Alternatives to Text Therapy: Audio, Video, and Live Sessions

A man is sitting down and looking down at a mobile phone in his hand.
Dark teal geometric plus-shaped graphic.Two white geometric elements.
Written by

Published Jul 31, 2019

Published Sep 29, 2026

Two white geometric elements.
Clinically reviewed by

Reviewed

Key Takeaways

  • Not everyone prefers text therapy, and alternatives to text therapy include audio messages, video messages, and live video sessions.
  • Each format offers different benefits, from the flexibility of voice messages to the real-time connection of live video.
  • Talkspace members can use different communication methods based on their plan, preferences, and needs.

Text therapy can make it easier to fit mental health care into a busy schedule, but it isn't the right communication style for everyone. If you'd rather speak freely, see your therapist, or have a real-time conversation, there are alternatives to text therapy that may better fit your communication preferences.

The Benefits and Drawbacks of Text Therapy

There are many benefits to text therapy:

1. Flexibility

Text therapy can be useful for those who can't find time to schedule a face-to-face session. In your busy life, keeping track of all your thoughts and feelings while you wait for your once-weekly therapy session can be emotionally draining.

2. No wait time

Text therapy can also be beneficial for those who need to speak about emotionally charged thoughts immediately. There is no need to wait to get something off your mind. You can quickly articulate your current mental state while you're facing a pressing concern.

3. Record

Text therapy can feel like keeping a diary, a way of recording your current thoughts and feelings for the day. Later, members can read their past messages and see how far they've progressed in therapy.

4. Low cost

Another key motivator for text therapy advocates is cost. The cost of text therapy can be lower compared with the regular cost of a weekly in-person session. Besides the reduced cost of therapy itself, you may also save on commuting, parking, childcare, and scheduling costs. You don't have to take time off work or spend money on transportation when you can conveniently message your therapist on the go.

But text therapy also has several drawbacks:

1. Difficulty expressing yourself

Some people may find it harder to fully express their thoughts and feelings through writing.

2. Less spontaneity

Some people may prefer the spontaneity and opportunity to physically interact with a therapist that text therapy doesn't provide.

3. Writing can feel tiring

Texting your thoughts and feelings can be tiring, particularly when you need to put your thoughts into writing.

4. Rereading before sending

You may not want to go through the trouble of rereading your messages for typos or mistakes before sending them.

Alternatives to Text Therapy

The ability to access therapy without the need to physically travel is a tremendous innovation — making mental health services available to thousands of people who might not have been able to access or afford treatment in the past. Online therapy, also known as teletherapy, e-therapy, or cyber-therapy, has experienced a growth in popularity due to its accessibility. Online therapy has already helped millions of people experience a better life.

For some, text therapy enables them to plan out exactly when and how they want to get their point across to their therapist. For others, spontaneity and the opportunity to physically interact with a therapist is more important. If you’re in the latter group, you don’t have to feel apprehensive about beginning online therapy — the technology is flexible enough that there’s likely a communication option that works well for you.

Want all the convenience of text therapy without the disadvantages? With Talkspace plans, you can switch up your communication methods. Let’s jump into it.

Speak your truth with audio messages

Audio messages offer an option for those who don't enjoy texting. With audio messages, you can speak in a stream of consciousness and see where your thoughts take you. Audio messages also don't require you to stop what you're doing to text. Instead, you might set your phone down and speak while washing the dishes or watching Netflix. With therapy via audio message, your therapist will be able to make informed responses based on the tone and cadence of your voice. You can receive audio messages from your therapist as well, so that it can feel like leaving messages for a trusted friend. Like text therapy, your audio messages will be saved so that you can review your audio conversations later. For those who experience anxiety, they may be able to notice how their speaking confidence has changed over time.

Go face-to-face with video messages

When people hear the term "online therapy" or "teletherapy," video therapy is usually what comes to mind. For those who feel they won't be able to convey what they mean without physical expression, such as a therapist's smile of approval, video online therapy may be the right choice for you.

Some members report that seeing their therapist face-to-face with video messages gives them an experience closer to an in-person therapy session. Seeing their therapist and being able to look them in the eyes can help members feel more comfortable discussing their concerns. Like audio messages, video messages give members the chance to say what's on their mind without having to format it in text. Video messages also offer an option for those who need a more in-depth response or clarification from their therapist.

Feel like you're in the office with live video

If sending and receiving audio and video messages to your therapist isn't a therapeutic mode that works well for your style, live video may be another option. Talkspace plans offer video sessions, which you can schedule for a time that works best for you and your therapist. Depending on your plan, you may also be able to text and send audio and video messages between live sessions. You'll see your therapist's reactions in real time, and they'll be able to take careful note of your progress, including the subtle and nuanced meaning between your words.

Finding the Right Way to Connect With Talkspace

Online therapy offers different ways to communicate with a therapist, so you can choose an option that fits your preferences and needs. Text therapy can provide flexibility, while audio messages, video messages, and live sessions offer other ways to connect. When choosing an online therapy service, look for one that meets applicable HIPAA requirements and has appropriate security measures in place to protect your health information.

With Talkspace, members can connect with licensed therapists and use the communication options available with their plan. Explore Talkspace's online therapy options to find a way to connect that works for you.

Frequently Asked Questions (FAQs)

What are the best alternatives to text therapy?

Audio messages, video messages, and live video sessions are the main alternatives to text therapy. Audio messages let you speak naturally without typing, and video messages add facial expressions and visual connection. Live video sessions provide real-time interaction with your therapist's immediate responses. The best option depends on your communication preferences, and may involve a mixture of different styles.

Can I switch from online text therapy to video sessions?

Yes. Talkspace plans let you switch between communication methods based on what works for you. You can upgrade your plan to include live video sessions while maintaining the ability to send text, audio, and video messages between sessions. Your therapist remains the same across all formats.

Which alternatives to text therapy offer real-time support?

Live video sessions offer real-time support with immediate back-and-forth conversation. You can find your therapist online, schedule sessions with them, and interact face-to-face through video. Between live sessions, you can still use text, audio, and video messages for asynchronous communication when thoughts arise outside scheduled times.

Are alternatives to text therapy flexible?

Yes. Audio and video messages offer flexibility similar to text therapy. You can record messages whenever it's convenient without scheduling. Live video sessions require scheduled appointments but provide real-time interaction. Most Talkspace plans let you combine different communication methods to match your schedule and preferences.

Can I combine text therapy with other therapy options?

Yes. Talkspace plans typically include multiple communication options. You can send unlimited text messages, audio messages, and video messages to your therapist between live video sessions. This combination gives you immediate access to express thoughts while maintaining scheduled face-to-face time with your provider.

Talkspace articles are written by experienced mental health-wellness contributors; they are grounded in scientific research and evidence-based practices. Articles are extensively reviewed by our team of clinical experts (therapists and psychiatrists of various specialties) to ensure content is accurate and on par with current industry standards.

Our goal at Talkspace is to provide the most up-to-date, valuable, and objective information on mental health-related topics in order to help readers make informed decisions. Articles contain trusted third-party sources that are either directly linked to in the text or listed at the bottom to take readers directly to the source.

Licensed Therapists Online

Need convenient mental health support? Talkspace will match you with a licensed therapist within days.

Start therapy
Therapy may be free for you. Get started >