We Tested Dozens of Online Therapy Platforms — Here Are the Best Ones for Older Adults

Mental health is important for everyone, yet adults ages 65 and older are often left out of the conversation. That’s unfortunate, because this age group faces many mental health challenges. For starters, social isolation is a major concern, with research suggesting that older adults who suffer from social isolation have an increased risk of dementia and stroke. Loneliness can also lead to higher rates of anxiety and depression.

A recent meta-analysis found that, worldwide, approximately 33 percent of older adults experience social isolation.

Social isolation isn’t the only concern for the elderly population. Depression is one of the most common mood disorders in older adults. About 6 percent of people over the age of 60 experience depression, and the likelihood of it increases with age, with more than a quarter of people over the age of 85 experiencing depression at any given time.

It is clear that mental health support for elders is needed, but it can be difficult to find. A major barrier to seniors receiving the mental health care they need is ageism, as stigmas around older adults still exist. Another issue is a lack of access. It can be difficult for older folks to get to in-person therapy appointments, but they may also be intimidated by the tech skills needed to navigate online therapy. This is where we come in. Taking into account cost, ease of use, and quality of care, we’ve rounded up the best online therapy platforms for seniors. Read on to find the best platform for your needs.

The Best Online Therapy Services for Seniors

What if I’m Having Thoughts of Harming Myself?

You don’t have to suffer alone. If you or a loved one is experiencing significant distress or having thoughts about suicide and needs support, call or text 988 to reach the Suicide & Crisis Lifeline, available 24/7. If you need immediate help, call 911.

Best Subscription Service

Brightside Health

Pros

  • Offers a unique crisis care program
  • Accepts insurance
  • Offers a self-guided CBT course alongside the sessions
  • Medication management available
  • Therapist matching available

Cons

  • Focus on CBT may not be for everyone
  • Controlled substances cannot be prescribed
  • Progress tracking is required

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Individual
  • Medication management: Yes
  • Price: Medication management costs $95 per month, plus the cost of any medication prescribed; this plan includes a monthly meeting and unlimited messaging related to your medication. Therapy costs $299 per month for four sessions and includes unlimited messaging. Additional sessions are available for $59 per session. The therapy and psychiatry plan combines all of the previously mentioned benefits for $349 a month.

Brightside Health is a unique subscription service that offers a range of options, including medication management, therapy, a plan that combines therapy and medication management, and a crisis care service. It’s one of the most versatile services out there, making it our pick for the best therapy subscription service for seniors.

Brightside Health offers support for a number of issues, including depression, anxiety, trauma, burnout, and sleep troubles. We like that there is an option to receive psychiatry services through the platform, a rarity among the picks on this list. You can also bundle both psychiatry and therapy sessions into a monthly plan. There is an interactive self-guided cognitive behavioral therapy (CBT) course available with all of Brightside Health’s plans too. This is fantastic, since CBT — a modality that looks at how negative thought patterns and unhelpful actions can result in troublesome symptoms — is considered one of the best treatments for anxiety.

However, it is worth noting that the lessons may not be a fit for people who aren’t super comfortable navigating technology.

Brightside Health also offers a suicide prevention plan to those with insurance that sets it apart from other online therapy platforms. Those battling strong suicidal thoughts are often excluded from the online therapy space, with many companies simply noting that these folks are not a fit for online therapy. However, Brightside Health will work with people who have had a recent suicide attempt, are actively suicidal, or need care after being hospitalized. Appointments for this service are available within 48 hours and are held by clinicians specifically trained in working in suicide prevention.

Heads up: Brightside Health’s intake paperwork is lengthy. While testing the service, we felt somewhat uncomfortable with the breadth of information requested before even meeting the therapist. However, the more information you provide up front, the less time you spend catching your therapist up on your history during the first session. That means you can dedicate more time to focusing on what is happening in the here and now.

Talkiatry logo

Best for Psychiatry

Talkiatry

Pros

  • Offers a focus on older adults
  • Accepts insurance
  • Quick intake process
  • Can prescribe controlled substances (depending on state laws)

Cons

  • Only offers care to those with insurance
  • Unable to select your desired provider

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Medication management
  • Medication management: Yes
  • Price: Varies based on insurance; does not provide out-of-pocket sessions
The use of psychiatric medication can be a major game-changer for those suffering from a variety of issues, from depression and anxiety to obsessive-compulsive disorder and trauma. However, psychiatry for older folks requires some special considerations. It isn’t uncommon for a mental health issue to coincide with a physical issue — for example, someone with depression may also struggle with cognitive decline.

It is essential that a psychiatrist is versed in the complexities that arise when prescribing medication to seniors. Talkiatry recently set out to tackle this very issue by launching geriatric psychiatry as a specialty, making them our pick for the best psychiatry for older adults.

In our experience with the platform, we were impressed by the extensive training and qualifications of the providers. We received excellent care that made us feel seen, heard, and supported. However, be aware that this platform is only available to those with insurance. We also noticed that the final price of services is dependent upon the type of insurance plan you have. In our case, we didn’t find out the final price until after the services were rendered. If you don’t have insurance or would prefer to know the cost before receiving care, we recommend you explore Brightside Health’s psychiatry plan.

Grow therapy logo

Best for Insurance

Grow Therapy

Pros

  • Accepts insurance
  • Wide range of providers
  • Easy to use
  • Available in all states
  • In-person therapy available
  • Plenty of search filters to help you find the best provider

Cons

  • Video platform can have some technical difficulties
  • Some major insurance carriers aren’t accepted

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Individual, couples, family
  • Medication management: Yes
  • Price: Varies based on insurance; out-of-pocket fees vary by provider but typically range between $125 to $275
There’s one universal truth about therapy: It is expensive. As of 2017, the average person paid nearly $150 out-of-pocket for a therapy session with an out-of-network therapist.

Now, eight years later, due to the effects of inflation, this number has only gotten higher. Luckily, Grow Therapy exists. This is an online platform that has a wide range of diverse providers that all accept insurance — up to 51 different plans, to be exact. The fact that plenty of insurance plans are accepted, there are tons of filters to help you find the best therapist for your needs, and it is available in all states is why Grow Therapy nabbed our pick as the best online therapy for seniors that accepts insurance.

We found using the platform extremely easy. All we had to do was head to the website, specify our location, preferred service, and type of insurance we had. From there, we were presented with multiple provider options. The one we selected was an excellent fit, too. Since online therapy may be new and intimidating for many seniors, we like how easy it is to get started on this platform. Plus, it is great for folks with Medicare, while also providing a range of options for those without Medicare.

If you’re looking for couples therapy, family therapy, or even psychiatry, Grow Therapy can also help. Keep in mind that each provider will have their own fees and a specific set of insurance plans they work with. However, we found that the platform’s search functions were able to offset any frustrations. We also noticed the video platform was a bit glitchy, but the provider we worked with was quick to rectify the situation.

OURS logo

Best for Couples Therapy

Ours

Pros

  • Can opt for individual therapy in addition to couples work
  • Excellent customer service
  • Flexible scheduling
  • Offers strong tools that couples can use outside of therapy
  • Can save on cost-per-session by purchasing a package

Cons

  • Doesn’t accept insurance
  • Out-of-pocket costs can be steep

Key Specs

  • Accepts insurance: No
  • Types of therapy offered: Couples
  • Medication management: No
  • Price: $200 per session, or $720 for a pack of four sessions

Couples therapy for aging adults is a severely overlooked need, as aging can bring up a host of issues in a relationship. Navigating being empty nesters, dealing with the stress of an illness, or the dynamic of one person becoming a caregiver for the other can all put a strain on a partnership. Couples therapy can save relationships by helping folks ease into these new roles with conflict resolution skills, coping tools, and a safe space to hear one another. We love Ours for emphasizing these essential aspects of couples therapy while offering flexible scheduling and plenty of tools to use between sessions.

Couples therapy can be intimidating, especially for first-timers. Ours offers therapist matching, which can make the whole process less daunting. This is especially great for older couples because it ensures that they are matched with a therapist who is equipped to support their partnership through the unique issues associated with aging. Plus, you will be matched with your therapist by a real person, rather than an automated algorithm, which many platforms depend on.

A drawback to this platform is its fees. For starters, it doesn’t accept insurance. A single session costs $200, which is steep. The only way to bring this cost down a bit is to purchase four sessions for $720. Even then, each session is still $180. The initial consultation costs $50. While this fee is applied to your first session, it is not refundable if you don’t move forward with sessions on the platform.

Calm Health logo

Best for Coping Tools

Calm

Pros

  • Free trial
  • Affordable subscription
  • Monthly and annual subscription options
  • Large library of tools
  • Offers meditations specifically for stress and anxiety
  • Has a family plan available

Cons

  • Isn’t therapy
  • Isn’t covered by insurance

Key Specs

  • Accepts insurance: No
  • Types of therapy offered: Guided meditations, mindfulness courses, educational lectures
  • Medication management: No
  • Price: $14.99 monthly, $69.99 annually, $99.99 annually for the family plan, and $399.99 for lifetime access
You’ve likely heard about the benefits of meditation and mindfulness, especially when it comes to coping with anxiety and depression. There’s a good reason for that, as clinical evidence backs up the efficacy of mindfulness practices in decreasing symptoms of anxiety and depression. Since mindfulness-based therapies have been shown to be highly effective in treating mental health conditions, we think a meditation app is a solid addition to anyone’s mental health toolbox.

Calm, one of the largest meditation and mindfulness apps on the market, features millions of guided meditations, lectures, and courses, at a reasonable price, which is why we’re naming it the best online coping tools platform for older adults.
We like that Calm makes integrating mindfulness into your everyday life very easy. If you’re someone who struggles with sleep issues, which many seniors do, Calm may also be helpful.

 They have tons of sleep stories, which can help lull you to sleep. The company also offers a family plan. For just $30 more than the regular annual price, you can have six accounts under one membership. Even though you may be an empty nester, this offers the opportunity to build new rituals with family members during the holidays and on vacations.

While there are plenty of praises we can sing about Calm, it’s important to remember that Calm is an app best suited for use in addition to therapy. It can help you build up your tools to cope with challenging situations, but it isn’t a replacement for mental health treatment.

Best-online-psychiatrist-zocdoc-logo-carousel

Easiest to Use

ZocDoc

Pros

  • Very easy to use
  • Wide range of clinicians
  • Plenty of providers offer quick availability
  • Can view therapist schedules immediately
  • Many providers accept insurance 

Cons

  • Navigating payment can be confusing
  • Provider availability can vary greatly
  • Not all providers accept insurance

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Individual therapy, couples therapy, family therapy, group therapy
  • Medication management: Yes
  • Price: Varies based on insurance, service, and location; typically $150 to over $500

If you’re new to the world of online therapy, you might be feeling overwhelmed. From different subscription plans to being matched with a therapist you don’t connect with to figuring out how to switch to someone new, it can all be discouraging and might leave you wanting to forgo therapy altogether. Luckily, ZocDoc makes the process easier than ever, which is why we named it the easiest to use online therapy service for seniors.

ZocDoc functions as a directory — a major bonus for those who need something more flexible than a subscription can offer. With a directory, you can easily switch providers, sign up for sessions as needed, and not worry about being locked into a monthly payment plan.

Getting started is easy: You simply start by sharing your email. Then you’ll be asked a few personal questions, including your age, experience, and the issue you’d like mental health treatment for. Once this is completed, you’ll be presented with various providers that ZocDoc believes could be a good fit for you. We especially like that you can see the provider’s availability, pricing, and accepted insurance plans without even having to click on their profile — it’s all included in the small blurb accompanying their headshot in the search results.

We were quite impressed with the training and qualifications of the therapists on the platform. In fact, the one we worked with provided strong tools, warmth, and attunement within just three sessions. The only snag we had was figuring out the payment process, which was a bit confusing — but luckily, our provider addressed the issue swiftly.

WellQor logo

Best for EMDR

WellQor

Pros

  • Accepts insurance
  • Has EMDR-certified clinicians on staff
  • Matches you with a therapist
  • Specializes in issues relevant to seniors like retirement, grief, and health issues
  • Excellent customer service
  • Reasonable out-of-pocket rates

Cons

  • Not available in all 50 states
  • Not all therapists on staff offer EMDR
  • Doesn’t offer medication management

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Individual, couples, and family
  • Medication management: No
  • Price: $125 per session out-of-pocket; in-network costs vary based on insurance
A great way to narrow down which online therapy platform might work best for you is to consider the type of support you need. If you’re seeking trauma support, eye movement desensitization reprocessing (EMDR) therapy may be a great fit for you. Though it is not widely discussed, post-traumatic stress disorder (PTSD) among older adults is an issue that requires special adjustments to treatment.

 EMDR offers these adaptations to its protocol, making it an effective PTSD treatment for seniors. EMDR is a type of somatic therapy that works to support clients in working through past traumas they’ve experienced. In turn, this can decrease the symptoms associated with trauma, resulting in deep healing.

WellQor is an excellent online platform that has topped many of our online therapy roundups, thanks to its EMDR-certified clinicians, excellent customer care, acceptance of insurance, and reasonable out-of-pocket fees. This time, we’re naming them the best EMDR therapy for seniors.

WellQor is accessible when it comes to finances. Its website boasts that it is covered by most insurance plans, and that is no exaggeration. A wide range of plans, from Aetna to Medicare, are all considered in-network with WellQor. In the event that your health insurance isn’t accepted by WellQor, their out-of-pocket fees are reasonable. Without insurance, each session costs $125. For reference, we’ve seen therapy sessions cost up to $300 out-of-pocket while testing various platforms, so this is considered a decent price. What really sold us on WellQor is its personalized customer service. This is especially important for folks who are new to online therapy or who might have some anxiety about using technology they aren’t totally familiar with.

While we can’t sing WellQor’s praises enough, there are a few details to be aware of. First, not all of their therapists are trained in EMDR, so be sure to note that you’d like to work with someone who practices EMDR when signing up. Second, WellQor is currently only available in Arizona, California, Michigan, Illinois, Ohio, Texas, Indiana, Florida, New York, New Jersey, Massachusetts, and Wisconsin.

Total Lige logo

Best Therapy Covered by Medicare

Total Life

Pros

  • Unique focus on older adults
  • Accepts Medicare
  • Easy intake process
  • Matches you with a therapist
  • Offers phone sessions
  • Can contact a care coordinator directly via telephone to get started

Cons

  • Doesn’t offer medication management
  • Doesn’t offer couples therapy

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Individual
  • Medication management: No
  • Price: Varies based on insurance

Since the mental health of older adults is often overlooked, it can be difficult to find a platform that focuses exclusively on seniors. Luckily, Total Life does just that. This online therapy platform accepts Medicare, is available in every state (except Illinois, which they’re working on changing soon), and has a roster of clinicians specifically trained to work with older adults. This means many of the issues they specialize in are ones that older people frequently face, such as cognitive decline, chronic pain, life transitions, and grief.

Mainstream conversations about mental health are relatively new, so some older adults may not be comfortable with the idea of seeking out therapy. Something we appreciate about Total Life is that they will hold consultations with concerned family members. Based on what is shared in the consultation call, they can guide family members on the next steps for getting their loved one started in therapy. Also, folks can opt to hold their sessions over the phone. This is great for those who aren’t comfortable using the technology required for virtual sessions.

We do have one qualm with the platform. While it clarifies that every therapist specializes in working with older adults, it does not list its providers or their bios. This personalized touch is definitely missing from the website.

Blue Moon Senior Counseling logo

Best for Anxiety

Blue Moon Counseling

Pros

  • Offers services for caregivers
  • Available in all 50 states
  • Accepts Medicare
  • Can refer a loved one to receive care
  • Wide range of specialties 

Cons

  • Doesn’t list therapist bios
  • Doesn’t offer medication management
  • Only offers individual therapy

Key Specs

  • Accepts insurance: Yes
  • Types of therapy offered: Individual
  • Medication management: No
  • Price: Varies based on insurance
Anxiety is a major issue for seniors, with at least 17 percent of older adults experiencing some form of anxiety disorder. Specific phobias, such as acrophobia (severe fear of heights), social phobia, and generalized anxiety disorder tend to be the most common among older people.

 If you are struggling with this, it is important to find a provider that specializes both in anxiety and older adults. Luckily, Blue Moon Counseling offers just that.
What we really love about Blue Moon Counseling is that they treat a variety of conditions that intersect with anxiety. For example, they also provide therapy for caregiver burnout, which can have symptoms overlapping with anxiety.

 Blue Moon Counseling also offers care for those navigating adjustment disorders that can arise with life changes, and which can present with anxious symptoms.

 With these specialties tailored specifically to the older adult population, Blue Moon Counseling is a great place for any senior to start when seeking out support. As for the platform’s financial details, it accepts Medicare and a few PPO plans, including UnitedHealthcare. Total costs will vary based on insurance coverage.

While we are thrilled with the unique features Blue Moon Counseling offers, there are a few things left to be desired. Therapist bios are not listed on the website. This is not ideal, since having therapist bios can make the idea of starting therapy feel much more approachable. Additionally, it does not offer medication management.

Best for DBT

Grouport

Pros

  • Affordable
  • Various types of therapy available
  • Wide range of appointment times available, including evenings
  • Different types of groups you can try
  • All groups are facilitated by licensed therapists

Cons

  • Does not accept insurance
  • Therapy group experience will vary widely based on number of participants

Key Specs

  • Accepts insurance: No
  • Types of therapy offered: Individual, couples, family, teen, and group therapy
  • Medication management: No
  • Price: DBT groups cost $299 for the first three months and $100 every month after; general group therapy costs $140 for four sessions every month; individual therapy for adults and teens is $448 for four sessions each month; and family therapy is $640 per month for four sessions.
Frustration is natural. However, anger and anxiety can combine to feel debilitating at times, doing a number on your quality of life and relationships. Research suggests anger and anxiety are common in older adults, and the effects can take a toll on their physical and mental health.

 While therapy can’t necessarily change the circumstances of your life, it can help you learn how to cope with them better. We love dialectical behavior therapy (DBT) for learning how to cope with frustration and anxiety. DBT is a type of therapy that focuses on teaching mindfulness, distress tolerance, emotional regulation, and interpersonal relationship skills to help folks build better relationships with themselves and others. Practicing DBT skills in a group setting can help you learn how to navigate interpersonal challenges and reduce your reactivity to activating situations. Grouport offers DBT groups at a reasonable price, at a wide range of times. This is why we chose it as the best online DBT services for older adults.


Grouport has structured its skills group into two separate modules. The first module consists of 12 weekly meetings. These sessions set the foundation for basic DBT skills, such as practicing conflict resolution, learning how to regulate your emotions in difficult situations, and creating a mindfulness practice. The second module, which is the advanced DBT skills group, is a five-month-long curriculum where each month focuses on the key tenets of DBT, which are mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness. Keep in mind that there is a three-month commitment for the DBT skills group, which is the length of the first module. You’ll be billed $299 at the start of the first module. Once that module is complete, you’ll be billed $100 for every month after.

Other Noteworthy Platforms We Tried

Identifying the best online therapy for older folks was no small feat. We were intentional about making sure that each platform was ethical and easy to use, while also ensuring that there were ample providers versed in working with seniors.

We considered including BetterHelp in this roundup. This platform functions as a monthly subscription and makes it super easy to switch therapists instantly. However, we were wary of its history of misusing client data.

That being said, if you’re interested in trying out a platform with a subscription service that allows you to change therapists quickly, it could be worth a try — just be sure to read its privacy policy first.

Another directory we considered was Inclusive Therapists. It focuses on rounding up as many diverse providers as possible. We love how there’s an option to find just about any sort of care you might be seeking, with filters that allow you to find a therapist who specializes in certain age groups, gender identities, or ethnicities. However, we found the number of filters to be a bit overwhelming, and it may not be the best for those who aren’t as confident with technology.

Another company we considered was Our Ritual. It offers a unique approach to couples therapy that combines face-to-face sessions with online lessons. However, once again, the lessons are not a great fit for people who aren’t super comfortable with technology, and we felt Ours was a more accessible option.

Comparison Table

Superlative
Highlights
Best subscription service
  • Accepts insurance
  • Offers individual therapy and medication management
  • Medication management is $95, four therapy sessions a month is $299, additional therapy sessions are $59, four therapy sessions and medication management is $349 a month
Best for psychiatry
  • Accepts insurance
  • Offers medication management
  • Pricing varies based on insurance, does not accept self-pay
Best for Insurance
  • Accepts insurance
  • Offers individual, couples, and family therapy, plus medication management
  • Out-of-pocket pricing varies, but typically ranges between $125 and $275 per session
Best for couples therapy
  • Doesn’t accept insurance
  • Offers couples therapy
  • $200 per session, or $720 for a pack of four sessions
Best for coping tools
  • Doesn’t accept insurance
  • Offers guided meditations, mindfulness courses, and educational lectures
  • $14.99 per month, $69.99 annually, $99.99 annually for a family plan, and $399.99 for lifetime access
Easiest to use
  • Accepts insurance
  • Offers individual, couples, family, and group therapy, plus medication management
  • Pricing varies based on insurance, but typically $150 to $500 per session
Best for EMDR
  • Accepts insurance
  • Offers individual, couples, and family therapy
  • Out-of-pocket cost is $125 per session, in-network costs vary based on insurance
Best therapy covered by Medicare
  • Accepts insurance
  • Offers individual therapy
  • Pricing varies based on insurance
Best for anxiety
  • Accepts insurance
  • Offers individual therapy
  • Pricing varies based on insurance
Best for DBT
  • Doesn’t accept insurance
  • Offers individual, couples, family, teen, and group therapy
  • DBT groups cost $299 for the first three months and $100 every month after; regular group therapy is $140 for four sessions per month; individual therapy is $448 for four sessions per month; family therapy is $640 for four sessions per month

How We Tested the Best Online Therapy for Seniors

When compiling our list of the best online therapy services for seniors, we were intentional about making sure all of the companies were vetted by an expert. I am a licensed clinical social worker who has tested over a dozen online platforms. This experience has allowed me to quickly discern if a platform is ethical, accessible, and easy to use. I personally tested Brightside Health, Grow Therapy, WellQor, and Calm. We also worked with a range of testers who are all veterans of the mental health field, either by way of being licensed clinicians themselves or by having extensive personal experience with therapy. During our testing period, we paid special attention to provider qualifications, financial accessibility, and the overall user experience.

What to Look for When Signing Up for Online Therapy

When signing up for online therapy, there are some key factors to keep in mind. First, consider your financial constraints. Take a look at your budget and determine how much you’re able to spend monthly. Be realistic — the last thing you want is to be deep in therapy and realize you can’t afford the fee. Once you’ve found your monthly budget for therapy, divide it by four so you know the weekly session amount you can pay, or look for a subscription that falls within your monthly budget.

Then, consider whether you need to use your insurance benefits. If so, give your insurance company a call and ask about your mental health benefits. After you have this information, make sure any platform you sign up for takes your insurance.

Once you have all of your financial details in order and have narrowed in on the platforms that fit your budget, it’s time to think about what you want treatment for. Are you struggling with irritability? Grouport’s DBT group could be a great fit. Ready for intensive trauma therapy? Check out WellQor’s services. Let this information guide your decision-making as you narrow down your online therapy options.

Finally, don’t be afraid to change therapists or platforms if you don’t connect with your provider — or, worse, if you experience unethical behavior. While we worked hard to vet each of these platforms, they will not be a fit for every person. Trust your gut and know that there are still plenty of options out there if you strike out on the first few tries.

What Is the Difference Between Psychiatry and Therapy?

Psychiatry is a form of mental health care that involves being prescribed medication to address a psychological concern. Therapy typically involves talking to heal mental health issues, although somatic therapies like EMDR have been gaining popularity. Some psychiatrists can prescribe medication and also provide talk therapy.

I’m Not Tech-Savvy — How Can I Use Online Therapy?

Online therapy typically requires video sessions. Most of the time, these sessions are either held directly on the platform or via a Zoom link, so all you’ll have to do is click the link given to you at the start of your session. You can do your sessions on your phone or your computer. We recommend the computer, as it tends to be more comfortable than looking at a smaller screen like a phone. If you struggle with connecting to the session, you can always contact the platform’s customer service for help. If you’re not comfortable with the video technology aspect, some platforms, such as Total Life, offer sessions via the telephone.

Am I a Good Candidate for Online Therapy?

It depends. If you’re experiencing a crisis or suicidality, your options will be limited. Brightside Health’s crisis program is a rarity. Furthermore, if you’re experiencing psychosis, you most likely will need a higher level of care that requires in-person sessions.

FAQs

What is the best therapy for older adults?
It varies based on the type of care you need. Generally, the best fit for older adults will be a platform that has straightforward technology, clinicians who specialize in working with older adults, and accepts Medicare.
The majority of online therapy platforms list out the insurance plans they work with — see if Medicare is on the list. If you can’t find the insurance plan list or are still unsure what they accept, contact customer service to get to the bottom of things.
Yes. A recent study found no major difference in efficacy between in-person and telehealth sessions, on average. However, if you are experiencing a crisis or suicidality, most telehealth platforms will not be a fit — with the exception of Brightside Health’s crisis program.

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Julia Childs Heyl, MSW

Author

Julia Childs Heyl, MSW, is a California-based clinical social worker and mental health writer. Her writing often focuses on mental health disparities and uses critical race theory as her preferred theoretical framework. She has been published by Verywell Mind, Health, Parents, Shape, Yahoo, and more.

In her clinical work, Julia specializes in treating people of color experiencing anxiety, depression, and trauma through depth therapy and EMDR (eye movement desensitization and reprocessing) trauma therapy. Identifying as a holistic-minded clinician, Julia views mental health as a relationship between the soul, self, and systemic structures in our lives. Her formative training includes developing mental health programming specifically for Black survivors of domestic violence and sexual assault and conducting research on generational trauma within the Black community.

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Seth Gillihan, PhD

Medical Reviewer
Seth Gillihan, PhD, is a licensed psychologist in private practice in Ardmore, Pennsylvania, who helps people find personal growth by making important changes in their thoughts and habits. His work includes books, podcasts, and one-on-one sessions. He is the the host of the Think Act Be podcast and author of multiple books on mindfulness and CBT, including Retrain Your Brain, Cognitive Behavioral Therapy Made Simple, and Mindful Cognitive Behavioral Therapy.

He completed a doctorate in psychology at the University of Pennsylvania where he continued as a full-time faculty member from 2008 to 2012. He has been in private practice since 2012.

Orlando de Guzman

Fact-Checker

Orlando de Guzman is a writer and editor with expertise in health and environmental news. He has a background in investigative and science journalism and has worked on documentary films about war and trauma, health, sanitation, and the changing climate around the world. His interest in health and medicine started after an early career as a medical and legal translator.

De Guzman is a longtime health and fitness enthusiast who is interested in nutrition, diet, and mental health. He participates in endurance sports and cross-trains in several traditions of martial arts from Southeast Asia. De Guzman is interested in how the progressively complex movements of martial arts training can improve cognition and mental well-being, especially for those with PTSD and for those approaching middle age and beyond.

De Guzman has a dual B.A. in communications and international studies from the University of Washington in Seattle. He is committed to factual storytelling and evidence-based reporting on critical choices that affect our planet.

Olivia Campbell

Editor

Olivia Campbell is the New York Times bestselling author of Women in White Coats: How the First Women Doctors Changed the World of Medicine and Sisters in Science: How Four Women Physicists Escaped Nazi Germany and Made Scientific History. She is a freelance editor at Dotdash Meredith and a freelance journalist. Her work has appeared in The Atlantic, National Geographic, New York Magazine, Health, Parents, History, and The Guardian, among other outlets.

Campbell received a journalism degree from Virginia Commonwealth University and a master's in science writing from Johns Hopkins University, where she now acts as a thesis advisor. She is a member of the National Association of Science Writers.

Campbell lives outside Philadelphia with her husband, three children, and two cats.

EDITORIAL SOURCES
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Resources
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  3. Devita M et al. Recognizing Depression in the Elderly: Practical Guidance and Challenges for Clinical Management. Neuropsychiatric Disease and Treatment. December 7, 2022.
  4. Curtiss JE et al. Cognitive-Behavioral Treatments for Anxiety and Stress-Related Disorders. Focus: Journal of Life Long Learning in Psychiatry. June 17, 2021.
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  6. Benson NM et al. Prices and Cost-Sharing In-Network vs. Out-of-Network for Behavioral Health, 2007–2017. Health Affairs. July 2020.
  7. Hofmann SG et al. Mindfulness-Based Interventions for Anxiety and Depression. The Psychiatric Clinics of North America. September 18, 2017.
  8. Tatineny P et al. Sleep in the Elderly. Missouri Medicine. 2020.
  9. Pless Kaiser A et al. Posttraumatic Stress Disorder in Older Adults: A Conceptual Review. Clinical Gerontologist. 2019.
  10. Gainer D et al. A FLASH OF HOPE: Eye Movement Desensitization and Reprocessing (EMDR) Therapy. Innovations in Clinical Neuroscience. July 1, 2020.
  11. Welzel FD et al. Incidence of Anxiety in Latest Life and Risk Factors. Results of the AgeCoDe/AgeQualiDe Study. International Journal of Environmental Research and Public Health. December 3, 2021.
  12. Broxson J et al. Understanding the Impacts of Caregiver Stress. Professional Case Management. 2020.
  13. Arbus C et al. Adjustment Disorder With Anxiety in Old Age: Comparing Prevalence and Clinical Management in Primary Care and Mental Health Care. European Psychiatry: The Journal of the Association of European Psychiatrists. May 2014.
  14. Segel-Karpas D. Anger and Anxiety in Older Adults: A Cross-Lagged Examination. Aging & Mental Health. September 2024.
  15. Vijayapriya CV et al. Effectiveness of Dialectical Behavior Therapy as a Transdiagnostic Treatment for Improving Cognitive Functions: A Systematic Review. Research in Psychotherapy: Psychopathology, Process, and Outcome. July 4, 2023.
  16. FTC Gives Final Approval to Order Banning BetterHelp From Sharing Sensitive Health Data for Advertising, Requiring It to Pay $7.8 Million. Federal Trade Commission. July 14, 2023.
Additional Sources
  • Bulkes NZ et al. Comparing Efficacy of Telehealth to In-Person Mental Health Care in Intensive-Treatment-Seeking Adults. Journal of Psychiatric Research. November 3, 2021.