A recent study by psychiatrists at Columbia University has revealed that the rise of teletherapy has not improved access to mental health care for low-income individuals in the United States. Despite the increased adoption of online therapy services, especially during the pandemic, the research shows that those benefiting from these services are predominantly young, well-educated, and from higher income brackets.
The study, published in the American Journal of Psychiatry, analyzed data from 89,619 psychotherapy patients. While the percentage of Americans receiving psychotherapy rose from 3-4% pre-pandemic to approximately 8.5% during and after, this increase did not translate to better access for those who cannot afford to pay.
Dr. Mark Olfson, lead researcher, stated, “Our findings indicate that teletherapy has done little to improve access to mental health care for low-income people.” The team found that most teletherapy users were from high-income families with good health insurance.
The researchers also examined data on telehealth use among children and adolescents, revealing similar disparities. Young patients accessing these services were primarily from affluent families with comprehensive health coverage.
Experts suggest that the main barrier remains the cost of services. Teletherapy providers typically charge rates comparable to in-office sessions, whether paid directly by clients or through insurance. This pricing structure continues to exclude those without the means to pay or adequate insurance coverage.
As mental health needs continue to grow across all socioeconomic levels, this study highlights the persistent challenge of providing equitable access to care. It underscores the need for innovative solutions and policy changes to ensure that technological advancements in healthcare delivery benefit all segments of society, not just those who can afford it.
See: “Study shows teletherapy has not improved access to mental health care for those who cannot pay” (January 16, 2025)
