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BetterHelp
Best overall fit for most people
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Talkspace
Good for messaging-first support
Popular
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Online-Therapy.com
Structured tools + sessions
Value
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Best for
Who it’s a great match for
Fast matching + broad therapist network
Messaging-first + scheduled sessions
Structured tools + resources
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Message / video / live chat
Messaging + live sessions
Messaging + live sessions
Sessions + guided tools
Scheduling
How flexible it is
Flexible, choose times that fit
Flexible, plan ahead easily
Flexible, plan-based
Insurance
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Quick note
Why people choose it
Best all-around if you want simple onboarding and quick matching.
Messaging-friendly option if you like checking in more often.
Structured tools if you prefer guided resources alongside sessions.

BetterHelp Top pick

Best overall fit for most people

⚡ Fast matching 💬 Messaging 📹 Live sessions
Check availability
See key details
Best for: quick onboarding + broad therapist network
Ways to connect: messaging + live sessions
Notes: simple to start, easy to switch if needed

Talkspace

Good for messaging-first support

🧾 Messaging-friendly 🗓️ Scheduled sessions 📱 App experience
Visit Talkspace
See key details
Best for: frequent check-ins via messaging
Ways to connect: messaging + live sessions
Notes: great if you like consistent async support

Online-Therapy.com

Structured tools + sessions

🧩 Guided tools 📘 Worksheets 📹 Sessions
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See key details
Best for: structured programs + resources
Ways to connect: sessions + guided tools
Notes: good if you want a more “program” feel
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Spear Center | Midtown -W 44th St

  • Updated 3 weeks ago
  • 36 W 44th St Suite 403, New York, NY 10036
  • Occupational Therapy

About Spear Center | Midtown -W 44th St

Is online therapy a good fit for you?
5 quick questions · ~30 seconds
Answer a few short questions and see which type of online support could work best for you.
1. What is your main reason for seeking support right now?
Stress, worry, anxiety, panic, or feeling on edge
Low mood, loss of interest, feeling stuck or hopeless
Relationship or family issues (including couples)
Life changes, decisions, personal growth, or “not sure yet”
2. How much is this affecting your day-to-day life?
It’s noticeable but I’m coping most of the time
It’s starting to interfere with work, studies, or relationships
It’s hard to manage daily tasks or responsibilities
3. How comfortable do you feel talking to someone online?
I’m comfortable with video / phone or chat and use them often
I’m a bit unsure, but willing to try
I usually prefer in-person conversations
4. Which practical issues apply to you?
My schedule is busy or changes week to week
I live far from providers or have limited transport
I prefer to avoid waiting rooms and keep things discreet
None of these, I just want to talk to someone
5. How soon would you like to start?
As soon as possible (within the next few days)
Within the next 1–2 weeks
I’m just exploring options for now
Question 1 of 5

About Spear Center | Midtown -W 44th St

At Spear Center, located in Midtown -W 44th St, we specialize in customized Occupational Therapy (OT) treatment plans to help you achieve optimal performance and prevent future injuries. Our comprehensive approach goes beyond standard OT care and provides individualized solutions tailored to your unique needs. We are proud to offer the highest quality of care and draw on our expertise to help you reach your goals.

Is online therapy actually effective?
Research shows that for many issues—such as anxiety, depression, stress and relationship difficulties—online therapy can be just as effective as in-person sessions. What often matters most is finding a therapist you connect with and staying consistent over time.
Learn how to start online therapy →
When is online therapy a better fit than in-person?
Online therapy is ideal if you:
  • have a busy or changing schedule,
  • live far from providers or have limited transport,
  • prefer the privacy and comfort of your own space,
  • travel frequently or split time between locations.
For many people, this flexibility is what makes it possible to actually stay in therapy.
Explore flexible online therapy options →
Is online therapy private and secure?
Reputable online therapy platforms use encrypted connections and secure apps that are designed for confidential healthcare communication. Sessions are held in a private space of your choosing, which can feel safer than a public waiting room.
See trusted online therapy platforms →
How do costs compare with in-person therapy?
Online therapy can sometimes be more affordable overall: there are no travel costs, less time away from work or family, and many platforms offer predictable weekly pricing. The value often comes from being able to attend regularly without extra friction.
Check online therapy pricing & plans →

Services

Working hours

Closed

Closed all day

  • Monday

    9:00 am - 6:00 pm

  • Tuesday

    9:00 am - 6:00 pm

  • Wednesday

    9:00 am - 6:00 pm

  • Thursday

    9:00 am - 6:00 pm

  • Friday

    9:00 am - 5:00 pm

  • Saturday

    Closed all day

  • Sunday

    Closed all day

  • Local time

    02/21/2026 2:42 pm

Languages

  • English

Have questions?

Contact Phone number is (212) 759-2280.
https://spearcenter.com

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