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Online Therapy


Well-Known Member
I live in the U.S. and will be out of work at the end of this week, which means I won't have health insurance after the month of August. I could sign up for state insurance but since I don't have a job I probably would be on the lowest tier and IDK if that includes mental health. I have some savings but paying for therapy out of pocket will quickly become too expensive.

Has anyone used any online, sliding scale, or pay-by-session therapy? I looked into TalkSpace and BetterHealth but both are pretty pricey with the cheapest plan being $200 USD a month. I could always just do a month or two and then call it quits, but I'm just trying to explore my options.

Thanks in advance for any suggestions.


woman overboard
Forum Pro
SF Supporter
Medicaid does cover mental health I think, at least the states I've lived in, though it pays out less so it's maybe harder to find a therapist who will take it.

If you search for a therapist on the psychology today website, usually therapists will say on there if they do a sliding scale fee. Or there is probably some local resource like community counseling or something, that's meant for low income.


Well-Known Member
@sinking_ship It's crazy because it was really hard for me to find a therapist in my area WITH insurance so I'm dreading the search now, especially since a lot of them are closed for in person sessions or fully booked with clients. A lot of therapists I reached out to in the past have said they were no longer taking new clients. It is harder to get them to take Medicaid patients.

I think I am liking the idea of online/text/video therapy because I could probably start seeing someone faster and I could have more sessions in a week (from what I've been reading online). I also like the anonymity of it. I personally find starting over with a new therapist completely exhausting and anxiety inducing and I believe an online program would allow me to switch more easily if I'm not liking the person up front. I will check to see if any clinics nearby are open or taking clients. I have gone to free clinics in the past, the last time being about 6 years ago. Sessions were limited but at least it was something.


Well-Known Member
@Innocent Forever that's how I got the free sessions before. I just ended work so this next week will be dedicated to finding therapy as I still need to sign up for the state insurance. Someone told me that if I can to choose a different insurance plan than the standard because they have better insurance but I may not qualify for that one since right now I have no income. It's so difficult to search for a mental health provider smh

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