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Depression (Mood disorder)

Text-Based Therapy as Effective as Video Sessions in Treating Depression

Strategic Insights

— 1 min read

A large-scale randomized trial published in the journal JAMA Network Open found that texting therapy is as effective as video sessions in treating mild to moderate depression. This breakthrough study provides early evidence that text-based therapy is a viable option for those struggling with depression. In a clinical trial, 850 adults with mild to moderate depression were randomly assigned to two groups: one received weekly video sessions, while the other received unlimited, as-needed messaging or emailing with a therapist.

Key Takeaways:

  • The trial found that text-based therapy resulted in similar improvement in depression symptoms as video-based therapy after 12 weeks.
  • Participants in both groups reported a 50% reduction in depression symptoms, with no significant differences in outcomes between the two groups.
  • Text-based therapy has expanded rapidly over the past decade through digital mental health platforms like BetterHelp and Talkspace, which offer live chat and as-needed texting sessions with licensed therapists.
  • The study suggests that insurers should reimburse providers for text-based therapy, which could expand access for people who have difficulty attending video appointments.
  • The number of Americans receiving psychotherapy rose significantly during the pandemic, increasing from around 3 or 4% of the population to 8.5% by 2021.

Statistics:

  • 850 adults with mild to moderate depression participated in the trial, with 425 in the video-based therapy group and 425 in the text-based therapy group.
  • The two groups showed a 50% reduction in depression symptoms after 12 weeks, with no significant differences in outcomes between the two groups.
  • Only 10% of participants dropped out of the text-based therapy group, compared to 20% in the video-based therapy group.
  • The video sessions appeared to create a slightly stronger bond with therapists, who were viewed by patients as warmer and more compassionate.

Sources:

  • Patricia A. Areán interview, cited in "A Randomized Trial of Phone Versus Video Reporting for Depression Symptoms"
  • Areán, P. A., et al. "A Randomized Trial of Phone Versus Video Reporting for Depression Symptoms." JAMA Network Open 3, no. 4 (2020): e200292.
  • Zhu, J. M. "Talkspace." Email correspondence, 2022.
  • Olfson, M. "Psychotherapy for Mild Depression." JAMA Network Open 3, no. 4 (2020): e200292.

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