Skip to main content

BetterHelp vs. First Session

Which is right for you? We break down the pros, cons, and which option is best for lasting, impactful change.

BetterHelp

Platform Overviews

BetterHelp

BetterHelp is an online therapy service owned by Teladoc Health, with a global network of over 30,000 credentialed therapists. You answer a questionnaire about your needs and preferences, and BetterHelp matches you with a therapist, usually within a few days. You can switch therapists at any time at no extra cost.

In Canada, BetterHelp is a subscription of $85–$110 CAD per week, billed weekly or every four weeks. That covers one live session per week (30 or 45 minutes) by video, phone or chat, plus messaging with your therapist between sessions. BetterHelp is online only.

BetterHelp does not accept insurance in Canada. You can download receipts to submit to your benefits provider, but reimbursement depends on your plan and on your therapist's credentials. BetterHelp's Canada page doesn't say which province its therapists are registered in, so check with your provider before you start.

Sources: BetterHelp: What does BetterHelp cost in Canada? (updated April 10, 2026), BetterHelp: Online therapy in Canada, BetterHelp: What's included in your subscription.

First Session is a Canadian directory of therapists you choose yourself. Profiles include an introduction video, the therapist's credentials, their approach and their session rates, so you can judge fit before you book. There's no questionnaire or intake call: you book straight from the therapist's calendar.

As of November 2026, 274 therapists are listed, and many work online with clients in any province where they're licensed to practise. 256 offer a free consultation, and 96 see clients in person as well as online. You pay each therapist per session, at the rate they set, and you can reach your therapist by email between sessions.

Each profile lists the therapist's Canadian credentials, such as RP, RCC, RSW or psychologist. Extended health plans cover therapy based on these designations, so you can check a therapist against your plan before you book.

Feature Comparison

BetterHelpFirst Session
Matched to a therapist by questionnaire
Yes
No
Introduction videos on therapist profiles before you book
No
Yes
Free introductory consultation
No
Yes
In-person sessions available
No
Yes
In-app messaging with your therapist
Yes
No
Switch therapists any time at no extra cost
Yes
Yes
Pay per session, no subscription
No
Yes

The short version

BetterHelp suits you if you want to be matched quickly, want in-app messaging with your therapist, and are paying out of pocket. First Session suits you if you want to choose your therapist yourself after watching their introduction video, want the option of in-person sessions, or plan to claim therapy through your extended health benefits, where coverage depends on your therapist's designation.

Why you should consider First Session

First Session fixes the exhausting process of finding the right client-Therapist fit.

Things to know before choosing BetterHelp in Canada

  • It's a subscription billed weekly or every four weeks, so you pay for the period whether or not you attend that week's session.
  • BetterHelp doesn't accept insurance in Canada. Whether your benefits reimburse you depends on your plan and your therapist's credentials.
  • In 2023 BetterHelp paid US$7.8 million to settle FTC allegations that it shared users' health information with advertisers between 2013 and 2020. It didn't admit wrongdoing and is now barred from sharing health data for advertising.

The First Session Experience

  • Watch therapists' introduction videos and read their approach before you book.
  • Pay per session at the rate your therapist sets, with no subscription.
  • Check each therapist's Canadian credentials against your benefits plan before your first session.

Meet Your Therapist

With First Session, you’re the one in control of your therapy experience.

Photo of Zoe Plant

Zoe Plant

Canadian Certified Counsellor

  • Virtual sessions in BC, MB, NL, NT, NU, SK, YT
Photo of Rebekah Wright

Rebekah Wright

Registered Psychotherapist

  • Offers in-person (Orilla, ON)
  • Virtual sessions in ON
Photo of Cassandra Morrison

Cassandra Morrison

Registered Social Service Worker

  • Virtual sessions in ON
Photo of Stephanie Parish

Stephanie Parish

Registered Psychotherapist (Qualifying)

  • Offers in-person (Oshawa, ON)
  • Virtual sessions in ON, AB, BC
Photo of Keri Grainger

Keri Grainger

Registered Psychotherapist (Qualifying)

  • Virtual sessions in AB, BC, MB, ON, SK
Photo of Katherine Zhili Guo

Katherine Zhili Guo

Registered Psychotherapist (Qualifying)

  • Offers in-person (Toronto, ON)
  • Virtual sessions in ON
Photo of Qualia Reed

Qualia Reed

Registered Clinical Counsellor

  • Virtual sessions in BC, AB, MB, NL, ON, YT, NU, NT, SK
Photo of Charlotte Laws

Charlotte Laws

Registered Psychotherapist

  • Virtual sessions in ON, MB, NL, NT, NS, NU, QC, SK, YT
Photo of Michelle Ryken

Michelle Ryken

Registered Clinical Counsellor

  • Virtual sessions in BC, ON
Photo of Mary Stasiuk

Mary Stasiuk

Registered Social Worker

  • Offers in-person (Nanaimo, BC)
  • Virtual sessions in BC, ON
Photo of Sanofer Ansari

Sanofer Ansari

Registered Psychotherapist (Qualifying)

  • Virtual sessions in BC, AB, MB, NU, SK, YT, ON, NL, NT
Photo of Polina Sabanova

Polina Sabanova

Canadian Certified Counsellor

  • Virtual sessions in all provinces and territories.
  • “I wish I’d known about this platform sooner! I loved the introductory videos–this is what helped me choose the therapist to book an intro consultation with.”

    — Satisfied First Session User

  • “I was able to use First Session to find my therapist for the past two years within 24 hours. First Session eliminated a lot of the friction associated with finding a therapist.”

    — Satisfied First Session User

  • “Having short videos of the therapists sharing a little bit about themselves and their approaches is such a simple concept but made an absolute world of difference.”

    — Satisfied First Session User

How we wrote this comparison

First Session runs a therapist directory, so we're not a neutral party. We've limited this page to facts each company publishes, with links to the sources, and we update it when those facts change. If something here is out of date or wrong, let us know and we'll correct it.

Last updated: November 4, 2026.

Sources:

Frequently Asked Questions

What are the advantages and disadvantages of in-person vs online therapy?

The answering to that question is “it depends.” Research shows that one of the defining features of productive therapy is consistent work with a single Therapist over the long-term. With that in mind, both in-person and online therapy can be equally as effective. However, it depends entirely on the online therapy platform chosen and the quality of the client-therapist relationship.

For example, BetterHelp does not emphasize the importance of client-therapist fit, and instead focuses on instantly matching therapy seekers with a Therapist. It’s a trial and error process that is time-consuming and less likely to produce impactful results.

Other platforms like First Session place big emphasis on client-therapist fit, with the goal of matching therapy seekers to a single Therapist for the long-term.

In cases like First Session, the quality and impact of online therapy can match that of an in-person client-therapist relationship. And, of course, some individuals prefer in-person therapy — it’s entirely subjective.

To summarize, both can be equally as effective as long as you pay close attention to the quality and approach to therapy of an online platform.

Is online therapy covered by insurance in Canada?

In most cases, yes! However, it’s important to note that every employee insurance policy is different. It’s increasingly common (if not the norm) for employee insurance programs to cover online therapy.

As a Step 1, we highly recommend consulting your specific policy or checking in with an HR representative to confirm coverage before booking for any online therapy platform.

For Step 2, you need to check if the online platform of your choice is eligible for insurance coverage or reimbursement. BetterHelp, for example, is not compatible with any insurance plan, so is not eligible for any form of reimbursement or coverage.

On the other hand, First Session is eligible for coverage with the majority of Canadian insurance policy providers and even provides direct billing in many cases.

Step 3, check your coverage for the required Therapist designation or license to ensue coverage (ex. Registered Social Worker, Registered Clinical Counsellor).

First Session makes this process easy by providing explicit details in each Therapist profile page. Check in Insurance Coverage, to see what designations/coverage they fall under.

If you’re unsure about coverage, you should ask your benefits provider whether they cover that specific designation of therapist or counsellor. You can also read this guide for more info.

How do I find the right therapist?

At First Session, we believe finding the right fit in a Therapist is the most important factor to feeling better and having a successful outcome from therapy.

Numerous research studies have proven that forming a strong client-Therapist relationship is more important than the type of therapy used.

To help you assess fit, every Therapist listed on First Session has a short introductory video you can watch to get a sense for who they are.

We’ve also put together a thorough guide to help you find the right Therapist, determine what the different designations mean, and what you should be looking for when assessing fit. Find the guide here.

Can I find a Therapist according to my age, cultural background, sexuality or gender identity?

Absolutely. We understand that one’s cultural background, age, sexuality, or gender identity can bring unique elements to the process of therapy.

To support every therapy seeker, we actively work to build a highly diverse and inclusive community of therapists.

For questions or feedback on how we can improve these element of the process, send us a message.

What types of therapists does First Session offer?

First Session therapists support individuals, couples, and families.

Every First Session therapist is accredited and insured to provide online and/or in-person therapy.

Designations of First Session therapists and counsellors include:

  • Psychotherapists
  • Psychotherapists (qualifying)
  • Social Workers
  • Clinical Counsellors
  • Psychologists
  • Canadian Certified Counsellors
  • Provisional Psychologists

You deserve more from therapy.

You made the courageous decision to reach your full potential. Find the right therapist to help get you there, and make the most of the time and money you’re investing in yourself.