Are you considering a career as an online therapist with platforms like BetterHelp? If so, it’s crucial to understand the financial realities of your choice. While BetterHelp offers a convenient entry point into the field of online therapy, many professionals find that the compensation doesn’t fully meet their expectations, especially when compared to the potential earnings from running a private practice.
That said, for anyone just starting out, BetterHelp is a way in. They offer you stable clients and a reliable income that can help you get on your feet as a new clinician. Anyone who has been in the mental health space for a while will tell you that getting going is the most important step. But, once you’re settled in and feeling confident, many new therapists share that they’re ready to make a more profitable living.
Please know that BetterHelp is a wonderful resource for clients and clinicians alike. But, as someone who has walked the path of starting out as a therapist, there are many career decisions you want in your mind so you can plan for the future. And given that so few of us ever received any career counseling around how to create a private practice, it’s important to consider the predictable career steps ahead of you.
Review this guide if you’re considering working for BetterHelp. It will help you feel informed about your decision and give you some clarity about what’s ahead. By the end, you will have a clearer perspective to make an informed decision about your career path in mental health care.
How Much Does BetterHelp Pay & Is It Worth It?
BetterHelp therapists earn an average of $65–$90 per week, though this rate may vary based on client load, experience, and engagement with the platform. In comparison, therapists in private practice often charge $100–$200 per session, depending on their location and specialty, making BetterHelp’s compensation seem modest.
On a monthly basis, ZipRecruiter reports that the typical BetterHelp therapist earns $1,200 if working part-time and up to $5,300 for those who dedicate full-time hours to the platform. While this income is a far cry from what private practice therapists can make, it’s important to consider the context: BetterHelp eliminates the administrative burden of marketing, billing, and client acquisition, which can save therapists substantial time and money.
So, is it worth it? That depends on your goals. For therapists who value flexibility and low overhead, BetterHelp might be a great supplemental income source. However, if you’re looking to maximize your earning potential or grow a high-paying practice, the platform may not align with your financial goals.
Is it good for a brand new therapist?
For new therapists, BetterHelp can be a valuable platform to gain experience and start building a client base without the upfront costs associated with setting up a private practice. The platform handles marketing, billing, and initial client outreach, which can significantly reduce the administrative burden on a mental health professional who is just starting out.
However, new therapists should be mindful that the per-session pay is often lower than what you can charge in your own private practice, and you may experience some limitations in the types of therapy you can offer due to the platform’s structure.
Is it good for a seasoned and experienced therapist?
For seasoned therapists, BetterHelp offers the convenience of flexible scheduling and remote work, but the financial compensation is always the question. It certainly does not match the earning potential of private practice, especially for those with a well-established client base and specialized skills.
Experienced therapists may find the pay rates limiting, as private practice often allows for higher hourly rates and more personalized client engagements. Additionally, the platform may not provide the same level of professional autonomy and therapeutic depth as managing one’s own practice.
That said, if you’re someone who hates marketing, this “in the box” opportunity is wonderful. You are not saddled with any of the marketing puzzles or expenses so you don’t have to find clients. Clients are brought to you and the entire set of marketing costs is handled for you. And for many therapists we talk to, this subset of work is a big hurdle. If this is your situation, BetterHelp can be a great business partner to have.
What Therapists Are Saying About BetterHelp In 2025
The therapist community on Reddit paints a mixed picture of working with BetterHelp. Many users express frustration with the low pay rates and high client caseloads, with some describing the platform as a “gig economy” approach to therapy rather than a viable long-term career option. One thread from 2024 critiques the platform for prioritizing quantity over quality, noting that therapists can feel overworked and undervalued.
Others highlight issues with client engagement, as the platform attracts individuals who may not fully commit to therapy. Some therapists find this lack of commitment draining, particularly when paired with the platform’s demands for availability.
For therapists feeling stuck in this system, there are alternative ways to make money online. Consider offering specialized services like workshops, group therapy, or coaching for a niche audience. These options allow you to set your rates, retain more control over your schedule, and avoid the challenges associated with BetterHelp.
How Much Does A Therapist Make After Taxes On BetterHelp?
The after-tax earnings of a therapist on BetterHelp can vary significantly based on several factors, including the therapist’s total earnings, tax bracket, state of residence, and any applicable deductions or credits.
BetterHelp pays therapists as independent contractors, so therapists receive a 1099 form for tax purposes, rather than a W2. This means you will be responsible for paying your own income tax and self-employment tax.
In full transparency, we are not accountants or tax preparation experts, but in general, here is the breakdown to give you an idea. You need to do your own research to verify the exact expenses for your earnings.
Gross Earnings
Suppose a therapist earns an average rate of $60 per hour on BetterHelp and works 20 hours per week. This would amount to approximately $1,200 per week or $62,400 annually.
Self-Employment Tax
As of 2024, the self-employment tax rate is 15.3%, which covers Social Security and Medicare taxes. For annual earnings of $62,400, the self-employment tax would be approximately $9,547.
Federal Income Tax
The exact federal income tax depends on the filing status and total taxable income after deductions. If we consider a basic scenario with standard deductions ($12,950 for single filers in 2024), the taxable income would be reduced, and the applicable tax rate would vary. For simplicity, if we assume a marginal tax rate of 22% on taxable income, the federal tax might be around $10,900, depending on specific circumstances and other income.
State Income Tax
This varies widely depending on where the therapist lives. Some states like Florida and Texas have no state income tax, while others like California have high rates.
Net Earnings
Subtracting both self-employment tax and estimated federal (and possibly state) income tax from the gross earnings would give the net income. For the example above, excluding state taxes, the net take-home pay would be approximately $61,400 – $9,547 – $10,900 = $40,953 annually.
This is a simplified calculation and actual earnings can differ based on hours worked, rates charged, deductions claimed, and specific tax situations. Therapists should consult with a tax professional to get a precise calculation tailored to their personal circumstances.
Are Other Online Therapy Platforms Better Than BetterHelp?
If BetterHelp doesn’t seem like the right fit, you might find success with alternative platforms that cater to different therapist needs. Here are three to consider:
- Online Therapy (onlinetherapy.com): Known for its structured programs and focus on cognitive behavioral therapy (CBT), this platform allows therapists to guide clients through predefined courses and live sessions. It’s ideal for those who want a mix of pre-designed tools and traditional therapy sessions.
- 7 Cups: This platform is more community-driven, offering emotional support through volunteer listeners and licensed therapists. While the pay is typically lower than BetterHelp, it’s a great way to work with clients who need quick, text-based interactions or prefer a casual approach to therapy.
- Calmerry: Calmerry stands out for its affordable plans and focus on matching clients with therapists for long-term support. It offers competitive pay and prioritizes building consistent relationships between clients and therapists, which can feel more rewarding for those seeking deeper therapeutic connections.
Each platform has its pros and cons, so it’s worth exploring which aligns best with your income goals, time availability, and professional style.
Are There Other Options For Therapists To Make Money Online?
As a 1099 independent contractor, you are not limited in the amount of work you can do. So if you see working for BetterHelp as a step in your journey and you want to add additional ways to monetize your skills beyond joining a mental health platform like BetterHelp, here are the steps to expand your online presence and income:
#1 Build a Professional Website
A well-designed website serves as the central hub for a therapist’s online counseling and practice. It should include:
- Professional Design: Ensuring the website is visually appealing, easy to navigate, and accessible.
- Great Copywriting: Engaging, clear, and concise content that communicates the therapist’s services, qualifications, and unique approach to therapy.
- Images: High-quality images that convey a sense of calm and trust; these could be office shots, or soothing generic images.
- Online Booking: Integration of scheduling tools for clients to book appointments directly.
Payment Gateway:Secure options for clients to pay for sessions online.
#2 Start a Therapy Blog
Blogging can significantly boost a therapist’s online visibility and establish you as an authority in your field. This is critical because clients look online for help as a starting point. If your website and blog can be found by clients in need, you will reach more people looking for counseling and support. Points to consider include:
- Content Strategy: Write articles that address common issues, therapeutic techniques, or self-help tips that potential clients might search for.
- Monetization: Use affiliate marketing, sponsored posts, or ads to generate revenue from the blog.
- Engagement: Encourage reader interaction through comments and social media shares, which can increase visibility and attract new clients.
#3 Utilize Local SEO
Local SEO (Search Engine Optimization) helps therapists attract clients from their geographical area, which is crucial for those who offer a hybrid of online and in-person sessions. Key strategies include:
- Google My Business: Set up and optimize a Google My Business account to appear in local searches and on Google Maps.
- Keywords: Use location-based keywords in the website’s content, such as “therapist in [City Name]” or “online counseling in [Region].”
Local Listings: Ensure the practice is listed in local online directories and that the information is consistent across all platforms
#4. Collaborate With Health Clinics To Offer Online Therapy
Collaborating with health clinics is an effective way to expand your online therapy practice by reaching a ready-made client base. Many clinics lack mental health services, creating an opportunity for partnership.
- Identify Opportunities: Target clinics offering physical or primary care but no therapy services, as they’re often open to expanding their offerings.
- Propose Value: Highlight how your therapy services can enhance patient care and satisfaction while addressing a critical gap in their services.
Build Credibility: Partnerships with clinics boost your reputation and provide a steady stream of clients, strengthening your practice.
Can A Therapist Earn More With Their Own Online Business?
Yes, a therapist can potentially earn significantly more with their own online business, especially with a steady stream of clients. Here’s how this can happen:
Setting Own Prices
One of the most substantial benefits of having an independent online therapy practice is the ability to set your own prices. Unlike platforms like BetterHelp, where rates are fixed, private practice allows therapists to charge based on their experience, specialization, and the market demand in their area or niche. Experienced therapists, particularly those with specialized skills or certifications, can command higher rates which directly reflect their value and expertise.
Full Control Over Client Load
Operating an independent online business gives therapists the autonomy to manage their client load efficiently. This flexibility allows them to optimize their schedules and increase their availability during high-demand times, thereby maximizing their earning potential. They can also choose to see more clients if they wish or offer longer sessions at a premium, further increasing their income.
Diverse Revenue Streams
An independent online business opens up multiple avenues for additional revenue. Therapists can offer a range of services such as group therapy sessions, workshops, and webinars, which can attract larger audiences at a lower cost per individual. Additionally, selling digital products like eBooks, online courses, or guided meditation recordings can provide passive income alongside active counseling sessions.
Reduced Overheads
Operating online significantly cuts down the overhead costs associated with traditional face-to-face practices, such as renting office space or commuting. This not only saves money but also allows therapists to invest more resources into growing their practice, such as through marketing or enhancing their training.
Marketing and Personal Branding
With a personal brand, therapists can effectively market their services to a targeted audience. Effective use of social media, content marketing (like blogging and videos), and email marketing can help build a strong presence and attract clients who are specifically looking for the unique services they offer.
Better Client Retention
By creating a personalized and directly engaged service model, therapists can foster stronger relationships with their clients, leading to higher retention rates and more stable income. Happy clients are more likely to continue therapy, refer others, and even avail themselves of additional services the therapist may offer.
This Is Possible But Remember That Blogging & SEO Take Time
Establishing a successful online therapy business through blogging and SEO is a viable but time-consuming process. Building a dedicated readership with blogging is a gradual endeavor, as it involves consistently posting relevant and valuable content that may initially attract only a few readers.
Similarly, SEO efforts require understanding and adapting to complex, frequently changing algorithms, with noticeable improvements in search rankings potentially taking months. Moreover, creating engaging content is an ongoing task that involves not just writing, but also continuous research and updates to stay current with new developments.
Importantly, establishing credibility as a therapist through blogging takes time too, as it builds trust by consistently demonstrating expertise. Throughout this process, maintaining patience and perseverance is crucial, as the cumulative effect of sustained efforts will ultimately yield results. This approach should be seen as a long-term investment in your professional online presence.
Bringing It All Together
While platforms like BetterHelp provide a starting point with a set salary, therapists can significantly increase their income by setting up an independent online business. This involves building a professional website, starting a therapy blog, and utilizing local SEO to attract a wider client base.
Although achieving success through blogging and SEO is a long-term process that requires patience and consistent effort, the potential benefits in terms of higher income and professional autonomy are considerable.
Ready to Take Your Therapy Practice to The Next Level?
Contact Crownsville Media today to start growing your online private practice. Let us help you harness the power of digital marketing to expand your reach and maximize your professional potential!
How Much Does BetterHelp Pay Therapists FAQS
How to make more money as a therapist?
To increase earnings, diversify services by offering group therapy, workshops, or digital products like courses and eBooks. Expanding online and optimizing marketing through a professional website and SEO can also attract more clients.
How much does a private practice therapist make?
Private practice therapists can earn between $60,000 to over $100,000+ per year, depending on location, specialization, and client base. Specialized therapists can charge higher rates, increasing potential earnings.
Is working for BetterHelp worth it?
BetterHelp offers flexibility and a steady stream of clients, making it a good option for new therapists or those seeking flexible hours. However, the pay is lower than in private practice, and experienced therapists may find greater financial and professional satisfaction running their own practice.
Updated: 12/03/2024
