We Tested 65 Online Therapy Companies — These Are the 10 That Therapists Recommend for Kids and Teens

We Tested 65 Online Therapy Companies — These Are the 10 That Therapists Recommend for Kids and Teens

I’m a psychologist, and one of my specializations is child and adolescent mental health. When therapy moved online in 2020, many of my colleagues worried that we wouldn't be able to effectively provide mental health care to children and teens via telehealth. They were quickly proven wrong, and abundant research has since emerged that children adjusted well to telehealth in 2020.

Telehealth can be beneficial to children and teens with many issues, including anxiety, depression, and obsessive-compulsive disorder (OCD).

Even after in-person therapy became available again as lockdowns ended, telehealth remained an effective way to provide accessible care to children and teens living in rural areas.

Children and teens need specialized support and care. Research shows that many mental health issues can emerge very early in childhood, but symptoms tend to appear differently than in adults, and children’s symptoms are often overlooked by providers who do not understand these differences.

That’s why it’s essential that children receive support from providers trained in their development, presentation, and needs.
There are many reasons why a parent might choose teletherapy for their child or teen: lack of local resources, transportation, inability to obtain childcare for siblings during sessions, and even the child’s preference. Both individual and family therapy can be implemented effectively via telehealth as long as the provider has appropriate training in the method.

While the rise of telehealth options has made mental health care for children and teens more accessible than ever, choosing a therapist or platform can feel overwhelming. We had mental health professionals and writers personally test 33 telehealth therapy platforms, and I reviewed their experiences to bring you the 10 best telehealth platforms for online therapy for your child or teen.

Our Top Picks for Online Therapy for Kids and Teens

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Best for Teenagers

Teladoc Health

Pros

  • User-friendly scheduling portal
  • Unlimited asynchronous messaging with your therapist
  • Extensive resource library
  • Psychiatry services available
  • In network with most major insurance carriers, Medicare, and Medicaid
  • User-friendly app

Cons

  • $50 fee for missed appointments
  • Sign-up process can be difficult
  • No DEA-controlled prescriptions

Key Facts

  • Cost: Teladoc Health uses a pay-per-session model. It accepts most insurance carriers, including many Medicare and Medicaid plans. With insurance, the price depends on your plan and coverage. You may pay only a copay; in some cases, you’ll have to cover a deductible before insurance coverage kicks in. Without insurance, a 45-minute therapy session with Teladoc Health is $119. Initial psychiatry visits are $299, and follow-up psychiatry visits are $129.
  • Types of therapy: Individual, teen, family, couples
  • Ages treated: 13 and up

In mid-2024, Teladoc Health expanded its mental health services to provide therapy, psychiatry, and primary care to younger patients. Through a partnership with Brightline, Teladoc offers family and individual therapy for teens age 13 and up.

Teens who use Teladoc Health need parental consent, which is standard and compliant with informed consent laws in many jurisdictions. A parent makes an account and lists the teen as a dependent, allowing the teen to make appointments, message their therapist, and access sessions. Joint accounts like this give adolescents a level of control around their care while maintaining a connection to the parent — balancing autonomy and age-appropriate guidance. They can attend sessions alone or bring a parent, so sessions can be exactly as flexible as the teen needs.

Teladoc Health’s additional resources, including a mood tracker, educational content about mental health, and self-guided self-care tools, can engage teens outside of sessions and help them implement positive changes in their daily lives. Teladoc Health hires therapists who specialize in adolescent mental health to ensure that patients receive developmentally appropriate treatment geared toward their age and cognitive abilities. Its therapists address common adolescent issues, including depression and anxiety, life stressors, low self-esteem, and bullying.

I personally tested Teladoc Health’s individual therapy. Although I am an adult, I got a sense of the quality of care and variety of services offered. I had some challenges signing up because I was not using my insurance and had trouble getting the self-pay option activated. However, once I was signed up, the website was easy to use, and the therapy I received was one of the best experiences I have ever had with an online therapy platform (and I have tried over a dozen).

Lifestance logo

Best for Young Children

LifeStance Health

Pros

  • Both therapy and psychiatry
  • In network with many major insurance carriers
  • In-person sessions available if telehealth is not a good fit
  • You choose your provider
  • Easy to schedule and cancel sessions, or change therapists
  • Can prescribe controlled medications in some states
  • ADHD and autism diagnostic assessments available

Cons

  • Self-pay cost is not clearly listed on the website
  • Some locations have few providers available
  • Must cancel 48 hours before an appointment or pay a fee
  • Medication management is not available in all states

Key Facts

  • Cost: LifeStance Health works on a pay-per-session model. Its providers are in network with many insurance carriers. Out-of-pocket sessions can cost $75 to $300 per session based on location, provider, and other factors. It’s difficult to find this information on LifeStance Health’s website, so you might have to reach out to customer support to learn the rates for your area.
  • Types of therapy: Individual, child, teen, family, couples, group
  • Ages treated: All ages

While many telehealth companies have pivoted to providing mental health treatment for children, LifeStance Health does not have a lower age limit for its services. It advertises age-appropriate mental health care across the entire lifespan. Its providers who work with children are required to have extensive training and expertise in children’s mental health care. Of course, a newborn baby will not engage in individual therapy, but LifeStance Health providers who work with children offer individual, family, and parenting support.

In addition to therapy services, LifeStance Health provides diagnostic evaluations for attention deficit hyperactivity disorder (ADHD) and autism, as well as testing for IEP and supportive services at school. Early detection is essential in ensuring that neurodivergent kids receive appropriate support. Diagnosis can also inform appropriate treatment plans and recommendations for care. Many platforms do not offer diagnostic assessments to confirm or rule out these diagnoses, so LifeStance Health’s commitment to diagnostic accuracy is unique and makes it stand out from other platforms.

In addition, LifeStance Health providers use several approaches, including art therapy, play therapy, and evidence-based treatment for many concerns. LifeStance Health also has several in-person clinics around the country, so if a child does not take well to telehealth, they may be able to receive in-person services with their existing provider.

The variety of services, including diagnostic and accommodation evaluations, make LifeStance Health an excellent resource for families with young children needing support.

Our tester found LifeStance Health’s providers to be well qualified, and the platform has extensive biography information so users can make an informed choice. You must input credit card details before pricing is shared, but our tester quickly received an estimate after providing this information. The providers have weekend availability, and our tester received high-quality support.

Best for Family Therapy

Rula

Pros

  • In network with most insurance carriers
  • Secure messaging with your therapist available
  • Can connect with individual and family therapists simultaneously
  • Psychiatry services
  • Offers matching but lets you choose your therapist
  • Flexible scheduling
  • Family therapy providers have training in a variety of evidence-based family therapies

Cons

  • Not all providers accept all insurance carriers
  • Not available in all states
  • No mobile app
  • $99 no-show fee

Key Facts

  • Cost: Rula’s services are paid on a per-appointment basis. Because many of Rula’s providers are in network with insurance carriers, most people are able to offset the cost of care by going through their insurance. Rula’s self-pay rate is $150 for individual sessions and $165 for family and couples sessions. Psychiatry services are $350 for an intake appointment and $150 for each follow-up. Rula will confirm benefits and out-of-pocket costs before your first session. There is a $99 fee for missing sessions, which is higher than many other telehealth platforms.
  • Types of therapy: Individual, child, teen, family, couples
  • Ages treated: 5 and up

Rula aims to make mental health care affordable and accessible by making it easier for therapists to accept insurance. Although therapists can choose which insurance carriers they will accept, Rula advertises a set self-pay rate.

Children who require mental health support usually benefit from a family approach. Kids exist within a family system and are highly responsive to their environment. If environmental stressors or family conflicts are not addressed, a child will struggle to make progress in their therapy.

Rula provides individual, couples, and family therapy, with individual and family sessions available for all ages; its providers see children as young as 5 years old. In many situations, families seeking family therapy also have members who need to be seen individually. Rula’s platform has a huge variety of providers who specialize in different age ranges and approaches to therapy, so users can find individual and family therapists who meet the whole family’s needs. It also offers psychiatric care for those who may require medication management and are at least 13 years old.

Rula family therapy providers are trained in a variety of evidence-based treatment approaches, including systemic, structural, Bowenian, and solution-focused family therapy, for flexible approaches based on a family’s needs and preferences. Systemic family therapy focuses on how the family functions as a system and how individual members influence the system. Structural family therapy emphasizes how family members interact and communicate. Bowenian family therapy looks at intergenerational patterns and how they play out. Solution-focused therapy is a short-term and structured approach that emphasizes resolving a specific issue.

Rula offers flexible scheduling, and users can filter for providers who have availability at times that work for them. Appointments may be available within 24 hours.

Our tester found Rula’s intake process thorough, offering comprehensive information about providers and scheduling. According to our tester, the therapist was “very easy to talk to and gave excellent advice.” Scheduling sessions was quick, easy, and user-friendly. Although the initial intake was rather formal, the sessions were very helpful.

The flexible scheduling and range of services to address a whole family’s needs make Rula a fantastic choice for those seeking family therapy.

Thriveworks logo - square

Best for Trauma

Thriveworks

Pros

  • Accepts most insurance carriers
  • Psychiatry services available
  • In-person options in some places
  • E-books and other free educational resources
  • Individual and family services
  • EMDR available in some states

Cons

  • Not available in all states
  • $135 fee for missed appointments or late cancellations
  • Some states have very few providers available
  • Rates vary by location

Key Facts

  • Cost: All Thriveworks services are fee for service, and no subscriptions are available. If you use insurance, out-of-pocket costs depend on your plan and could be as little as a copay. Thriveworks takes more than 585 insurance plans. If you are not using insurance, the self-pay rate varies based on location. Self-pay rates are $160 to $240 for therapy intake, $135 to $195 for therapy sessions, $255 to $375 for psychiatry intake, and $175 to $300 for psychiatry follow-ups.
  • Types of therapy: Individual, child, teen, family, couples
  • Ages treated: All ages
Thriveworks offers a variety of mental health services across the lifespan, with providers who specialize in many age groups and concerns. Its providers really shine in treating trauma. The National Child Traumatic Stress Network reports that approximately 1 in 4 American children will have at least one traumatic experience by the time they reach age 16, so the demand for specialized services to support children who have experienced trauma is high.

Thriveworks has providers who specialize in all age groups. Children as young as 1 can participate in mental health therapy on this platform.

Thriveworks providers are trained in trauma-informed care and evidence-based treatments for trauma, including eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive behavioral therapy (TF-CBT). EMDR involves reprocessing while moving the eyes or engaging in tapping to engage the brain. TF-CBT is a narrative approach to trauma therapy that helps patients develop regulation and coping skills, then create a narrative around their experience so they can reprocess what happened and cope with any big feelings relating to the trauma.

Both family and individual therapy are offered, so parents can process their individual emotional response to their child’s traumatic experience as well, and the family can meet with a family therapist together to process the experience as a unit.

Our tester was impressed by Thriveworks’s insurance options, with transparent pricing upon sign-up. While only a few therapists were available to our tester, their qualifications were impressive.

Because Thriveworks has more than 340 in-person offices across the country, families can try telehealth and transition to in-person services as needed if an office is located in their area. Thriveworks also operates TherapyLand locations, play therapy centers that specialize in children ages 12 and under. Thriveworks’s commitment to evidence-based services sets it apart from other platforms.

Best Subscription

Brightside Health

Pros

  • Available in all 50 states
  • Medication management available
  • Suicide Prevention Program available
  • Accepts Medicare, Medicaid, and most major insurance carriers
  • Messaging available between appointments
  • Support for severe mental health issues, including suicidal ideation

Cons

  • Only children age 13 and up
  • Only cognitive behavioral therapy
  • No prescriptions for controlled substances

Key Facts

  • Cost: Brightside Health is a subscription service, so you pay a monthly rate to access services. It is in network with many insurance carriers, as well as Medicare and Medicaid, so people using insurance might be able to access Brightside services with no out-of-pocket cost. For subscriptions and self-pay, prices are $299 per month for four 45-minute video sessions per month, with unlimited messaging, and $59 for additional sessions; $95 per month for psychiatric services, plus the cost of prescriptions, which are filled by the pharmacy and not by Brightside Health; $349 a month for both therapy and psychiatry services; and $299 per month for crisis care plus psychiatric support.
  • Types of therapy: Individual, teen 
  • Ages treated: 13 and up.

With busy schedules and tight budgets, it can be difficult to stay on top of scheduling sessions and to afford the out-of-pocket cost of care. Subscriptions can make these challenges more manageable, since you know exactly what the service will cost each month. Brightside Health offers monthly subscriptions for therapy, psychiatry, and crisis services. Building therapy and medication management can make treatment even more affordable.

Children ages 13 and older can sign up for Brightside Health with parental consent. Teens are matched to providers with expertise and training in adolescent mental health care. Brightside Health providers specialize in many presenting concerns, including anxiety, depression, trauma, OCD, sleep issues, and bipolar disorder. In addition to services with qualified professionals, Brightside Health patients gain access to the self-care program to learn about mental health and build coping skills alongside formal treatment.

I also tested Brightside Health for Everyday Health. It was a fantastic fit for my busy work schedule and provided a thorough intake, gathering extensive background information. I appreciated knowing exactly how much to budget for my sessions using the subscription and had a great connection with my provider.

Brightside Health’s psychiatry services offer a variety of medication options, including antidepressant and anti-anxiety medication. However, Brightside Health does not prescribe controlled substances like benzodiazepines and stimulant medications.

Brightside Health is particularly unique in its offering of telehealth services for people who experience suicidal ideation. Suicidal thoughts and urges are a symptom of many mental health diagnoses, but many online platforms will not treat people who experience these thoughts due to concerns about risk and liability, even though research shows that telehealth can effectively treat suicidal thoughts in children and teens, reducing the use of emergency services and psychiatric hospitalizations.

Brightside’s Suicide Prevention Program is an especially important resource, and its commitment to supporting people who may struggle to find a provider willing to treat their symptoms sets it apart from other platforms.
Grow

Best for Coping With Change

Grow Therapy

Pros

  • Available in all states
  • In-person options available in some states
  • Medication management available
  • Individual and family therapy
  • You choose your therapist and can filter the search based on your needs
  • Large network of providers, with diverse backgrounds and training
  • Database of educational information

Cons

  • Does not accept some major insurance carriers
  • Self-pay rates vary by location
  • No messaging with your therapist between sessions

Key Facts

  • Cost: At Grow Therapy, you pay per session. It accepts many insurance carriers but not all of them. Self-pay rates vary by location. The website doesn’t clearly indicate the self-pay range. Our tester learned that self-pay sessions are $150 to $275.
  • Types of therapy: Individual, child, teen, family, couples
  • Ages treated: 6 and up

The Greek philosopher Heraclitus is credited with saying, “The only constant in life is change.” This is particularly true for children and teens, who are constantly changing as they go through a series of transitions. Therapy can help children adjust to these changes and develop a healthy sense of identity.

As the name suggests, Grow Therapy centers its philosophy around helping people become their best selves through growth and positive change. It offers a variety of services and therapy options throughout the United States.

Children as young as 6 can receive therapy through Grow. Users input information about their insurance or payment method, as well as the issues they want help with, and can choose from a list of providers who meet their needs. You can find a therapist for your child, yourself, and even couples or family therapy if you want to work through life adjustments as a unit.

Everyday Health tested Grow Therapy, and our tester appreciated the transparency of its pricing and ease of scheduling. Our tester was happy with the provider options and had a better experience with Grow Therapy than with other platforms. Our tester found that the experience closely replicated in-person therapy.

Grow also has in-person options if teletherapy is not a good fit for your child. The Grow network includes providers who can help with medication management if needed. Grow has an extensive library of articles and educational resources so you can learn more about mental health diagnoses, therapy, health insurance, and more.

Amwell logo

Best for LGBTQ+

Amwell

Pros

  • Mental health and medical services
  • In network with most insurance carriers
  • Therapist messaging available between sessions
  • Evening and weekend appointments available
  • You choose your own provider

Cons

  • Search is not user-friendly
  • Psychiatry services only for age 18 and up
  • Difficulty contacting customer service
  • $40 fee for canceled or missed appointments
  • Does not accept Medicare or Medicaid

Key Facts

  • Cost: Amwell accepts most insurance carriers. It does not accept Medicare or Medicaid. Amwell’s therapy sessions are $99. It is a fee-for-service model and does not offer subscriptions.
  • Types of therapy: Individual, child, teen, family, couples
  • Ages treated: 10 and up

The LGBTQ+ community faces discrimination and mistreatment that lead to increased stress. While therapy cannot undo systemic oppression, it can help people cope, and it can help individuals who are exploring their gender identity or sexual orientation get to know themselves better. People in the LGBTQ+ community who seek support for mental health often want a provider who understands their experiences.

According to the Mayo Clinic, children begin to have an understanding of their gender identity by age 3.

Although this does not mean they will have a full understanding of themselves, they can begin getting to know themselves from a young age.

Amwell provides counseling to address and support the needs of the LGBTQ+ community. It offers therapy services for children age 10 and up with parental consent, with providers specializing in LGBTQ+ issues and mental health. This means that providers can see children who identify as LGBTQ+ or would like a therapist’s help in exploring this possibility. The platform can also help the people who love them. And if a child’s parent, other relative, or friend comes out as LGBTQ+, a child might benefit from processing this information with a qualified professional.

Our tester felt that Amwell’s providers were highly qualified and skilled: “The therapist was wonderful.”

Amwell’s specialization in LGBTQ+ counseling and inclusion of children and teens makes it stand out as a safe resource for this community.

Mindful Care logo

Best for Group Therapy

Mindful Care

Pros

  • Many groups available for specific concerns and symptoms
  • In network with many insurance carriers
  • Group therapy, urgent care, and microtherapy
  • Affordable self-pay rates
  • Medication management available
  • True group therapy, not support groups

Cons

  • Not available in all states
  • $25 to $100 fee for missed appointments or late cancellations
  • Unable to choose your provider
  • Longer individual therapy sessions not available
  • There can be long wait times for appointments

Key Facts

  • Cost: Mindful Care is a fee-for-service model, with no subscription. Its website lists the hundreds of insurance plans it accepts. Out-of-pocket prices are $35 for 60-minute groups, $50 for individual microtherapy sessions, $175 for psychiatry intake or reevaluation, and $75 for psychiatry follow-up appointments.
  • Types of therapy: Individual, group, kids 12 and up (psychiatry only)
  • Ages treated: 12 and up

Mindful Care offers a variety of mental health support for children age 12 and up. Although other online platforms provide support groups, Mindful Care’s groups are true group therapy, involving evidence-based treatment for mental health issues provided by a licensed therapist in a group setting. Mindful Care’s commitment to quality care sets it apart from other platforms.

Group therapy typically focuses on a specific concern so that group members can connect with others going through similar experiences, and recover and heal together. Mindful Care has two groups specifically for adolescents:

  • Teen Connection This group is for teens to build connections and navigate life stressors with peer support.
  • Connect and Reflect This dialectical behavioral therapy group teaches skills around emotional regulation, communication, mindful coping, and other strategies for dealing with mental health issues. It is for individuals ages 15 to 17.

Additionally, Mindful Care provides a group called Nurture, which creates a supportive space for parents looking to process the challenges that come with parenting and work on improving their parent-child relationships.

“I appreciated that the company offers group therapy online, since it can be a good resource for some people,” says our tester. “I also liked the continuity of having the same therapist for my individual and group therapy sessions.”

Both parents and teens can benefit from group therapy at Mindful Care to treat mental health concerns and build positive family relationships. Note that Mindful Care is not available in all states.

MDLive logo (2)

Best for Psychiatry

MD Live

Pros

  • Easy-to-use app
  • Accepts many insurance carriers
  • Available in all states
  • Medical care available in addition to therapy and psychiatry
  • Choose your own provider
  • Easy to switch providers
  • Spanish-speaking providers available
  • Interpreters available for deaf and hard-of-hearing clients

Cons

  • Can message provider between sessions
  • No same-day appointments
  • $50 fee for missed appointments or late cancellations
  • Stimulant medication not available

Key Facts

  • Cost: MD Live accepts a variety of insurance carriers. For those paying out-of-pocket, initial therapy sessions are $179 and follow-up sessions are $140; and psychiatry intake is $299 and follow-up sessions are $159.
  • Types of therapy: Individual, child, teen
  • Ages treated: 10 and up

It can be difficult to find a psychiatrist who works with children and adolescents. Telehealth increases access to care, but providers must be qualified to work with this age group. This is especially important for children who need medication management due to developmental considerations. Fortunately, MD Live offers therapy and psychiatry services for children age 10 and up.

When signing up, you can choose to find the provider with the soonest available appointment or assess different providers. If needed, you can change providers quickly and easily. Since the therapeutic relationship is the most important component of mental health care, this allows users to try different providers and find the best fit for them. Urgent care is available every day, including holidays, and specialist appointments like psychiatry are available from 7 a.m. to 9 p.m. seven days per week, so mental health care is flexible and accessible regardless of school and activity schedules. Additionally, MD Live has providers who specialize in pediatric psychiatry.

Our tester found MD Live’s intake process to be quite medical, which makes sense for a platform that primarily provides medical care. Their therapist was highly qualified and attentive, and provided specific guidance based on a “curriculum that she adapted to my specific circumstances,” according to the tester.

MD Live has providers who are fluent in Spanish, and interpretation services for deaf or hard-of-hearing clients are available. This commitment to accessibility is not standard, and many similar platforms do not offer this additional support. In addition to mental health services, MD Live offers urgent care, medical care, and dermatology. Many insurance carriers are accepted. For those who aren’t insured, or if your plan isn’t accepted, MD Live has affordable out-of-pocket rates.

Wellnite logo

Best for Self-Esteem

Wellnite

Pros

  • Medication management available
  • Text scheduling available
  • Various session lengths
  • Discounts for annual or biannual payments
  • Available in all 50 states
  • In network with many insurance carriers
  • Subscription or pay per session
  • Self-guided mental health resources

Cons

  • Some areas have few providers
  • Therapist bios are not provided
  • $65 fee for missed appointments

Key Facts

  • Cost: Wellnite uses a subscription model, but you can also purchase sessions starting at $75 each for individuals and $135 for couples. Wellnite accepts many insurance plans. There’s a $65 fee for a missed appointment or one that is not canceled at least three hours ahead of time. A combined medical care and therapy plan is $245 per month for one doctor consultation per month and either two 30-minute therapy sessions or one 60-minute therapy session per month. Therapy alone is $450 per month for six 30-minute sessions, four 45-minute sessions, or three 60-minute sessions. Discounts are available if you pay in advance. For the medical and therapy plan, you can pay $196 per month when you pay for six months upfront and $159.25 per month when you pay annually. The therapy plan is $360 per month when you pay for six months and $292.50 per month when you pay annually.
  • Types of therapy: Individual, teen, family, couples, group
  • Ages treated: 13 and up

Self-esteem is a common concern among children and adolescents. Social challenges, body changes, and hormone fluctuations can hit self-esteem negatively. Therapy can help mitigate these effects and improve self-esteem in healthy ways.

Wellnite offers therapy for teens with parental consent. Its therapists’ areas of specialization include addressing self-esteem using evidence-based treatments to improve self-image and mental well-being.

In addition, Wellnite has self-guided resources that can capitalize on progress made in sessions and promote healthy self-esteem:

  • Wellnite Mood Flow An emotional well-being tracker to note changes in your mood and triggers for emotional fluctuations
  • Wellnite Progress A progress tracker that follows the steps taken toward your personal goals, highlighting achievements
  • Wellnite Self-Awareness A tool to identify triggers and underlying causes for mental health symptoms, and to identify patterns and build insight

These tools can help children make progress toward their personal goals and build self-esteem. Wellnite’s flexible, affordable options; emphasis on treating issues related to self-esteem; and accessibility for teens make it stand out as a resource.

When our tester tried out Wellnite, the experience was positive and enjoyable. While some of the intake questions felt “really negative, pathologized, and stereotyped,” according to the tester, their overall experience was good. The tester frequently referenced how fantastic the experience was.

Comparison Table

Cost
Types of Therapy
Format
Accepts Insurance?
Ages Treated
$119 per therapy session
Individual, teen, family, couples
Video
Yes
13 and up
$75 to $300 per session
Individual, child, teen, family, couples, group
Video, in person
Yes
All
$150 per individual session, $165 per family or couples session
Individual, child, teen, family, couples
Video
Yes
5 and up
$135 to $195 per session
Individual, child, teen, family, couples
Video, in person
Yes
All
$299 to $349 per month, $59 for add-on sessions
Individual, teen
Video
Yes
13 and up
$150 to $275 per session
Individual, child, teen, family, couples
Video
Yes
6 and up
$99 per session
Individual, child, teen, family, couples
Video, audio
Yes
10 and up
$50 for microtherapy, $35 for groups
Individual, group
Video
Yes
12 and up
$108 per session
Individual, child, teen
Video, audio
Yes
10 and up
$75 per session or $196 per month (paid biannually)
Individual, teen, family, couples, group
Video
Yes
13 and up

Other Noteworthy Online Therapy Services for Kids and Teens

We chose our 10 favorite online therapy platforms for children and teens, however, many of the other companies we tried had a lot to offer.

NOCD offers evidence-based teletherapy for OCD in children as young as 5, with both individual and family support. Users report positive experiences and significant symptom reduction. NOCD did not make our list because of its specialization in one diagnosis.

Talkiatry provides psychiatric services to young children. It connects people to qualified psychiatrists and accepts many insurance carriers. To use Talkiatry, you must go through your insurance; there is no self-pay option. This limitation cost it a spot on our list.

How We Tested Online Therapy for Kids and Teens

We are committed to providing accurate and balanced information about the companies we test so that you can make an informed decision about what is best for you. We had users test every platform considered for this piece. They signed up as patients and used the services to gather firsthand knowledge of the platforms and the services they offer. They provided detailed notes about their experiences, with the pros, cons, standout features, and limitations for each. These reviews were assessed by a licensed psychologist certified in providing telemental health to determine which platforms offer the highest quality service.

What to Look for When Signing Up for Online Therapy for Kids and Teens

When choosing an online therapist or online therapy platform for your child or teen, there are many factors to consider. The right choice depends on their symptoms, needs, preferences, and values. Considerations to keep in mind when vetting online therapy platforms include the following:

  • The platform’s privacy policy and compliance with federal laws and ethics codes. Not all online therapy platforms protect your privacy.
  • If you know what issue you’d like to address or your child already has a diagnosis, look for a platform that specializes in that concern. If you’re not sure what help your child might need, look for a platform that has a wide range of specialties, providers, and therapeutic approaches so you can find the best fit.
  • Since children and teens have developmentally specific needs, look for a provider who understands and has specialized training in understanding the needs of their age group.
  • If you plan to use insurance to offset the cost of care, look for a platform or provider who is in-network with your plan.
  • Some platforms have additional resources and tools. If your child or teen is interested in these resources, find a platform that offers what they are looking for.
  • If your child or teen is considering medication for their symptoms, look into platforms that offer psychiatry and medication management in addition to therapy.

How Do I Know if My Child or Teen Needs Therapy?

If you are wondering if your child or teen would benefit from meeting with a therapist, chances are they would. According to the World Health Organization, 1 in 7 youths worldwide has a mental health issue. In other words, these concerns are common, and it is not a personal failing on your part as a parent if your child needs help. The following red flags might indicate that your child or teen would benefit from therapy:

  • They have withdrawn from friends and loved ones.
  • They have stopped showing interest in things they were previously passionate about.
  • Their grades have dropped.
  • They have experienced a stressful event.
  • They have told you that they think they would benefit from therapy.

How Can I Choose the Right Therapist for My Child or Teen?

The most important component in therapy is the relationship between the client and therapist. It is vital that your child or teen has a connection with their therapist and feels that they can trust them. Ask your child what they want from a therapist and connect them with someone who will meet their needs. Sometimes we do not know whether a therapist is a good fit without meeting them first. Your child might have to meet with a couple of therapists before determining who is best for them. You can let them know beforehand that it is okay if they do not connect with the first therapist and need to try someone else.

You can also consider your child’s specific mental health concerns and look into therapists who specialize in their needs. Your child’s pediatrician may have recommendations if you have trouble finding someone.

Is My Child or Teen a Good Candidate for Online Therapy?

Although everyone has individualized preferences, research shows that most children and teens connect well and benefit from telehealth services, with comparable treatment outcomes to in-person therapy for a variety of diagnoses and symptoms.

 If your child or teen expresses a preference for in-person therapy, this is perfectly fine. If they are concerned that they might not have full privacy, in-person sessions might be a better option for them.

FAQ

Is online therapy effective for children?
Yes, extensive research shows that telehealth can be effective for all ages. Of course, everyone has individual needs, and telehealth is not a perfect fit for everyone. However, there is a good chance that your child can benefit from telehealth.
Yes, research has extensively shown that children and teens can benefit from telehealth to support their mental health.
Teletherapy can be effective with children as young as 4. Of course, very young children may need help engaging and staying attentive to the therapist in a session. Young children may need family therapy, with a parent present for the session to assist.
Each therapist has their own policy. Most require a parent to attend the first session to get a thorough history and make sure that everyone is on the same page regarding treatment goals and expectations.

This will depend on the therapist’s policies. If a child knows their sessions are not confidential, they are less likely to be open and build trust with their therapist. At the same time, therapists are required by law to break confidentiality if they have a safety concern about a minor. Ask your child’s therapist what updates they will provide about your child’s sessions. Your child should be fully aware of any confidentiality limitations in their sessions to prevent a breach of trust.

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Amy Marschall, PsyD

Author

Amy Marschall, PsyD, is a freelance mental health writer and a licensed clinical psychologist.

She received her doctoral degree in clinical psychology from the University of Hartford in West Hartford, Connecticut, in 2015. She completed her pre-doctoral internship through the National Psychology Training Consortium (Central Region) and her post-doctoral residency at Family Psychological Center P.A. in Harrison, Arkansas.

Dr. Marschall has been a licensed psychologist since 2016 and currently owns a private practice, RMH-Therapy, where she provides therapy primarily to children and adolescents and does psychological evaluations. Her clinical specializations include trauma-informed care, neurodiversity-affirming care, rural mental health, and tele–mental health. She is licensed to practice psychology in Florida, Montana, New York, North Dakota, South Carolina, South Dakota, and Wisconsin, and is in the process of registering with PsyPact. She is also a registered psychologist in New Zealand and provides ADHD assessments through ADHD Online and therapy services through Spring HealthLyra Health, and Modern Health.

She is also the clinical director of A Change for Better, an organization promoting affordable and accessible mental health care and resources, and the chair of the clinical committee at the ACFB Fund, a charitable organization that funds mental health services. She is also the resident neurodiversity expert with Grayce.

As a mental health writer, she has contributed to Parents, Health, and Spring Health, among other outlets.

In her spare time, Marschall enjoys reading, making jewelry, and spending time with her cats.

Ray Finch

Fact-Checker

Ray Finch is a content specialist with expertise in fact-checking, copy-editing, sensitivity reading, and content management, and has worked with publishers including Health.com, Parents, VeryWell Mind, Medium, Everyday Health, and VeryWell Health.

Their longtime interest in mental health, chronic illness, disability, neurodivergence, and LGBTQIA+ issues was sparked first by their own firsthand experiences, and was further refined during their academic career, having earned dual bachelor's degrees in Anthropology and Women's and Gender Studies.

Finch is committed to producing inclusive, scientifically sound content that takes into account such nuanced factors as socioeconomic status, clinician bias, and cultural competence, all of which influence how people engage — or don’t — with medical professionals and the healthcare system.

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Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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  2. Orsolini L et al. A Systematic Review on TeleMental Health in Youth Mental Health: Focus on Anxiety, Depression and Obsessive-Compulsive Disorder. Medicina. July 31, 2021.
  3. Agarwal SM et al. Meeting the needs of children through telemental health: Application for rural mental health using child–parent relationship therapy. International Journal of Play Therapy. 2022.
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  6. School Personnel. National Child Traumatic Stress Network.
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  8. Children and gender identity: Supporting your child. Mayo Clinic. October 1, 2022.
  9. Meininger L et al. Cognitive-behavioral teletherapy for children and adolescents with mental disorders and their families during the COVID-19 pandemic: a survey on acceptance and satisfaction. Child and Adolescent Psychiatry and Mental Health. July 28, 2022.