BetterHelp vs. First Session

Which is right for you? We break down the pros, cons, and which option is best for lasting, impactful change.

Platform Overviews

BetterHelp touts itself as the world's largest therapy network. It asks you a wide range of personal questions, then matches you with an available therapist who matches your objectives. If a therapist isn't the right fit, BetterHelp claims that you can switch therapists as many times as you want.

It's important to note that when matching you with a therapist, BetterHelp uses an algorithm — there are no humans involved in the process. So, expect a "trial and error" process of finding a therapist that's a good fit.

While BetterHelp is based in the US, you can access support from BetterHelp in Canada and connect through text, phone calls, and video sessions.

Note that BetterHelp is not covered by any health insurance or group benefits— patients must pay 100% out of pocket for each session.

First Session is an online therapy platform that emphasiezs the importance of client-therapist fit — a factor proven to result in impactful changes to a patient's progress and well-being.

With First Session, you can browse a curated network of therapists across Canada. To support the search process, therapy seekers can watch intro videos and read in-depth therapist bios to assess for fit before booking. You can also search by specific conditions, therapy types, insurance coverage, location, and cultural background. After you find the right therapist, you can book a session instantly from the First Session platform.

While First Session features fewer therapists than BetterHelp, the quality is much higher. Every therapist is rigorously vetted, fairly compensated, and held to a standard of ethics upheld by provincial educational institutions and associations.

Feature Comparison

BetterHelpFirst Session
Therapist Videos and Details to Assess Fit
Curated List of Therapy Providers to Browse
Algorithm-Based Matching Process
Direct Insurance Coverage Through Workplace Plans
Free Initial Consultation
In-Platform Booking
Support for Individuals, Couples, and Teens
Privacy and Personal Information Protected

BetterHelp vs First Session Summary

BetterHelp is popular and convenient, but there are big drawbacks. Users report abandoning the platform after trialing multiple therapists, while many therapists refuse to work on the platform due to low pay. BetterHelp was also charged in 2017 for selling confidential client data. For these reasons and specific emphasis on client-therapist fit, we recommend First Session.

Why you should consider First Session

First Session fixes the exhausting process of finding the right client-Therapist fit.

The Drawbacks of BetterHelp

Frustration from not being able to preview or meet therapists before getting matched.
Emotional stress from constantly switching providers and having to repeat private feelings to incompatible therapists.
Financial strain of paying out of pocket, as BetterHelp is not covered by any insurance provider.

The First Session Experience

Confidence you have all the information you need to choose the right therapist for you.
You control your experience, increasing your odds of finding the right therapist the first time.
Relief in knowing many employer/group benefits and extended insurance plans cover First Session therapists.

Meet Your Therapist

With First Session, you're the one in control of your therapy experience.
“I wish I’d known about this platform sooner! I loved the introductory videos–this is what helped me choose the therapist to book an intro consultation with.”
— Satisfied First Session User
“I was able to use First Session to find my therapist for the past two years within 24 hours. First Session eliminated a lot of the friction associated with finding a therapist....”
— Satisfied First Session User
“Having short videos of the therapists sharing a little bit about themselves and their approaches is such a simple concept but made an  absolute world of difference.”
— Satisfied First Session User

Impactful Therapy Begins with the Right Fit

Client-therapist fit is the most important factor of long-term therapy success. But sorting through endless generic bios and repeatedly sharing your most vulnerable feelings with incompatible providers is exhausting. That’s why 50% of people seeking care don’t get past an initial consultation.

First Session puts you in control of the process from the beginning. In-depth interview videos from our providers give you a true sense of each practitioner's approach, communication style, and experience. Only commit when you feel a connection.

Frequently Asked Questions

What are the advantages and disadvantages of in-person vs online therapy?

The answering to that question is "it depends." Research shows that one of the defining features of productive therapy is consistent work with a single Therapist over the long-term. With that in mind, both in-person and online therapy can be equally as effective. However, it depends entirely on the online therapy platform chosen and the quality of the client-therapist relationship.

For example, BetterHelp does not emphasize the importance of client-therapist fit, and instead focuses on instantly matching therapy seekers with a Therapist. It's a trial and error process that is time-consuming and less likely to produce impactful results.

Other platforms like First Session place big emphasis on client-therapist fit, with the goal of matching therapy seekers to a single Therapist for the long-term.

In cases like First Session, the quality and impact of online therapy can match that of an in-person client-therapist relationship. And, of course, some individuals prefer in-person therapy — it's entirely subjective.

To summarize, both can be equally as effective as long as you pay close attention to the quality and approach to therapy of an online platform.

Is online therapy covered by insurance in Canada?

In most cases, yes! However, it's important to note that every employee insurance policy is different. It's increasingly common (if not the norm) for employee insurance programs to cover online therapy. 

As a Step 1, we highly recommend consulting your specific policy or checking in with an HR representative to confirm coverage before booking for any online therapy platform.

For Step 2, you need to check if the online platform of your choice is eligible for insurance coverage or reimbursement. BetterHelp, for example, is not compatible with any insurance plan, so is not eligible for any form of reimbursement or coverage.

On the other hand, First Session is eligible for coverage with the majority of Canadian insurance policy providers and even provides direct billing in many cases.

Step 3, check your coverage for the required Therapist designation or license to ensue coverage (ex. Registered Social Worker, Registered Clinical Counsellor).

First Session makes this process easy by providing explicit details in each Therapist profile page. Check in Insurance Coverage, to see what designations/coverage they fall under.

If you're unsure about coverage, you should ask your benefits provider whether they cover that specific designation of therapist or counsellor. You can also read this guide for more info.

How do I find the right therapist? 

At First Session, we believe finding the right fit in a Therapist is the most important factor to feeling better and having a successful outcome from therapy.

Numerous research studies have proven that forming a strong client-Therapist relationship is more important than the type of therapy used.

To help you assess fit, every Therapist listed on First Session has a short introductory video you can watch to get a sense for who they are.

We've also put together a thorough guide to help you find the right Therapist, determine what the different designations mean, and what you should be looking for when assessing fit. Find the guide here.

Can I find a Therapist according to my age, cultural background, sexuality or gender identity?

Absolutely. We understand that one’s cultural background, age, sexuality, or gender identity can bring unique elements to the process of therapy.

To support every therapy seeker, we actively work to build a highly diverse and inclusive roster of therapists.

For questions or feedback on how we can improve these element of the process, send us a message.

What types of therapists does First Session offer?

First Session therapists support individuals, couples, and families.

Every First Session therapist is accredited and insured to provide online and/or in-person therapy.

Designations of First Session therapists and counsellors include:

  • Psychotherapists
  • Psychotherapists (qualifying)
  • Social Workers
  • Clinical Counsellors
  • Psychologists
  • Canadian Certified Counsellors
  • Provisional Psychologists

You deserve more from therapy.

You've made the courageous decision to reach your full potential. Find the right therapist to help get you there, and make the most of the time and money you’re investing in yourself.