Best Online Couples Therapy and Counseling of 2023

Online services offer inclusive, empathetic support for couples of all kinds.

We independently research, test, review, and recommend the best products. Healthcare professionals review articles for medical accuracy. Learn more about our process . If you buy something through our links, we may earn a commission.

It isn’t uncommon to view couples therapy as an indicator of major relationship dysfunction. And it is true that sometimes, couples may be seeking support for healing after a huge rupture like infidelity or even exploring if separation is the best option. However, couples therapy is actually much more than that. It can be a preventative form of support, a way to learn how to manage conflicts before they happen. Consider all of the differences that come up in partnerships: parenting styles, family history, values, sex, money management, and so much more. Having an objective professional trained to support each of you in ironing out your concerns with effective communication skills is an incredibly useful investment.

In fact, couples therapy is clinically proven to enhance overall relationship satisfaction. That’s why we’ve gathered a list of the best online couples therapy platforms, where you can seek support from anywhere, regardless of busy schedules, issues with childcare, or therapist availability in your area. Our selections were based on user experience, price point, and quality of services.

12 Best Online Couples Therapy and Counseling Services of 2023

Why Trust Us
Companies reviewed
Total users surveyed
Data points analyzed
We surveyed 105 users from each online therapy company and asked the companies to complete questionnaires. Then, we tested the services ourselves, conducted comprehensive data collection research, and evaluated our results with the help of three licensed therapists.

Best Overall : ReGain

  • Price: $240-$360+ per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Special Offer

Verywell Mind readers get 20% off their first month of ReGain membership.

Why We Chose It

We believe ReGain offers the best online couples therapy services, thanks to its exclusive focus on relationships and robust library of resources. We love that it features licensed therapists with expertise in couples work.

Pros & Cons
  • Matches you with a therapist

  • Services are focused exclusively on relationships

  • Highly qualified therapists are available

  • Doesn’t take insurance

  • Have to sign up before learning price and therapist options

  • Sessions are short


ReGain , owned by virtual therapy giant BetterHelp , is an online therapy service focusing exclusively on relationships. You can sign up for couples therapy with your partner or you can sign up for individual, relationship-focused therapy. If you decide to sign up alone, you still have the option to have your partner join you later on.

During the sign-up process, you’re prompted to fill out a brief assessment and this information will be used to match you with a therapist. The assessment questions ask if you would like individual or couples therapy. When you select the couples therapy option, you are asked logistical and screening questions, like whether or not you live with your partner, if there is any domestic violence currently present in your relationship, if you have been in therapy before, why you’re seeking therapy now, and what you’re looking for in a therapist. We like that it asks for your preferences regarding the therapist’s sexual orientation, gender identity, age, and religious background. It also asks about your financial status. If you state that you feel its therapy plan is unaffordable, you’ll be offered a scholarship option.

ReGain offers messaging for both partners in a shared "room," in addition to live sessions. Live sessions, meanwhile, range from 30 to 45 minutes—the initial session is 45 minutes long, with subsequent sessions lasting 30 minutes. You and your partner will share an account and can chime in for support from your therapist as needed. You or your partner can also request an individual session if you would like one-on-one support.

Plans & Pricing

ReGain currently offers one subscription plan, which includes live sessions and messaging. It states its fees range from $60 to $90 per week, but it bills on a monthly basis. When I signed up for the service, I received a quote of $340 per month. I am based in Los Angeles and requested an LGBTQ+ therapist.

Something to keep in mind about pricing is that ReGain uses location-based surge pricing. This means that the exact fee will vary based on your location, your preferences for the type of therapist you’d like to work with, and the demand for therapists in your area. Such a practice can lead to therapy being more cost-prohibitive.

ReGain does not accept insurance or payment through FSAs or HSAs. It also does not provide any free consultations.

User Satisfaction

According to our survey data, 71% of users would recommend this service to their friends. It also has a high user satisfaction rating, with 77% of users giving it an overall positive rating. Users generally found ReGain to be of good value for the money, with 80% rating it excellent, very good, or good. Overall, 84% of users found ReGain better than other services they’ve used in the past.

Best With Medication Management : Talkspace

  • Price: $276 to $516 monthly
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling

Get $100 off your first month using promo code VERYWELL100 .

Why We Chose It

Talkspace has strong user ratings, offers couples therapy, and has medication management options, too. We believe it is best suited for well-resourced couples seeking medication management and relationship tune-ups.

Pros & Cons
  • Partners share a chatroom with their therapist, making communication easy

  • Unlimited messaging makes it easy to ask questions between sessions

  • Accepts some insurance plans

  • Sessions are short, so it's not the best for in-depth issues

  • Services are pricey without insurance

  • There have been privacy concerns raised about the company


Talkspace is a good fit for couples who need occasional or on-demand support on communication issues and general stressors. Its couples therapy sessions are just 30 minutes long, so the time isn’t sufficient for a deep dive. However, couples who are strapped for time may appreciate the brevity. Talkspace currently doesn’t bundle its couples therapy and medication management services, but we do appreciate that it is all available through the same company.

A benefit of having both couples therapy and medication management appointments through the same platform is the ease of having all your needs managed in one place. If you want, you can ask your providers to be in contact with each other. They will typically require you to sign off on a release of information that states you’re comfortable with them sharing confidential details of your treatment with one another. This common practice ensures you don’t have to waste your time repeating updates to each provider and can provide peace of mind that you have an integrated care team.

Regardless of the service you sign up for at Talkspace, you are matched with your provider based on an assessment questionnaire you fill out during the intake process. This questionnaire will ask you questions about why you’re seeking out therapy at this time, preferences you have for couples therapy, and logistical information about you and your partner.

Plans & Pricing

Talkspace offers a couples therapy subscription service, meaning you pay a flat fee of $436 a month ($109 per week) for four 30-minute live couples therapy sessions and unlimited messaging. You can choose to have your sessions held via video or live messaging. As for the unlimited messaging, you’re allowed to send your therapist as many messages as you’d like in-between sessions.

Medication management services are priced per session, with the initial session costing $249 and follow-up sessions costing $125 each.

Talkspace also does currently accept Optum, Cigna, Oscar, and Regence health insurance plans. It also accepts payments through HSA/FSAs but does not provide any free consultations.

User Satisfaction

The majority of Talkspace users would readily recommend it: 82% of clients said so in our user survey. This platform is also great at taking the guesswork out of finding a couples therapist: 88% of users found it to be very helpful in connecting them to the right therapist. As mentioned, this platform is pricey without insurance; however, 58% of users reported they found it to be affordable.

Most Affordable :

  • Price: $200-$440 per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Why We Chose It offers a wide range of services for couples, including live sessions, unlimited messaging, a virtual cognitive-behavioral therapy program, yoga videos, and more.

Pros & Cons
  • Wide range of services

  • Easy to change therapists

  • Unlimited messaging available

  • Doesn’t accept insurance

  • Therapists lack diversity

  • Might be cost-prohibitive for some


Some couples prefer to learn concrete skills in therapy that they can practice outside of their weekly 45-minute sessions, which is where excels. Its price point is comparable to other platforms; however, it offers exponentially more resources than its competitors. In addition to weekly sessions, you also receive access to a virtual journal, homework that reinforces the skills learned in session, and yoga videos. These additional features make a great value, especially for couples who want practical ways to work on what they're between sessions. Its services are also great for busy couples who may need to switch to an audio or messaging session unexpectedly.

The sign-up process at is very simple. You’ll fill out a brief assessment that asks logistical questions like your age and location, plus questions that ask you to share what you’re hoping to focus on in therapy, your preferred gender identity of your provider, and if you’d like audio, chat, or video sessions. Once you complete the assessment, you are matched with a therapist. If you don’t feel it is a good match, you can easily switch. You just have to log into your patient portal, and on the homepage, you’ll see a button that reads, “change therapists.” Upon clicking it, you’re shown a list of providers you can switch to. keeps things simple when it comes to navigating the website and scheduling sessions, which allows you and your partner to focus on the most important part—healing and growing together.

Plans & Pricing’s couples therapy costs $440 per month ($110 per week) for weekly 45-minute long sessions, unlimited messaging, and virtual coping tools and resources. There is only one couples therapy plan to choose from, though the company has a variety of individual therapy plans. The company is currently offering 20% off your first month of services, making the price $88 per week.

Unfortunately, the service is not in-network with any insurance providers, though it can provide a superbill if you want to independently seek reimbursement through your provider.

User Satisfaction received an overall 85% user satisfaction rating in our survey. Additionally, 70% of users were pleased with the program’s additional resources. A total of 82% of clients said they would refer the program to a friend.

Best Directory : Gottman Referral Network

Why We Chose It

The Gottman Referral Network is a directory exclusively featuring therapists trained in the Gottman Method, an approach known for its efficacy in supporting couples adjusting to marriage, addressing intimacy issues, and enhancing the overall relationship.

Pros & Cons
  • Over 1,000 therapists listed

  • Therapists are vetted, ensuring they have a high level of experience

  • The Gottman Method is an evidence-based practice

  • Lacking a range of diverse providers

  • Cannot search for providers based on price or insurance offerings

  • Not the best if you’re interested in therapists who aren’t only focused on the Gottman Method


The Gottman Referral Network is a directory that compiles couples therapists who specialize in the Gottman Method, a type of therapy developed by clinical psychologists John Gottman, PhD, and Julie Gottman, PhD. This therapy modality was built on tons of research about what factors lead couples to divorce. Based on the predictors identified through arduous study, the Gottman Method aims to teach couples to communicate more calmly, deescalate conflict, dodge stagnation, rekindle intimacy and feel more empathy toward one another.

According to the Gottman Referral Network website, this modality can be helpful for partners who struggle with communication, are blending their families, or are experiencing ongoing mental health stressors. Whether you think working with a Gottman-trained therapist or simply want to learn more about this approach to improving relationships, the Referral Network is a great resource.

If you'd like to try Gottman-style therapy, you’ll enter your state or zip code into the referral netwokr's search field. You can also search for a specific provider or filter your search by factors like level of training, type of insurance accepted, and any specialties you’re specifically seeking. You can also opt to find a couples therapist who offers therapy marathons, which are couples therapy intensives that last for one to three days.

Each Gottman Referral Network profile will indicate the provider's level of training and it's important to understand that there are three different levels of training a Gottman therapist can have. Level one training is an introduction to the method and a prerequisite for any further training. Clinicians who have completed this training have the foundational skills of the method down, like tools to help with conflict management, self-soothing practices, and how to identify goals in couples therapy. Level two clinicians have completed a three-day training that prepares them to address recurring conflicts and help couples develop a shared value system that helps reduce stress in disagreements. Level three provides more in-depth training in managing in-session conflict and teaching each party how to effectively repair after a rupture in the relationship. Certified Gottman therapists have completed all levels of training and have a minimum of 1,000 hours of post-graduate therapy experience.

Plans & Pricing

Providers do not list their pricing nor session lengths on the directory; however, therapy sessions generally range between $60 to $200 and are typically 50 minutes long.

The majority of providers on this directory do not accept insurance, though.

User Satisfaction

Our subject matter expert Nicholas Hardy, PhD, LCSW found this directory to be excellent for those who are particularly seeking out a Gottman-trained clinician. He also noticed that the referral network offers higher-quality providers than an average therapist database. It can be somewhat challenging to find a couples therapist that focuses specifically on the Gottman Method, with just 14% of therapists across all therapy directories surveyed using this modality. This makes the Gottman Referral Network directory even more helpful.

Best for Engaged Couples : Ours

  • Price: $400 upfront for 6 sessions
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy
Why We Chose It

Ours is a psychoeducational relationship program inspired by couples therapy. We love that it functions as a crash course in healthy relationships, helping couples develop new tools for effective communication.

Pros & Cons
  • Covers important pre-marriage topics like money, family planning, and values

  • Secular approach to premarital counseling

  • Option for financial support

  • Not the best for couples navigating more severe relational stressors

  • Not covered by insurance

  • Not considered couples therapy


Founded in 2021 by Jessica Holton, Adam Putterman, and Liz Earnshaw, Ours is a psychoeducational couples experience. It is a four-week program that helps couples learn how to engage in healthy communication around common challenging topics. The program provides a light-hearted approach to topics that can typically feel heavy, evidenced by the inclusion of quirky communication prompts and art projects as program assignments.

You can expect to receive two live sessions with an Ours “guide,” which is its terminology for a relationship coach. You’ll also complete four psychoeducational lessons and respond to various communication prompts. Ours refers to itself as premarital counseling, though it acknowledges that it can be effective for couples in any type of partnership. Each lesson is about an hour long and includes plenty of education on how you and your partner can communicate through financial issues, parenting , setting boundaries, and general differences. You can also expect guided conversations, reflection prompts, fun activities like dancing and scavenger hunts, plus some time to plan for your future. Every session opens with an exercise to get warmed up for the work and closes with an exercise to ground down.

Plans & Pricing

The Ours course includes two private 45-minute sessions with an Ours guide, four 60-minute self-guided educational lessons, and a variety of conversational prompts to explore between sessions.

The cost for this program is $400 total; insurance is not accepted. If you’re not sure about this service, you can try out one live session and one educational session for $50. You’ll pay the other $350 if you decide you’d like to keep going.

User Satisfaction

Overall, 78% of Ours users said their provider met the majority of their needs. What’s more, 87% of users said it was better than services they’ve used in the past. When it comes to the value of OURS, 79% found it to be of good, very good, or excellent value for the money.

Best for Christian Couples : Thriveworks

  • Price: Session rate varies by provider; $99 per session if not using insurance
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

Thriveworks is one of the few online couples therapy platforms we found that offers faith-based counseling, without having discriminatory statements of faith. Plus, it takes insurance and is available in all 50 states and Washington, D.C.

Pros & Cons
  • Offers an eclectic variety of treatment specialties, focuses, and modalities

  • Accepts health insurance

  • All therapists use evidence-based practices

  • Requires a membership fee in addition to the cost of each session

  • Does not offer a sliding scale

  • Cannot filter therapists by identity


Thriveworks was founded in 2008 by licensed professional counselor Anthony Centore, PhD. It offers a variety of therapy types, including Christian couples therapy. Some couples may prefer to have a therapist who is Christian and can incorporate faith-based practices into their work together. In doing so, they may begin to strengthen their relationship in a way that feels supportive and aligned with their values. This culturally sensitive therapy is readily available through Thriveworks.

To access Thriveworks’ therapy services, you are required to sign up for a membership that costs $39 per month. The membership includes the ability to contact your therapist by phone or email and access Thriveworks' app, Therapy Buddy. With Therapy Buddy, you can record your sessions, jot down a list of topics to explore in session, write down your key therapy takeaways, and more. In your search for a provider, you can filter based on insurance plans to find the right therapist for you. You are able to book your appointments directly through the website, with very few questions asked.

You can call Thriveworks and receive help getting set up with a therapist, or you can choose your provider and book a session directly. If you prefer to choose your own provider, you can filter your search based on insurance, the issue you’re seeking help for, provider identity, and clinical approach.

The specific modality used by each couples therapist varies, but some modalities include the Gottman Method, cognitive behavioral therapy , emotionally focused therapy , Imago relationship therapy , and solution-focused therapy. It is important to note that some therapists will use multiple modalities within their treatment style to ensure they’re meeting all the needs of their clients.

Plans & Pricing

Sessions at Thriveworks are offered either in person, by phone, or on video and last 50 to 60 minutes, though the exact length varies depending on the provider you choose.

Session fees also vary by provider, but generally fall in the range of $60 to $130 per session, with final pricing determined by your location and therapist preferences. There is also a monthly membership fee of $39. However, Thriveworks is covered by most insurance plans.

The good news is that Thriveworks is in-network with most insurance plans and will verify benefits before your first session. However, the type of insurance accepted will vary by therapist—be sure to check if your insurance plan covers couples therapy, though, as many do not.

User Satisfaction

Thriveworks has a very high user satisfaction rating: 90% of users rated it positively. Therapist qualifications are especially impressive at this company, with 88% of users rating it as good, very good, or excellent. What’s more, 80% of the Thriveworks users we surveyed would recommend the company to a friend. To learn more about Thriveworks, check out our full review .

Best for Sex Therapy : Modern Intimacy

  • Price: $150-$300
  • Is Insurance Accepted?: No
Why We Chose It

Modern Intimacy offers judgment-free therapy and workshops to help couples receive support around relationships and sexuality. We love its sex-positive lens, diverse roster of clinicians, and the wide range of subject matter it addresses.

Pros & Cons
  • Wide range of clinicians

  • Offers educational courses

  • Free 30-minute consultation

  • Currently only accepts clients in California, Colorado, Florida, Illinois, and New York

  • Price point is high compared to other companies featured

  • Does not accept insurance


Going to couples therapy is hard enough as it is. Seeking out therapy specifically for intimacy and sex stressors in a relationship can be even more challenging. Modern Intimacy has a roster of therapists who are either certified or working toward getting certified in sex therapy. This platform offers support for many different folks, including those healing from trauma, members of the LGBTQIA+ community , and those from BDSM/kink communities.

To get started, you will book a 30-minute consultation with an intake coordinator. It is recommended that both you and your partner are present for this. During this consultation, you’ll share what brings you to couples therapy, your goals, and any questions you might have. The intake coordinator will then work to match you with a therapist.

Modern Intimacy prides itself on a nonjudgmental approach, and you can expect its therapists to be versed in modalities like PACT couples therapy , the Gottman Method, Imago therapy , emotionally focused therapy , internal family systems therapy, cognitive behavioral therapy , and attachment theory . Providers also may use trauma-informed therapy , ensuring they cultivate a safe space for both you and your partner.

Plans & Pricing

At Modern Intimacy, therapy can range from $150 to $300 per 50-minute session, depending on the credentials and experience of the provider. The company does not accept insurance, though it can offer you a superbill to submit to your insurance. It also offers a free 30-minute consultation that you can schedule directly on the website.

User Satisfaction

While Modern Intimacy users weren’t surveyed for this particular project, we did award it as the Best Overall Online Sex Therapy Program in our 2022 round-up . And, of the few reviews of Modern Intimacy we found online, each one rated the company five stars, and the users raved about its services.

Best for Group Therapy : Mindful Care

  • Price: $49 per month for substance abuse; Individual therapy: $50 for 20-minute sessions; $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

We recommend Mindful Care because it offers a virtual group called CONNECT that offers support for various relationships—romantic, friends, family, and even colleagues.

Pros & Cons
  • Very affordable

  • Unique opportunity to build relationship skills

  • Accepts insurance

  • Only offers services in Connecticut, Florida, Illinois, Michigan, New Jersey, and New York

  • Focuses on all relationships, not just romantic

  • Participating in a group may not be for everyone


It's rather rare to find a therapy group focused exclusively on relationship dynamics. Mindful Care ’s CONNECT therapy group offers a unique opportunity to strengthen your communication skills. Its focus on mindfulness and cognitive behavioral therapy will support you in developing increased comfort in navigating sticky conversations. Keep in mind, it isn’t solely for romantic partnerships, so you can expect to build solid skills for all your relationships.

There are some things to keep in mind when considering group therapy. First, it isn’t the best for those who are solely seeking individualized feedback. Part of the group therapy experience is hearing others’ perspectives and noticing how they are navigating their healing journey. Plus, being in connection with other group members offers the opportunity to strengthen your relational skills.

Additionally, if you want to discuss sensitive issues and the thought of doing so in a group format gives you pause, group therapy may not be the best for you. Alternatively, if you are eager to develop community, strengthen your communication skills, or are seeking a lower-fee therapy option, group therapy could be a great fit for you.

Mindful Care also offers individual therapy, psychiatry and medication management services, and addiction services for opioid or alcohol use. Additionally, it offers a service it calls “MicroTherapy": urgent 20-minute check-ins with a therapist that you can schedule same-day.

Plans & Pricing

Group therapy at Mindful Care costs $35 per session.

MicroTherapy costs $50 per session. For individual therapy, the initial evaluation costs $150 out-of-pocket, and subsequent 40-minute sessions are $100. An initial 40-minute psychiatric evaluation costs $175, and 20-minute follow-up appointments cost $75. The addiction recovery plan costs $49 per month. Mindful Care is also in-network with many insurance providers, including Cigna, Medicare, Medicaid, and Optum. Plans accepted vary by location, but the company will check your coverage before your treatment begins.

User Satisfaction

Mindful Care providers come highly rated—95% of users found the service’s clinicians to have good, if not excellent, qualifications. Most users were satisfied with the platform’s clinicians: 82% felt that they were able to meet most, if not all, of their needs. Therapist diversity is another win with this platform: 86% of users found Mindful Care to have a range of diversity among providers.

Best for Parenting : Little Otter

  • Price: $90 for a 30-minute “Welcome Session”, $200 for one 45-minute session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Children's Therapy, Couples Therapy, Family Therapy, Teen Counseling
Why We Chose It

Little Otter’s focus on the entire family unit is why we chose it as the best online couples therapy platform for parenting.

Pros & Cons
  • Focus on the entire family unit’s mental health

  • Resources and tools that can be used outside of sessions

  • Messaging between sessions

  • Doesn’t take insurance

  • Charges for the initial assessment session

  • Is expensive compared to other companies on the list


Little Otter approaches family mental health services with a holistic perspective, meaning there is something for everyone. As parents, when it comes to mental health, the whole family’s well-being can significantly impact the strength of a couple’s relationship. This is where Little Otter comes in. It offers therapy for all members of the family, from kids ages 0 to 14 to individual and couples counseling for parents with little ones seeking care at Little Otter.

You’ll begin by taking a brief questionnaire that offers the company a snapshot of your family’s current stressors. After that, you are delivered a personalized report with insight into the current health of each family member. Then, you book your 30-minute assessment call to get started for $90. In that call, you can share your current challenges and what you hope to receive from couples therapy.

Since this platform is specifically for families, you can expect strong support on parenting challenges. In your assessment call, be sure to ask any and all questions. This can help you gauge your expectations and determine if this is the right service for your relationship. All subsequent sessions are 45 minutes long.

Be aware that Little Otter currently is only available in California, Colorado, Florida, North Carolina, Texas, Pennsylvania, Virginia, Washington, D.C., New York, Illinois, Utah, and Maryland.

Plans & Pricing

Your initial 30-minute assessment session costs $90 at Little Otter. Every session after is 45 minutes long and costs $200.

Unfortunately, Little Otter is only in-network with one insurance provider, but payments can be made through a FSA/HSA.

User Satisfaction

Little Otter received a 75% overall user satisfaction rating from our survey participants. Little Otter beats out competitors, with 81% of users scoring it higher than similar services they’ve used in the past. Users are a bit more hesitant to refer friends to this company, though, with 58% of clients stating they’d recommend the company to someone else.

Best for Insurance : Teladoc

  • Price: $0-$299
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Psychiatry
Why We Chose It

While couples therapy is a worthwhile investment, it is also incredibly expensive. Teladoc accepts a wide variety of health insurance plans, making its sessions reasonably priced.

Pros & Cons
  • Accepts insurance

  • Offers a wide range of services

  • Will check your insurance benefits for you

  • Doesn’t list the health insurance plans it accepts until sign-up

  • Cannot see therapist bios prior to sign-up

  • Cannot filter therapist search by qualifications


Teladoc accepts over 60 different insurance plans, securing its place as our pick for the online couples therapy platform that is best for insurance. In our 2022 Cost of Therapy Survey , 40% of people surveyed required financial support to fund their treatment, and 48% said they’d have to stop treatment altogether if their session fees increased. This speaks to the financial challenges associated with seeking out mental health support. Teladoc is perfect for couples who need to use their insurance benefits to receive care. The service even accepts Medicare and Medicaid .

You will complete a brief assessment during the sign-up process. During this assessment, either you or your partner will be prompted to enter your insurance information, your preference of your therapist’s gender identity, and your medical and mental health history. After you’re registered, you will then head to your patient portal and add your partner to your account. Your partner will then receive an email prompting them to register with the platform. Once they register and complete assessment documents, either party can request a couples therapy session.

After requesting a session, you will be asked a few questions and then will be presented with various providers who could be a good fit. If you’re not pleased with the options provided, you can see a list of all available therapists to select from. Teladoc therapists offer a range of therapy modalities, including cognitive behavioral therapy, dialectical behavioral therapy , and trauma-informed therapy, ensuring there isn’t a shortage of great support waiting for you.

Plans & Pricing

Teladoc does not offer an online therapy subscription; instead you pay per therapy session. The cost for these sessions ranges from $0 to $99 per 45-minute couples therapy session, depending on your insurance coverage.

Teladoc does accept over 60 forms of insurance, including some Medicare and Medicaid plans, but be sure to check with your provider to see if couples therapy is covered.

User Satisfaction

Users are impressed with Teladoc, with 97% of users giving it a positive rating. Teladoc therapists were rated highly for their qualifications, with 94% of users finding their therapist qualifications to be good, very good, or excellent. Diversity saw another win, with 90% of Teladoc users reporting they found the provider options to be diverse, which is a great note for couples with marginalized identities who are seeking support.

Best for Divorce Counseling : Growing Self

  • Price: $125 to $150 per session
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Why We Chose It

Ending a relationship is never easy, and the road to healing can be arduous. Growing Self offers divorce counseling and breakup recovery support.

Pros & Cons
  • Specific focus on relationships

  • Offers divorce group therapy

  • Offers a free consultation

  • Expensive compared to other services

  • No adjunct messaging services

  • Minimal diversity across providers


Divorce comes with many complications, including grief, custody battles, and court proceedings. Growing Self offers support specifically aimed at the challenges that come with divorce. It provides individual therapy for you to heal solo, couples therapy in case you and your former partner need support in your uncoupling, and support groups so you can connect with others who can relate to your experience.

While it may seem contradictory to hire a couples therapist during a breakup, doing so can help ease the stress and tension that can arise during divorce. You can expect divorce counseling to focus on conflict resolution and developing communication tools to navigate the end of the relationship. Each session is 45 minutes long.

We are also especially impressed with Growing Self's breakup and divorce support group . It is an intimate gathering of six or fewer members who meet every week for about an hour to an hour and 15 minutes. It is facilitated by a divorce counselor and breakup recovery coach who leads the group through various activities and guided discussions. Each session is only $40, ensuring it is financially accessible even in the midst of an expensive divorce. An eight-week commitment is requested to ensure the emotional safety and cohesion of the group is maintained. Keep in mind that this is a coaching-oriented support group. While the facilitator is a divorce counselor and breakup recovery coach, you can expect this group to be more focused on actionable activities and guided discussion rather than in-depth emotional processing.

Plans & Pricing

Couples therapy at Growing Self ranges from $65 to $160 per 45-minute session based on the therapist’s level of training. Sliding scale pricing is available.

Support groups cost $40 per 60-minute group session.

Unfortunately, Growing Self does not accept insurance, but you can schedule a free consultation to get started.

User Satisfaction

When compared to platforms used in the past, 79% of users found Growing Self to be better. What’s more, 69% of users found the sign-up process to be easy, and another 24% felt it was neither easy nor difficult. While its pricing is higher than some of the other featured companies, 58% of users considered it affordable.

Best for Overcoming Infidelity : Octave Online Therapy

  • Price: $170 to $275 per session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It

Octave has a team of clinicians trained to tackle a wide range of couples’ needs, including repair after infidelity.

Pros & Cons
  • In-network with some insurance plans

  • Highly qualified providers

  • Matches you with a therapist

  • Only available in six states and Washington D.C.

  • Doesn’t accept a wide range of insurance plans

  • Sessions can be very expensive


Life after infidelity can feel isolating and scary. Octave ’s clinicians have an eclectic range of training to specifically support couples in repairing their relationship after infidelity. Providers use modalities like emotionally focused therapy , which can help develop trust and a secure attachment.

You are matched with a therapist based on an intake questionnaire where you will be asked to answer logistical questions plus questions that focus on what you’re hoping to gain from couples therapy. Afterwards, you’ll receive an email letting you know that you’ll be matched with a provider within seven to 10 days. Octave’s matching process is individualized. While other platforms may rely on an algorithm, Octave has a care navigator that will review your intake paperwork and work to match you with the best couples therapist.

Counseling after infidelity can support couples in moving forward together. Whether that is deciding to end the relationship or developing tools to move beyond the rupture, couples therapy can help both of you find the best resolution for your unique situation. Furthermore, research backs the efficacy of infidelity counseling. A 2014 study found that those who revealed infidelity in a relationship and received counseling were less likely to get divorced. Additionally, marital satisfaction in couples who were honest about the infidelity in the relationship and received therapy was just as high as married couples who did not engage in infidelity.

It’s important to note, however, that Octave’s services are currently only available in California, Connecticut, Florida, New Jersey, New York, Texas, and Washington, D.C.

Plans & Pricing

Sessions at Octave are 45 minutes long and range from $190 to $275, with the final price depending on the provider you choose and your location.

The company does accept Anthem Blue Cross of California, Aetna, Health Net and Managed Health Network (MHN), and UnitedHealthcare UMR plan for Mount Sinai. Coverage varies by state.

User Satisfaction

Octave has an overall user satisfaction rating of 71%. Its matching service is highly regarded amongst clients: 69% of users found it to be helpful in connecting them to a therapist. If they needed a new therapist in the future, 56% of clients surveyed said they would use Octave again.

Compare the 12 Best Online Couples Therapy and Counseling Services of 2023

Best For
Is Insurance Accepted?
Does it Accept HSA/FSA?
Type Of Therapy
Communication Options
Reset All
ReGain Best Overall $240-$360+ per month No No Couples Therapy, Individual Therapy Audio, Live Chat, Messaging, Video Chat Learn More
Hide, not for me
Talkspace Best With Medication Management $276 to $516 monthly Yes Yes Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Live Chat, Messaging, Phone, Video Chat Learn More
Hide, not for me Most Affordable $200-$440 per month No Yes Couples Therapy, Individual Therapy Audio, Messaging, Video Chat Learn More
Hide, not for me
Gottman Referral Network Best Directory N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me
Ours Best for Engaged Couples $400 upfront for 6 sessions No No Couples Therapy Messaging, Video Chat Learn More
Hide, not for me
Thriveworks Best for Christian Couples Session rate varies by provider; $99 per session if not using insurance Yes Yes Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Phone, Video Chat Learn More
Hide, not for me
Modern Intimacy Best for Sex Therapy $150-$300 No No N/A Video Chat Learn More
Hide, not for me
Mindful Care Best for Group Therapy $49 per month for substance abuse; Individual therapy: $50 for 20-minute sessions; $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry session Yes No Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Video Chat Learn More
Hide, not for me
Little Otter Best for Parenting $90 for a 30-minute “Welcome Session”, $200 for one 45-minute session Yes No Children's Therapy, Couples Therapy, Family Therapy, Teen Counseling Messaging, Video Chat Learn More
Hide, not for me
Teladoc Best for Insurance $0-$299 Yes No Psychiatry Audio, Video Chat Learn More
Hide, not for me
Growing Self Best for Divorce Counseling $125 to $150 per session No No Couples Therapy, Individual Therapy Video Chat Learn More
Hide, not for me
Octave Online Therapy Best for Overcoming Infidelity $170 to $275 per session Yes No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy Audio, Video Chat Learn More
Hide, not for me

Final Verdict

Admitting you need some support isn’t easy for most couples, but online couples therapy at least makes the process of getting help simple. We’re confident that there’s something for any couple on this list. However, if you’re not sure where to start, we recommend going with our pick for the overall best online couples therapy platform: ReGain . It focuses exclusively on couples, offers unlimited messaging, and features a roster of highly qualified therapists.

Looking for a directory of therapists and feeling confident taking it from there? Those well-versed in therapy modalities may want to find a Gottman Method-trained therapist through the Gottman Referral Network directory .

Guide to Choosing the Best Online Couples Therapy

There is a lot to think about when choosing the right online couples counseling or therapy for yourself and your partner. Here are some factors we recommend you consider:

  • Price: Therapy and counseling for couples is often slightly more expensive for couples, with monthly costs ranging from less than $50 to over $500. Consider whether the strain on your budget will add stress to your relationship, and whether choosing a service that accepts insurance can help minimize expenses.
  • Specialties: Are you and your partner looking to improve your overall communication and relationship, or are you more specifically looking for help with parenting or intimacy? Choosing a service tailored to your needs can improve your experience
  • Scheduling: Online counseling offers more schedule flexibility in general, because you can attend sessions from anywhere. But some services offer weekend or evening appointments, which may be a huge help for parents of young kids or those with demanding or unusual work schedules.
  • Communication method: Services that offer texting may give you added flexibility if scheduling is difficult but, for others, the dedicated face-time of live counseling may be a higher priority.
  • Switching therapists: You should get to work with a therapist you feel comfortable with, so be sure to look into how easily you can switch if you're not happy with the person you're initially paired with.

Need Support Now?

If you are having thoughts of harming yourself or others, please seek support immediately. You can text the Crisis Textline at 741741, call 988 to get connected to emergency mental health resources, or dial 911 for emergency services.

Frequently Asked Questions

  • What Is Couples Therapy?

    Couples therapy is a form of therapy that provides clinical support to you and your partner. It can help with anything from infidelity to parenting issues. Some people opt to attend couples therapy even when all is well in their relationship. This approach can help prevent issues moving forward.

  • How Does Online Couples Therapy Work?

    The exact process for online couples therapy will vary. In general, you can expect to spend 30 to 60 minutes in an audio or video session with a licensed clinician that specializes in treating couples. During this time, the therapist will work with you and your partner to develop goals and ways to enhance your relationship and reduce conflict. Sessions usually occur on a weekly basis. Some platforms offer an opportunity to message your therapist and complete homework assignments in between sessions.

  • How Can Couples Therapy Help Me and My Partner?

    Some couples find that they’re constantly rehashing the same issues, or they clash when it comes to parenting, finances, or planning for the future. Others might be working to overcome infidelity or have individual histories of trauma that present challenges in their relationship. A couples therapist is a non-biased party that can support each person in developing healthier communication tools that lead to decreased conflict and turmoil in the relationship.

    You might be encouraged to practice different communication tactics in session and then have to continue to practice outside of session. In other situations, your therapist might teach each of you how to self-soothe so you can regulate your emotions during a fight and decrease the overall distress of the relationship.

    While some couples may have reservations about the efficacy of online couples therapy, a study published in 2019 found it to be just as effective as in-person sessions.

  • Which Online Couples Therapy Platform Should I Pick?

    The online couples therapy platform you settle on is completely dependent upon the needs of your relationship. Consider what would feel most supportive for you and your partner, factoring in the type of provider, pricing, and insurance policies you’re most comfortable with.

  • What Are the Types of Online Couples Therapy?

    There are many different types of online couples therapy, ensuring there is something for any couple hoping to strengthen their relationship. A few popular types of couples therapy include:

    • Emotionally focused therapy (EFT) : Uses attachment theory to help couples find enhanced satisfaction
    • Imago relationship therapy (IRT) : Focuses specifically on understanding childhood wounds in a partnership. In turn, couples can begin to understand each other better and develop stronger communication skills.
    • The Gottman Method : Focuses on decreasing toxic communication by enhancing conflict-resolution skills, trust, commitment, and shared goals in relationships

    You can select the best type of couples therapy for you based on your presenting issues and goals. For example, if you and your partner have had complex childhoods, IRT might be the best fit. Perhaps you and your partner have different attachment styles, in which case EFT would be the best. Looking for some strong conflict-resolution support? Check out the Gottman Method.

  • Is Online Couples Therapy Right for You?

    Online couples counseling is fantastic, but it isn’t for everyone. If one or both of you have a diagnosis of a severe mood disorder or schizophrenia , online services won’t be the best option. Online therapy platforms may not provide the level of support needed when working with both relationship issues and serious mental health concerns. If this describes your situation, try checking out in-person services near you—you can still use the Inclusive Therapists or Gottman Referral Network directories to find a provider.

    Similarly, online couples counseling isn’t suitable for relationships where domestic violence is occurring. This is because some conversations in couples therapy can end up escalating the violence. Instead, it is imperative that therapy is sought out separately by each partner.


We sent questionnaires to 55 companies and surveyed 105 current users of each platform. We also reviewed 25 different online therapist directories by surveying 180 users of the service, interviewed 358 therapists listed on the directory, and reached out to each company to answer questionnaires. This gave us a wealth of qualitative and quantitative data about the user experience at each company. Additionally, I tested out the couples therapy services for one platform and general therapy services for four different platforms.

Each company was evaluated based on the sign-up process, therapist qualifications, user experience, variety of couples therapy offered, session length, subscription options, average cost, value for money spent, whether it is in-network with insurance companies, and the average percent of users willing to recommend the company to a friend.

Best Online Couples Counseling

VeryWell Mind/ Design by Amelia Manley

Article Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Schofield MJ, Mumford N, Jurkovic D, Jurkovic I, Bickerdike A. Short and long-term effectiveness of couple counseling: a study protocol . BMC Public Health . 2012;12(1):735. doi:10.1186/1471-2458-12-735

  2. Marín RA, Christensen A, Atkins DC. Infidelity and behavioral couple therapy: Relationship outcomes over 5 years following therapy . Couple Fam Psychol Res Pract . 2014;3(1):1-12. doi:10.1037/cfp0000012

  3. Kysely A, Bishop B, Kane R, Cheng M, De Palma M, Rooney R. Expectations and experiences of couples receiving therapy through videoconferencing: a qualitative study . Front Psychol. 2019;10:2992. doi:10.3389/fpsyg.2019.02992

By Julia Childs Heyl
Julia Childs Heyl, MSW, is a clinical social worker and writer. As a writer, she focuses on mental health disparities and uses critical race theory as her preferred theoretical framework. In her clinical work, she specializes in treating people of color experiencing anxiety, depression, and trauma through depth therapy and EMDR (eye movement desensitization and reprocessing) trauma therapy.

Edited by
Simone Scully ,

Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

Learn about our editorial process
Hannah Owens ,
Hannah Owens

Hannah Owens is the Mental Health/General Health Editor for performance marketing at Verywell. She is a licensed social worker with clinical experience in community mental health.

Learn about our editorial process
Olivia Campbell
A white woman with red hair and blue glasses stands in front of green trees

Olivia Campbell is a health editor for performance marketing at Verywell. She is author of the New York Times best-selling book “Women in White Coats: How the First Women Doctors Changed the World of Medicine.”

Learn about our editorial process