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4.5out of 5

Online Therapy review

Better U Therapy Review

Better U specializes in at-home ketamine therapy with clinician oversight, 1:1 integration coaching, and a companion app for mood tracking. Programs from $100/session — the best alternative mental health platform.

Best Alternative TreatmentVisit SiteUpdated February 25, 2026

Better U Therapy at a glance

Our rating4.5 / 5
Best ForKetamine therapy and alternatives
ProgramsFrom $100 per session
SpecialtyAt-home ketamine with clinician oversight
Support1:1 integration coaching
AppMood tracking and guided sessions
AvailabilityNot every state

What is Better U Therapy?

Better U specializes in at-home ketamine therapy with clinician oversight. Programs start from $100 a session and are structured as treatment packages.
Ketamine is used off-label for treatment-resistant depression and other conditions. Better U pairs sessions with one-on-one integration coaching, which helps you process and apply insights from each session.
A companion app offers mood tracking and guided sessions, and Better U also provides psychiatry, weight-loss and sexual health services.
Ketamine is not suitable for everyone, and Better U is not available in every state.
Better U ranks second in our online therapy services comparison with our Best Alternative Treatment badge.
Standard depression treatments include therapy and antidepressants; the NIMH’s medication guide explains them. Ketamine is generally considered when those have not worked.
Integration coaching is a key part of responsible ketamine therapy. The experience can bring up strong emotions or insights, and having a coach help you make sense of them is what turns a session into lasting change.

Pros

  • Specialized in at-home ketamine therapy with full clinician oversight
  • Structured treatment packages with 1:1 integration coaching
  • Companion app with mood tracking and guided sessions
  • Additional services: psychiatry, weight loss, sexual health

Cons

  • Not available in every state
  • Ketamine is not suitable for everyone
Better U TherapyPrograms: From $100/session
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How Better U Therapy works

  1. Clinical assessment. A clinician evaluates whether ketamine therapy is appropriate.
  2. Treatment package. Start a structured program of at-home sessions.
  3. Integration coaching. Work one-on-one with a coach after sessions.
  4. Track your mood. Use the companion app for mood tracking and guided sessions.

Safety and what to know

Online therapy is not for emergencies. If you are thinking about harming yourself or are in crisis, call or text 988 (the Suicide & Crisis Lifeline) in the U.S., or call 911.
Ketamine can cause dissociation, dizziness, nausea and a temporary rise in blood pressure. Never drive or operate machinery after a session, and have a trusted person nearby as your clinician advises. Ketamine is not FDA-approved for depression in this form; the approved related drug, esketamine, is given only in certified clinics.
Ketamine is not suitable for people with certain heart conditions, uncontrolled high blood pressure, psychosis or a history of substance misuse. Disclose your full history.
Use the companion app’s mood tracking between sessions; your clinician can use those patterns to decide whether to continue, adjust or stop treatment.

Better U Therapy pricing

ProgramsFrom $100/session
StructureTreatment packages
Coaching1:1 integration
AvailabilityNot every state
Ask for the full cost of a treatment package, including coaching, rather than the per-session figure alone.

Who Better U Therapy is for

A good fit if

  • Have depression that has not responded to standard treatment
  • Want an alternative approach
  • Value integration coaching
  • Like app-based mood tracking

Look elsewhere if

  • Have uncontrolled blood pressure or psychosis
  • Have a history of substance misuse
  • Live in an unsupported state

How Better U Therapy compares

Lemonaid Health offers first-line antidepressant prescribing, and PlushCare combines therapy with primary care. Better U is the specialist in alternative ketamine treatment.

Better U Therapy FAQ

What does Better U offer?
At-home ketamine therapy with clinician oversight, one-on-one integration coaching and a mood-tracking app.
How much is Better U?
Programs start from $100 per session, structured as treatment packages.
Is ketamine therapy safe?
It can cause dissociation, dizziness, nausea and raised blood pressure, and is not suitable for everyone. Clinician screening and oversight are essential.
Is Better U available in my state?
Better U is not available in every state.
What is integration coaching?
One-on-one support that helps you process and apply insights from ketamine sessions.
Does Better U offer other services?
Yes. Better U also offers psychiatry, weight-loss and sexual health services.
Is ketamine FDA-approved for depression?
Generic ketamine is used off-label. The related drug esketamine is FDA-approved but given only in certified clinics.
Where does Better U rank?
Better U ranks second in our online therapy services comparison with our Best Alternative Treatment badge.
How does Better U compare with traditional therapy?
Traditional therapy and antidepressants are first-line treatments for depression. Better U’s ketamine programs are an alternative typically considered when those have not worked, combined with coaching and clinician oversight.
Who is Better U best for?
Adults with depression or related conditions that have not improved with standard treatment, who are medically suitable for ketamine and live in a state Better U serves.
Do I need someone with me during a session?
Follow Better U’s clinician guidance. Many at-home ketamine programs recommend having a trusted person nearby and never driving afterward.

Our verdict: 4.5 / 5

Better U is the leading at-home ketamine therapy service, with clinician oversight, integration coaching and a mood-tracking app. Ketamine is not for everyone and availability is limited, but for treatment-resistant depression it is a credible alternative.
Better U TherapyPrograms: From $100/session
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