10 best online therapy services for anxiety in 2025

Insurance accepted: Yes | Time until first appointment: In 2 days | States available: All 50 states | Types of therapy offered: Individual, psychiatry, crisis care, text therapy

Brightside Health is our top choice online mental health platform for anxiety as it specializes in treating anxiety, depression and related conditions, such as panic disorder, phobias, post-traumatic stress disorder (PTSD), bipolar, insomnia, seasonal affective disorder (SAD), premenstrual dysphoric disorder (PMDD), postpartum depression and OCD. It offers talk therapy and medication management to adults 18 and older and offers competitive out-of-pocket rates in addition to accepting health insurance.

Providers at Brightside are licensed therapists, psychiatrists or psychiatric-mental health nurse practitioners (PMHNPs) who participate in subscription-based care. Plans begin at $95 monthly for your first-session psychiatric evaluation, ongoing support and, if prescribed, medication sent to your preferred pharmacy. Therapy is priced at $299 monthly for weekly 45-minute video therapy sessions and unlimited messaging with your therapist. If you require both services, the comprehensive plan is $349 monthly. Plans are available nationwide and can be paid out-of-pocket or through insurance.

The company also offers a new crisis intervention program called, Crisis Care. The short-term program is for patients who are at an elevated risk of suicide and are often turned away from inpatient treatment. To participate in the program, you must have health insurance coverage with a participating carrier and meet the eligibility requirements. If you meet all requirements, you'll fill out the free intake assessment and can expect to start treatment within 48 hours.

Insurance accepted: No | Time until first appointment: Not listed | States available: 42 states and Puerto Rico (Unavailable in HI, MS, MT, NH, ND, OR, WV and WY) | Types of therapy offered: Individual, couples

When it comes to anxiety disorders, cognitive behavioral therapy (CBT) is considered one of the most effective and empirically supported treatment interventions. Research suggests that CBT is especially beneficial for those with generalized anxiety disorder, social anxiety disorder and PTSD.

Online-Therapy.com is our top choice for CBT, as the entire platform focuses on this evidence-based therapy for individuals and couples. All providers are licensed therapists trained in CBT and have experience with conditions including agoraphobia, insomnia, social anxiety, panic attacks and more.

With Online-Therapy.com, users can access video and text therapy and an interactive, self-guided CBT program. The program includes educational content and practical tools, such as worksheets reviewed by therapists who provide personalized feedback. Additional resources include a daily journal, activity plans and yoga classes, available in video, audio and text formats.

The platform offers three subscription plans: $60, $90 or $120 per week, billed monthly. The plans include messaging only or one or two video therapy sessions. The couples therapy plan costs $120 weekly and consists of the online CBT program, unlimited messaging and one live couples therapy session each week.

Health insurance is not accepted, but Online-Therapy.com offers a 20% discount on all plans for the first month.

Insurance accepted: Yes | Time until first appointment: 1 week | States available: All 50 | Types of therapy available: Individual talk therapy, couples therapy, individual teen therapy, medication management for adults

If the thought of talking face-to-face with a therapist, even via a video session, gives you anxiety, our top choice for messaging therapy — Talkspace — may be the solution. It specializes in live chat and text message-based therapy, in addition to its live video therapy sessions. Best of all, you're not limited to talk therapy — if you also need medication, Talkspace offers psychiatric services with medication management. 

The service treats individuals 13 and older and offers specialized care for veterans and members of the LGBTQ community. After signing up, you'll be matched with a therapist within 48 hours. You will then have the option to message your therapist 24/7 outside of your live session. Your therapist will get back to you within 24 hours, 5 days a week (Monday to Friday).

Talkspace offers various plans and styles of therapy. You can text, record a live audio or video message, meet in a secure chat room on the platform or take part in traditional online live video therapy sessions. There is also the option for unlimited messaging. 

Depending on the type of therapy you choose, the rates range from $69-$109 a week for therapy (billed monthly upfront). Psychiatry services cost $299 for the initial evaluation and $175 for follow-up appointments. Insurance is accepted and there's the option to pay out of pocket.

Insurance accepted: Yes | Time until the first appointment: Same-day appointments available | States available: District of Columbia and all states except Vermont | Types of therapy offered: Individual, couples, teen, children, family, groups, psychiatry 

For those looking for same-day and next-day therapy appointments, Thriveworks is a top option. It's available in all states except Vermont and offers treatment to individuals, couples, children 10 and older, teens, families and groups. It also offers psychiatry with medication management. In addition to anxiety treatment, its licensed therapists and psychiatrists treat depression, grief, PTSD, eating disorders, addiction and ADHD. 

Something that sets Thriveworks apart from many online therapy providers on this list is that it also offers in-person therapy for adults in all states except Vermont. For children, Thriveworks's TherapyLand centers, located in select states, offer in-person visits. When selecting a therapist in your state, you'll have access to their bios outlining their name, specialization, rates and ages treated. 

Thriveworks accepts insurance, but coverage depends on the credentials of their outsourced therapists. To ensure your provider is covered, contact your insurance company to verify which licensed therapists are included in your plan, or reach out to Thriveworks for assistance in finding a therapist compatible with your policy.​

Insurance accepted: Yes | Time until first appointment: 2 days or less | States available: All 50 states and District of Columbia | Types of therapy offered: Individual, couples, children and teens, family and medication management

Our leading directory of therapists, Grow Therapy, is a relatively new platform in the mental health space, but has made a significant impact. Founders Jake Cooper, Manoj Kanagaraj and Alan Ni wanted to help self-employed therapists start, run and grow their private practices by managing administrative duties, including insurance paperwork. Grow Therapy minimizes administrative costs, making therapy more affordable for those seeking care.

The easy-to-use platform connects clients, therapy providers and health insurance companies. The directory includes over 8,000 therapists in 50 states and the District of Columbia who can accommodate more than 50 providers. Therapy prices vary by therapist and insurance copay but typically range from $60-$200 per session for out-of-pocket services. You can opt for talk therapy with or without medication management, either in-person (where available) or live online appointments. Additional search filters allow you to narrow your search based on specialties, gender, racial and religious identities and therapist availability.

Once you’ve entered your search parameters, Grow Therapy provides a curated list of available providers and specifics, including name, licensing information, price per session, years of experience and next available appointment date. You can view therapists' profiles to learn more about the age groups they treat, their specialties and their therapy modalities.

Unlike many competitors, Grow Therapy operates on a pay-per-session model. There are no subscription plan options, and canceling is as easy as not booking another appointment.

Insurance accepted: No | Time until first appointment: Varies by therapist and location | States available: All 50 states and Canada | Types of therapy offered: Individual, couples, family, children and teens

According to Mental Health America, nearly 11% of adults with mental illness are uninsured. Even for those with insurance, treatment isn’t always affordable. In fact, the same report found that 42% of respondents were unable to afford mental health care. That’s where our most affordable anxiety therapy, Open Path Collective, comes in.

This nonprofit therapy directive was created to provide accessible, low-cost therapy to those in need. The platform is specifically geared toward those who are underserved — uninsured, lack mental health coverage or can’t afford market rates for therapy. Insurance isn't accepted, but therapy sessions are incredibly affordable. Therapists are available in all 50 states for in-person or online therapy for adults, couples, children and teens. The providers cater to a wide range of needs, including anxiety, stress and phobias.

There is a one-time membership fee of $65 to join; after that, users pay out-of-pocket for each session. Therapy rates vary depending on the provider and the type of therapy. Individual therapy is priced at $40-$70 per session while family and couples therapy is priced at $40-$80 per session. There’s also the option of therapy with a student intern provider for a reduced rate of $30 per session.

Insurance accepted: No, but reimbursement may be available | Time until first appointment: Within a day | States available: All 50 states | Types of therapy offered: Individual, couples, psychiatry, medication management and mental health consult

If you need mental health care today, Sesame is our top pick for fast, affordable access to same-day therapy and psychiatry. Unlike many telehealth platforms, which require waiting days or weeks for an appointment, Sesame lets you book a session in as little as 2 hours, making it ideal for those facing urgent anxiety, depression or medication needs.

Beyond mental health, Sesame also offers urgent care, dermatology and weight management services. While this isn’t the best fit if you’re looking for long-term therapy with a consistent provider, it’s a game-changer for those who need immediate support — especially in therapy deserts where in-person care is scarce.

Pricing is straightforward and affordable, with doctor appointments starting at $37. Though insurance isn’t accepted, Sesame’s membership plan, Sesame Plus, costing $10.99 monthly or $99 yearly, knocks $10 off every visit, making ongoing care even more accessible.

Insurance accepted: Yes | Time until first appointment: Not listed | States available: All 50 states | Types of therapy offered: Individual

If you’re struggling with OCD, anxiety or both, NOCD is the best therapy platform for expert, evidence-based treatment. While OCD isn’t classified as an anxiety disorder, research shows that 75% of those with OCD also experience anxiety — and NOCD’s therapists are trained to treat both using exposure and response prevention (ERP) therapy, the gold standard for OCD treatment.

What makes NOCD stand out is its highly specialized approach. Every therapist undergoes rigorous training in ERP, ensuring you receive targeted, research-backed support rather than generalized therapy. Many providers also have expertise in treating PTSD, hoarding disorder and body-focused repetitive behaviors like hair-pulling and skin-picking, making NOCD an excellent option for those with overlapping mental health concerns.

Therapy is available in all 50 states, and insurance coverage is available. The cost of treatment depends on the session length. A 60-minute live video therapy session costs $240, and a 30-minute session costs $120. Unlimited messaging is included between sessions.

The pricing isn’t listed upfront on the website, but when we emailed customer support, they responded quickly and thoroughly. They answered all our questions promptly, provided additional details and maintained a refreshingly low-pressure approach — offering help without pushing us to sign up, which we genuinely appreciated.

Insurance accepted: Out-of-network insurance accepted from 40 states and DC (not accepted from AK, HI, IA, LA, MA, MS, MO, NM, SD, VT) | Time until first appointment: 2-3 days | States available: All 50 states | Types of therapy offered: Individual, couples

LGBTQ+ adults experience anxiety and depression at significantly higher rates than non-LGBTQ+ individuals, and finding a therapist who truly understands those challenges can make all the difference. That’s why Gay Therapy Center is our top choice for LGBTQ+ anxiety therapy. It offers a safe, affirming space with therapists who are part of the LGBTQ+ community and have an average of 10 years of experience.

The therapists also have expertise in treating a variety of issues, including anxiety, depression, trauma, obsessions, polygamy and more, through a variety of modalities, such as psychodynamic therapy, mindfulness-based therapy and affirmative therapy.

Unlike other therapy platforms that rely on automated matching, Gay Therapy Center takes a highly personalized approach. First, you’ll have a free 15-minute consultation with the company’s founder or client intake coordinator to discuss your needs. Then, they’ll carefully match you with a therapist who matches your specific goals. Most clients can book their first session within 2-3 days, making it tailored and accessible.

Sessions are available online in all 50 states and in-person in New York, Los Angeles, San Francisco and Washington DC. While insurance isn’t accepted, reimbursement may be possible in cities where in-person therapy is available. Prices range from $185 to $250 per session, making it a premium option but one that delivers specialized, expert care.

Insurance accepted: No | Time until first appointment: Same day | States available: All 50 states | Types of therapy offered: Emotional support groups for divorce, grief, codependency and depression

Our leading option for group therapy for anxiety, Circles, is an organization offering affordable, flexible and round-the-clock support groups or "circles." Unlike traditional therapy, which can be costly and require scheduled appointments, Circles offers 24/7 access to peer-led support groups, so you can connect with others whenever you need — during a tough moment at 2 AM or in the middle of a stressful day.

Circles hosts groups for a wide range of mental health concerns, including anxiety, addiction, grief, depression, divorce, trauma and codependency. You can remain anonymous, speak up when you’re comfortable and join or leave groups as your needs change, making it an ideal option for those who want support without pressure.

Beyond group discussions, Circles also provides educational seminars with actionable mental health tools, helping you build coping skills alongside emotional support. Pricing is affordable, with plans ranging from $15 to $29 monthly depending on subscription length, and there's a 7-day free trial, so you can try it risk-free.