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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.

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Speaker 2: 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.

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Speaker 2: 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, and if you don't know what those are,

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Speaker 1: they are these online therapy programs that you can sign up,

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Speaker 1: and I think both of them, I'm not sure the

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Speaker 1: details of this, have like monthly membership fees and you

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Speaker 1: get to have a virtual therapist. You can also do

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Speaker 1: phone calls, which is interesting, and you can text your therapist,

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Speaker 1: and from what I understand, you have a lot of

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Speaker 1: access to them based on the program that you choose.

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Speaker 1: And again, these are all online programs. They are big companies,

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Speaker 1: so you can access them wherever you are. So before

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Speaker 1: I answered this, I will say, I don't have any

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

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Speaker 1: anybody that I know of personally that I know of

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Speaker 1: that has used them that can speak to them. So

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Speaker 1: all of the information I'm giving you is what I

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Speaker 1: know from a distance and not what I have experienced.

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Speaker 2: Because I have not experienced the.

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

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

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

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

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

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

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Speaker 1: a lot of what I got was interesting and it

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Speaker 1: wasn't all one sided. Now, my initial thought when hearing

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Speaker 1: this question is this does come up a lot with

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Speaker 1: people in my life or people that I know or

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Speaker 1: that I'm working with, when they're talking about getting Maybe

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Speaker 1: a friend or a spouse or a family member wants

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Speaker 1: to get into therapy and they have asked about that.

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Speaker 1: My initial thought is, if you have the ability, and

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Speaker 1: that means like there's the availability of the therapist, and

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Speaker 1: you have the financial means and all of that I

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Speaker 1: would start with attempting to experience in person therapy. I

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Speaker 1: think that virtual therapy is such a valuable reads source

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Speaker 1: that we have access to now. However, I do think

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Speaker 1: it will always be different than in person therapy.

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Speaker 2: It's just it's different.

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Speaker 1: I 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 than 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 that's not possible,

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Speaker 1: then you can disregard that, and then we're gonna move

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

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

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Speaker 1: one of these programs is just because you want virtual therapy,

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

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Speaker 1: clients virtually if they sleep in and are running late,

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Speaker 1: or if something happens and they have to be home

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Speaker 1: because they're going to delivery, or any reason can come up.

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Speaker 2: But 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: those 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.

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Speaker 2: The states that they are licensed in.

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

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Speaker 1: see a client any client in Tennessee. They can live anywhere.

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Speaker 1: They don't have to live in Nashville, they don't have

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Speaker 1: to live in my city. If they're in Tennessee, then

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Speaker 1: I can see them. And a lot of therapists now

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Speaker 1: are getting license in other states so they can offer

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Speaker 1: more virtual options to and widen their ability to see

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Speaker 1: clients outside of their own state. But just because they're

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Speaker 1: not in your city doesn't mean you can't see them.

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Speaker 1: There's a therapist that you found that you really really

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Speaker 1: like and you really want to try out, but they

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Speaker 1: live four hours away. You can email them and ask

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Speaker 1: if they do virtual therapy, and you can see that therapist. Now,

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Speaker 1: when it comes to these online programs, they do have

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Speaker 1: some benefits that smaller practices can't always offer. I think

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Speaker 1: the cost can probably be one of the biggest differences.

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Speaker 1: A lot of private practice therapists do not take insurance

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Speaker 1: for a lot of reasons, and therapy can be quite expensive,

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Speaker 1: especially if you live in a bigger city. I know

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Speaker 1: there's some therapists around here that charge over two hundred

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Speaker 1: dollars two hundred and fifty dollars per session, and that's

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Speaker 1: not doable and reasonable for a lot of people, which

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Speaker 1: I very much understand. What these online programs do is

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

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Speaker 1: but you buy more of a package and you pay

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Speaker 1: per month, and then you get certain things based on

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Speaker 1: what package you buy, so you can get probably more

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Speaker 1: for your money, more access to your therapist. Now, those

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Speaker 1: packages might be different based on where you are. I

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Speaker 1: know Better help in the past has used flex pricing,

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Speaker 1: which means the price is change based on availability and

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Speaker 1: based on your area, so it's not a one size

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Speaker 1: fits all. You might have the same package as somebody else,

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Speaker 1: but if you sign up at a different time or

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Speaker 1: live in a different area, it might cost a different amount,

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Speaker 1: so keep that in mind, but for the most part,

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Speaker 1: it's probably going to be less expensive to see somebody

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Speaker 1: through one of these programs. You also, in these programs

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

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

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

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

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

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Speaker 1: somebody in a regular practice outside in the world, you

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

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

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

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Speaker 1: they 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.

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Speaker 2: Is like there. I don't know what the training is

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Speaker 2: like there.

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

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Speaker 1: are real therapists, which is a plus, and you get

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

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Speaker 1: go to somebody else. I will say I would always

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Speaker 1: encourage somebody to find somebody in person that they can

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Speaker 1: develop an in person relationship first. However, if that is

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Speaker 1: not an option, this can be a good second or

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Speaker 1: third option. I like, I said, ask people online if

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Speaker 1: they had ever used these programs and if so, what

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Speaker 1: their experience was like. And I just want to read

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Speaker 1: some of them because they weren't all the same. And

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Speaker 1: I thought that was really surprising. I thought it was

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Speaker 1: going to get either all good or all bad, but

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Speaker 1: they are really mixed. And I don't know if that's helpful,

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Speaker 1: but to me, I hear it just depends and for

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Speaker 1: a lot of people it might be worth a shot.

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Speaker 2: The worst thing that can happen is you stop doing it.

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Speaker 1: So here's what some people said some One person said

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Speaker 1: it was awful exclamation point. Another person said I received

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Speaker 1: worksheet after worksheet for self help slash therapy purposes.

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Speaker 2: It was not my cup of tea.

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Speaker 1: Another person said I used tak a treat for psychiatry.

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Speaker 1: Visit if you want that info. It was kind of strange.

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Speaker 1: Another person said I used Subrebel for a while. It'll

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Speaker 1: do in a pinch, but not the best standard of care.

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Speaker 1: Another person not great but better than nothing. Somebody else

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Speaker 1: betterhelp for five months. Love being able to use it

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Speaker 1: from home took four or five tries to find a

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Speaker 1: good match. So that's some good information. You might have

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Speaker 1: to try over and over before you really give up.

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Speaker 1: Another person said more like talking to a friend than

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Speaker 1: someone really diving in and challenging me. Another person said,

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Speaker 1: from a provider perspective, I'm at elc W been with

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Speaker 1: Better Help for two years and I love it, which

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Speaker 1: is very interesting. So the people that work there actually

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Speaker 1: love working there. Another person said terrible. Tried five different

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Speaker 1: therapists and they seem stretched too thin to care, which

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Speaker 1: actually was one of my worries of I don't know

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Speaker 1: if these therapists that are working are overworked and underpaid.

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Speaker 1: We have information from one person they really liked it,

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Speaker 1: and then that might not be the same for everybody.

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Speaker 1: Another person said very impersonal, but easy to navigate. Another

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Speaker 1: person said my sister uses it and really likes it.

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Speaker 1: Another person, I use Better Help and loved it changed

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Speaker 1: my life. Another I enjoyed it. My therapist wasn't the best,

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Speaker 1: but it opened the door for me and it was affordable.

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Speaker 1: Another it has been life changing, so many more options.

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Speaker 1: Since I live in a relatively small town, it's very convenient.

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Speaker 1: Another person said, I did it for four weeks. It

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Speaker 1: was expensive if I felt weird, and I like my

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Speaker 1: regular therapists via telehealth. Another not a fan, would rather

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Speaker 1: just be in person, but can't afford it right now.

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Speaker 1: Another I had a good experience, but then my therapist

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Speaker 1: left the platform. It was nice to be at home.

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Speaker 1: And then I had another therapist say I was a

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Speaker 1: provider on it an LCSW and I wanted a side gig,

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Speaker 1: so it was helpful for them to get more clients

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Speaker 1: easier that way. So actually, after reading those all, I

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Speaker 1: didn't read all of them, but I read a majority

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Speaker 1: of them. It does seem like there's more negative than positive.

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Speaker 1: But I also think we should take that with a

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Speaker 1: grain of salt because I have a skewed, biased sample

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Speaker 1: of people that are my followers. What I'm getting from

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Speaker 1: that is it's worked for some people and it hasn't

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Speaker 1: worked from others. And also, if it's helping a little bit,

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Speaker 1: that's better than it helping not at all and not

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Speaker 1: getting any therapy at all. So if it feels like

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Speaker 1: it's the only option for you, then I'd rather you

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Speaker 1: do that, even if it isn't the top level of

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Speaker 1: care than nothing at all. And I think that would

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Speaker 1: apply to anything. If you look at the therapists that

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Speaker 1: we could see in person, there are some that have

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Speaker 1: been working for thirty years and they might be one

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Speaker 1: of the top therapists in their area. But just because

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Speaker 1: you can't see them doesn't mean you shouldn't go see

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Speaker 1: somebody who's been doing it for five or ten years,

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Speaker 1: who might be more in the middle range. It's still

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

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Speaker 1: so we can't apply one opinion to everybody's experience. So

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Speaker 1: this is a long winded way for me to say,

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Speaker 1: there are pros and there are cons, but it's better

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Speaker 1: to try something like this. If you want to get

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Speaker 1: into therapy, then do nothing at all. If I find

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Speaker 1: more information on that, then I'll let you know. If

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Speaker 1: you guys have any information, if you've worked there or

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Speaker 1: have had really polarizing experiences, or even not even polarizing experience,

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Speaker 1: it's just an experience with that, I'd love to hear

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Speaker 1: it and share that with people to help give you

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Speaker 1: guys more information in order to make the decisions you

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Speaker 1: need to make in your life easier and in a

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Speaker 1: more informed way.

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Speaker 2: I hope you guys have the day you need to.

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Speaker 1: Have and I will be back with you on Monday.

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Speaker 1: Hey for another episode of You Need Therapy. If you

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Speaker 1: want to follow us, you can do that on Instagram

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Speaker 1: at you Need Therapy and at kat Van Buren