Oct 30, 2025TechUSThe New York Times

Study Finds Evidence That Text-Based Therapy Eases Depression

A person typing on a smartphone during a therapy session

For millions struggling with depression, a simple text message might be the key to accessing mental health support when they need it most. A groundbreaking new study has found that therapy delivered through text messages can be just as effective as traditional video sessions, offering a lifeline to those who find traditional appointments challenging.

In one of the largest trials of its kind, researchers followed thousands of participants receiving mental health support via texting. The results were clear: those who exchanged messages with therapists showed significant improvements in their depression symptoms, comparable to outcomes seen in face-to-face video consultations.

"What makes text therapy so powerful is its accessibility," explains Dr. Elena Martinez, a clinical psychologist not involved in the study. "People can reach out during their lunch break, after a tough meeting, or even in the middle of the night when anxiety strikes. This flexibility removes many barriers that prevent people from seeking help."

The trial's participants reported feeling more comfortable opening up through written communication, especially during difficult conversations that might feel overwhelming in person. For those with social anxiety or mobility issues, texting offered a comfortable alternative to traditional therapy formats.

"I was skeptical at first," shares 34-year-old teacher Sarah Chen, who participated in the trial. "But being able to send a message when I felt overwhelmed without waiting for an appointment made all the difference. My therapist could respond when I needed it most, not just during scheduled sessions."

Researchers emphasize that the findings don't suggest replacing traditional therapy, but rather expanding options for mental healthcare. As digital health continues to evolve, this study supports the growing recognition that effective mental support can take many forms beyond office visits.

The study's authors note that text therapy works best when combined with occasional video check-ins to maintain the human connection that makes therapy effective. This hybrid approach could become the new standard for accessible mental healthcare in our increasingly digital world.

Read the original article on The New York Times.