00:00:38.460and I've spent my life exploring how other people survive what should have destroyed them.
00:00:43.680I'm Elizabeth Smart, and these are The Survivor Files.
00:00:47.300Every week, I'm with survivors who live through the unthinkable,
00:00:51.020abducted, stalked, controlled, and nearly silenced.
00:00:54.640These are stories about what it takes to make it out alive.
00:00:58.700Listen to The Survivor Files with Elizabeth Smart on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.
00:01:10.340There Are No Girls on the Internet is a production of iHeartRadio and Unbossed Creative.
00:01:18.460I'm Bridget Todd, and this is There Are No Girls on the Internet.
00:01:21.200We talked about the mental health services app, BetterHelp, on the news roundup the other week,
00:01:28.660which was in the news because the Federal Trade Commission says the company
00:01:32.160shared people's personal responses to very personal questions with Facebook and Snapchat,
00:01:38.380even after their sketchy terms of service said they wouldn't do that.
00:01:42.300BetterHelp spokespeople did not admit wrongdoing, surprise, surprise,
00:01:45.600but they did have to pay out $7.8 million to about a million people who use their services,
00:01:52.480including BetterHelp, but also their apps aimed at specific groups like Pride Counseling for
00:01:57.560LGBTQ users or Teen Counseling for Youth. And they did agree to stop doing this. So BetterHelp
00:02:03.760had to pay out an insulting $9.72 for sharing vulnerable people's sensitive information.
00:02:12.340Listen, we have been a little bit sus about BetterHelp for a while.
00:02:16.000And for me, it all reached a fever pitch back in 2021.
00:02:20.200After the Astroworld crowd crush incident in Texas, where 10 people, some of whom were children, died.
00:02:26.660The organizers announced a partnership with BetterHelp to provide mental health services to the survivors, which just rubbed me the wrong way.
00:02:33.760So producer Mike and I spoke to Dr. Jeff Gunther, a.k.a. Therapy Jeff, one of TikTok's most trusted therapists, to dig into why.
00:02:43.600Ten people died, including three children, and hundreds more were injured at rapper Travis Scott's Astroworld Music Festival in Houston, Texas.
00:02:52.680First-hand video footage on social media shows young people pleading with crew members to stop the performance because people in the crowd were unresponsive.
00:03:00.640But authorities say Travis Scott continued to perform for 37 minutes after Houston police and
00:03:06.580firefighters were called to what had been deemed a mass casualty event. Travis Scott even brought
00:03:11.460out rapper Drake for a guest appearance as many in the crowd screamed for help. It's not clear
00:03:16.600if Travis Scott knew the severity of the situation, but Scott does have a history of inciting crowds
00:03:21.840into dangerous behavior at his concerts. He's even faced charges for it at past concerts.
00:03:25.960And Live Nation, the company behind Astroworld, has a long history of safety violations.
00:03:32.140Now, the footage coming out of the event is horrifying.
00:03:35.560And because of Travis Scott's fan base, this was happening to very young people, kids.
00:03:41.340I was getting winded. I was using all the energy I had left in me,
00:03:44.340and I came to the point where I was accepting my death.
00:03:47.740In a statement, Travis Scott says he didn't know people had died until after he'd left the stage.
00:03:52.620He also announced what he called a partnership with the therapy app BetterHelp
00:03:56.380to provide a free month of therapy to those impacted by the tragedy.
00:10:56.060So, of course, they're going to go to these apps, especially like younger people that are used to doing that.
00:11:02.060Yeah, that is an excellent point that they really did identify a true need that exists out there of it's difficult to find a therapist.
00:11:11.980And we talk a lot on this show about bad things that the Internet and tech bring to us.
00:11:18.160But I was talking with Bridget the other day, and one of the things she mentioned was how her favorite stories are about the great things that the internet does to bring people together or help somebody be seen or find whatever it is that they're looking for.
00:11:32.200And it really seems like they sort of zeroed in on that, and it is a real need that they've addressed.
00:15:23.980and they're trans competent and queer competent
00:15:26.220and they're continuously going through trainings.
00:15:30.120And so like they're doing it the right way.
00:15:32.400So there are apps and services out there that are starting to do it the right way.
00:15:36.920But BetterHelp and Talkspace, they're like these first movers that have amazing marketing, especially BetterHelp.
00:15:46.360And yeah, so it might be hard to compete with them.
00:15:53.100It's interesting that you say that they have better marketing, you know, because I've looked at your TikToks.
00:15:59.400talks and uh i think one of the big criticisms is how they harvest people's data and use it for
00:16:07.720marketing and advertising and uh you know i clicked through i read their privacy form and yeah they're
00:16:14.440just using all of your data including your communications with your counselor uh for
00:16:19.880third-party marketing and so it made me wonder like how much of their business model is actual
00:16:26.520therapy delivery and how much are they in advertising company exactly yes they get so
00:16:32.100much amazing personal data on your mental health information who you are when was your you know
00:16:39.020are you suicidal when was your last suicide attempt how much money do you make uh where do
00:16:44.500you live um what are your pronouns what's your sexual orientation uh what's your gender like
00:16:51.200They get the most detailed information about how often you're talking to your therapist, if you're meeting your therapist's goal, if you're meeting your counseling goals.
00:17:04.960I don't know how much money they make off of it or if they make any money off it or if they're making all of their money off of that.
00:17:11.660But that information is incredibly valuable.
00:17:14.740And they were a little bit more clear a few months ago when I made one of my first TikTok videos about them and going through their privacy policy about all the information that they collect.
00:17:27.620since I sort of like exposed them and it got, you know, over a million views of their like
00:17:33.080privacy policy and they've changed their privacy policy to make it so much more vague and so much
00:17:40.240more confusing and actually gives them so much more leeway when it comes to like sharing your
00:17:45.880data. They can share your data with their corporate partners. Do you know who their corporate
00:17:49.600partners are? Fuck no. Who the fuck knows? I have no idea. They don't list them. They can share it1.00
00:17:54.640with their ad network, you know who's in their ad network?0.96
00:17:57.260I have no fucking idea, probably a ton of people.0.58
00:18:01.760They can use it for marketing purposes0.98
00:18:04.680and whatever the hell they want to use it for.
00:18:07.920So we don't know why, what they're using it for exactly.
00:18:10.320We don't know who they're sharing it with.
00:18:11.580We don't know how much money they're making off of it.
00:18:13.800And the only way that you can use their app
00:18:17.240is if you check off the terms of service,
00:18:19.260which like allows them to use all this information.
00:18:23.320Um, I would love it if they gave you an option to not like sell your data on my like HBO Max
00:18:30.660subscription. There's a little checkbox that says, are we allowed? Can we like use your third party
00:18:35.500data? And I can just be like, nope, BetterHelp doesn't do that. And why would they ever do it?
00:18:39.380Because they're probably making a ton of money. Something else that I'd like to mention is that,
00:18:43.740you know, they're able to sell your information to third parties. And so if they sold your
00:18:49.720information to a company like Facebook, Ben, you think about all the different data that we know
00:18:54.660that Facebook is able to collect combined with whatever they have from your relationship with
00:18:59.700your counselor through BetterHelp, it becomes clearer. We're not talking about little bits
00:19:04.700and pieces of data. They really can mine and harvest a real composite portrait of who you are
00:19:11.580and sell that for profit. And I just fundamentally believe that that is not how a relationship with
00:19:19.260a mental health specialist should look. And to me, there is not another word for that other than
00:19:23.860like exploitation. And like, I guess I really see it as this kind of capitalistic mining of the most
00:19:32.480sensitive stuff about us so that corporate interests can get fatter pockets. And it's
00:19:38.440just so depressing and demoralizing. Oh God, it is. It really is.
00:21:12.960It's like if you can hide some real messages inside compelling characters, then that is a Trojan horse.
00:21:20.860Whether you're looking for literary deep dives, smart pop culture conversations, or a community of readers who love to think a little too much, you're in the right place.
00:21:30.040Listen to Pro Society on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.
00:22:57.160around the same time Bill Clinton was describing the internet as an information superhighway.
00:23:01.860Its authors never imagined all the ways the internet would revolutionize how we access health care.
00:23:07.020And so we've come to this place where most Americans believe their private health information is legally protected, but that's just not always true.
00:23:14.780In reality, many of the digital services we use have no greater legal obligation to protect information about our health than information about what TV shows we like to watch or what types of sneakers we want to buy.
00:23:26.320So the question is, are we okay with for-profit tech companies like BetterHelp setting the precedent around privacy and digital health services?
00:23:35.420And one of the questions that I get all the time, because you're right, they know you intimately, like so many things about you. And the question I get is like, how is this not a HIPAA violation? What is making this okay?
00:23:51.160So if you are my client and you're seeing me in my private practice, I'm your therapist, all the notes that I write on you is actually your property.
00:27:22.240When I saw the news out of Texas, it had a really deep impact on me in a way that I almost can't even articulate why.
00:27:31.040There was something about the videos that were coming out of it that just really hit me in a way that, you know, you think that you're desensitized to tragedy and disaster.
00:27:40.760But something about those videos really stuck with me.
00:27:44.080And I think seeing, like, the live stream with an Apple logo on it where I knew that young people were facing really scary circumstances, I really can't shake the deep, disturbed way that that, how disturbing that was to me.
00:28:03.440Like, I don't know why I've not been able to sort of, like, move past it, but I have not.
00:28:07.800And when I woke up again and saw that Travis Scott was partnering with BetterHelp, that really, it just seemed like a cherry on top of this exploitation cake where these young people had really been deeply exploited in the deepest, deepest ways for profit to make money for corporate interests, whether we're talking about Live Nation, Travis Scott, the organizers, Apple streaming platforms, whatever.
00:28:34.180And then in the aftermath of that horrific, traumatic tragedy, what they were being offered was just another way to serve them up to be further mined and exploited.
00:29:13.500I thought it was, I felt the same way that you felt.
00:29:16.400So, yeah, it's like a bunch of, you know, corporations creating trauma and then sending those traumatized kids to BetterHelp where they're going to, like, mine their data and make a ton of money.
00:29:30.780And it reminded me of when BetterHelp used to, I still think they kind of do this, but back in like 2018, 2019, they were going to all the therapist directories out there that attract, you know, the clients that are looking for therapists.
00:29:44.980And they were just trying to like either buy them up or quote unquote partner with them in order to like take all of their business and like direct those users into the BetterHelp ecosystem.
00:29:57.980them. And so they approached me when I launched Therapy Den, and they're like, hey, can we
00:30:05.280go ahead and take therapist profiles and add them to your directory so that if any of
00:30:12.380the people that are using your directory, they could find one of our BetterHelp therapists
00:30:18.280and then create services or start therapy with them.
00:30:22.520And every time somebody signs up for BetterHelp through Therapy Den, we'll pay you $300, which
00:30:32.900is a ton of money because they're like, you could potentially make $80,000 a month because
00:30:38.580we've had this deal, created this deal with other therapist directories that are the same
00:31:31.040Like it just didn't feel like a good match at all.
00:31:33.320And I like started to, that's when I started to like really learn about their privacy policy and the data mining and shit like that.
00:31:38.660And I would imagine that like all of the marketing that they do that BetterHelp does and all the podcasts and NPR and shit like that, all of those companies are probably getting like a very nice kickback because BetterHelp was like, hey, on average, we make $1,200.
00:31:54.540We bring in $1,200 when somebody signs up for BetterHelp.
00:31:58.620We are very much willing to like pay you $300 when we collect $1,200.0.99
00:32:04.540Also, we're going to pay the therapist shit.0.98
00:32:06.820so like it's not even like we have like too much of an overhead cost you talk about how the0.99
00:32:11.980therapists are just not only are they not paid what like like a comparable amount that they can
00:32:18.740make in private practice or elsewhere but also you know they're i learned from your tiktoks they're
00:32:23.300sometimes paid by the word and so once they hit their word count they kind of have to decide if
00:32:27.940they want to continue treating a client who very well may be in crisis basically out of the goodness
00:32:32.460of their heart because they care about this client for free um clients can access their
00:32:37.480therapist 24 hours a day seven days a week which sounds really good in theory but then you're like
00:32:42.840should you have access to a therapist 24 7 i would say no that maybe you should have some
00:32:48.540some boundaries around how you access your therapist it's kind of stunning to hear about
00:32:53.400how much money they must be taking in via how much money gets spent gets given to their actual
00:33:00.840therapists who are like doing the work of sustaining this platform yeah 100 i mean the
00:33:05.980therapists are getting maybe around 30 a little less than 30 an hour um ideally if you're a
00:33:11.860therapist and you're seeing clients you want to get at least 100 an hour that's what we're like
00:33:15.500aiming for if not more if you live in like more expensive cities um but better help is like we
00:33:22.500will pay you up to $50 an hour if you work more hours per week. So if you work up to 50 hours a
00:33:31.680week, you'll get our top pay, which is fucking bonkers. I don't even understand why that's a0.94
00:33:39.240pay scale that exists. Like work 15 hours, get $30 or less an hour, work up to 50 hours a week
00:33:46.040more. I don't know. That's a whole fucking thing. I hate that. And then it's, they pay you based on
00:33:51.520word count. So you can't go over the word count that they like provide. If you do start like
00:33:57.040providing more support, if you start texting more support and going over the word count,0.99
00:34:02.200you're working for fucking free therapist. They're not going to pay you for it. So maybe0.99
00:34:06.300they're paying you $30 an hour, but it's actually a lot less if you like feel like you need to give
00:34:11.040even more support to that client. And of course, just like Uber and Lyft or whatever, like you're
00:34:17.300not getting benefits, you're a contract, you're not like getting paid time off, you know,
00:34:22.200like you have to provide all of your equipment and, you know, so it's just like, it's a bunch0.95
00:34:27.020of bullshit that therapists are getting exploited and they're able to exploit these therapists0.93
00:34:32.460that are usually like fresh out of grad school or just looking for a little part-time work0.99
00:42:48.580including targeted offers and ads throughout our websites, third-party sites, and via email or text
00:42:54.740message. They also say, quote, we may share your information with any subsidiaries or parent
00:43:00.800companies within our corporate group. So who are these other companies in their corporate group?
00:43:05.580And what products are being advertised? Is Better Health using your personal mental information to
00:43:10.400buy ads or sell ads? Why rely on such vague language when discussing something as important
00:43:16.480as our health and privacy. I believe Better Health is intentionally exploiting vague language in gray
00:43:22.220areas and their privacy policies to mislead the public, which under normal circumstances is bad.
00:43:27.860But it's especially egregious to do that after a tragedy. Do you feel like the public is owed a
00:43:33.960little bit of transparency about this partnership? I feel like especially given that the folks who
00:43:39.600were at that festival are like, a lot of them are young people. I feel like it is a public,
00:43:44.960like a public good for BetterHelp and or Travis Scott to say, hey, we're doing this therapy
00:43:50.420partnership for folks who were impacted by this tragedy. Here's who's making money on it. Here's
00:43:56.640how your data is going to be used. Whether Travis Scott, BetterHelp, or both are making some sort
00:44:04.200of like cut or kickback, do you feel like it's in the public interest for us to have that
00:44:09.320like information in a transparent way oh my god 100 yes and like in my most recent tiktok video
00:44:15.860that's on twitter and everywhere else uh i'm saying that like what's going on like let's be
00:44:22.480clear here who's getting paid uh do how do you continue care after that one month how much is
00:44:30.040it going to cost in order to like continue like there's it's just all so murky uh so yeah i would
00:44:35.980love if there was more transparency around it. But the way that BetterHelp operates is just like
00:44:40.360they're very good at like making shit real vague. And unfortunately, whenever I push against them0.96
00:44:45.800or anyone pushes up against them, they just get even more vague and more vague and get into that
00:44:49.640gray area. So hopefully this will like get more people to become concerned and ask them to be
00:44:56.100more transparent about what they're doing and the deal that's being set up with Travis Scott.
00:44:59.640I just feel like we're in this age where technology that is meant to be a wellness-focused thing or a mental health-focused thing, we're in this weird gray area where everything feels kind of scammy and not really regulated.
00:45:15.320And so we have all of these apps that are sort of mental health ish or like wellness ish or like medical care ish.
00:45:24.760And you just have to act like, are these regulated? Are they safe?
00:45:28.320Am I actually getting good information from like a competent, trained medical health professional?
00:45:32.700I wonder, like, do you feel the same way that we're in this sort of wild west where there are so many tech platforms offering us wellness or, you know, medical care, but in this very gray area way where they can sort of avoid having to answer some of these questions about, you know, the quality of care that you're actually getting?
00:45:52.720oh yeah for sure and and they're so savvy they're so slick they know exactly what they're doing
00:46:00.160so you just kind of like give this like these ish services and it works well enough and also
00:46:06.420you know uh all these like podcasts or mpr or whoever like it's such a good look for them like
00:46:14.560oh therapy you know like it looks like they're it's so nice to quote-unquote partner with them
00:46:20.600because it sort of, like, lifts their brand up, you know?
00:46:24.060So it's just, like, this feel-good, lovely thing,
00:46:26.680but we don't know what's going on, like, right behind the scenes.1.00
00:51:37.720Same sort of vibe and mission and values as therapydem.com.
00:51:44.060The thing is, is like you kind of have to be okay
00:51:48.860or accepting of the fact that, like, this is going to be a journey for you.
00:51:54.740Finding a therapist is going to take some time.
00:51:57.420And the reason it's going to take time is because you need to find somebody
00:52:00.060who's a really good match and who can competently treat you.
00:52:04.060So you're going to have to, like, interview three, four, five,
00:52:07.500ten therapists possibly to, like, find somebody who's a good match for you.0.98
00:52:11.300It's grueling and it sucks and I don't like it.
00:52:13.940But starting with therapyden.com, inclusivetherapist.com,
00:52:16.720Even just like Googling somebody, you know, like trying or going to psychologytoday.com to like go through their therapist directory, find a therapist that's in private practice.
00:52:28.680You'll like the quality of care is through the roof compared to the quality of care that you get from BetterHelp just because of the way that BetterHelp is like set up.
00:54:40.220And you can personally email me at hello at therapydem.com if you have any questions.
00:54:45.240The Astroworld disaster has turned into a hotbed of conspiracy theories.
00:54:48.820In our next episode, we'll hear from researcher Abby Richards about why this tragedy has resulted in satanic panic on social media platforms like TikTok.
00:55:01.440Got a story about an interesting thing in tech or just want to say hi?
00:55:05.080You can reach us at hello at tangody.com.
00:55:07.340You can also find transcripts for today's episode at tangody.com.
00:55:10.740There Are No Girls on the Internet was created by me, Bridget Todd.
00:55:13.500It's a production of iHeartRadio and Unbossed Creative.
00:55:16.200Jonathan Strickland is our executive producer.
00:55:18.260Tari Harrison is our producer and sound engineer.
00:55:20.880Michael Amato is our contributing producer.