How Does BetterHelp Therapy Work? Common FAQs And Platform Overview

Medically reviewed by Corey Pitts, MA, LCMHC, LCAS, CCS
Updated September 6th, 2025 by BetterHelp Editorial Team

BetterHelp is the largest therapy platform in the world. It's a 100% virtual service that remotely connects licensed therapists with clients around the world. When you first sign up with BetterHelp, you'll fill out a brief onboarding questionnaire about your preferences for a therapist. Once you submit your questionnaire, you can be matched with a licensed therapist in as little as 48 hours. After you've been matched with a therapist through BetterHelp, you'll be able to schedule your first weekly session with them. That session and each one after can take whichever form is most comfortable and convenient for you: phone sessions, video sessions, or live chat sessions. If you decide after working with your BetterHelp provider for a few sessions that they're not the right fit, you can easily learn how to request a different therapist and find a new one.

A woman wearing an orange sweater smiles towards the camera as she sits at a desk with a laptop open.
Getty/Drs Producoes
Sign up for online therapy sessions with a licensed provider

What is talk therapy for mental health?

Talk therapy, also called psychotherapy, is a type of mental health treatment. It usually involves a trained provider and a client speaking to each other regularly, such as once a week, using an evidence-based framework designed to address certain mental health challenges.

What are common types of talk therapy?

There are hundreds of different types of talk therapy available today. Certain approaches are more common than others, and each one has specific intended uses. Below are just a few examples of common talk therapy modalities:

  • Cognitive behavioral therapy (CBT): which generally involves teaching the client how to recognize and then shift distorted thoughts that may be contributing to unwanted feelings or behaviors
  • Dialectical behavior therapy (DBT): which teaches clients four key skills: distress tolerance, mindfulness, interpersonal effectiveness, and emotional regulation
  • Eye movement desensitization and reprocessing (EMDR): which is used to help a client process traumatic memories while their eyes or hands are engaging in bilateral movements 
  • Exposure and response prevention (ERP): which involves helping a client gradually learn that they can tolerate anxiety-producing situations without resorting to compulsions or harmful behaviors

In some cases, a person seeking therapy knows the specific therapy modality they're interested in exploring. In other cases, a person will seek a recommendation from a general therapist about what therapy modality might be right for their specific situation.

What can therapy sessions help with?

Talk therapy is often considered the first-line treatment for symptoms of various mental health conditions, from depression and anxiety disorders to obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD). However, you can also seek and potentially benefit from therapy even if you’re not living with signs of a mental illness.

Challenges that therapy may help

BetterHelp therapists are generally equipped to help you address a variety of life challenges or concerns that may be impacting your emotional well-being—even if they’re not related to a specific mental health condition. For example, they could guide a client in navigating situations like:

  • A breakup or divorce
  • Having a baby or going through another major life change
  • Grief
  • Chronic pain or a serious medical diagnosis
  • High stress levels
  • Trouble managing emotions
  • Concerning behavior patterns 
  • Relationship conflict
  • Past trauma
  • Burnout from work

How effective is working with trained therapists?

As talk therapy is the first line of treatment for most mental health challenges, it has been extensively studied. Here are a few key facts and figures about the state of talk therapy today:

Potential advantages of online therapy sessions with a licensed therapist

Many people have the potential to benefit from talk therapy with a licensed professional. But what about people who don't feel comfortable or aren't able to attend in-person therapy sessions due to work or school conflicts?

For example, over 122 million people in the US live in what’s called a “mental health workforce shortage area,” where there aren’t enough mental health professionals like therapists and psychiatrists to serve the needs of the population. Others may live in an area that lacks certain types of providers to meet their needs, such as therapists who identify as Black, Indigenous, or People of Color (BIPOC), who offer LGBTQIA+ affirming therapy, or who have training in trauma-informed approaches.

Transportation, scheduling, and therapist availability

In other cases, a person may have a physical disability or a lack of available transportation that prevents them from commuting to and from in-person appointments. Others may have a busy schedule that makes the commute to therapy sessions difficult, while still others may simply not feel comfortable meeting with a therapist in person. 

In all of the above cases, online therapy with BetterHelp can be a more convenient and comfortable way for people to work on their mental health and receive support. In general, online therapy involves meeting with a licensed therapist for regular sessions remotely, such as through an audio call, video call, or live chat. That means a person can receive care from anywhere they have an internet connection and a personal device. Plus, online therapy with BetterHelp tends to offer more flexible scheduling options than in-person sessions and can be more affordable than in-office care without insurance. 

Getty/Renata Angerami

How effective is online therapy with trained therapists?

In general, treatment approaches in the mental health care field must be studied extensively to confirm their effectiveness for different populations. As such, online therapy, like that through BetterHelp, has been widely researched in recent years. Today, a large and growing body of research suggests that online therapy can be similarly effective to in-person sessions for treating a variety of mental health concerns. For example, consider:

  • A 2021 study suggesting that virtual therapy in general is typically “no less efficacious” than traditional in-person therapy
  • Another 2021 study, which indicates that online therapy for anxiety may produce “equivalent overall effects” to in-person treatment
  • Research from 2020, which shows that the telehealth therapy process for depression can be “at least as effective” as in-person care
  • A 2018 randomized controlled trial, which reports that virtual cognitive behavioral therapy of “a relatively short” duration “is indicated to be effective in reducing stress-related symptoms,” including adjustment disorder and exhaustion disorder
  • Another 2021 study, which suggests that “digital technologies are a promising platform for the delivery of affirmative therapies for LGBTQIA+ populations”

How does BetterHelp therapy work?

BetterHelp is the largest therapy platform in the world. BetterHelp is a 100% virtual service that remotely connects licensed therapists with clients around the world. In addition to offering all the above-mentioned benefits of online therapy in general, BetterHelp also provides a few unique advantages to make the process of finding quality mental health support online even easier.

How can I get matched with a BetterHelp therapist to get mental health care?

When you first sign up with BetterHelp, you'll fill out a brief onboarding questionnaire about your needs and preferences for a therapist. Once you submit your questionnaire, you'll be matched with a licensed therapist accordingly. Most people can be matched in as little as 48 hours, though the process can sometimes take longer, depending on BetterHelp therapist availability. 

How do I meet with a licensed therapist for virtual therapy sessions?

After you've been matched with a therapist through BetterHelp, you'll be able to schedule your first weekly session with them. That session and each one after can take whichever form is most comfortable and convenient for you: phone sessions, video sessions, or live chat sessions. BetterHelp also allows you to reach out to your therapist via in-app messaging at any point between sessions, and they'll typically respond as soon as they're able. 

How can I find the right fit?

If you decide after working with your provider for a few sessions that they're not the right fit, you can also request to switch BetterHelp therapists. You can do this at any time, for any reason, for no additional cost. This can make it easier for you to find a good match, since feeling comfortable with your therapist is typically crucial for effective treatment.

If you eventually decide to stop pursuing treatment, you can cancel your BetterHelp subscription at any point. Also, keep in mind that BetterHelp currently does not offer medication management services, so seeking an in-person psychiatrist may be recommended in such cases.

Common concerns when starting therapy

If seeking care through BetterHelp will be the first time you've participated in therapy, you might feel nervous or have certain concerns. This is common, as starting therapy can represent a significant unknown. For example, some people might worry that they won’t know what to talk about and that it might be awkward. In this case, it can be helpful to remember that BetterHelp therapists are specifically trained in effective methods for guiding the conversation so people feel comfortable enough to open up. It's their job to guide the session, so you can feel free to lean on them for that.

Some people who are new to therapy might also worry that the therapist will judge them or won't be able to work with them on their specific concerns. Rest assured that it's part of therapist training to approach clients with an open, compassionate, and non-judgmental stance, a concept known as “unconditional positive regard.” In addition, many therapists are experienced in working with diverse individuals facing a variety of challenges and concerns. They’re typically committed to working with you to help you feel better, and are not judging you for your thoughts, feelings, experiences, or symptoms.

How does BetterHelp therapy work if I’m new to therapy?

Wondering how to get started? If you're new to therapy, getting started with BetterHelp is easy. You'll begin by filling out a brief questionnaire that asks you about the challenges you're experiencing, how you identify, and what you're looking to work on with a BetterHelp therapist. You'll then be matched with a provider according to these needs and preferences, and you'll be able to schedule your first appointment once matched. If you have any concerns about being new to therapy, your therapist will likely be happy to work with you on addressing them.

Getty/Vadym Pastukh
Sign up for online therapy sessions with a licensed provider

Getting started with BetterHelp

Ready to receive mental health services online through BetterHelp? You can start your BetterHelp therapy journey whenever you're ready. All you have to do is fill out the onboarding questionnaire so you can get matched with a therapist and start heading toward feeling better.

Takeaway

Talk therapy is an approach to mental health care that involves speaking regularly with a trained, qualified therapist. For those who aren't able to or aren't interested in attending traditional therapy sessions in person, receiving services through online therapy platforms like BetterHelp can be a convenient and comfortable alternative. In order to connect with one of the tens of thousands of BetterHelp therapists, you’ll need to fill out a brief questionnaire about your needs and preferences so you can be matched with a licensed therapist accordingly. You can then meet with them virtually, via audio, video, or live chat, to get the support you deserve.

Explore mental health and healing in therapy
The information on this page is not intended to be a substitution for diagnosis, treatment, or informed professional advice. You should not take any action or avoid taking any action without consulting with a qualified mental health professional. For more information, please read our terms of use.
Get the support you need from one of our therapistsGet started