Breakthrough Review

9 Reviews
Editor's Rating:
Plans from $99 per session

Breakthrough is an online therapy service that has seen incredible success since launching in 2009. Though they can certainly be considered one of the companies that have pioneered the industry, new fast-growing therapy brands such as BetterHelp and Faithful Counseling have begun to lead the pack. So the question is, does Breakthrough really provide an outstanding service or have they gotten to where they are by simply being the first to enter this fledgling industry? Here’s an in-depth review of Breakthrough to help sift through all of the information.

Other Comparable Therapy Options

Betterhelp Logo
Faithful Counseling Logo

Company Profile:

Like other online therapy giants, Breakthrough was also bought out by a major telehealth company called MDLIVE. Why is this important? Take a look at the board of directors: a former CEO of Apple and Pepsi-Cola, a former President of HJ Heinz, a managing director of Heritage Group, etc. Generally speaking, when such talented people are involved in the creation of a product or service, you can expect the best of the best. As such, it is no surprise that Breakthrough offers a variety of top level video platforms for its customers (VSEE, Adobe, and Frozen Mountain). This is just one of several benefits users receive when using the Breakthrough platform. Moreover, it also isn’t surprising that Breakthrough is already providing online therapy to 30,000 customers each month, with over 1,000 therapists active within the platform.

Signing Up:

Signing up for a Breakthrough account was very straightforward and simple. Provide your name, email, address and phone number, and then you are taken to a welcome page with a message from a Breakthrough rep. You can reply to the Breakthrough representative or you can start browsing through the therapists. And, here is where you see yet another benefit by using Breakthrough. You can sift through the therapists by location, what insurance they take, or their specialties (stress, anxiety, depression, etc.). Once you have chosen the therapist, you can interact with the therapist via the message/chat box in order to set an appointment time. Here, again, is a Breakthrough stand out feature. Whereas with other online therapy services you find a time that works best via chat, Breakthrough instead has implemented a calendar system. Within the on-screen calendar, simply choose a date and time that’s good for you and the therapist will approve it. If it doesn’t work for them, they will “counteroffer” with a new date and time on the on-screen calendar. When a time has been confirmed, log into your account and you are ready to use the Breakthrough platform – via chat, video, or the Breakthrough mobile app (iOS or Android). It’s one of the easiest to use platforms I have come across.


I won’t beat around the bush. On the surface, the Breakthrough pricing options seem exorbitant. Due to the fact that it’s a bidding-type system, therapists set their own price. These sessions cost roughly $50 to $400 per hour depending on which therapist you choose. Expensive? Yes, and no. Yes, especially compared to other services like BetterHelp and TalkSpace as can be seen in our online therapy reviews. No because in-office therapists cost the same. But, that’s not all. Breakthrough is the only online therapy service that works with most major insurance plans. Should you rely on your insurance instead of paying directly out of pocket, make sure to find out if and how much your plan covers you for, and to speak to an insurance professional to help you manage the cost of treatment over time.

Usability (Desktop & Mobile):

Since many of the Breakthrough board members come from the technology sector, I expected excellent user experience throughout all communication channels – chat, phone support, mobile app, video, and email, and that’s precisely what I got. Signing up for an account is simple. Scheduling an appointment is simple. Chatting through their multiple channels is simple. Everything is laid out in a clear and concise format. Moreover, I should note that their mobile app is one of the top rated online therapy apps on the market. Whether you use it for live video streaming or chat based support, I would go as far as saying the Breakthrough mobile app is second to none.

Counselor Support & Effectiveness:

Like Presto Experts, customers scroll through a list of therapists by location, provider type (Psychiatrist, Psychologist, Marriage Counselor, etc.), insurance acceptance, or specialty (stress, anxiety, etc.). All of the counselors are certified professionals and go through a very detailed application process prior to being approved to offer counseling services to customers. In fact, Breakthrough makes it known to their customers that top level counseling quality is their number one goal. Perhaps this is the reason why every therapist makes note of the ‘intimate’ support they provide within their profile. Additionally, to make sure you receive the best support possible, Breakthrough expects all of their therapists to conduct a minimum of five to fifteen sessions per month on their platform. This ensures they stay ‘fresh’ by giving hands-on support to their clientele. In addition to this, 24 hour support is now available through the MDLive call center.

Also, Breakthrough offers very helpful tools that show just how effective their service is. Putting aside the fact that over 80% of Breakthrough customers mentioned that they have seen improvement in their mental health state, Breakthrough offers two psychological assessment tests on their website – the DASS-21 and the Holmes-Rahe tests. These measure your depressions, anxiety and stress levels, and assesses the risk of stress related illnesses based on recent life changes.

As for further effectiveness measures: when I tested out Breakthrough, I chose Arielle Handler (LPC) as she gave a great rate ($90/hour), and her specialties included anxiety and stress. The only downside was that she did not accept insurance, but to be honest, $85/hour was much cheaper than paying the $150/hour I was used to forking over for an in-office appointment. Arielle helped me challenge myself, particularly my recurring negative thought patterns and how to overcome them, in addition to assisting me with my coping skills. After a few short sessions, I was able to ‘break through’ all of the negativity affecting my daily life. Her professionalism, empathy and experience made a massive difference over a 14-day period.

Confidentiality & Privacy:

Aside from BetterHelp, Breakthrough is, hands down, the online therapy leader in confidentiality and privacy. Breakthrough is HIPAA compliant, and both chat and video sessions are completely encrypted. Furthermore, none of your sessions are ever recorded or stored by Breakthrough. They do, however, mention that they have access to your actual usage that they monitor, which is normal for an online therapy service to track. But, as stated, they do offer confidential communications to their customers.

Breakthrough’s Counselor Qualifications:

Unfortunately, Breakthrough doesn’t make many mentions regarding the evaluation process of their therapists. This is unfortunate because they do in fact heavily vet every therapist that signs up to use their platform. Therapists that provide e-counseling through Breakthrough need to show activity as a certified professional. They cannot simply provide support every once in a while. As noted above, they need to conduct at least 5-15 hours of therapy services through Breakthrough each month. Moreover, they need to have up to date licensed credentials in their state. From PhD’s and LPC’s to LMFT’s and PsyD’s (among many others), Breakthrough provides a range of therapists in various fields.

Specialties & Areas of Expertise:

Breakthrough therapists specialize in as many areas as the therapists in the BetterHelp service. However, their primary specialties are in these fields:

  • Addictions
  • Anxiety
  • Bipolar Disorders
  • Child and Adolescent Issues
  • Depression
  • Eating Disorders
  • Grief and Loss
  • Life Changes
  • Men’s Issues
  • Panic Disorders
  • Parenting Issues
  • Postpartum Depression
  • Relationship and Marriage Issues
  • Stress
  • Trauma and PTSD
  • Women’s Issues

Bottom Line:

Breakthrough offers a state of the art technological platform that makes many other online therapy services envious. Furthermore, they accept many insurance plans which a major benefit to countless individuals. The fact that they help 30,000 individuals a month to live better speaks for itself. With over an 80% success rate and a corporate like mentality in providing real effective counseling, Breakthrough is leading the charge in many areas of online therapy.

Visit Breakthrough






  • Video and chat sessions
  • Easy to use appointment scheduler
  • HIPAA compliant

Comments 9

  1. Avatar Juan D. says:



    I had the same experience as Scott B. below. I reached out to two doctors and never heard back after a week and a half (I even called one of them directly and still no response). I had also contacted their customer service about the fact that I never received a confirmation email to validate my account and also never heard back. I reached out again in case my initial message fell through the cracks, but the result was the same. The only thing they were effective at was deleting my account when I requested it, without even bothering to check why I wanted to leave. This is not the therapy you’re looking for.

  2. Avatar Joyce H. says:



    It’s waaaaaay overpriced. The therapy sessions were good but I ended up paying a ridiculous amount of money, even with my insurance!! I thought online therapy was supposed to be a heck of a lot cheaper. That’s definitely not the case with this service. Be prepared to direct deposit your salary straight to them.

  3. Avatar Tracy T. says:



    Be wary any providers who are looking to use the Breakthrough platform for your therapy business. The many problems I encountered are: inability to ever connect with a live person for issues, lack of follow through on billing errors (sometimes not collecting fees for services provided but charging fee for the appt), very little in the way of referrals, double fee withdrawal; once for every session and again at the end of every month, very misleading on expectations of their fees, pressure to sign up to MDLive which offers to pay about 50% standard billing rate. I have since discontinued my contract with this company and urge caution to other providers considering this as their online therapy choice.

  4. Avatar Zach Y. says:



    Honestly breakthrough has been the best platform I have used so far. I have used 2 others – talkspace and 7 cups of tea. breakthrough is honest and open about everything. their website doesn’t lie to you – you know what you are getting. the actual platform is very easy to use which should not be understated. their mobile app is even better. I have a distant cousin using betterhelp and we compared both. we came to the conclusion that breakthrough is better. you can also browse therapists which isnt something you can do with virtually any other online therapy service. the therapy sessions with breakthrough seem MUCH MUCH more intimate than with talkspace and 7 cups of tea. my feeling is that because you are paying by the hour as you would in a regular office, the therapists take your session as an actual session. with talkspace for example, its unlimited chat video and phone therapy for something like $35 a week. no way the therapist is making money there so its no surprise that the service is crap. keep that in mind. and with breakthrough its the most expensive. so its also no surprise that it has been an overall great experience for me. you get what you pay for.

  5. Avatar Will A. says:



    There aren’t too many reviews on Breakthrough out there which isn’t good. People should know that this company isn’t helpful. This website is literally one of the only places where I have found a review (I didn’t agree with the editor’s review either). I can name countless upon countless problems with Breakthrough. For starters: the billing. They say they accept most major insurance plans. That’s mostly b*******. Yes they do but it’s not what your co-pay should be. Insurance companies generally have a fixed rate but I’m guessing since online therapy is new that rate increases. So if the Breakthrough therapist is $150/hour, expect to pay about 60% of that (with me only 35% was covered). Also, my first therapist seemed distracted and only followed up once I paid before each session. How do you think that makes someone like me who is already vulnerable feel? So I switched therapists to see if I could find someone who seemed to care. Forget the money here. I just wanted someone to talk to. Nope. Not with the other Breakthrough therapist. So that was a waste of about $200 for me. The only positive I saw from this service was their scheduling system, which was very good. It seems they try and combine this new world of online therapy with the traditional system which I personally think is the right way to do it. But other than that? It was an overall bad experience.

  6. Avatar Tia N. says:



    I dont see why Breakthrough isnt higher on the list. It has been a life saver for me. You can choose your therapist. It also seems to me to be the only professional company aside from Talkspace. I have heard good things about Betterhelp but I still dont know anything about their company. Most online therapy companies keep pretty quiet. Breakthrough is very transparent which was one of the primary reasons I joined. Their therapists seem to really care. My therapist Robert Considine has been absolutely amazing. He cares about my personal development and takes each therapy session seriously unlike many others. Outside of the high cost of this service, I would tell anyone living with a mental illness to use Breakthrough instead of anyone else.

  7. Avatar Carla D. says:



    breakthrough didnt work for me. first the self assessment tests on the website are very generalized tests so they didnt accurately assess me. second, therapy online isnt exactly like regular therapy. maybe if i was going through mild depression it would have been good. but if ur dealing with a real problem this isnt it.

  8. Avatar Greg G. says:



    I found Melissa while browsing therapists in my area on the Breakthrough website. $100 per hour she accepts my insurance so I cut out well over 80% of that fee. She was vital in helping me overcome much of my depression. The only problem is that it was hard, at least for me, to keep up with this form of therapy. The first few weeks I was all into it but after that I either got overwhelmed by life or lost track of what exactly I was supposed to be doing with this type of therapy. Even though Melissa responded right away and gave me a solid tip to create set weekly appointments with her in advance, there were just too many options for me. Could this continue to work very well as it did when I first started? It turns out I stuck with it which was great that I did but I can see how other people who are depressed will eventually run out of gas. That’s not a knock on Breakthrough or their therapists. I guess I’m saying it’s all in your hands.

  9. Avatar Paul H. says:



    Very professional platform and therapist. Super user friendly. And the scheduling is phenomenal. I never bother leaving a review of a service but this one absolutely merits one. 10 out of 10.

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The information presented on this has been compiled by our editorial team, and although we make every effort to keep it up-to-date, misrepresentations and inaccuracies in the data are possible. We recommend that you contact the providers listed below directly to verify any information that may be of interest to you. The ratings in our listings are based on our research. Some of the providers listed pay referral fees to this website and even provide us with additional access to their platforms, which may at times impact the order and manner in which they are presented. We take no responsibility for the accuracy of information listed below, though we do update it regularly. This information is subject to change at any time.

Editor's Rating:
Plans from $99 per session