I have subscribed to BetterHelp four times over the years. Once was to help navigate a transitional phase in my life, during which I had a wonderful counselor, a very good fit. I later returned to this counselor for support while implementing the changes I decided to make, but used weekly video sessions, instead of writing.
A few years later I had a crisis involving serious illness in the family and I felt devastated, but had to change counselors because I was not happy with the infrequent responses and apparent disinterest of the counselor selected for me by the site. My communication choices were not acknowledged and I had two very brief video sessions that were cut short, with the counselor looking at something else most of the time. The second counselor, whom I chose myself, was more helpful and seemed like a caring person, but only worked on certain days, so it wasn't really the 'unlimited' service I was paying for. She also went on holiday for a week without warning. I complained to BetterHelp in both cases and was given free weeks, so I would say that this company cares about its clients and is sound in its dealings. I ended up contacting a local crisis line and benefited from a free support service, where the counselors were there for me.
In my most recent experience, I only subscribed for a month, but it was a crisis situation and so the counseling was part of a wider support network that I had to build for myself. My counselor appeared perfectly competent and maintained a connection with me at intervals across the week, even over the weekend, but I was aware that this type of remote counseling is unsuitable on its own for crisis management.
On its own, BetterHelp is most beneficial where you are quite capable of implementing things and working things out in your life, but need a sounding board and to feel supported by someone outside your situation. I also think that it can be a vital part of identifying the agencies you need to access in a situation, for example, identifying when you are actually in a crisis and need to get immediate help where you are. BetterHelp can additionally form part of a wider network of support, which could include friends, a local community, family members, colleagues, a local church, etc. This would be the case in a complex and far-reaching problem that takes a lot of practical outworking.
Moreover, it's important to have a good fit in terms of the counselor selected. For example, having a counselor you feel heard by and who is interested in you, as well as someone whose communication preferences and frequency of response correspond to your needs. There is no 'one size fits all' in terms of counselors, and neither is this kind of remote counseling the same experience for everyone at all times.
Length of Use: Less than 3 months
Bottom Line: Yes, I would recommend this to a friend
Pros and Cons
I could work things out by writing
I felt I was communicating with an expert
Privacy - I didn't have to go anywhere
Convenience - was trapped at home for various reasons, and so this service was accessible
Lack of synchronous response - gaps between communication
It can take longer to build a relationship with some counselors than others, I'm not sure how the site matches counselors to clients, but this could be better