Quick answerBetterHelp wins on sheer therapist volume and price, but Brightside wins if you need medication management alongside therapy — it's a more clinical, full-stack mental health platform.
Starting Price
$60-$100/week (billed monthly)
$95/month therapy-only; $349/month therapy+meds
Medication Prescribing
Not available
Yes — psychiatrists prescribe & manage meds
Insurance Accepted
No — out-of-pocket only
Yes — major insurers accepted
Therapist Network Size
30,000+ therapists
Smaller curated network
Session Format
Video, phone, chat, messaging
Video and messaging
Async Messaging
Unlimited between sessions
Limited in-app messaging
Psychiatric Evaluation
Not offered
Included in med management plan
Conditions Treated
General therapy (anxiety, depression, relationships)
Anxiety & depression focus with clinical protocols
Mobile App
iOS & Android, highly rated
iOS & Android, clean UX
Therapist Switching
Easy, free anytime
Allowed but slower process
Free Trial
No formal trial; financial aid available
No free trial
Response Time Guarantee
No formal SLA
Providers respond within 1 business day
BetterHelp
Pricing★★★½☆
Ease of Use★★★★½
Features & Tools★★★½☆
Insurance & Coverage★★☆☆☆
Medication Management★☆☆☆☆
Support & Responsiveness★★★½☆
Therapist/Provider Quality★★★★☆
Brightside
Pricing★★★☆☆
Ease of Use★★★★☆
Features & Tools★★★★☆
Insurance & Coverage★★★½☆
Medication Management★★★★½
Support & Responsiveness★★★★☆
Therapist/Provider Quality★★★★☆
If you wantYou just need affordable talk therapy and lots of therapist options
BetterHelp's massive network and lower entry cost make it the go-to for straightforward therapy needs.
→ Pick BetterHelp If you wantYou think you need medication for anxiety or depression
Brightside is one of the few platforms where a psychiatrist can evaluate AND prescribe in the same app.
→ Pick Brightside If you wantYou have health insurance and want to use it
Brightside accepts major insurance plans; BetterHelp will never bill your insurer.
→ Pick Brightside If you wantYou want to message your therapist between sessions constantly
BetterHelp's unlimited async messaging is a genuine differentiator — Brightside's is much more limited.
→ Pick BetterHelp Some links on this page are affiliate links. If you sign up through them, we may earn a commission at no extra cost to you.