I've been with BetterHelp for a few years up until I could not afford it anymore due to an unexpected financial hardship. I've been in therapy for a very long time until my therapist retired and I struggled to find another. My signup to betterhelp was in part curiosity and part stop gap until I find another therapist.
I was assigned an LCSW which at first made me very skeptical but I went along with it. I was told that I could request a new therapist to be assigned at any time. There is a long questionnaire you answer online when you sign up. That information is used to find the best fit for a therapist. Some of their staff have extensive academic backgrounds and others, like mine, are more like social workers.
You are assigned a single therapist and it is not some anonymous group of therapists. That therapist also has a backup therapist and other resources to consult. However, you always communicate with the assigned therapist. Most of my correspondence with her was done in a "forum" or "chat" like web-based session. Allows the therapist and I to correspond and share documents/material privately. During my time with the service, I was very busy and this passive way of therapy was helpful. I found myself periodically (almost daily) posting in the service and she would respond usually within 24 hours. I am very comfortable working online and work in the tech industry. So this felt fairly normal to me. Even in my current job, I have a dozen of employees whom I mainly communicate with passively via Slack. I certainly can understand that this type of communication may not work for everyone. So that should be considered. Their primary form of communication with the therapist is passively through a private chat.
Periodically, I also had direct one-on-one phone sessions with my therapist. These sessions were also helpful. Provided the human aspect and the immediate interaction with a person provided the immediate feedback on various things that I wanted. You do have to schedule these sessions on their website. They are not just available on call at any time. If you have an emergency, they also provide a number but I never used it.
The LCSW and I built up a very good routine and connection. I think it helped that I had already been in in-person therapy for many years. My experience was good and I found her very helpful. She also made herself available for a direct phone session which my wife could also attend.
My real experience with in-person therapy is that it is very very difficult to find a therapist that you click with. Better help isn't going to solve that problem. You may need to keep requesting another therapist until you find one you are comfortable with. I guess I was just lucky that I got along with the first therapist assigned when I joined.
During my time with betterhelp, I also noticed they were expanding their service offerings very quickly. They introduced schedule group sessions which are conducted via phone conference and moderated by a therapist who runs the sessions. They are focused sessions on a specific topic.
Just as I ended my subscription, they also extended their services to include children. I would surmise there are special considerations in these for the parent's involvement. Maybe also a group specialized therapists with education in child development.
That was my experience with them... probably ended a year or so ago. I am considering signing up again. Part of the reason is that I think my new medical insurance plan covers online therapy sessions now. Unfortunately, I discovered that there is no way to reconnect with a previously assigned therapist and my account was purged from their system; meaning all our correspondence is probably in the trash bin. So signing up again would mean starting over. I was mindful to cut and paste much of it for my own personal reference.
A thread i started when I was considering the service has some good advice:
https://www.city-data.com/forum/ment...therapist.html
Also back when I initially signed up, BetterHelp was pretty much the only service in this space. There are several now and I may look into their offerings as well.
My elder son is currently seeing a in-person therapist. Granted he is an actual psychiatrist but it costs about $200 a visit. That is out of reach of a lot of people... so I see these online services as a viable alternative.