Text-Based and Messaging Therapy

Therapy delivered mostly or entirely through written messages instead of video or phone calls, for people who process better in writing, need flexibility around a work schedule, or feel less exposed typing than talking. Most pair messaging with optional live sessions.

  1. 1

    Largest online therapy platform matching you with licensed counselors for unlimited messaging and live video sessions.

  2. 2

    Connect with a licensed therapist through unlimited text, audio, and video messaging plus scheduled live sessions.

  3. 3

    Affordable telehealth visits starting at $19 with prescription-based mental health treatment

  4. 4

    Marketplace connecting clients with 19,000+ therapists for secure messaging and flexible scheduling

  5. 5

    CBT-based stress management app with daily 10-minute classes from licensed behavioral health coaches

  6. 6

    Couples therapy platform offering unlimited messaging with relationship-focused therapists plus live video and phone sessions.

  7. 7

    Digital mental health platform combining app-based CBT exercises, coaching, and matched therapy with clinicians.

  8. 8

    Digital mental health platform combining medication management with video sessions and self-guided content

  9. 9

    Large therapy and psychiatry network with secure messaging for follow-up care across 33 US states.

  10. 10

    Combines therapy and psychiatric medication management with unlimited app-based messaging responding within 24 hours.

  11. 11

    Emotional support combining free anonymous chat with trained listeners and paid access to licensed therapist messaging.

  12. 12

    Meditation and mindfulness app with 14,000+ teachers offering guided sessions for sleep, anxiety, and stress

  13. 13

    Therapist directory platform connecting clients with licensed providers who accept insurance with direct booking

  14. 14

    Therapy marketplace connecting patients with licensed clinicians via text, video, and phone sessions.

  15. 15

    Teen therapy platform with confidential counselor messaging and a parent portal for monitoring progress separately.

  16. 16

    Large telehealth network offering therapy and psychiatry with text coaching and email support between sessions.

  17. 17

    CBT-based platform with unlimited messaging, worksheets and self-guided exercises on affordable weekly subscription.

  18. 18

    Unlimited text messaging with licensed therapists responding within 24 hours, mostly master's-level clinicians.

  19. 19

    Psychiatry-focused platform using Healow app for secure messaging with licensed psychiatrists, specializes in ADHD treatment.

  20. 20

    Text-based coaching and therapy from merged Ginger platform with state-licensed clinicians available 24/7 for messaging.

  21. 21

    12-week program combining licensed therapist support via secure messaging with self-guided exercises and biofeedback technology.

  22. 22

    Telehealth platform connecting patients with 300+ clinicians for therapy, psychiatry, and group counseling.

  23. 23

    24/7 telehealth platform connecting patients with licensed therapists via video and messaging for mental health.

  24. 24

    Connects African Americans to 250+ licensed therapists via text and messaging with AI-assisted support and guided meditations.

  25. 25

    LGBTQ+-affirming therapy platform connecting you with qualified therapists through text messaging and live video sessions.

  26. 26

    Text messaging integrated with video therapy sessions using encrypted HIPAA-compliant platform for millennials and adults.

  27. 27

    Telehealth platform with licensed therapists offering video therapy sessions and between-appointment messaging support.

  28. 28

    Christian-focused therapy platform pairing you with faith-informed therapists for messaging-based and live session counseling.

  29. 29

    Coached cognitive behavioral therapy program for anxiety delivered through app with weekly support and eight-week modules

  30. 30

    Telehealth platform providing same-day psychiatry and therapy appointments, accepting insurance for mental health and ADHD care

  31. 31

    Anthem and Amwell partnership offering licensed therapists and psychologists via video with asynchronous messaging support

  32. 32

    California-based telehealth platform offering weekly chat therapy with licensed therapists for under $25 per week.

  33. 33

    Digital therapeutics platform delivering CBT, mindfulness, and coaching through app with licensed clinical oversight

  34. 34

    Subscription mental health service blending therapist messaging with clinician-managed medication for anxiety and depression.

  35. 35

    Same-week mental health appointments with licensed therapists and psychiatrists via video

  36. 36

    Multi-state therapy practice offering online and in-person counseling for individuals, couples, and families via video and chat

  37. 37

    AI-personalized meditations, CBT exercises, and mindfulness coaching created by therapists and coaches

  38. 38

    Same-day telehealth for mental health medication management available in 32 states

  39. 39

    Wysa uses AI-powered text conversations to guide CBT and mindfulness practices, with optional human coaching add-ons.

  40. 40

    Youper is an AI chat assistant that tracks mood and delivers CBT-style text conversations for anxiety and depression.

Frequently asked questions

Can I get medication management along with text-based therapy?

Yes, several platforms on our list combine therapy with psychiatric medication management or prescription-based treatments. Some options offer app-based messaging alongside medication support to help manage your mental health more comprehensively.

Are there options specifically for couples who prefer messaging?

Yes, there are platforms dedicated to couples therapy that offer unlimited messaging with relationship-focused therapists. These services often include live video or phone sessions as well.

How does text-based therapy work if I also want to talk to someone live?

Many providers on this list offer messaging as a primary way to connect, but they also provide the option for scheduled live video or phone sessions. This allows you to use text for daily check-ins while still having regular face-to-face appointments.

I have a very busy schedule. Is there any way to get support without a set appointment time?

You can find options that provide unlimited messaging or app-based content that fits into small windows of time. Some services offer daily classes or text-based support that responds within a 24-hour window, giving you much more flexibility than traditional office hours.