Psychology Today vs BetterHelp: Why Private Practice Therapy May Be the Better Choice—for Some

In today’s digital world, online therapy platforms like BetterHelp and Talkspace have opened new doors for people seeking mental health support. With just a few clicks, users are matched with a therapist and can begin chatting, calling, or video conferencing—sometimes within hours. These services are often more affordable, flexible, and convenient than traditional therapy, and for many people, they’ve made support finally feel within reach.

But are they always the best option?

Not necessarily. While online therapy platforms have their place, especially in terms of affordability and accessibility, they may not offer the same level of clinical experience, continuity, and regulation that you get with a private practice therapist—particularly those listed on Psychology Today or regulated by a professional college, such as the CRPO in Ontario.

Here’s a deeper look at how private practice compares to large therapy platforms, and why many clients still choose to invest in a more personalized and regulated experience—while also highlighting ways to make private therapy more financially accessible.

1. Regulation and Credentials: Know Who You’re Working With

In Ontario, therapists who are Registered Psychotherapists (RPs) are licensed by the College of Registered Psychotherapists of Ontario (CRPO). This means they’ve completed rigorous education and clinical training, are supervised, and must meet strict ethical standards. They’re accountable to a professional body and required to continue learning and evolving their practice.

Many therapists on large platforms are also qualified—but some are still students, in practicum placements, or working toward full licensure. While these emerging therapists can offer valuable care—often at a reduced cost—it’s important to know the difference. Some may not yet be trained to navigate complex issues such as trauma, grief, or identity work.

In private practice, therapists are often more transparent about their credentials and approach, which allows clients to make an informed decision.

2. Continuity and Depth of the Therapeutic Relationship

Therapy isn’t just about techniques—it’s about relationship. On many large-scale platforms, you might experience turnover or shorter sessions due to high caseloads and limited availability. This can make it hard to build the kind of connection that fosters deeper healing.

Private practice typically offers longer, more consistent sessions with the same therapist. This continuity means your therapist really gets to know your story, your triggers, your growth edges—and can tailor therapy to support long-term change.

That said, online platforms may still offer meaningful support for those looking for brief therapy, psychoeducation, or someone to talk to during a difficult period. It’s not one-size-fits-all.

3. Focus and Emotional Presence

Here’s something you might not realize: therapists working through low-fee platforms may see 7–8 clients in a row each day, often to make up for lower compensation. The result? Even the most caring providers may feel emotionally fatigued or stretched thin.

In private practice, therapists retain more of the session fee, which allows them to keep smaller caseloads and approach each session with greater focus and clarity. With fewer clients per day, they’re more likely to remember key moments from your last session, reflect on your progress, and bring fresh insight to the work.

This isn’t about who's trying harder—it's about the structure of the system. And sometimes, more time and space equals better care.

4. Specialized, Evidence-Based Therapy

Private practice therapists often have advanced training in specific areas: trauma, grief, somatic therapies, perinatal mental health, relationship issues, ADHD, or identity development. Many are trained in modalities like EMDR, EFT, IFS, or DBT, which allow for deeper and more focused treatment.

On larger platforms, you may be matched with a generalist who doesn't specialize in your particular concern. This can lead to slower progress or mismatched care.

That said, not every issue requires specialization—and some clients benefit from the general support and emotional check-ins that platforms provide. Again, it comes down to your goals and needs.

5. Transparency and Informed Choice

One advantage of private practice is clarity. On Psychology Today or therapist websites, you can review profiles, credentials, treatment approaches, fees, and values. Many therapists also describe whether they offer in-person, virtual, or hybrid options.

In contrast, platforms like BetterHelp typically assign you a therapist based on an algorithm, and you may not know their qualifications or approach until after the match is made.

For some, this is no big deal. For others—especially those with a history of relational trauma or very specific therapy needs—being able to choose your provider is key.

6. Cost and Accessibility: A Complex Conversation

Let’s be honest: therapy is expensive, and not everyone has the privilege of extended health benefits or the ability to pay $160+ per session out of pocket. Platforms like BetterHelp have stepped in to meet that need by offering lower-cost therapy, which has allowed thousands of people to access mental health support for the first time.

That’s an incredibly important service.

But here’s what many clients don’t know: private practice therapists often reserve a portion of their caseload for sliding scale clients. If you’re drawn to a particular therapist but unsure if you can afford their full fee, it’s okay to ask—respectfully—if they offer reduced rates or a limited number of sliding scale spots.

Some therapists also offer:

• Short-term therapy packages

• Bi-weekly or monthly sessions

• Referrals to low-cost community clinics they trust

• Income-based or needs-based sliding scales

It’s worth having the conversation. Therapists understand that cost is a barrier, and many do what they can within ethical and sustainable limits.

7. Choosing What’s Right for You

There’s no one right way to do therapy. Online platforms like BetterHelp offer incredible accessibility, speed, and convenience. They’re ideal for:

• People who live in rural areas

• Those on waitlists for publicly funded services

• Clients needing short-term support

• Folks trying therapy for the first time

• Anyone without insurance coverage

Private practice is often a better fit for:

• Clients with complex or long-standing concerns

• Those seeking a consistent, regulated provider

• People who value personalized, relationship-based care

• Clients looking for specialization or advanced modalities

• Anyone with extended health benefits or flexibility in their budget

Both have value. The key is knowing your options—and choosing what aligns best with your current needs, goals, and financial situation.

Final Thoughts: Accessible Care, Informed Choice

Whether you're exploring therapy through BetterHelp or booking with a private Registered Psychotherapist via Psychology Today, you’re making an important step toward your well-being.

If you're able and looking for in-depth, consistent, and highly personalized therapy, private practice may offer more flexibility, experience, and clinical depth. But if cost, scheduling, or access are concerns, online platforms can provide a meaningful alternative—and may be the first step in your healing journey.

Just know: private practice doesn’t always mean full fee. Many therapists quietly and compassionately offer options. You just have to ask.

Looking for a therapist in Ontario?
Explore Psychology Today or visit our website to find a Registered Psychotherapist who meets your needs. If affordability is a concern, don’t hesitate to reach out—we may have sliding scale options available.