These services are similar in that both offer video sessions and messaging at varying subscription prices depending on your needs. BetterHelp is rated higher by users than Talkspace, and is generally less expensive; however, Talkspace can provide medication management services, which BetterHelp does not. If you require fewer services, BetterHelp might be the best choice for you, while Talkspace might be better for those who require more communication and support with medication (although no online therapy service, including these two, is appropriate for those who are suicidal, in crisis, or living with a serious mental illness).