01BetterHelpBest Overall
Weekly anxiety therapy
- $70–$100 a week, cancel anytime
- Message your therapist anytime
9.70ExcellentEditorial score
Editor’s pick · Reviewed November 2026
Updated on
Best Online Anxiety Treatment & Therapy
- Licensed clinicians only
- 7 services compared
#1 Best Overall
Weekly anxiety therapy
9.70
Visit Site
Therapy from a $10 average copay
9.50
Visit Site
Insured video therapy, about $15
9.30
Visit Site02Talkspace
Therapy from a $10 average copay
- Takes Medicare and TRICARE
- Psychiatry on the same account
9.50ExcellentEditorial score
03Rula
Insured video therapy, about $15
- In network with 100+ plans
- Often booked for the next day
9.30GreatEditorial score
04Talkiatry
In-network psychiatrists
- About $30 a visit with insurance
- Diagnosis and medication care
9.10GreatEditorial score
05Sesame
Anxiety visits from about $34
- No insurance needed
- Same-day visits often available
9.00GreatEditorial score
06PlushCare
Therapy and a prescriber in one
- $169 a session, insurance accepted
- Same-day appointments
8.90Very GoodEditorial score
07Lemonaid Health
Anxiety medication, $95 a month
- $25 for the first month
- Ages 25–64, no talk therapy
8.80Very GoodEditorial score
How We RankEvery service uses licensed clinicians.Prices and coverage come from each provider’s published information.Commercial relationships never decide inclusion or order.Not for emergencies: call or text 988.
How to Choose the Best Online Anxiety Treatment
The best online anxiety treatment is the one that matches how your anxiety shows up: talk therapy, medication or both. This online anxiety treatment comparison covers seven services we have reviewed, from weekly counseling to psychiatrist-led care.
Anxiety and low mood often overlap, so many people also compare online depression treatment. If cost is the deciding factor, see affordable online therapy.
Online Therapy for Anxiety, Panic and Social Anxiety
Therapy is a first-line treatment for generalized anxiety disorder, social anxiety and panic attacks, and cognitive behavioral therapy (CBT) has the strongest evidence. BetterHelp, Talkspace, Rula and PlushCare all offer licensed therapists who work with anxiety and stress. Ask about CBT when you are matched. For the full list of platforms, see the best online therapy services.
Online Anxiety Medication
Talkspace, Sesame, Rula, Talkiatry, PlushCare and Lemonaid Health can prescribe after an evaluation. Talkspace, Sesame, PlushCare and Lemonaid Health do not prescribe benzodiazepines or other controlled substances. A prescription is never guaranteed. For prescriber-led care, compare online psychiatry services.
Where Online Care Works Well
- Weekly sessions with a licensed therapist from home
- Messaging a therapist between sessions when anxiety spikes
- Flexible appointments around work and family
- Non-controlled anxiety medication with follow-up care
Limits to Know
- Not suitable for a crisis or emergency
- Benzodiazepines are generally not prescribed online
- Therapy-only services cannot diagnose or prescribe
- Insurance coverage depends on your plan and state
What to Look For
- Therapy, medication or both: Decide what you want first. Not every service offers both.
- Therapist experience: Ask whether your therapist uses CBT and has treated your type of anxiety.
- Session format: Choose between live video, phone and messaging.
- Total cost: Compare the weekly or per-session price and how to cancel.
- Insurance: Check your plan is in network before you enroll.
How Much Does Online Anxiety Therapy Cost?
Online anxiety treatment costs fall into three groups:
Pay Per Session
From about $34
Sesame visits start around $34. Rula is $150 and PlushCare $169 a therapy session without insurance.
Weekly or Monthly
$69–$109 a week
BetterHelp and Talkspace therapy subscriptions, or $95 a month for Lemonaid Health medication care.
With Insurance
$10–$30 a visit
Talkspace averages $10, Rula about $15, BetterHelp $23 and Talkiatry around $30.
Our Top-Rated Online Anxiety Therapy
BetterHelp is our top pick for online counseling for anxiety and stress: weekly sessions, messaging between them and a price of $70–$100 a week. Choose Talkspace for online anxiety therapy that accepts insurance, and Sesame if you want to pay per session without insurance.
Our #1 Pick: Start Today
Featured Provider
Weekly anxiety therapy
- $70–$100 a week, cancel anytime
- Message your therapist anytime
9.70ExcellentEditorial score
Editor’s pick · Reviewed November 2026
Compare More Care Options
Online Anxiety Treatment: Frequently Asked Questions
What is the best online therapy for anxiety?
We rank BetterHelp first for weekly talk therapy, Talkspace for insurance coverage and Sesame for pay-per-session visits. Rula suits insured adults who want live video sessions.
Does online therapy work for anxiety and panic attacks?
Research supports online therapy, particularly CBT, as a reasonable option for many people with anxiety. It is not suited to emergencies or severe symptoms, which need in-person or crisis care.
How much does online anxiety therapy cost?
Without insurance, expect $69–$109 a week for a subscription or from about $34 a visit on Sesame. With insurance, average copays run from $10 at Talkspace to $23 at BetterHelp.
Can I get anxiety medication online?
Yes, after an evaluation and when clinically appropriate. Most online services prescribe non-controlled medication only and do not prescribe benzodiazepines.
Which online anxiety therapy accepts insurance?
Talkspace, Rula, BetterHelp, Talkiatry and PlushCare accept insurance. Sesame and Lemonaid Health are direct-pay.
What should I do if I am in crisis?
The services on this page are not for emergencies. In the US, call or text 988 (Suicide & Crisis Lifeline), or call 911. See our Get Help Now page for more resources.
How We Rank Services
Clinician Credentials
We check that clinicians are licensed and that their credentials can be verified.
Transparent Pricing
Clear prices, billing frequency and cancellation terms. We look at total cost, not just the headline rate.
Scope of Care
What each service does and does not provide, from talk therapy to prescribing, and how it handles crisis.
Privacy & Access
How your data is handled, how quickly you can start and whether insurance is accepted.
Medical Disclaimer
The information on ExploreMentalHealth is provided for educational and comparison purposes only. It is not medical advice and does not replace consultation with a qualified healthcare professional. Some links on this page may earn us a commission, which never affects our conclusions. If you are in crisis, call or text 988 in the US, or visit Get Help Now.