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Speaker 1: Hi guys, and welcome to a new episode of Couch

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Speaker 1: Talks on You Need Therapy Podcast. My name is Kat.

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Speaker 1: I am the host, and if you are new to

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Speaker 1: Couch Talks, it is the special bonus episode of You

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Speaker 1: Need Therapy Podcast where I answer questions that you guys

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Speaker 1: send to me and you can send those two Katherine

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Speaker 1: at you Need Therapy podcast dot com. Now, before we

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Speaker 1: get into today's question, quick reminder that although I am

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Speaker 1: a therapist, this podcast does not serve as a replacement

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Speaker 1: or substitute for any actual mental health services. It's still

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Speaker 1: allowed to help, but it's not actually therapy. And each

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Speaker 1: week we do one question, and that's what we're gonna

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Speaker 1: do today. I always keep them anonymous, so you don't

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Speaker 1: have to worry about anybody finding out. If you don't

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Speaker 1: want people to know that you're giving information that is

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Speaker 1: very close to you, nobody's gonna know it's you unless

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Speaker 1: you actually put information in the email that would give

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Speaker 1: that away. Okay, so let's get into the question, because

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Speaker 1: I think this is a good one and I don't

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Speaker 1: think I've talked about this on the podcast before. So

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Speaker 1: here is our anonymous question. Hey, Kat, I'm curious your

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Speaker 1: thoughts on online therapy programs like Better Help and talk Space.

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Speaker 1: I live in a small town and we don't have

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Speaker 1: a lot of options nearby, so I've been thinking about

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Speaker 1: trying one of them out. What would be the biggest

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Speaker 1: difference between going with one of these programs versus seeing

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Speaker 1: a local in person therapist. I'm curious about your thoughts

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Speaker 1: and if you have any suggestions for those living in

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Speaker 1: towns without access to more options. Okay, Like I said,

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Speaker 1: I think this is a good question because it's one

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Speaker 1: that a lot of people have probably wondered before. We

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Speaker 1: see a lot of advertisements for things like Better Help

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Speaker 1: and talk Space. I talked a little bit about cerebral

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Speaker 1: which was mentioned in the Fake Science podcast I did

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Speaker 1: a couple weeks ago, and that one's a little different.

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Speaker 1: I don't know if they do therapy. I know they

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Speaker 1: do telehealth more like psychiatric appointments for medication and medication management.

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Speaker 1: I'm actually unsure if they do therapy. However, that is

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Speaker 1: one that I'm not going to put in the category

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Speaker 1: that I'm talking about today because it is very controversial

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Speaker 1: and they have a lot of ethical issues going on,

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Speaker 1: So I just probably wouldn't suggest we go down that path.

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Speaker 1: So as I answer this question, I'm talking more about

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Speaker 1: programs like Betterhelp and talk Space, And if you don't

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Speaker 1: know what those are, they are these online therapy programs

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Speaker 1: that you can sign up, and I think both of them,

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Speaker 1: I'm not sure the details of this, have like monthly

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Speaker 1: membership fees and you get to have a virtual therapist.

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Speaker 1: You can also do phone calls, which is interesting, and

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Speaker 1: you can text your therapist, and from what I understand,

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Speaker 1: you have a lot of access to them based on

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Speaker 1: the program that you choose. And again, these are all

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Speaker 1: online programs. They're big companies, so you can access them

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Speaker 1: wherever you are. So before I answered this, I will

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Speaker 1: say I don't have any actual experience working with these programs,

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Speaker 1: and I don't have anybody that I know of personally

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Speaker 1: that I know of that has used them that can

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Speaker 1: speak to them. So all of the information I'm giving

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Speaker 1: you is what I know from a distance and not

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Speaker 1: what I have experienced. Because I have not experienced these programs,

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Speaker 1: I can tell you my thoughts based off of the

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Speaker 1: consumptions of what I know. I also put a question

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Speaker 1: box up on my Instagram today to get feedback from

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Speaker 1: those who have used the programs, and I'm going to

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Speaker 1: share some of that to give you guys, just some

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Speaker 1: insight on what some other people have said, because a

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Speaker 1: lot of what I got was interesting and it wasn't

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Speaker 1: all one sided. Now, my initial thought when hearing this question,

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Speaker 1: because this does come up a lot with people in

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Speaker 1: my life or people that I know or that I'm

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Speaker 1: working with, when they're talking about getting maybe a friend

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Speaker 1: or a spouse or a family member wants to get

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Speaker 1: into therapy and they have asked about that. MY initial

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Speaker 1: thought is, if you have the ability, and that means

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Speaker 1: like there's the availability of the therapist, and you have the

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Speaker 1: financial means and all of that, I would start with

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Speaker 1: attempting to experience in person therapy. I think that virtual

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Speaker 1: therapy is such a valuable resource that we have access

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Speaker 1: to now. However, I do think it will always be

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Speaker 1: different than in person therapy. It's just it's different. I

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Speaker 1: can't fully explain it. It's something that you experience differently.

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Speaker 1: And I will also give credit to those who only

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Speaker 1: do virtual therapy. They might have developed different skills and

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Speaker 1: they can do it better then I can. But it

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Speaker 1: feels different as a client for me, and it very

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Speaker 1: much feels different. As a therapist, you have more limitations.

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Speaker 1: So if it's possible, I would always suggest doing that first.

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Speaker 1: The other thing I would say, and if that's not possible,

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Speaker 1: then you can disregard that. And then we're going to

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Speaker 1: move on to the next part, which is many local

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Speaker 1: therapists also offer virtual therapy. So if your reason for

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Speaker 1: using one of these programs is just because you want

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Speaker 1: virtual therapy, many local therapists offer virtual therapy. I can

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Speaker 1: see my clients virtually if they sleep in and are

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Speaker 1: running late, or if something happens and they have to

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Speaker 1: be home because they're going to delivery, or any reason

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Speaker 1: can come up. I can switch to virtual therapy very easily.

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Speaker 1: Like I said, I always prefer in person, but for

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Speaker 1: some people that just doesn't always work, and that's okay.

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Speaker 1: So if the only reason you're looking at one of

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Speaker 1: these programs is because you want virtual therapy, know that

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Speaker 1: there are people in your area that aren't part of

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Speaker 1: this programs that can also do virtual therapy. And they

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Speaker 1: don't even have to be local. So a therapist can

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Speaker 1: see a client anywhere in the states that they are

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Speaker 1: licensed in. So I'm only licensed in one state, so

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Speaker 1: I can see a client, any client in Tennessee. They

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Speaker 1: can live anywhere. They don't have to live in Nashville,

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Speaker 1: they don't have to live in my city. If they're

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Speaker 1: in Tennessee, then I can see them. And a lot

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Speaker 1: of therapists now are getting license in other states so

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Speaker 1: they can offer more virtual options to and widen their

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Speaker 1: ability to see clients outside of their own state. But

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Speaker 1: just because they're not in your city doesn't mean you

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Speaker 1: can't see them. So if there's a therapist that you

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Speaker 1: found that you really really like and you really want

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Speaker 1: to try out, but they live four hours away, you

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Speaker 1: can email them and ask if they do virtual therapy,

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Speaker 1: and you can see that therapist. Now, when it comes

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Speaker 1: to these online programs, they do have some benefits that

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Speaker 1: smaller practices can't always offer. I think the costs can

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Speaker 1: probably be one of the biggest differences. A lot of

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Speaker 1: private practice therapists do not take insurance for a lot

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Speaker 1: of reasons, and therapy can be quite expensive, especially if

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Speaker 1: you live in a bigger city. I know there's some

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Speaker 1: therapists around here that charge over two hundred dollars two

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Speaker 1: hundred and fifty dollars per session, and that's not doable

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Speaker 1: and reasonable for a lot of people, which I very

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Speaker 1: much understand. What these online programs do is you buy

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Speaker 1: from what I know, do some research on this, but

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Speaker 1: you buy more of a package and you pay per month,

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Speaker 1: and then you get certain things based on what package

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Speaker 1: you buy, so you can get probably more for your money,

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Speaker 1: more access to your therapist. Now, those packages might be

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Speaker 1: different based on where you are. I know Better Help

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Speaker 1: in the past has used flex pricing, which means the

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Speaker 1: price is change based on availability and based on your area,

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Speaker 1: so it's not a one size fits all. You might

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Speaker 1: have the same package as somebody else, but if you

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Speaker 1: sign up at a different time or live in a

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Speaker 1: different area, it might cost a different amount, So keep

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Speaker 1: that in mind. But for the most part, it's probably

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Speaker 1: going to be less expensive to see somebody through one

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Speaker 1: of these programs. You also, in these programs can request

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Speaker 1: to switch therapists if you don't like your therapist, which

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Speaker 1: we know the first person you go to isn't always

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Speaker 1: the best fit. The thing that I don't know that

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Speaker 1: you can do in these programs is actually request a

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Speaker 1: specific therapist. So usually when you're going to see somebody

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Speaker 1: in a regular practice outside in the world. You know

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Speaker 1: who you're going to go see, and you have picked

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Speaker 1: them out. You've probably looked at their website, you might

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Speaker 1: have gotten a referral from somebody. In these programs, they

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Speaker 1: set you up with somebody, so they do an intake,

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Speaker 1: they see what your needs are, what you're looking for,

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Speaker 1: and they're going to set you up with somebody who specializes,

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Speaker 1: hopefully in one of those programs. You can switch as

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Speaker 1: much as you want, but you don't get to say, hey,

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Speaker 1: I want to see Jessica. I mean, you might switch

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Speaker 1: enough time so that you're gonna end up seeing her,

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Speaker 1: but that's not exactly how it works. And then the

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Speaker 1: other thing that I would say is a pro for

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Speaker 1: this is the access anywhere. You can be anywhere and

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Speaker 1: get access to this if you have a phone and

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Speaker 1: you have internet, and so people who are in super

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Speaker 1: rural places can easily log onto this website, sign up,

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Speaker 1: and go. You don't have to do a lot of digging.

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Speaker 1: You don't have to do a lot of work, because

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Speaker 1: it can be hard, and it can be stressful, and

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Speaker 1: it can be overwhelming to just go out and look

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Speaker 1: for a therapist on the internet. This you just go

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Speaker 1: on the website and they kind of do the work

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Speaker 1: for you, so that is a benefit. Now, like I

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Speaker 1: said before, I don't have my own experience with these programs,

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Speaker 1: so I can't say too much about the quality of them.

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Speaker 1: I have heard things about therapists being underpaid, which I

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Speaker 1: don't know what the quality of care is like there.

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Speaker 1: I don't know what the training is like there. I

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Speaker 1: do know that these people are licensed and they are

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Speaker 1: real therapists, which is a plus. And you get to switched.

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Speaker 1: If you don't like your therapists, you can go to

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Speaker 1: somebody else. I will say, I would always encourage somebody

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Speaker 1: to find somebody in person that they can develop and

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Speaker 1: in person relationship first. However, if that is not an option,

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Speaker 1: this can be a good second or third option. I,

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Speaker 1: like I said, asked people online if they had ever

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Speaker 1: used these programs and if so, what their experience was like.

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Speaker 1: And I just want to read some of them because

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Speaker 1: they weren't all the same. And I thought that was

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Speaker 1: really surprising. I thought it was going to get either

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Speaker 1: all good or all bad, but they are really mixed.

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Speaker 1: And I don't know if that's helpful, but to me,

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Speaker 1: I hear it just depends and for a lot of people,

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Speaker 1: it might be worth a shot. The worst thing that

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Speaker 1: can happen as you stop doing it. So here's what

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Speaker 1: some people said some One person said it was awful

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Speaker 1: exclamation point. Another person said I received worksheet after worksheet

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Speaker 1: for self help slash therapy purposes. It was not my

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Speaker 1: cup of tea. Another person said I used tak a

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Speaker 1: treat for psychiatry. Visit if you want that info. It

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Speaker 1: was kind of strange. Another person said I use Subrebel

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Speaker 1: for a while. It'll do in a pinch, but not

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Speaker 1: the best standard of care. Another person not great, but

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Speaker 1: better than nothing. Somebody else Betterhelp for five months, love

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Speaker 1: being able to use it from home. Took four or

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Speaker 1: five tries to find a good match, So that's some

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Speaker 1: good information. You might have to try over and over

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Speaker 1: before you really give up. Another person said more like

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Speaker 1: talking to a friend than someone really diving in and

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Speaker 1: challenging me. Another person said, from a provider perspective, I'm

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Speaker 1: at LCSW been with Better Help for two years and

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Speaker 1: I love it, which is very interesting. So the people

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Speaker 1: that work there actually love working there. Another person said terrible.

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Speaker 1: Tried five different therapists and they seem stretched too thin

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Speaker 1: to care. Which actually was one of my worries of

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Speaker 1: I don't know if these therapists that are working are

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Speaker 1: overworked and underpaid. We have information from one person they

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Speaker 1: really liked it, and then that might not be the

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Speaker 1: same for everybody. Another person said, very impersonal, but easy

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Speaker 1: to navigate. Another person said, my sister uses it and

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Speaker 1: really likes it. Another person, I use better help and

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Speaker 1: loved it changed my life. Another I enjoyed it. My

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Speaker 1: therapist wasn't the best, but it opened the door for me,

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Speaker 1: and it was affordable. Another it has been life changing,

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Speaker 1: so many more options. Since I live in a relatively

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Speaker 1: small town, it's very convenient. Another person said I did

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Speaker 1: it for four weeks. It was expensive if I felt weird,

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Speaker 1: and I like my regular therapists via telehealth. Another not

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Speaker 1: a fan, would rather just be in person, but can't

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Speaker 1: afford it right now. Another I had a good experience,

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Speaker 1: but then my therapist left the platform. It was nice

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Speaker 1: to be at home. And then I had another therapist

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Speaker 1: say I was a provider on it an LCSW and

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Speaker 1: I wanted a side gig, so it was helpful for

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Speaker 1: them to get more clients easier that way. So actually,

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Speaker 1: after reading those all I didn't read all of them,

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Speaker 1: but I read a majority of them. It does seem

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Speaker 1: like there's more negative than positive, But I also think

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Speaker 1: we should take that with a grain of salt because

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Speaker 1: I have a skewed, biased sample of people that are

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Speaker 1: my followers. What I'm getting from that is it's worked

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Speaker 1: for some people and it hasn't worked from others. And also,

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Speaker 1: if it's helping a little bit, that's better than it

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Speaker 1: helping not at all and not getting any therapy at all.

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Speaker 1: So if it feels like it's the only option for you,

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Speaker 1: then I'd rather you do that, even if it isn't

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Speaker 1: the top level of care than nothing at all. And

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Speaker 1: I think that would apply to anything. If you look

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Speaker 1: at the therapists that we could see in person, there

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Speaker 1: are some that have been working for thirty years and

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Speaker 1: they might be one of the top therapists in their area.

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Speaker 1: But just because you can't see them doesn't mean you

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Speaker 1: shouldn't go see somebody who's been doing it for five

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Speaker 1: or ten years who might be more in the middle range.

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Speaker 1: It's still care and it's still help, and different people

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Speaker 1: need different things, so we can't apply one opinion to

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Speaker 1: everybody's experience. So This is a long winded way for

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Speaker 1: me to say there are pros and there are cons,

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Speaker 1: but it's better to try something like this. If you

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Speaker 1: want to get into therapy, then do nothing at all.

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Speaker 1: If I find more information on that, then I'll let

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Speaker 1: you know if you guys have any information, if you've

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Speaker 1: worked there or have had really polarizing experiences, or even

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Speaker 1: not even polarizing experience, it's just an experience with that,

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Speaker 1: I'd love to hear it and share that with people

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Speaker 1: to help give you guys more information in order to

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Speaker 1: make the decisions you need to make in your life

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Speaker 1: easier and in a more informed way. I am very

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Speaker 1: excited for you guys to hear the episode that is

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Speaker 1: coming out this coming Monday. It is one that I

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Speaker 1: tried to not do, but I kept getting signs that's

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Speaker 1: something that I need to talk about, and it's something

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Speaker 1: that is very controversial in the world right now, specifically

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Speaker 1: in the eating disorder world. You might be able to

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Speaker 1: guess what I am talking about. And actually, if you're

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Speaker 1: listening to this and you want to guess, send me

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Speaker 1: a DM what you think the episode on Monday is about,

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Speaker 1: and I will post your answers and see who wins.

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Speaker 1: Maybe the person that wins, well, I guess. I can't

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Speaker 1: have a winner because hopefully one of you are going

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Speaker 1: to guess correctly. But the first person who guesses correctly,

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Speaker 1: I'll send you a little package with some stickers and

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Speaker 1: fun you need therapy stuff, so if you can guess

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Speaker 1: what the topic is for next Monday, it is a

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Speaker 1: controversial topic and it has to do with the eating

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Speaker 1: disorder world, and I tried to stay away from it,

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Speaker 1: so that means I have not talked about it yet.

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Speaker 1: So good luck out there, and until then, I hope

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Speaker 1: you guys are having the day you need to have. Bye.