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Better U Therapy at a Glance
| Our Rating | 4.5 / 5 |
|---|---|
| Best For | Ketamine therapy and alternatives |
| Programs | From $100 per session |
| Specialty | At-home ketamine with clinician oversight |
| Support | 1:1 integration coaching |
| App | Mood tracking and guided sessions |
| Availability | Not 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 & Cons
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
How Better U Therapy Works
Clinical assessment
A clinician evaluates whether ketamine therapy is appropriate.
Treatment package
Start a structured program of at-home sessions.
Integration coaching
Work one-on-one with a coach after sessions.
Track your mood
Use the companion app for mood tracking and guided sessions.
Safety & 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
| Programs | From $100/session |
|---|---|
| Structure | Treatment packages |
| Coaching | 1:1 integration |
| Availability | Not 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 you
- Have depression that has not responded to standard treatment
- Want an alternative approach
- Value integration coaching
- Like app-based mood tracking
Look elsewhere if you
- 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.
Frequently Asked Questions
Our Verdict
★ 4.5 out of 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.
See the full Best Online Therapy Services ranking →
Reviewed by
Dr. Lisa ChenHealth & Wellness Editor
Dr. Lisa Chen holds a Doctor of Pharmacy (PharmD) from UCSF and has 8 years of clinical experience in patient care and health education. She specializes in reviewing digital health platforms, wellness products, and nutrition services. Dr. Chen consults with a panel of MDs and registered dietitians to ensure all health content meets clinical accuracy standards.