On this page13 sections
Online-Therapy.com is a legitimate online therapy service that has been running since 2009. It suits adults with mild to moderate anxiety, stress or low mood who like structured cognitive behavioral therapy homework, with weekday messaging and 45-minute live sessions on the Standard and Premium plans. The tradeoffs: it doesn't bill insurance or offer medication, the operator is a Swedish company whose terms are governed by Swedish law, and its terms say refunds for unused time are normally not granted. Use a crisis line or in-person care if you're in danger or may need a diagnosis or medication.
- Price
- Basic $60, Standard $90, Premium $120 and Couples $120 a week; 20% off the first month ($48, $72, $96, $96); billed monthly, as listed October 20261
- Live sessions
- None on Basic; one 45-minute session a week on Standard; two on Premium1
- Messaging
- Unlimited messaging with your therapist, who replies Monday to Friday2
- Insurance
- Not accepted directly; itemized receipts provided for reimbursement claims1
- Operator
- CRN Solutions AB, Höganäs, Sweden; founded 2009 by CEO Carl Nordström3
- Refunds
- Refunds for unused time normally not granted; requests reviewed case by case4
- Age
- 18 and older4
- Trustpilot
- 4.3 out of 5 from 100 reviews; 8% one star5
- Company-reported rating
- Company-reported: 4.7 out of 5; Average customer satisfaction rating the company publishes on its own FAQ page; not independently verified2
Pros
- Structured CBT program with worksheets, journal and activity plan
- 45-minute live sessions, longer than some rivals
- Basic plan for messaging and self-guided work costs less
- Itemized receipts for out-of-network claims
- Running since 2009
Cons
- No direct insurance billing
- No psychiatry or medication
- Refunds for unused time normally not granted
- Therapists reply on weekdays only
- Operator is in Sweden, and disputes go to Swedish courts under its terms
Best for: Adults with mild to moderate stress, anxiety or low mood who want a structured CBT program and can pay cash.
Skip it if: You need insurance to cover therapy, need medication, or are in crisis or have severe symptoms.
Online-Therapy.com vs. competitors
| Company | Starting price | Insurance | Medication | Session types |
|---|---|---|---|---|
| Online-Therapy.com | $60 a week ($48 first month) | No, receipts provided | Not offered | Messaging, 45-minute video, voice or text |
| BetterHelp | $70 to $100 a week | Some insurers, some states | Psychiatry via UpLift (18+) | Message, chat, phone, video |
| Talkspace | $69 a week without insurance | Yes, including Medicare | Yes, psychiatry | Video, voice, messaging |
| Calmerry | $49.50 a week (sale price) | No, receipts provided | Not offered | Messaging, 30-minute video |
Online-Therapy.com pricing at a glance
Online-Therapy.com plans, as listed October 20261
| Plan | Regular price | First month | Live sessions |
|---|---|---|---|
| Basic | $60 a week | $48 a week | None; messaging, worksheets, journal and videos |
| Standard | $90 a week | $72 a week | One 45-minute session a week (video, voice or text) |
| Premium | $120 a week | $96 a week | Two 45-minute sessions a week |
| Couples | $120 a week | $96 a week | One 45-minute couples session a week |
Prices are shown per week but all plans are billed monthly. Every plan includes the 8-section CBT program, worksheets, a journal, an activity plan and yoga and meditation videos. Insurance isn't billed directly.
Online-Therapy.com, step by step
Sign up and answer questions
You fill in a short questionnaire about what you want help with and add an emergency contact, which the terms require.
Get matched
Online-Therapy.com assigns a therapist based on your answers. You can ask to change therapists later.
Work the CBT program
You go through eight sections with worksheets and a journal, and your therapist replies to your messages and worksheets on weekdays.
Live sessions
On Standard and Premium you book weekly 45-minute sessions by video, voice or text.
Change or cancel
You can upgrade, downgrade or cancel in your account at any time. Billing is monthly, and refunds for unused time aren't normally given.
Online-Therapy.com legitimacy and licensing
Yes. Online-Therapy.com is owned and operated by CRN Solutions AB, a company in Höganäs, Sweden. Its founder and CEO, Carl Nordström, launched it in 2009, and it says it was one of the first online therapy platforms. It publishes its prices, its terms and its therapist requirements: in the US, therapists must hold a state license such as LCSW, LMFT, LPC or PsyD and an NPI number.
Two things to know before you sign up. The terms say therapists aren’t employees of the company, and the company isn’t your direct provider of therapy. And the terms are governed by Swedish law, with disputes going to Swedish courts. There’s no BBB profile for the service, and its 4.3 Trustpilot score comes from only 100 reviews.
Online-Therapy.com cost
Prices are shown per week but billed monthly. Basic is $60 a week with no live sessions. Standard is $90 a week with one 45-minute live session. Premium is $120 a week with two. Couples therapy is $120 a week. The first month is 20% off, so it starts at $48, $72 or $96 a week.
In monthly terms, Basic runs about $240 and Standard about $360 at regular price. Online-Therapy.com doesn’t bill insurance, but it gives itemized receipts you can send to your insurer for out-of-network reimbursement. Check with your plan first, since coverage for online therapy varies.
How Online-Therapy.com works
The service is built around cognitive behavioral therapy (CBT). After a questionnaire, you’re matched with a therapist and get access to an eight-section online program with worksheets, a journal, an activity plan, progress tests and yoga and meditation videos. You can message your therapist anytime, and they reply Monday to Friday.
Standard and Premium add weekly 45-minute live sessions by video, voice or text. The company suggests committing to at least a month so you can work through the program and see whether it helps.
What customers say about Online-Therapy.com
Recurring themes across the review sites and complaint records listed above, not individual quotes.
Common praise
- Structured worksheets and journaling with therapist feedback
- Therapists who feel caring and attentive
- Easy-to-use site and lower cost than in-person therapy
Common complaints
- Billing and cancellation confusion, including pause requests declined
- Refunds only after escalating a complaint
- Missed or cancelled sessions and generic advice
- Hard to reach support for account or scheduling problems
Online-Therapy.com complaints
Most Trustpilot reviews are positive, but the 8% that are one star raise the same issues: confusion over billing, trouble pausing or cancelling, refunds that came only after escalating, missed sessions and advice that felt generic. Some reviewers also found it hard to reach support about account or scheduling problems.
To avoid surprises, note your billing date, cancel in your account before it renews if you want to stop, and ask for a new therapist early if the match isn’t working.
Cancellation and refunds
You can upgrade, downgrade or cancel anytime in your account. Refunds are another matter: the terms say refunds for unused time are normally not granted because therapists charge for time set aside for you. Requests are reviewed case by case, with accommodations for medical, death, disability or court-order situations, and the company may offer credit, a new therapist or a free extension instead of cash.
When online therapy isn't the right fit
Online-Therapy.com tells people who feel suicidal or are in immediate crisis not to use the site. In the US, call or text 988 any time. The service doesn’t diagnose or prescribe medication, so see a doctor, psychiatrist or in-person therapist if your symptoms are severe, getting worse, or you think you may need medication. You must be 18 or older to use it.
Alternatives to Online-Therapy.com
- Talkspace Better if you want to use insurance, including Medicare, or need psychiatry and medication. Read review
- Calmerry Costs less per week for messaging therapy, though live sessions are 30 minutes. Read review
- BetterHelp Larger therapist pool and more session formats, at a higher weekly price. Read review
- Free and low-cost help Call or text 988 in a crisis; SAMHSA's helpline (1-800-662-4357) gives free referrals, and Open Path Collective therapists charge $40 to $70 a session.
Online-Therapy.com reviews
Written by readers, read by our moderators, never edited by the company.
No reader reviews yet. If you have used Online-Therapy.com, yours will be the first.
Write a reviewHow do I know I can trust these reviews about Online-Therapy.com?
- Every reviewer confirms an email address before a review can publish.
- Our moderators read every review before it publishes.
- Companies can respond publicly but can never edit, hide or remove a review.
- Paying BestGuide never changes the reader rating or which reviews publish.
Frequently asked questions
Is Online-Therapy.com legitimate and safe to use?
Yes. It's operated by CRN Solutions AB in Sweden, has run since 2009, and requires US therapists to hold a state license and an NPI number. Its terms are governed by Swedish law.
How much does Online-Therapy.com cost?
$60 a week for Basic, $90 for Standard, $120 for Premium and $120 for couples, billed monthly. The first month is 20% off.
Does Online-Therapy.com take insurance?
No, not directly. It gives itemized receipts you can submit to your insurer for possible out-of-network reimbursement.
How long are Online-Therapy.com sessions?
Live sessions are 45 minutes, by video, voice or text. Standard includes one a week and Premium includes two; Basic has none.
Can Online-Therapy.com prescribe medication?
No. It offers therapy and a CBT program, not psychiatry. See a doctor or psychiatrist if you may need medication.
Can I get a refund from Online-Therapy.com?
Usually not for unused time, according to its terms. Refund requests are reviewed case by case, and it may offer credit or a free extension instead.
How do I cancel Online-Therapy.com?
Cancel in your account settings, which the company says takes a few clicks. Do it before your next monthly billing date.
Who owns Online-Therapy.com?
CRN Solutions AB, located in Höganäs, Sweden. Carl Nordström is the founder and CEO.
Are Online-Therapy.com therapists licensed?
The company says US therapists must be licensed by a state board, such as LCSW, LMFT, LPC or PsyD, have an NPI number and at least 3 years or 2,000 hours of experience. You can check a license on your state board's website.
Is Online-Therapy.com cheaper than BetterHelp?
Its Basic plan, at $60 a week, costs less than BetterHelp's $70 to $100. Standard, at $90 a week with a weekly live session, is in the same range.
Sources (6)
Facts on this page come from company websites, government agencies and regulators, checked on the dates shown. Editorial standards
- Online-Therapy.com: Pricing (accessed October 13, 2026)
- Online-Therapy.com: FAQ (accessed October 13, 2026)
- Online-Therapy.com: About us (accessed October 13, 2026)
- Online-Therapy.com: Terms and conditions (accessed October 13, 2026)
- Trustpilot: Online-Therapy.com reviews (accessed October 13, 2026)
- 988 Suicide and Crisis Lifeline (accessed October 13, 2026)
BestGuide is free to use. Some companies we review pay us when you visit their site or contact them through us. Compensation may influence which companies we feature and their order. It doesn't change what our reviews say. Advertising disclosure