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Study Finds Benefits of Texting with a Therapist

A University of Washington study found text-based therapy equally effective as video sessions in reducing depression symptoms for 850 participants over 12 weeks.

  • On Oct. 30, University of Washington researchers published a JAMA Network Open trial randomizing 850 adults on Talkspace to test message-based versus video therapy.
  • Researchers hypothesized message-based therapy might ease depression more than video visits, motivated by telehealth's growth and that some 200 million use Talkspace.
  • More than 400 adults improved after three months of weekly message-based therapy, and researchers found social functioning outcomes were equivalent to those in video therapy.
  • The authors said the findings support expanding availability and insurance coverage for message-based psychotherapy, which can help practitioners reach patients who might not otherwise access care.
  • However, video sessions produced stronger therapeutic alliances while the trial excluded high-risk participants with suicidal thoughts or psychosis, and researchers reported no adverse events.
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Can Texting Your Therapist Work? New Study Says Yes

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Upstract broke the news in on Thursday, October 30, 2025.
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