Can texting a therapist beat weekly video sessions for depression?

NCT ID NCT04513080

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested whether unlimited text-based therapy works as well as weekly video therapy for depression. Over 1,100 adults with depression were randomly assigned to one of the two approaches. Researchers also looked at what treatment options work best for people who don't improve with either method. The goal is to create a flexible, personalized therapy system that adjusts intensity based on patient needs.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Message-based psychotherapy and video-chat psychotherapy

What this could lead to

If successful, this could show that text-based therapy is a convenient and effective alternative to weekly video sessions for treating depression.

What could go wrong

This is a completed study, but results may not apply to everyone with depression, and text therapy may not work for severe cases or those with suicidal thoughts.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

depressive disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Talkspace

    New York, New York, 10025, United States