.
The app guides you through bi-weekly assessments of how you're feeling and has cognitive-behavioral tools.
There's a section on navigating the pandemic that addresses the various stresses you may be facing with advice and words of perspective.
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