Better U is a telehealth platform offering at-home oral ketamine therapy to help you manage depression, anxiety, PTSD, and emotional trauma.
Its model emphasizes holistic mental wellness, and the brand combines psychedelic medicine with personalized care, combining prescription ketamine lozenges, 1:1 integration coaching, and a companion app.
In this brand review, we'll discuss how Better U operates, evaluate its advantages and potential drawbacks, and compare it to other similar ketamine therapy platforms. This review will help you determine whether Better U offers the support, flexibility, and framework that align with your cognitive goals.
Better U is a U.S.-based company focused on providing at-home oral ketamine therapy to help address mental health concerns such as depression, anxiety, PTSD, and trauma-related conditions.
The platform offers an approach that combines ketamine-assisted therapy with concepts like neuroplasticity and emotional healing. Instead of just treating symptoms, the therapy can support deeper psychological insights and personal transformation.
Better U company offers personalized integration coaching to help you process your experiences and provides 24/7 messaging access to a licensed care team. Their mobile app includes tools like breathwork exercises, mood tracking, guided meditations, and educational content tailored to your journey.
You can choose from therapy tracks that focus on specific issues such as PTSD, sexual trauma, grief, or peak performance, which helps ensure your program is better aligned with your needs.
As per the official site, Better U's clinical team consists of licensed professionals trained at recognized institutions. Your plan will be reviewed and customized by these clinicians to ensure it fits your unique situation and is safe to follow. Throughout your therapy, you have access to unlimited support, including live video coaching and asynchronous communication, so you're never without guidance.
Better U operates in 35+ U.S. states, where you can start by completing a brief online assessment followed by a virtual consultation. You then select from two main packages, the Introduction plan with five sessions priced at $500, or the Transformation plan with nine sessions priced at $792. This pay-as-you-go model might suit you if you prefer not to commit to a subscription.
Better U has expanded its services beyond ketamine therapy. You can also access medical weight loss programs featuring FDA-approved medications like Semaglutide and Tirzepatide, which might help with weight management under medical supervision.
For sexual health, the brand offers affordable generics of Viagra and Cialis, as well as peptide therapies that may enhance libido.
They provide longevity and regenerative health therapies like NAD+, Glutathione, and Sermorelin to support cellular energy and vitality. Their talk therapy and psychiatry services allow you to connect with licensed mental health experts for counseling and medication management, supported by certified integration coaches.
However, Better U highlights that it does not accept insurance. Its pay-as-you-go system may reduce barriers related to insurance approval or claims. Independent, affiliated medical practices deliver clinical care, while Better U operates as the platform facilitating your access to these services.
Better U Care offers you a complete at-home ketamine therapy program that can address your mental health concerns through evidence-informed protocols and personalized support.
The Introduction package provides you with five oral ketamine sessions along with one integration coaching session tailored for mental health challenges that have emerged within the last 12 months. Each ketamine session costs $100, totaling $500, with a pay-as-you-go option that gives you financial flexibility without requiring a large upfront payment.
If your mental health challenges have persisted for over 12 months, the Transformation package has nine ketamine sessions and two integration coaching sessions at $88 per ketamine session, totaling $792. This extended protocol may provide you with deeper therapeutic engagement and more comprehensive integration support to address chronic or complex conditions.
As a returning client, you could benefit from a discounted rate of $79 per session, which encourages continuity of care.
Better U also highlights guaranteed financing approval, which could help you manage the cost of your session through accessible payment plans.
Your ketamine therapy is administered orally in the comfort and safety of your own home, with a Peer Support person present during every session to ensure your safety and provide emotional support.
The dosing protocols and session lengths are personalized to your individual needs, typically lasting between 90 and 120 minutes.
After each ketamine session, you will receive remote integration coaching designed to help you process your experience, regulate your emotions, and apply the insights you gain to your daily life.
Better U's program is currently available in California, Florida, New York, Texas, and Washington, making ketamine therapy accessible to you in many locations.
Ketamine therapy may promote neuroplasticity in your brain, allowing you to form new neural connections that could help reframe and process traumatic memories more safely. This neurobiological effect might reduce symptoms of PTSD and enhance your emotional resilience.
You might experience improved mental clarity as your ketamine sessions encourage emotional release and altered states of consciousness. These effects could provide you with fresh perspectives on persistent thoughts or mental blocks, potentially sharpening your focus and decision-making after the session.
Your sessions typically last 1.5 to 2 hours, with ketamine doses ranging from approximately 54 mg to 129 mg per session. This program, combined with calming integration coaching, may reduce your anxiety and quiet an overactive mind, helping you experience lasting mental relaxation and peace. The presence of your Peer Support person ensures your safety and comfort throughout each session.
These sessions could also support your self-confidence by facilitating cognitive and emotional breakthroughs that might interrupt negative self-beliefs. The therapy may increase your self-awareness and improve emotional regulation, helping you better understand your feelings and communicate more openly, which could strengthen your relationships with yourself and others.
Following your ketamine sessions, integration coaching is provided remotely to assist you in reflecting on your experiences, gaining new insights, and developing actionable steps to maintain and build upon your progress. This ongoing support could fit flexibly into your schedule, reinforcing your healing and personal growth over time.
Holistic Psychiatry by Better U provides you with integrative, personalized psychiatric care that addresses your mental health comprehensively. This service combines expert medication management, therapy, and ongoing support, which are all delivered through a convenient, fully online platform.
When you enroll in Holistic Psychiatry, you are paired with a team of board-certified psychiatrists, psychiatric mental health nurse practitioners (PMHNP-BC), physician assistants, and licensed therapists who collaborate to create a plan based on the latest evidence-based practices.
Your care may include regular virtual consultations to assess your symptoms, adjust medications as needed, and integrate therapeutic techniques that promote resilience and emotional balance.
Better U offers clear, affordable pricing options starting at $99 per month for psychiatric clinician care, with initial appointments ranging from $199 to $299, depending on the provider level. This transparent pricing allows you to plan your mental health journey without unexpected costs.
Prescription management is simplified through the online platform, enabling you to receive refills and communicate with your care team efficiently. Better U's Holistic Psychiatry also supports you in safely tapering off medications that no longer benefit you under close clinical supervision.
Better U's Longevity Therapy program may help you restore energy, improve how your cells work, and support long-term vitality using regenerative medicine. This service is completely online and private, giving you access to options that support anti-aging, metabolism, and renewal.
The program includes three advanced therapies known for their regenerative benefits. NAD+ (Nicotinamide Adenine Dinucleotide) is known as a key coenzyme that helps your cells produce energy and repair DNA.
Since NAD+ levels drop as you age, this can lead to tiredness and aging cells. Better U offers NAD+ in injectable and nasal spray forms to support your mitochondria and help maintain lasting energy.
Glutathione aids in detoxifying the liver, neutralizing harmful free radicals, and boosting immune health. Using glutathione may improve skin clarity, reduce oxidative stress, and support brain function.
Sermorelin is known as a hormone analog that encourages your body to produce more natural growth hormone, which often decreases with age. This may help improve your sleep, muscle growth, recovery, and metabolism, and contribute to a more youthful feeling overall.
Getting started is easy and confidential. First, the entire process happens online. Then, your personalized regenerative medicines are shipped directly to your home. You can also get unlimited messaging access with a licensed healthcare provider for ongoing support.
Better U Talk Therapy may help get direct access to licensed mental health professionals who specialize in evidence-based therapies like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, Eye Movement Desensitization and Reprocessing (EMDR), and Psychodynamic Therapy.
You can connect with trained therapists, certified coaches, and doctors, all through a fully virtual platform that can help you manage PTSD, chronic stress, anxiety, depression, or complex conditions like ADHD and sexual trauma.
The Better U Talk Therapy service can possibly remove traditional barriers such as travel and scheduling conflicts by providing 100% remote care. This means you can engage with expert support from the comfort of your home, on your schedule.
Starting your journey with Better U is straightforward. You begin by completing a 20-minute online evaluation, answering questions about your medical history and present symptoms to help create an accurate picture of your mental health needs. Afterward, you'll chat with a consultation therapist to refine your goals and ensure you're matched with the licensed provider best suited to support you. Once matched, you can book your first virtual therapy session at a convenient time.
Better U platforms give you access to a sexual health service that can help address erectile dysfunction (ED) and arousal difficulties through a fully online and discreet platform. This service prioritizes your privacy and convenience by eliminating the requirement for in-person doctor visits or pharmacy pickups. Instead, you complete a confidential online assessment that collects important information about your medical history and symptoms, allowing licensed healthcare providers to evaluate your condition remotely.
Once your assessment is reviewed, Better U provides access to a range of FDA-approved medications tailored to your sexual health needs. These include generic versions of Sildenafil and Tadalafil, which are clinically proven and cost-effective alternatives to popular brand-name ED medications like Viagra® and Cialis®. Both medications can function by improving blood flow to support stronger and longer-lasting erections, with Tadalafil offering a longer window of effectiveness suitable for daily or as-needed use.
Better U also provides PT-141 (Bremelanotide), a newer peptide-based option that may help increase libido and arousal in both men and women, expanding the available options beyond traditional ED therapies.
The company highlights that once prescribed, your medications are shipped directly to your home with free and discreet delivery, making it easy to begin and maintain your session process without disrupting your daily routine. This direct-to-door service not only enhances convenience but also protects your privacy, allowing you to manage your sexual health discreetly. The entire service is integrated with the Better U app, which gives you personalized recommendations and follow-ups to help optimize your sexual wellness over time.
Better U highlights integrating multiple areas of mental wellness, including ketamine-assisted therapy, talk therapy, longevity programs, and sexual health services, into a single, coordinated platform.
Rather than treating symptoms in isolation, the brand recognizes that trauma, emotional numbness, intimacy challenges, and burnout often overlap.
By offering a centralized space for care, Better U helps you navigate these intertwined concerns with support that reflects your full experience. This saves you the complexity of managing different providers and platforms, making it easier to stay consistent in your mental health journey.
Better U's direct-pay model allows you to start sessions without relying on insurance approvals, prior authorizations, or network restrictions. Services are available in over 35 U.S. states, providing access to mental health and psychedelic-assisted care even in underserved or rural areas.
Pricing is clearly mentioned on their website, with no subscriptions or hidden fees. If you've experienced delays or denials from insurance companies or don't have mental health coverage at all, Better U gives you an accessible, flexible option. You don't have to wait months for help or travel far for care.
Better U's leadership team includes physicians trained at institutions like Harvard, Stanford, and Johns Hopkins. This includes Dr. Sam Zand (Chief Medical Officer), an integrative psychiatrist and mental health innovator, and Dr. Zaid Fadul, a double board-certified U.S. Air Force veteran. Their expertise shapes the platform's evidence-based protocols for ketamine therapy, psychiatric care, and trauma recovery.
When you're dealing with mental health or trauma, it's critical to know that your care is based on sound science, not trends. Better U gives you access to professionals who understand both the neuroscience and emotional depth of what you're going through. This may help build trust and ensure your plan is both safe and cutting-edge.
Better U is not an urgent care or crisis intervention service. The brand does not offer emergency psychiatric support or 24/7 clinician access. While its ketamine and therapy programs may help with chronic depression or emotional trauma, the platform is not structured to manage active suicidal ideation, manic episodes, or acute psychiatric emergencies. If you are in a mental health crisis or at risk of self-harm, Better U cannot provide immediate support or intervention. This could leave you vulnerable during emotionally unstable periods. The asynchronous model and appointment-based structure aren't built for rapid response, which makes it critical for you to have alternative crisis resources in place if you're in a high-risk category.
Because Better U operates through a decentralized provider network, you may not always work with the same coach or clinician over time, especially if scheduling conflicts arise or state-specific licensing becomes a barrier. While continuity of care is a stated goal, consistency can be harder to guarantee in large telehealth networks. If you're someone who thrives on deep therapeutic relationships or long-term rapport with a trusted provider, this model may feel fragmented. Switching between therapists or coaches, even with shared session notes, can make you feel like you're starting over emotionally or that your history isn't fully understood. It may take longer to build trust or maintain therapeutic momentum when the same provider isn't guaranteed throughout your care.
Mindbloom and Better U both offer at-home ketamine therapy with the shared goal of expanding access to psychedelic-assisted mental health care.
However, their models, pricing structures, clinical positioning, and therapeutic frameworks differ, reflecting distinct approaches to meeting user needs within the telehealth ketamine landscape.
Mindbloom emphasizes a clinically rigorous model, offering both sublingual tablets and subcutaneous injections. The program begins with a structured medical intake and psychiatric screening conducted by board-certified clinicians to determine dosage and eligibility. Its pricing follows a subscription or bundled model, with the six-session “Basics” package priced at approximately $1,158, or $193 per session, and monthly plans ranging from $89 to $110 per session.
Mindbloom integrates limited coaching support, typically offering one to two integration sessions, and provides a companion app with session scheduling, symptom tracking, journaling prompts, and reminders. While the app is functional, it includes fewer features compared to some competitors.
The company communicates in data-driven language and positions its therapy as a scalable, evidence-based solution to emotional burnout, depression, anxiety, and PTSD. It operates in over 30 U.S. states, does not accept insurance, but allows payment via HSA/FSA accounts.
Better U, on the other hand, adopts a holistic, trauma-informed model with a stronger emphasis on personalization, spiritual wellness, and neurological reset. It operates in 35 states, uses an out-of-pocket model, and accepts HSA/FSA payments.
Instead of subscriptions, Better U offers pay-as-you-go pricing, with its Introduction package available for $500 for five sessions, and the Transformation package is for $792, which includes nine sessions, potentially providing a lower per-session cost.
The onboarding process includes a short online assessment and a free video consultation with licensed providers. Better U's model includes unlimited access to integration coaching via live video or messaging. Its companion app offers a broader range of features, including mood tracking, guided meditations, breathwork, educational content, and goal-setting tools, which enhance client engagement and self-monitoring.
The brand focuses on trauma-specific care tracks such as PTSD, grief, and sexual trauma and integrates therapeutic frameworks beyond symptom relief, framing ketamine as a tool for inner transformation and thought expansion.
Joyous and Better U both offer at-home ketamine-based mental health support, yet they diverge significantly in their therapeutic philosophy, clinical delivery model, and patient engagement format. These differences reflect varied approaches to addressing depression, anxiety, trauma, and related mood disorders using ketamine and provide options based on preferences and symptom severity.
Joyous is focused on a structured, fully digital protocol built around a very low-dose ketamine routine designed for daily use without inducing dissociation or psychedelic effects. Its process emphasizes subtle, consistent neural recalibration through daily neuroplastic support, with the goal of improving mental flexibility, self-compassion, and emotional stability. This dosing strategy is positioned as an alternative to traditional SSRIs or high-dose ketamine therapies, targeting individuals who prefer a non-disruptive therapeutic experience. The entire program is remote, beginning with a digital intake, followed by an online video consultation with a licensed provider. Once approved, medication is shipped directly to the user's home.
Daily text-based guidance via the proprietary Joyous Navigator system forms the cornerstone of support, offering check-ins, curated content, and progress tracking.
The program is priced at $129 per month, with no long-term commitment, and includes medical oversight, ketamine supply, virtual check-ins, and messaging access to the Joyous Care Team.
Meanwhile, Better U offers an oral ketamine therapy model that centers on episodic dosing, administered several times across a defined period, paired with a comprehensive integration support system.
Unlike Joyous' microdosing model, Better U administers higher individual doses with psychedelic potential, aiming for measurable breakthroughs in a shorter timeframe.
The platform provides two primary tiers, which are the Introduction Package (5 sessions for $500) and the Transformation Package (9 sessions for $792), both of which are pay-as-you-go and offer a lower per-session cost than many competitors.
The process starts with an online assessment and a free video consultation, followed by tailored ketamine therapy and unlimited integration coaching through messaging and live video calls.
Support is delivered by a multidisciplinary care team including psychiatrists, physicians, nurses, and certified coaches, many with training from institutions such as Harvard and Johns Hopkins.
Better U's approach is holistic, framing the process as more than symptom relief. Clients are offered guided exercises, breathwork, meditations, and custom therapeutic tracks, such as PTSD, Sexual Trauma, or Grief Processing, via the Better U Companion App, which also tracks symptoms and goals over time.
This structure allows for multi-dimensional mental health support, especially for individuals dealing with trauma, chronic stress, or complex emotional patterns. The emphasis on spiritual healing and personal transformation, alongside traditional psychiatric care, sets Better U apart from more clinically oriented platforms like Joyous.
In terms of structure, Joyous focuses on low-cost, continuous micro-dosing with high-frequency but low-intensity support. Better U, on the other hand, provides periodical support with unlimited high-touch coaching and more immersive, higher-dose sessions intended to catalyze rapid psychological change. Both platforms are accessible without insurance, accept HSA/FSA, and operate in 30+ U.S. states.
Better U maintains a strong brand reputation as a telehealth provider present in the mental health space, particularly for its at-home ketamine therapy programs.
With a TrustScore of 4.5 based on over 299+ reviews, the brand is recognized for delivering clinically grounded mental health interventions in a compassionate and user-friendly manner.
Many individuals describe the service as life-changing, noting significant emotional breakthroughs, renewed hope, and noticeable relief from long-standing depression and suicidal ideation after only a few sessions.
The platform's therapeutic design, featuring curated music playlists, reflective guidance, and integration support, adds to the sense of structure and personalization that many users find meaningful.
A recurring strength highlighted in feedback is Better U's affordability, especially in contrast to traditional in-clinic ketamine therapy, which can cost thousands of dollars.
Users frequently mention that Better U offers access to programs that would otherwise be financially inaccessible, which helps position the brand as an inclusive and forward-thinking solution in the mental wellness space.
The company is praised for quick medication delivery and intuitive, self-paced protocols that support autonomy while still offering clinical guidance when needed.
However, the brand's reputation is not without critique. Some users express concerns about declining communication after initial payment, difficulty reaching support through the portal or phone, and a lack of timely follow-up for prescription refills. These gaps in operational consistency contrast with the otherwise high-touch onboarding experience and may create friction for users expecting sustained clinical contact.
There are also reports of automatic billing or renewals without clear user consent, which can erode trust if not adequately disclosed.
A few individuals felt pressured to leave positive reviews, suggesting that while Better U values its public perception, the approach to reputation management may sometimes feel transactional.
Despite these challenges, the overall sentiment leans heavily positive. Many users describe their experiences as transformative and appreciate the convenience, cost savings, and therapeutic depth offered by the program.
The platform's ability to blend scientific legitimacy with emotional accessibility helps establish Better U as a credible and human-centered option in a growing field of psychedelic-assisted care.
The brand's reputation reflects both its pioneering efforts in telehealth ketamine therapy and the ongoing need to refine back-end operations to ensure every user receives consistent, attentive care throughout their healing journey.
When evaluating Better U based on user reviews, many users report that Better U has had a favorable impact on their cognitive health and overall well-being.
Several individuals shared on Reddit how the at-home ketamine therapy helped alleviate symptoms of depression, anxiety, and even chronic pain conditions like fibromyalgia.
Users appreciate the convenience of receiving service at home without frequent in-person visits, which allows them to fit therapy into their lives better.
Better U's pricing is often noted as more affordable compared to competitors such as Mindbloom, which many users find beneficial for ongoing therapy access.
However, some users have experienced challenges with the service. A number of reviews mention frustrations with customer support, including slow responses and difficulties resolving billing issues. There are reports of technical glitches that complicated the process, leaving some users uncertain about continuing with the program.
Confidentiality also came up as a concern for a few, particularly regarding the involvement of pharmacies and whether personal information is securely managed. Although Better U complies with HIPAA regulations, some users remain cautious about privacy.
A few users have expressed disappointment when the therapy did not yield the expected results, sometimes citing the lack of in-person consultation as a limitation.
Thus, Better U tends to receive praise for making ketamine therapy more accessible and affordable, with many users reporting meaningful improvements in mental health. At the same time, issues with customer service, technology, and confidentiality concerns suggest that the experience may vary depending on individual circumstances.
If you're considering Better U, it's important to evaluate these factors carefully and, if possible, consult a doctor to determine whether this approach aligns well with your needs.
Better U offers a wide range of services aimed at helping you feel better in both mind and body. From at-home ketamine therapy to holistic psychiatry, sexual wellness, talk therapy, and even options for pain and longevity, the brand positions itself as a support for modern mental health and self-care.
Still, its strengths come with trade-offs. While the convenience of online care is appealing, some services, especially psychedelic ones like ketamine, carry real mental and physical risks when used without live supervision.
Dissociation, anxiety, and emotional discomfort can happen, and without in-person clinical support, these effects might be hard to manage safely.
Though Better U includes coaching and messaging, this may not be enough for users with complex psychiatric histories or high-risk conditions. Its psychiatry and therapy offerings are promising but limited in depth, often favoring quick access over long-term mental health planning.
Services like sexual health or pain creams may add value, but they also raise questions about whether the brand is stretching too far beyond its core strengths in psychedelic care. Without insurance coverage or medical billing, costs can also become a barrier for many.
Better U could be helpful if you're generally stable, open to guided therapy, and looking for alternative tools to support emotional healing or personal growth. However, for deeper mental health needs or long-term support, this model may fall short.
It's a platform best approached with realistic expectations, careful self-awareness, and the understanding that healing requires time, structure, and the right kind of support.
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