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Apps and online care

SparkRx vs BetterHelp

They differ on 8 of 10 things we check. No winner here: the better one is the one that fits what you need and how you'd pay.

SparkRx

SparkRx is a phone program for teens and young adults with depression that teaches CBT skills over five weeks, on top of seeing a clinician.

BetterHelp

You fill in a questionnaire, get matched with a licensed therapist, and meet by video, phone or live chat, with messaging in between.

Where they differ

Kind of help
SparkRx: An app I use on my own
BetterHelp: A therapist
Good for
SparkRx: Teens and young adults (about 13-22) with depression symptoms who are already seeing a clinician; Families whose health plan, employer or clinician offers SparkRx
BetterHelp: Adults with mild to moderate depression, anxiety or stress who want weekly talk therapy from home; People who want to message a therapist between live sessions
Cost
SparkRx: Through a clinician, employer or health plan; contact Big Health
BetterHelp: $70–$100/week, billed weekly or every 4 weeks
How you pay
SparkRx: Through work or school
BetterHelp: I'll pay myself
Where
SparkRx: iPhone, Android
BetterHelp: iPhone, Android, Web
Research
SparkRx: Some research support
BetterHelp: Limited research
Privacy
SparkRx: Grade C
BetterHelp: Grade D
HIPAA
SparkRx: Not stated
BetterHelp: Yes

The same for both: probably not for (anyone in crisis: call or text 988), sells your data (yes).

In crisis or thinking about suicide? In the US, call or text 988. This page is information from our reviews, not medical advice.