Therapy apps vs a directory: choosing where to start (BetterHelp alternatives)
An online therapy app matches you to a therapist inside one company's network and bundles scheduling and payment; a directory lets you choose and contact an independent licensed therapist directly, often with more control over who you see and how you pay. If data privacy matters to you, note that the U.S. FTC took enforcement action against BetterHelp in 2023 over sharing users' health information for advertising.
How they differ
Apps (such as BetterHelp or Talkspace) assign or match you to a therapist in their network and handle logistics in-app, which is convenient but gives you less choice of clinician. A directory lets you see independent therapists' full profiles, pick one yourself, and contact them directly — and an independent therapist may take your insurance or offer a sliding scale.
The privacy question
In 2023 the U.S. Federal Trade Commission charged BetterHelp with sharing consumers' health information with advertisers, resulting in a $7.8 million order and a ban on sharing health data for advertising. It's a reason many people weigh privacy when choosing where to seek care. Kairn runs no third-party ad-tracking pixels and does not sell user data, by policy.
How to choose
If you want maximum convenience and a single app, a platform may suit you. If you want to choose your own clinician, use insurance or a sliding scale, or minimize data sharing, an independent therapist via a directory is worth considering. Either way, confirm the clinician is licensed where you'll be located during sessions.
Common questions
Is BetterHelp safe to use?
BetterHelp connects you with licensed therapists, but in 2023 the FTC took enforcement action over its sharing of consumers' health information for advertising ($7.8M order). Whether it's the right fit is a personal decision; if data privacy is a priority, that history is worth factoring in.
What's a BetterHelp alternative that takes insurance?
Independent therapists found through a directory often accept insurance or offer a sliding scale, unlike many subscription apps. You can search for in-network or sliding-scale providers directly and contact them yourself.
Are online therapy apps legitimate?
Reputable apps connect you with licensed clinicians and can be a real option, especially for convenience. The trade-offs are less choice of therapist, subscription pricing that may not use your insurance, and — depending on the company — data-privacy practices worth reviewing.