The demand for online therapy has exploded in recent years. In Google’s “mental health” search trends, phrases like “online therapy,” “telehealth therapist” and “virtual counseling” have some of the highest search volumes. Californians in particular are embracing telehealth because it offers convenience, privacy and access to specialists across the state. As a Licensed Marriage and Family Therapist practicing in California, I’ve worked with many clients online and can attest to how effective it can be when you choose the right platform.
Why Online Therapy Is Trending
Telehealth makes therapy accessible to people who might otherwise skip sessions due to commute, childcare or health issues. Here are a few reasons so many Californians are searching for online therapy:
- Convenience: Connect with a therapist from your home or office without travel time.
- Flexibility: Evening or weekend appointments are often available, which is important for busy professionals.
- Privacy: Sessions take place in your own space, which can feel more comfortable.
- Choice of providers: You aren’t limited to therapists in your neighborhood – you can find a specialist anywhere in California.
What to Look for in a Telehealth Platform
Not all online therapy services are created equal. Consider these factors when evaluating platforms:
- Licensing & location: In California, therapists must be licensed to practice in the state. Make sure the platform matches you with providers authorized to treat California residents.
- Communication methods: Do you prefer video sessions, phone calls or text-based messaging? Some platforms offer all three.
- Specializations: Look for therapists experienced with your concerns (e.g., anxiety, couples counseling, trauma, culturally sensitive care).
- Insurance & cost: Some services accept insurance (e.g., Talkspace accepts Cigna and Optum), while others are self‑pay. Compare subscription plans vs. per‑session pricing.
- Ease of switching: It may take a few tries to find the right fit. Make sure you can change therapists without extra fees.
Best Online Therapy Platforms for California Residents
Below are some reputable telehealth platforms that serve California. These are affiliate links, which means I may earn a commission at no additional cost to you if you sign up through them.
- BetterHelp: One of the largest online counseling platforms with thousands of licensed therapists. Offers weekly video
- plus unlimited messaging. Subscription pricing around US$60–90 per week (billed monthly). Does not accept insurance, but financial aid is available.
- Talkspace: Provides video, audio and text therapy. Accepts many major insurance plans, including Cigna, Optum and Premera. Plans start around US$79 per week. Also offers psychiatry services for medication management.
- Amwell: A telehealth provider offering therapy and psychiatry on a per‑session basis. Many California insurers cover Amwell visits. Sessions typically cost US$99‑110 if paying out of pocket.
- Cerebral: Combines therapy with medication management for anxiety and depression. Monthly membership includes regular therapist visits and prescribed medication if needed. Only available for adults in participating states, including California.
- Calmerry: Affordable online therapy platform with licensed therapists and flexible subscription plans (around US$45‑70 per week). Communication via texting and video.
When choosing, think about the type of support you need and your budget. Many platforms allow you to change therapists or cancel anytime.
Telehealth Regulations in California
California law requires therapists to be licensed in the state to provide telehealth services to California residents. Licensed Marriage and Family Therapists (LMFTs), Licensed Clinical Social Workers (LCSWs) and psychologists can all practice via video or phone. Clients must be physically located in California during each session. Platforms should clearly state that their providers meet these requirements.
Getting Started
If you’re ready to try online therapy:
- Reflect on your goals (e.g., managing anxiety, improving relationships, processing trauma).
- Research platforms using the considerations above.
- Sign up through an affiliate link to receive any promotions (many offer a free trial or discount on your first month).
- Fill out the intake questionnaire honestly so you’re matched with an appropriate therapist.
- Attend your first session and assess how comfortable you feel. It’s okay to request a different therapist if needed.
Online therapy can be a powerful tool for growth and healing. With the right platform and a qualified therapist, you can get the support you deserve – all from the comfort of your California home.
