
In the modern landscape of mental health care, online therapy has emerged as a game-changer, offering convenience, accessibility, and tailored support to teenagers. According to recent statistics, about 32% of adolescents express a preference for online therapy over traditional face-to-face counseling sessions. The flexibility and personalized approaches provided by various online therapy platforms have made them increasingly popular among teens in the United States seeking mental health assistance.
Factors to Consider When Choosing Online Therapy for Teens
Selecting the right online counseling service for a teenager involves considering several critical factors:
- Type of Therapy Required: Different platforms specialize in various therapy types, such as Cognitive Behavioral Therapy (CBT), trauma-informed therapy, or LGBTQ+ affirming counseling.
- Financial Considerations: Cost is an essential factor. Some services offer sliding scale fees or accept insurance, while others operate on fixed pricing structures.
- Preferred Communication Method: Some teens prefer text-based sessions, while others feel more comfortable with live video chats or phone calls.
- Specific Mental Health Concerns: Whether it’s anxiety, depression, ADHD, trauma, or identity-related issues, choosing a platform with therapists specializing in these areas is crucial.
Overview of Top Online Therapy Platforms for Teens
Teen Counseling Online
- Session Types: Text-based and live chat, audio, or video.
- Cost: $60 to $90 weekly.
- Accepts Insurance: No.
- Age: 13 to 19 years old.
- Prescribes Medication: No.
- Pros & Cons: Teen Counseling boasts over 16,000 therapists specializing in teen issues, offering financial aid and cost-effective plans. However, it lacks insurance coverage and medication prescription services.
Amwell
- Session Types: Live video sessions
- Cost: $109 to $129 per session
- Accepts Insurance: Yes
- Age: 10 and up
- Prescribes Medication: Yes
- Pros & Cons: Being the largest telehealth provider in the U.S., Amwell specializes in ADHD and teenage anxiety therapy, works with various insurance companies, and offers medication management. However, it mainly focuses on live sessions and might have fewer therapist options than other platforms.
Pride Counseling (Part of BetterHelp)
- Session Types: Text-based messaging and live chat, audio, or video
- Cost: $60 to $90 weekly
- Accepts Insurance: No
- Age: 13 to 19 years old
- Prescribes Medication: No
- Pros & Cons: Pride Counseling emphasizes therapists with backgrounds in LGBTQ+ counseling, provides financial aid, and offers a flat weekly rate. However, it often may not provide Hormone Replacement Therapy (HRT) letters.
Talkspace
- Session Types: Text-based, audio, or video messaging
- Cost: $69 to $129 weekly
- Accepts Insurance: Yes
- Age: 13 to 18 years old
- Prescribes Medication: No
- Pros & Cons: With unlimited text, video, photo, and audio messages, Talkspace offers flexible plans and accepts FSA/HSA. However, it lacks live sessions in the basic plan and doesn’t accept Medicaid.
Wellnite
- Session Types: Phone, video, or text
- Cost: $450 monthly
- Accepts Insurance: Yes
- Age: 13 and up
- Prescribes Medication: No
- Pros & Cons: Specializing in friendship, relationship issues, and bullying, Wellnite accepts only PPO insurance plans but focuses solely on Cognitive Behavioral Therapy (CBT) with a smaller therapist pool.
Sesame Care (Sesame Health)
- Session Types: Live video sessions
- Cost: $60 to $300 per session
- Accepts Insurance: No
- Age: All
- Prescribes Medication: Yes, if seen by a psychiatrist
- Pros & Cons: Offering same-day appointments and affordable anxiety and depression medications, Sesame Care might have limited therapist options in some states and is not explicitly geared toward teens.
Doctor on Demand (Included Health)
- Session Types: Live video sessions
- Cost: Up to $299 for medication management and $179 for counseling
- Accepts Insurance: Yes
- Age: All
- Prescribes Medication: Yes
- Pros & Cons: Providing appointments any day of the week, Doctor on Demand allows you to choose therapists from a network of licensed professionals but charges relatively high fees for medication management.
7 Cups
- Session Types: Chat
- Cost: Free online chats with trained volunteers; less than $40 per week for unlimited messaging subscriptions
- Accepts Insurance: No
- Age: 13 to 17
- Prescribes Medication: No
- Pros & Cons: Offering low-cost online counseling sessions and access to trained listeners, 7 Cups is suitable for emotional support but may not have licensed mental health professionals available for chats.
Live Health Online
- Session Types: Live video sessions
- Cost: $80 to $95 per session
- Accepts Insurance: Yes
- Age: 10 and up
- Prescribes Medication: Yes
- Pros & Cons: With a diverse group of therapists catering to BIPOC teens, LiveHealth Online provides medical care and psychiatry sessions but has limited in-network availability and solely offers live video chatting.
Manatee
- Session Types: Video sessions
- Cost: $99 to $175
- Accepts Insurance: Yes
- Age: 0 to 18 years old
- Prescribes Medication: No
- Pros & Cons: Offering parent coaching services and online support groups, Manatee accepts FSA/HSA but restricts therapy services to specific states, limiting availability.
Little Otter
- Session Types: Video sessions
- Cost: $200
- Accepts Insurance: Only Kaiser Permanente
- Age: 0 to 14 years old
- Prescribes Medication: Yes
- Pros & Cons: Providing specialized ADHD programs and FSA/HSA eligibility, Little Otter conducts initial therapy sessions with guardians and therapists, but psychiatry sessions come at a higher cost.
Joon Care
- Session Types: Live video sessions
- Cost: $500 – $1,100 monthly
- Accepts Insurance: Yes
- Age: 13 to 24 years old
- Prescribes Medication: No
- Pros & Cons: Catering to young adults facing college burnout or stress, Joon Care offers comprehensive treatment plans and a unique twice-a-week session feature, available in limited states.
Additional Factors to Consider Before Selecting Online Therapy for Teens

- Budget Constraints: Understanding the cost structure and available financial aids is crucial.
- Therapist Qualifications: Ensuring therapists are licensed, experienced, and specialize in teen mental health concerns.
- Private and Distraction-Free Environment: Providing a space conducive to therapy without interruptions is vital.
- Reliable Technology: Ensuring a stable internet connection and compatible devices for seamless sessions.
Final Thoughts on Online Therapy for Teenagers
Finding the right online therapy service tailored to a teenager’s unique needs requires a thorough consideration of mental health concerns, financial aspects, home environment, and technological accessibility. Each recommended platform offers distinct services and price ranges, aiming to address specific teen mental health needs.
Frequently Asked Questions About Online Therapy for Teens
- Cost of Online Youth Therapy
- Effectiveness of Online Therapy for Teens
- Benefits of Therapy for Teenagers
- Encouraging a Teen to Attend Therapy
- Differences Between Psychologists and Psychiatrists for Teens
The Significance of Parental Consent in Teen Online Therapy
It’s vital to note that regulations regarding minors’ access to therapy without parental consent vary across states. Generally, most states mandate parental involvement or consent for adolescents seeking therapy, with specific exceptions related to confidential mental health issues.
Prioritizing Teen Mental Health through Online Therapy

Offering essential mental health support to teenagers via online therapy platforms is a transformative step in nurturing their emotional well-being and resilience as they navigate the complex journey of adolescence. By selecting appropriate online therapy services that cater to their specific needs, adolescents can receive the necessary support to enhance their overall mental wellness and pave the way for a healthier transition into adulthood.

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