[3][4] Talkspace has been criticized for making questionable claims about its effectiveness,[5] compromised user privacy,[6] posted fake reviews to improve its rating in an app store,[6] and uses freelance therapists of uncertain qualifications.

[10] Talkspace began as a group therapy platform, but has evolved to a company offering online psychotherapy from licensed therapists.

[18] In addition to reporting on a nationwide uptick in demand for psychotherapy, Talkspace saw requests for therapy appointments triple in the wake of the 2016 presidential election, with increases seen across demographic groups, but were particularly high for minorities.

[30] Based on initial information provided, clients are paired with a psychotherapist by an intake specialist or can select one from several suggested by a matching algorithm.

[31] Therapeutic approaches offered by therapists include cognitive behavioral therapy (CBT) and other evidence-based treatment options.

[33][34] The company uses machine learning and artificial intelligence tools to analyze anonymized transcripts of therapy sessions in order to improve services.

[38] Psychologist Todd Essig has criticized Talkspace in four different articles for conflicting business and clinical interests,[5] making scientific claims about its effectiveness,[39] violating patient confidentiality,[40] and other issues.

[41] In December, 2016, it was reported that Talkspace used faulty psychological practices, psychologists of uncertain qualifications, and a lack of regard for patient safety and confidentiality.

[7] In 2018, the Psychotherapy Action Network (a therapist's advocacy organization) wrote a letter to the American Psychological Association and Michael Phelps calling attention to alleged concerns with the product.