The 10 Best Online Couples Therapy Services We Tried and Tested

If you’ve heard that going to couples therapy is a sign of trouble, you’re not alone. Yes, it can be helpful if there is a big issue in your relationship, like infidelity, but it can also be beneficial during the good times. Plus, clinical studies have shown that couples therapy canenhance overall relationship satisfaction.A relationship therapist can help you learn to manage conflict, communicate with your partner better, or navigate differences you might have around parenting styles, sex, money management, and more.

“Couples counseling isn’t just for people whose relationship is on the rocks. It can actually support an already strong relationship, and evenprevent relationship troublesthat might otherwise have cropped up down the line,” saysHannah Owens, LMSW.

The 10 Best Online Couples Therapy CompaniesMost Flexible:ReGainBest for Busy Couples:TalkspaceMost Affordable:Online-Therapy.comBest Directory:Gottman Referral NetworkBest for Christian Couples:ThriveworksBest for Sex Therapy:Modern IntimacyBest for Group Therapy:Mindful CareBest for Parenting:Little OtterBest for Divorce Counseling:Growing SelfBest for Overcoming Infidelity:Octave

82Companies reviewed8,400Total users surveyed350Data points analyzedWe surveyed 100 users from 55 online therapy companies and 27 therapist directories to understand their experiences with these services. Then, we tested the services ourselves across multiple states, conducted comprehensive data collection research, and evaluated our results with the help of a licensed therapist.

82Companies reviewed8,400Total users surveyed350Data points analyzed

82Companies reviewed

Companies reviewed

8,400Total users surveyed

Total users surveyed

350Data points analyzed

Data points analyzed

Why Trust Us?

Our Online Therapy MethodologyCurious about the extensive work we did to research and evaluate online therapy companies? Take a look at ouronline therapy methodology.

Our Online Therapy Methodology

Curious about the extensive work we did to research and evaluate online therapy companies? Take a look at ouronline therapy methodology.

The 10 Best Online Couples Therapy Services We Tried and TestedView AllThe 10 Best Online Couples Therapy Services We Tried and TestedOur Top PicksReGainTalkspaceOnline-Therapy.comGottman Referral NetworkThriveworksModern IntimacyMindful CareLittle OtterGrowing SelfOctaveSee More (7)Compare ProvidersGuide to Choosing the Best Online Couples TherapyIs Online Couples Therapy Right For You?FAQs

The 10 Best Online Couples Therapy Services We Tried and TestedView All

View All

The 10 Best Online Couples Therapy Services We Tried and Tested

Guide to Choosing the Best Online Couples Therapy

Is Online Couples Therapy Right For You?

FAQs

Most Flexible:ReGain

Price:$260-$360+ per monthIs Insurance Accepted?:NoType Of Therapy:Couples Therapy, Individual TherapyLearn More

Learn More

Why We Chose It

Pros & Cons

ProsCan join with a partner, alone, or invite your partner laterMatches you with a therapistServices are focused exclusively on relationshipsHighly qualified therapists are availableYou and your partner can access sessions from different devicesConsDoesn’t take insuranceHave to sign up before learning price and therapist optionsSessions are short

Can join with a partner, alone, or invite your partner later

Matches you with a therapist

Services are focused exclusively on relationships

Highly qualified therapists are available

You and your partner can access sessions from different devices

ConsDoesn’t take insuranceHave to sign up before learning price and therapist optionsSessions are short

Doesn’t take insurance

Have to sign up before learning price and therapist options

Sessions are short

Our Testing

We had six people from four different locations (New York, Ohio, South Dakota, and the United Kingdom) test outReGain’s couples counseling services, both with and without their partners—and overall, our experience was positive, with ReGain’s flexibility standing out to us the most.We found it easy to schedule therapy sessions at all different times of the day, from early morning to mid-day (on our work lunch breaks) to in the evening after work. We could schedule sessions on weekends with some therapists, and one of our therapists was even willing to accommodate appointment times not listed on their schedule upon request. In addition, the company also allowed us and our partners to access our therapy sessions from two different locations, making it even easier for us to use its services. After being assigned a therapist, we had the option to select that therapist or to request someone else; this flexibility was important when choosing a provider because it allowed us to keep searching until we found our best match.“My husband and I both work 9-5 so we are unavailable during the day for the most part. [Our therapist] was very willing to work with us to find a time that best suits us even if that time was out of her typical schedule."-Verywell Mind ReGain testerThere are a few things to consider before trying ReGain, though. First, ReGain offers messaging for both partners in one “room,” in addition to live sessions—this means that whatever you write to your therapist in the room is visible to your partner. We found this to be uncomfortable, and it discouraged us from using this chat function. In addition, live sessions range from 30 to 45 minutes long—and we did not feel this was an adequate amount of time for a couples therapy session, since it often left us in the middle of an argument that continued after our session was over. Something else to keep in mind 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.

We found it easy to schedule therapy sessions at all different times of the day, from early morning to mid-day (on our work lunch breaks) to in the evening after work. We could schedule sessions on weekends with some therapists, and one of our therapists was even willing to accommodate appointment times not listed on their schedule upon request. In addition, the company also allowed us and our partners to access our therapy sessions from two different locations, making it even easier for us to use its services. After being assigned a therapist, we had the option to select that therapist or to request someone else; this flexibility was important when choosing a provider because it allowed us to keep searching until we found our best match.

“My husband and I both work 9-5 so we are unavailable during the day for the most part. [Our therapist] was very willing to work with us to find a time that best suits us even if that time was out of her typical schedule."-Verywell Mind ReGain tester

-Verywell Mind ReGain tester

There are a few things to consider before trying ReGain, though. First, ReGain offers messaging for both partners in one “room,” in addition to live sessions—this means that whatever you write to your therapist in the room is visible to your partner. We found this to be uncomfortable, and it discouraged us from using this chat function. In addition, live sessions range from 30 to 45 minutes long—and we did not feel this was an adequate amount of time for a couples therapy session, since it often left us in the middle of an argument that continued after our session was over. Something else to keep in mind 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.

Plans & Pricing

Insurance Accepted:No, and does not accept payment through flexible spending accounts (FSAs) or health savings accounts (HSAs)Subscription Required:YesOut-of-Pocket Costs:$65 to $90 per week, billed on a monthly basis

What Users Say

We surveyed 100 users of ReGain:87% rated ReGain as very good or excellent overall93% rated their therapist’s qualifications as very good or excellent98% said that most or all of their needs were met at ReGain98% are likely or very likely to recommend ReGain to a friend or someone like them28% were seeking couples counseling, 18% were seeking marriage counseling, and 7% were seeking premarital counseling

We surveyed 100 users of ReGain:

Read the FullReGain Online Therapy Review

Best for Busy Couples:Talkspace

Price:$276 to $436 per month for therapy subscriptionsIs Insurance Accepted?:YesType Of Therapy:Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen CounselingLearn MoreGet $85 off your first month with codeVERYWELL85.

Price:$276 to $436 per month for therapy subscriptionsIs Insurance Accepted?:YesType Of Therapy:Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen CounselingLearn More

Get $85 off your first month with codeVERYWELL85.

WhileTalkspacedoesn’t offer the longest sessions, it’s a great option for busy couples looking for a relationship tune-up because of its convenience. Your sessions are 30 minutes long, but they can be scheduled at flexible times, and you have the option of messaging your therapist in a joint portal 24/7 with a guaranteed response five days a week. Plus,couples can use Talkspace therapyas a one-stop shop for all your therapy needs beyond the ones you want to explore as a couple: You can sign up for individual talk therapy, add on psychiatry sessions, or even access therapy for your child (as long as they are at least 13 years old).

ProsPartners share a chatroom with their therapist, making communication easyUnlimited messaging makes it easy to ask questions between sessionsSessions can be scheduled at convenient timesAccepts some insurance plansCan also sign up for individual psychiatry sessions as add-on serviceConsSessions are short, so it’s not the best for in-depth issuesServices are pricey without insuranceThere have been privacy concerns raised about the company

Partners share a chatroom with their therapist, making communication easy

Unlimited messaging makes it easy to ask questions between sessions

Sessions can be scheduled at convenient times

Accepts some insurance plans

Can also sign up for individual psychiatry sessions as add-on service

ConsSessions are short, so it’s not the best for in-depth issuesServices are pricey without insuranceThere have been privacy concerns raised about the company

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

We could choose from video, audio, or live chat sessions, and our talk therapy sessions varied in length from 30 to 45 minutes during our testing, though most tended to be 30 minutes. We thought that this was a bit short for two people to talk—especially if you’re dealing with a difficult issue in your relationship. However, if you have a jam-packed schedule or you’re dealing with less serious issues in your relationship and/or looking for advice to make it better (say, looking for tips to improve communication, as we were), the shorter sessions work.

“You can fit in therapy at your leisure, even on the weekends."-Verywell Mind Talkspace tester

“You can fit in therapy at your leisure, even on the weekends.”

-Verywell Mind Talkspace tester

Although we were often pleased with the therapists we were matched with in this process, it wasn’t the case every time. There was one instance of a therapist having technical issues and signing off early and another therapist not asking many questions or offering guidance. However, we found other therapists were warm, supportive, and invested in our growth.

We appreciate that Talkspace is a very versatile therapy company so even if you’re primarily interested in couples therapy, you can also find help for yourself outside your relationship. In addition to its individual therapy plans, you can also add on psychiatry services if you want and/or need them. This is a highly unusual option when it comes to companies that offer couples counseling, and we appreciatethe ability to include this service if we choose to, making Talkspace truly a one-stop shop for a busy person with a variety of therapeutic needs.

Insurance Accepted:Currently accepts Aetna, Optum, Cigna, Carelon, and Regence health insurance plans. It also accepts payments through HSAs and FSAs.Subscription Required:Yes for therapy; no for psychiatry servicesOut-of-Pocket Costs:Couples therapy is $436 a month ($109 per week) for four live sessions; medication management (psychiatry) services are priced per session, with the initial session costing $249 and follow-up sessions costing $125 each. Individual therapy plans range from $69-$109 a month.

We surveyed 100 users of Talkspace:92% rated Talkspace as very good or excellent overall89% rated their therapist’s qualifications as very good or excellent100% said that most or all of their needs were met at Talkspace97% are likely or very likely to recommend Talkspace to a friend or someone like them8% were seeking couples counseling, 4% were seeking marriage counseling, and 2% were seeking premarital counseling

We surveyed 100 users of Talkspace:

Read the FullTalkspace Online Therapy Review

Most Affordable:Online-Therapy.comPrice:$200-$440 per monthIs Insurance Accepted?:NoType Of Therapy:Couples Therapy, Individual TherapyLearn MoreWhy We Chose ItFor $440 a month,Online-Therapy.comoffers couples exponentially more resources than the other competitors we reviewed. Not only do you receive weekly couples therapy sessions with your subscription, but you also get access to a virtual journal, homework that reinforces the skills learned in sessions, and even yoga videos, making it a great value.Pros & ConsProsGreat value for all of the services and resources availableWide range of servicesEasy to change therapistsUnlimited messaging availableConsDoesn’t accept insuranceTherapists lack diversityMight be cost-prohibitive for someOur TestingWe asked six people to testOnline-Therapy.com’s various services, with two of them specifically testing its couples therapy subscription from California and Pennsylvania. And overall, we were very impressed with Online-Therapy.com’s value for the price.In addition to the weekly couples sessions (which are 45 minutes long), we had access to a plethora of additional resources and materials that helped support us between sessions, such as journaling, activity plans, and even yoga videos. These resources were available to us for a price comparable to and often lower than other companies that don’t provide these extra services.“The platform does provide homework and worksheets to go through, and after each session, my therapist would give me something that they wanted me to work on throughout the week."-Verywell Mind Online-Therapy.com testerWe also liked that Online-Therapy.com’s couples services usecognitive behavioral therapy(CBT) as the primary approach. As a therapy approach based on identifying negative and unhelpful thought patterns and learning to redirect them in a healthy way, we found that it helped us with things like communication and trust-building. Our therapists also gave us CBT-based worksheets and materials to practice these new skills outside of session with our partners. We did, however, occasionally experience technical difficulties when trying to sign up.Plans & PricingInsurance Accepted:No, but a superbill can be provided to try to seek reimbursement through your provider.Subscription Required:YesOut-of-Pocket Costs:Couples therapy is $440 per month ($110 per week) for weekly 45-minute long sessions, unlimited messaging, and virtual coping tools and resources. The company is currently offering 20% off your first month of services, making the price of couples therapy $88 per week. Individual therapy plans range from $50 to $110 a week.What Users SayWe surveyed 100 users of Online-Therapy.com:89% rated Online-Therapy.com as very good or excellent overall88% rated their therapist’s qualifications as very good or excellent97% said that most or all of their needs were met at Online-Therapy.com100% are likely or very likely to recommend Online-Therapy.com to a friend or someone like them7% were seeking couples counseling and 6% were seeking marriage counselingRead the FullWe Tried Online-Therapy.com - These Were Our Experiences

Most Affordable:Online-Therapy.com

Price:$200-$440 per monthIs Insurance Accepted?:NoType Of Therapy:Couples Therapy, Individual TherapyLearn MoreWhy We Chose ItFor $440 a month,Online-Therapy.comoffers couples exponentially more resources than the other competitors we reviewed. Not only do you receive weekly couples therapy sessions with your subscription, but you also get access to a virtual journal, homework that reinforces the skills learned in sessions, and even yoga videos, making it a great value.Pros & ConsProsGreat value for all of the services and resources availableWide range of servicesEasy to change therapistsUnlimited messaging availableConsDoesn’t accept insuranceTherapists lack diversityMight be cost-prohibitive for someOur TestingWe asked six people to testOnline-Therapy.com’s various services, with two of them specifically testing its couples therapy subscription from California and Pennsylvania. And overall, we were very impressed with Online-Therapy.com’s value for the price.In addition to the weekly couples sessions (which are 45 minutes long), we had access to a plethora of additional resources and materials that helped support us between sessions, such as journaling, activity plans, and even yoga videos. These resources were available to us for a price comparable to and often lower than other companies that don’t provide these extra services.“The platform does provide homework and worksheets to go through, and after each session, my therapist would give me something that they wanted me to work on throughout the week."-Verywell Mind Online-Therapy.com testerWe also liked that Online-Therapy.com’s couples services usecognitive behavioral therapy(CBT) as the primary approach. As a therapy approach based on identifying negative and unhelpful thought patterns and learning to redirect them in a healthy way, we found that it helped us with things like communication and trust-building. Our therapists also gave us CBT-based worksheets and materials to practice these new skills outside of session with our partners. We did, however, occasionally experience technical difficulties when trying to sign up.Plans & PricingInsurance Accepted:No, but a superbill can be provided to try to seek reimbursement through your provider.Subscription Required:YesOut-of-Pocket Costs:Couples therapy is $440 per month ($110 per week) for weekly 45-minute long sessions, unlimited messaging, and virtual coping tools and resources. The company is currently offering 20% off your first month of services, making the price of couples therapy $88 per week. Individual therapy plans range from $50 to $110 a week.What Users SayWe surveyed 100 users of Online-Therapy.com:89% rated Online-Therapy.com as very good or excellent overall88% rated their therapist’s qualifications as very good or excellent97% said that most or all of their needs were met at Online-Therapy.com100% are likely or very likely to recommend Online-Therapy.com to a friend or someone like them7% were seeking couples counseling and 6% were seeking marriage counselingRead the FullWe Tried Online-Therapy.com - These Were Our Experiences

Price:$200-$440 per monthIs Insurance Accepted?:NoType Of Therapy:Couples Therapy, Individual TherapyLearn More

Online-Therapy.com Review

Why We Chose ItFor $440 a month,Online-Therapy.comoffers couples exponentially more resources than the other competitors we reviewed. Not only do you receive weekly couples therapy sessions with your subscription, but you also get access to a virtual journal, homework that reinforces the skills learned in sessions, and even yoga videos, making it a great value.Pros & ConsProsGreat value for all of the services and resources availableWide range of servicesEasy to change therapistsUnlimited messaging availableConsDoesn’t accept insuranceTherapists lack diversityMight be cost-prohibitive for someOur TestingWe asked six people to testOnline-Therapy.com’s various services, with two of them specifically testing its couples therapy subscription from California and Pennsylvania. And overall, we were very impressed with Online-Therapy.com’s value for the price.In addition to the weekly couples sessions (which are 45 minutes long), we had access to a plethora of additional resources and materials that helped support us between sessions, such as journaling, activity plans, and even yoga videos. These resources were available to us for a price comparable to and often lower than other companies that don’t provide these extra services.“The platform does provide homework and worksheets to go through, and after each session, my therapist would give me something that they wanted me to work on throughout the week."-Verywell Mind Online-Therapy.com testerWe also liked that Online-Therapy.com’s couples services usecognitive behavioral therapy(CBT) as the primary approach. As a therapy approach based on identifying negative and unhelpful thought patterns and learning to redirect them in a healthy way, we found that it helped us with things like communication and trust-building. Our therapists also gave us CBT-based worksheets and materials to practice these new skills outside of session with our partners. We did, however, occasionally experience technical difficulties when trying to sign up.Plans & PricingInsurance Accepted:No, but a superbill can be provided to try to seek reimbursement through your provider.Subscription Required:YesOut-of-Pocket Costs:Couples therapy is $440 per month ($110 per week) for weekly 45-minute long sessions, unlimited messaging, and virtual coping tools and resources. The company is currently offering 20% off your first month of services, making the price of couples therapy $88 per week. Individual therapy plans range from $50 to $110 a week.What Users SayWe surveyed 100 users of Online-Therapy.com:89% rated Online-Therapy.com as very good or excellent overall88% rated their therapist’s qualifications as very good or excellent97% said that most or all of their needs were met at Online-Therapy.com100% are likely or very likely to recommend Online-Therapy.com to a friend or someone like them7% were seeking couples counseling and 6% were seeking marriage counselingRead the FullWe Tried Online-Therapy.com - These Were Our Experiences

For $440 a month,Online-Therapy.comoffers couples exponentially more resources than the other competitors we reviewed. Not only do you receive weekly couples therapy sessions with your subscription, but you also get access to a virtual journal, homework that reinforces the skills learned in sessions, and even yoga videos, making it a great value.Pros & ConsProsGreat value for all of the services and resources availableWide range of servicesEasy to change therapistsUnlimited messaging availableConsDoesn’t accept insuranceTherapists lack diversityMight be cost-prohibitive for some

ProsGreat value for all of the services and resources availableWide range of servicesEasy to change therapistsUnlimited messaging availableConsDoesn’t accept insuranceTherapists lack diversityMight be cost-prohibitive for some

ProsGreat value for all of the services and resources availableWide range of servicesEasy to change therapistsUnlimited messaging available

Great value for all of the services and resources available

Wide range of services

Easy to change therapists

Unlimited messaging available

ConsDoesn’t accept insuranceTherapists lack diversityMight be cost-prohibitive for some

Doesn’t accept insurance

Therapists lack diversity

Might be cost-prohibitive for some

We asked six people to testOnline-Therapy.com’s various services, with two of them specifically testing its couples therapy subscription from California and Pennsylvania. And overall, we were very impressed with Online-Therapy.com’s value for the price.In addition to the weekly couples sessions (which are 45 minutes long), we had access to a plethora of additional resources and materials that helped support us between sessions, such as journaling, activity plans, and even yoga videos. These resources were available to us for a price comparable to and often lower than other companies that don’t provide these extra services.“The platform does provide homework and worksheets to go through, and after each session, my therapist would give me something that they wanted me to work on throughout the week."-Verywell Mind Online-Therapy.com testerWe also liked that Online-Therapy.com’s couples services usecognitive behavioral therapy(CBT) as the primary approach. As a therapy approach based on identifying negative and unhelpful thought patterns and learning to redirect them in a healthy way, we found that it helped us with things like communication and trust-building. Our therapists also gave us CBT-based worksheets and materials to practice these new skills outside of session with our partners. We did, however, occasionally experience technical difficulties when trying to sign up.

In addition to the weekly couples sessions (which are 45 minutes long), we had access to a plethora of additional resources and materials that helped support us between sessions, such as journaling, activity plans, and even yoga videos. These resources were available to us for a price comparable to and often lower than other companies that don’t provide these extra services.

“The platform does provide homework and worksheets to go through, and after each session, my therapist would give me something that they wanted me to work on throughout the week."-Verywell Mind Online-Therapy.com tester

“The platform does provide homework and worksheets to go through, and after each session, my therapist would give me something that they wanted me to work on throughout the week.”

-Verywell Mind Online-Therapy.com tester

We also liked that Online-Therapy.com’s couples services usecognitive behavioral therapy(CBT) as the primary approach. As a therapy approach based on identifying negative and unhelpful thought patterns and learning to redirect them in a healthy way, we found that it helped us with things like communication and trust-building. Our therapists also gave us CBT-based worksheets and materials to practice these new skills outside of session with our partners. We did, however, occasionally experience technical difficulties when trying to sign up.

Insurance Accepted:No, but a superbill can be provided to try to seek reimbursement through your provider.Subscription Required:YesOut-of-Pocket Costs:Couples therapy is $440 per month ($110 per week) for weekly 45-minute long sessions, unlimited messaging, and virtual coping tools and resources. The company is currently offering 20% off your first month of services, making the price of couples therapy $88 per week. Individual therapy plans range from $50 to $110 a week.

We surveyed 100 users of Online-Therapy.com:89% rated Online-Therapy.com as very good or excellent overall88% rated their therapist’s qualifications as very good or excellent97% said that most or all of their needs were met at Online-Therapy.com100% are likely or very likely to recommend Online-Therapy.com to a friend or someone like them7% were seeking couples counseling and 6% were seeking marriage counseling

We surveyed 100 users of Online-Therapy.com:

Read the FullWe Tried Online-Therapy.com - These Were Our Experiences

Best Directory:Gottman Referral Network

ProsAll therapists specialize in couples therapy and the Gottman MethodOver 1,000 therapists listedTherapists are vetted, ensuring they have a high level of experienceThe Gottman Method is an evidence-based practiceConsLacking a range of diverse providersCannot search for providers based on price or insurance offeringsNot the best if you’re interested in therapists who aren’t only focused on the Gottman Method

All therapists specialize in couples therapy and the Gottman Method

Over 1,000 therapists listed

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

The Gottman Method is an evidence-based practice

ConsLacking a range of diverse providersCannot search for providers based on price or insurance offeringsNot the best if you’re interested in therapists who aren’t only focused on the Gottman Method

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

When we tested theGottman Referral Networkdirectory, we started our search with some specific filters: We were looking for a therapist who accepted our insurance, could treat anxiety, and offered individual counseling as well as couples therapy. Even within these particular parameters, we were given 30 different therapists as options—which made us confident in the Gottman Referral Network’s ability to connect us with a provider who would suit our needs. In fact, we were able to find qualified therapists in all 50 states, as well as in 40 other countries.

Each Gottman Referral Network profile indicated the provider’s level of training in theGottman Method, from level one (having been taught foundational skills) to level three (having completed multiple training intensives). Certified Gottman therapists have completed all levels of training and have a minimum of 1,000 hours of post-graduate therapy experience. The only thing to keep in mind is that this directory might not be our first choice for LGBTQ+ or BIPOC couples. Although the Gottman Method is based on 40 years of research, only a minimal amount included homosexual couples, and it was also almost exclusively centered on white couples.

We surveyed 100 users of the Gottman Referral Network:93% rated Gottman Referral Network as very good or excellent overall83% rated their therapist’s qualifications as very good or excellent98% said that most or all of their needs were met at Gottman Referral Network97% are likely or very likely to recommend Gottman Referral Network to a friend or someone like them11% were seeking counseling for relationship and marriage issues, 2% were seeking premarital counseling, and 13% were considering divorce

We surveyed 100 users of the Gottman Referral Network:

Best for Christian Couples:Thriveworks

Some couples may prefer to have atherapist who is Christianand can incorporate faith-based practices into their work together so that they can strengthen their relationship in a way that feels supportive and aligned with their values. This culturally sensitive therapy is readily available through Thriveworks—and is something we could not find across most of the other online therapy companies we reviewed.

ProsChristian-based therapy availableOffers an eclectic variety of treatment specialties, focuses, and modalitiesAccepts health insuranceAll therapists use evidence-based practices

Christian-based therapy available

Offers an eclectic variety of treatment specialties, focuses, and modalities

Accepts health insurance

All therapists use evidence-based practices

Does not offer a sliding scale

We had five different testers try outThriveworks—in Kansas, Missouri, Kentucky, Massachusetts, and New York—and although we did not test couples therapy specifically, overall, we were impressed with the level of care we received at Thriveworks.

We found most therapy sessions to be generally comfortable and supportive; however, in one instance, a therapist was late for the appointment and then came across as pushy and blaming. This therapist also mentioned having very limited availability for scheduling appointments.

We surveyed 100 users of Thriveworks:88% rated Thriveworks as very good or excellent overall90% rated their therapist’s qualifications as very good or excellent96% said that most or all of their needs were met at Thriveworks96% are likely or very likely to recommend Thriveworks to a friend or someone like them19% were seeking couples counseling, 2% were seeking marriage counseling, and 4% were seeking premarital counseling

We surveyed 100 users of Thriveworks:

The Best Online Christian Counseling Services, Tried and Tested

Best for Sex Therapy:Modern IntimacyPrice:$150-$300 per sessionIs Insurance Accepted?:NoLearn MoreWhy We Chose ItModern Intimacyoffers judgment-free therapy and workshops to help couples receive support around relationships and sexuality. It specializes in sex therapy—an area of expertise none of the other 80 online therapy companies we tested offer—with licensed sex therapists who treat a wide range of sexualities, gender identities, and relationship types. We love its sex-positive lens, diverse roster of clinicians, and the wide range of subject matter it addresses.Pros & ConsProsOffers sex therapy, a service not found at most other online therapy companiesWide range of cliniciansOffers educational coursesFree 30-minute consultationConsCurrently only accepts clients in California, Colorado, Florida, Illinois, and New YorkPrice point is high compared to other companies featuredDoes not accept insuranceOur TestingGoing to couples therapy is hard enough as it is. Seeking out therapy specifically for intimacy andsex stressorsin a relationship can be even more challenging. That’s why we recommendModern Intimacy: It has a roster of therapists who are either certified or working toward getting certified in sex therapy. Licensed sex therapists specialize in sex and sexual relationships and have much more background and experience than therapists who don’t have a sex therapy license—when seeking sex therapy, you should always look for a licensed therapist to ensure you get the most professional care possible. Plus, it’s inclusive, offering specialized support aimed at those healing from trauma, theLGBTQIA+ community, and theBDSM/kinkcommunities.Modern Intimacy prides itself on a nonjudgmental approach, and our experience testing its services with our husband confirms this. We found its therapists to be well-versed in a number of therapy techniques, including:Attachment theory(focuses on long-term relationships and bonds)PACT couples therapy(combo of attachment theory, neuroscience, and biology of arousal)The Gottman MethodImago therapy(turns conflicts into opportunities for growth and healing)Emotionally focused therapy(short-term therapy that improves attachment and bonding)Internal family systems therapy(a focus on the “true self” and turning unhealthy parts of ourselves back into healthy parts)Cognitive behavioral therapy (CBT)Providers may also usetrauma-informed therapy, ensuring they cultivate a safe space for both you and your partner.After working with a Modern Intimacy sex therapist, we felt that our already successful relationship came out even stronger than before; that’s why we think this highly specialized company deserves a place on our list. However, unfortunately, Modern Intimacy only serves a few states: California, Colorado, Florida, Illinois, and New York.Plans & PricingInsurance Accepted:No, but they can offer a superbill to submit to insuranceSubscription Required:NoOut-of-Pocket Costs:Free 30-minute consultation; the cost depends on the credentials and experience of the provider (we paid $300 per 50-minute session)What Users SayWe have not yet had the opportunity to survey Modern Intimacy users, but we tested it ourselves to great success. Our additional research also found that most past and present users who have shared online reviews or testimonials are satisfied with the services they’ve received.We also consulted three licensed therapists and Stefani Goerlich, a licensed sex therapist, and across the board, all felt strongly that Modern Intimacy deserved a place on this list because of its specialization, the expertise and licensure of its therapists, and its inclusivity.“When seeking help with and treatment for sexual issues and concerns, it’s always better to see a specialist,” explains Owens. “Just like you’d go to a cardiologist rather than a general practitioner for a heart problem, going to a sex therapist with specific expertise will always be better than seeing a therapist who does not have that specialty or experience.”Expert-Vetted: Our Picks for the Best Online Sex Therapy Services of 2024

Best for Sex Therapy:Modern Intimacy

Price:$150-$300 per sessionIs Insurance Accepted?:NoLearn MoreWhy We Chose ItModern Intimacyoffers judgment-free therapy and workshops to help couples receive support around relationships and sexuality. It specializes in sex therapy—an area of expertise none of the other 80 online therapy companies we tested offer—with licensed sex therapists who treat a wide range of sexualities, gender identities, and relationship types. We love its sex-positive lens, diverse roster of clinicians, and the wide range of subject matter it addresses.Pros & ConsProsOffers sex therapy, a service not found at most other online therapy companiesWide range of cliniciansOffers educational coursesFree 30-minute consultationConsCurrently only accepts clients in California, Colorado, Florida, Illinois, and New YorkPrice point is high compared to other companies featuredDoes not accept insuranceOur TestingGoing to couples therapy is hard enough as it is. Seeking out therapy specifically for intimacy andsex stressorsin a relationship can be even more challenging. That’s why we recommendModern Intimacy: It has a roster of therapists who are either certified or working toward getting certified in sex therapy. Licensed sex therapists specialize in sex and sexual relationships and have much more background and experience than therapists who don’t have a sex therapy license—when seeking sex therapy, you should always look for a licensed therapist to ensure you get the most professional care possible. Plus, it’s inclusive, offering specialized support aimed at those healing from trauma, theLGBTQIA+ community, and theBDSM/kinkcommunities.Modern Intimacy prides itself on a nonjudgmental approach, and our experience testing its services with our husband confirms this. We found its therapists to be well-versed in a number of therapy techniques, including:Attachment theory(focuses on long-term relationships and bonds)PACT couples therapy(combo of attachment theory, neuroscience, and biology of arousal)The Gottman MethodImago therapy(turns conflicts into opportunities for growth and healing)Emotionally focused therapy(short-term therapy that improves attachment and bonding)Internal family systems therapy(a focus on the “true self” and turning unhealthy parts of ourselves back into healthy parts)Cognitive behavioral therapy (CBT)Providers may also usetrauma-informed therapy, ensuring they cultivate a safe space for both you and your partner.After working with a Modern Intimacy sex therapist, we felt that our already successful relationship came out even stronger than before; that’s why we think this highly specialized company deserves a place on our list. However, unfortunately, Modern Intimacy only serves a few states: California, Colorado, Florida, Illinois, and New York.Plans & PricingInsurance Accepted:No, but they can offer a superbill to submit to insuranceSubscription Required:NoOut-of-Pocket Costs:Free 30-minute consultation; the cost depends on the credentials and experience of the provider (we paid $300 per 50-minute session)What Users SayWe have not yet had the opportunity to survey Modern Intimacy users, but we tested it ourselves to great success. Our additional research also found that most past and present users who have shared online reviews or testimonials are satisfied with the services they’ve received.We also consulted three licensed therapists and Stefani Goerlich, a licensed sex therapist, and across the board, all felt strongly that Modern Intimacy deserved a place on this list because of its specialization, the expertise and licensure of its therapists, and its inclusivity.“When seeking help with and treatment for sexual issues and concerns, it’s always better to see a specialist,” explains Owens. “Just like you’d go to a cardiologist rather than a general practitioner for a heart problem, going to a sex therapist with specific expertise will always be better than seeing a therapist who does not have that specialty or experience.”Expert-Vetted: Our Picks for the Best Online Sex Therapy Services of 2024

Price:$150-$300 per sessionIs Insurance Accepted?:NoLearn More

Modern Intimacy

Why We Chose ItModern Intimacyoffers judgment-free therapy and workshops to help couples receive support around relationships and sexuality. It specializes in sex therapy—an area of expertise none of the other 80 online therapy companies we tested offer—with licensed sex therapists who treat a wide range of sexualities, gender identities, and relationship types. We love its sex-positive lens, diverse roster of clinicians, and the wide range of subject matter it addresses.Pros & ConsProsOffers sex therapy, a service not found at most other online therapy companiesWide range of cliniciansOffers educational coursesFree 30-minute consultationConsCurrently only accepts clients in California, Colorado, Florida, Illinois, and New YorkPrice point is high compared to other companies featuredDoes not accept insuranceOur TestingGoing to couples therapy is hard enough as it is. Seeking out therapy specifically for intimacy andsex stressorsin a relationship can be even more challenging. That’s why we recommendModern Intimacy: It has a roster of therapists who are either certified or working toward getting certified in sex therapy. Licensed sex therapists specialize in sex and sexual relationships and have much more background and experience than therapists who don’t have a sex therapy license—when seeking sex therapy, you should always look for a licensed therapist to ensure you get the most professional care possible. Plus, it’s inclusive, offering specialized support aimed at those healing from trauma, theLGBTQIA+ community, and theBDSM/kinkcommunities.Modern Intimacy prides itself on a nonjudgmental approach, and our experience testing its services with our husband confirms this. We found its therapists to be well-versed in a number of therapy techniques, including:Attachment theory(focuses on long-term relationships and bonds)PACT couples therapy(combo of attachment theory, neuroscience, and biology of arousal)The Gottman MethodImago therapy(turns conflicts into opportunities for growth and healing)Emotionally focused therapy(short-term therapy that improves attachment and bonding)Internal family systems therapy(a focus on the “true self” and turning unhealthy parts of ourselves back into healthy parts)Cognitive behavioral therapy (CBT)Providers may also usetrauma-informed therapy, ensuring they cultivate a safe space for both you and your partner.After working with a Modern Intimacy sex therapist, we felt that our already successful relationship came out even stronger than before; that’s why we think this highly specialized company deserves a place on our list. However, unfortunately, Modern Intimacy only serves a few states: California, Colorado, Florida, Illinois, and New York.Plans & PricingInsurance Accepted:No, but they can offer a superbill to submit to insuranceSubscription Required:NoOut-of-Pocket Costs:Free 30-minute consultation; the cost depends on the credentials and experience of the provider (we paid $300 per 50-minute session)What Users SayWe have not yet had the opportunity to survey Modern Intimacy users, but we tested it ourselves to great success. Our additional research also found that most past and present users who have shared online reviews or testimonials are satisfied with the services they’ve received.We also consulted three licensed therapists and Stefani Goerlich, a licensed sex therapist, and across the board, all felt strongly that Modern Intimacy deserved a place on this list because of its specialization, the expertise and licensure of its therapists, and its inclusivity.“When seeking help with and treatment for sexual issues and concerns, it’s always better to see a specialist,” explains Owens. “Just like you’d go to a cardiologist rather than a general practitioner for a heart problem, going to a sex therapist with specific expertise will always be better than seeing a therapist who does not have that specialty or experience.”Expert-Vetted: Our Picks for the Best Online Sex Therapy Services of 2024

Modern Intimacyoffers judgment-free therapy and workshops to help couples receive support around relationships and sexuality. It specializes in sex therapy—an area of expertise none of the other 80 online therapy companies we tested offer—with licensed sex therapists who treat a wide range of sexualities, gender identities, and relationship types. We love its sex-positive lens, diverse roster of clinicians, and the wide range of subject matter it addresses.

ProsOffers sex therapy, a service not found at most other online therapy companiesWide range of cliniciansOffers educational coursesFree 30-minute consultationConsCurrently only accepts clients in California, Colorado, Florida, Illinois, and New YorkPrice point is high compared to other companies featuredDoes not accept insurance

ProsOffers sex therapy, a service not found at most other online therapy companiesWide range of cliniciansOffers educational coursesFree 30-minute consultation

Offers sex therapy, a service not found at most other online therapy companies

Wide range of clinicians

Offers educational courses

Free 30-minute consultation

ConsCurrently only accepts clients in California, Colorado, Florida, Illinois, and New YorkPrice point is high compared to other companies featuredDoes not accept insurance

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 andsex stressorsin a relationship can be even more challenging. That’s why we recommendModern Intimacy: It has a roster of therapists who are either certified or working toward getting certified in sex therapy. Licensed sex therapists specialize in sex and sexual relationships and have much more background and experience than therapists who don’t have a sex therapy license—when seeking sex therapy, you should always look for a licensed therapist to ensure you get the most professional care possible. Plus, it’s inclusive, offering specialized support aimed at those healing from trauma, theLGBTQIA+ community, and theBDSM/kinkcommunities.Modern Intimacy prides itself on a nonjudgmental approach, and our experience testing its services with our husband confirms this. We found its therapists to be well-versed in a number of therapy techniques, including:Attachment theory(focuses on long-term relationships and bonds)PACT couples therapy(combo of attachment theory, neuroscience, and biology of arousal)The Gottman MethodImago therapy(turns conflicts into opportunities for growth and healing)Emotionally focused therapy(short-term therapy that improves attachment and bonding)Internal family systems therapy(a focus on the “true self” and turning unhealthy parts of ourselves back into healthy parts)Cognitive behavioral therapy (CBT)Providers may also usetrauma-informed therapy, ensuring they cultivate a safe space for both you and your partner.After working with a Modern Intimacy sex therapist, we felt that our already successful relationship came out even stronger than before; that’s why we think this highly specialized company deserves a place on our list. However, unfortunately, Modern Intimacy only serves a few states: California, Colorado, Florida, Illinois, and New York.

Modern Intimacy prides itself on a nonjudgmental approach, and our experience testing its services with our husband confirms this. We found its therapists to be well-versed in a number of therapy techniques, including:

Providers may also usetrauma-informed therapy, ensuring they cultivate a safe space for both you and your partner.

After working with a Modern Intimacy sex therapist, we felt that our already successful relationship came out even stronger than before; that’s why we think this highly specialized company deserves a place on our list. However, unfortunately, Modern Intimacy only serves a few states: California, Colorado, Florida, Illinois, and New York.

Insurance Accepted:No, but they can offer a superbill to submit to insuranceSubscription Required:NoOut-of-Pocket Costs:Free 30-minute consultation; the cost depends on the credentials and experience of the provider (we paid $300 per 50-minute session)

We have not yet had the opportunity to survey Modern Intimacy users, but we tested it ourselves to great success. Our additional research also found that most past and present users who have shared online reviews or testimonials are satisfied with the services they’ve received.We also consulted three licensed therapists and Stefani Goerlich, a licensed sex therapist, and across the board, all felt strongly that Modern Intimacy deserved a place on this list because of its specialization, the expertise and licensure of its therapists, and its inclusivity.“When seeking help with and treatment for sexual issues and concerns, it’s always better to see a specialist,” explains Owens. “Just like you’d go to a cardiologist rather than a general practitioner for a heart problem, going to a sex therapist with specific expertise will always be better than seeing a therapist who does not have that specialty or experience.”

We also consulted three licensed therapists and Stefani Goerlich, a licensed sex therapist, and across the board, all felt strongly that Modern Intimacy deserved a place on this list because of its specialization, the expertise and licensure of its therapists, and its inclusivity.

“When seeking help with and treatment for sexual issues and concerns, it’s always better to see a specialist,” explains Owens. “Just like you’d go to a cardiologist rather than a general practitioner for a heart problem, going to a sex therapist with specific expertise will always be better than seeing a therapist who does not have that specialty or experience.”

Expert-Vetted: Our Picks for the Best Online Sex Therapy Services of 2024

Best for Group Therapy:Mindful Care

Price:$50-$175 for substance use; Individual therapy: $50 for 20-minute sessions, $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry sessionIs Insurance Accepted?:YesType Of Therapy:Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen CounselingLearn More

Mindful Care

When we’re in a relationship with someone, we tend to fall into certain patterns. Sometimes, we expect something from our partner that we haven’t actually communicated to them, or we take on certain roles in the relationship (like the “planner” or the “bad cop”) in which we become complacent. Mindful Care is one of the only companies we evaluated that focuses exclusively on helping couples examine their relationship dynamics through its virtual group calledCONNECT. This group’s focus on mindfulness and cognitive behavioral therapy will support you in developing increased comfort in navigating sticky conversations. No other online therapy company we reviewed offers anything like this kind of expansive and inclusive group therapy option, making Mindful Care’s CONNECT group ideal for those seeking relationship support from their peers and a licensed facilitator.

ProsOffers group therapyVery affordableUnique opportunity to build relationship skillsPromotes healthy family, friend, and colleague relationships as well as romanticAccepts insuranceOffers group therapy, individual therapy, psychiatric evaluations, and addiction recovery plansConsOnly offers services in Connecticut, Florida, Illinois, Michigan, New Jersey, and New YorkFocuses on all relationships, not just romanticParticipating in a group may not be for everyone

Offers group therapy

Very affordable

Unique opportunity to build relationship skills

Promotes healthy family, friend, and colleague relationships as well as romantic

Accepts insurance

Offers group therapy, individual therapy, psychiatric evaluations, and addiction recovery plans

ConsOnly offers services in Connecticut, Florida, Illinois, Michigan, New Jersey, and New YorkFocuses on all relationships, not just romanticParticipating in a group may not be for everyone

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

When we signed up, we received an email with all of the MindFit groups available that week. We chose the group focused on facing everyday challenges rather than the “CONNECT” relationship group, but our experiences with the group we attended made us confident in our recommendation. Our group was capped at 15 people, and we found that nine to 15 people attended depending on the day. Our group met for an hour on Zoom, and our facilitator (a licensed therapist) was professional and welcoming. The group felt like a space where it was safe to talk about anything and everything because everyone in the group was there to give support and help each other work towards our goals. The facilitator also made sure everyone had the chance to speak and be heard.

Of course, though, group therapy is not for everyone. Part of the group therapy experience is hearing others’ perspectives and noticing how they are navigating their healing journey. If this doesn’t sound like you—or you’re more interested in seeking individualized feedback—this might not be the company for you. Similarly, if you want to discuss sensitive issues and the thought of doing so in a group format makes you uncomfortable, group therapy may not be the best for you. But if you are eager, as we were, to develop community and strengthen your communication skills, or you are seeking a lower-fee therapy option, group therapy could be a great fit for you—and Mindful Care does it particularly well.

We surveyed 100 users of Mindful Care:83% rated Mindful Care as very good or excellent overall86% rated their therapist’s qualifications as very good or excellent90% said that most or all of their needs were met at Mindful Care96% are likely or very likely to recommend Mindful Care to a friend or someone like them12% were seeking couples counseling, 3% were seeking marriage counseling, and 1% were seeking premarital counseling

We surveyed 100 users of Mindful Care:

The Best Online Group Therapy, Tried and Tested

Best for Parenting:Little OtterPrice:$195 for standard therapy session; $500 for general psychiatry evaluation; $250 for follow-up psychiatry sessionsIs Insurance Accepted?:YesType Of Therapy:Children’s Therapy, Couples Therapy, Family Therapy, Medication Management, Psychiatry, Teen CounselingLearn MoreWhy We Chose ItHaving children can have a big impact on your relationship with your partner—which in turn can affect your child’s mental health as well. That’s whyLittle Otter’s focus on the entire family unit stood out to us: It offers online couples therapy specifically aimed at parents and takes a holistic family approach in doing so. In addition to your couples sessions, you can also sign up your child (as long as they’re 14 years old or younger) for treatment too and add parent coaching sessions or family sessions.Pros & ConsProsTreats children aged 14 and youngerCouples counseling and coaching for parentsFocus on the entire family unit’s mental healthResources and tools that can be used outside of sessionsMessaging between sessionsConsOnly accepts one insurance planInitial assessment session is not freeExpensive compared to other companies on the listOur TestingWe had four parents and their families test Little Otter from California, Pennsylvania, and New York so we could get a sense of how well the company served kids and their parents alike—and it delivers. This focus on parenting sets Little Otter apart from the other companies we reviewed and makes it a great resource for parents and kids in need of support.Since this platform is specifically for families, we expected strong support on parenting challenges—and Little Otter did not let us down on this front. We found that no matter the parenting service we chose, be it parent coaching or couples therapy, we could discuss co-parenting, differences in parenting styles, and communication issues that were impeding our parenting. Additionally, we found it helpful for individual child therapy with parents joining sessions intermittently. Little Otter’s services work best, however, for a kid who responds well to video communication.Be aware, though, that Little Otter is currently not available in all 50 states, which is a drawback compared to many other companies on our list. As of August 2024, Little Otter is only available in California, Colorado, D.C., Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Texas, Utah, and Virginia. It is also on the pricier side compared to other companies we evaluated. However, we still felt like its unique emphasis on children and parenting support made the company stand out and deserving of a spot on our list.Plans & PricingInsurance Accepted:Yes, but only four companies: Independence Blue Cross, AmeriHealth, Sana, and Florida Blue. Payments can be made through an FSA or HSA.Subscription Required:NoOut-of-Pocket Costs:A standard therapy session costs $195; An assessment costs $390; A 75-minute psychiatric evaluation costs $500, and each follow-up psychiatry session costs $250.What Users SayWe surveyed 100 users of Little Otter:86% rated Little Otter as very good or excellent overall86% rated their therapist’s qualifications as very good or excellent96% said that most or all of their needs were met at Little Otter95% are likely or very likely to recommend Little Otter to a friend or someone like them33% were seeking couples counseling, 18% were seeking marriage counseling, and 16% were seeking divorce/discernment counselingOnline Therapy Services for Kids and Families, Tried and Tested

Best for Parenting:Little Otter

Price:$195 for standard therapy session; $500 for general psychiatry evaluation; $250 for follow-up psychiatry sessionsIs Insurance Accepted?:YesType Of Therapy:Children’s Therapy, Couples Therapy, Family Therapy, Medication Management, Psychiatry, Teen CounselingLearn MoreWhy We Chose ItHaving children can have a big impact on your relationship with your partner—which in turn can affect your child’s mental health as well. That’s whyLittle Otter’s focus on the entire family unit stood out to us: It offers online couples therapy specifically aimed at parents and takes a holistic family approach in doing so. In addition to your couples sessions, you can also sign up your child (as long as they’re 14 years old or younger) for treatment too and add parent coaching sessions or family sessions.Pros & ConsProsTreats children aged 14 and youngerCouples counseling and coaching for parentsFocus on the entire family unit’s mental healthResources and tools that can be used outside of sessionsMessaging between sessionsConsOnly accepts one insurance planInitial assessment session is not freeExpensive compared to other companies on the listOur TestingWe had four parents and their families test Little Otter from California, Pennsylvania, and New York so we could get a sense of how well the company served kids and their parents alike—and it delivers. This focus on parenting sets Little Otter apart from the other companies we reviewed and makes it a great resource for parents and kids in need of support.Since this platform is specifically for families, we expected strong support on parenting challenges—and Little Otter did not let us down on this front. We found that no matter the parenting service we chose, be it parent coaching or couples therapy, we could discuss co-parenting, differences in parenting styles, and communication issues that were impeding our parenting. Additionally, we found it helpful for individual child therapy with parents joining sessions intermittently. Little Otter’s services work best, however, for a kid who responds well to video communication.Be aware, though, that Little Otter is currently not available in all 50 states, which is a drawback compared to many other companies on our list. As of August 2024, Little Otter is only available in California, Colorado, D.C., Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Texas, Utah, and Virginia. It is also on the pricier side compared to other companies we evaluated. However, we still felt like its unique emphasis on children and parenting support made the company stand out and deserving of a spot on our list.Plans & PricingInsurance Accepted:Yes, but only four companies: Independence Blue Cross, AmeriHealth, Sana, and Florida Blue. Payments can be made through an FSA or HSA.Subscription Required:NoOut-of-Pocket Costs:A standard therapy session costs $195; An assessment costs $390; A 75-minute psychiatric evaluation costs $500, and each follow-up psychiatry session costs $250.What Users SayWe surveyed 100 users of Little Otter:86% rated Little Otter as very good or excellent overall86% rated their therapist’s qualifications as very good or excellent96% said that most or all of their needs were met at Little Otter95% are likely or very likely to recommend Little Otter to a friend or someone like them33% were seeking couples counseling, 18% were seeking marriage counseling, and 16% were seeking divorce/discernment counselingOnline Therapy Services for Kids and Families, Tried and Tested

Why We Chose ItHaving children can have a big impact on your relationship with your partner—which in turn can affect your child’s mental health as well. That’s whyLittle Otter’s focus on the entire family unit stood out to us: It offers online couples therapy specifically aimed at parents and takes a holistic family approach in doing so. In addition to your couples sessions, you can also sign up your child (as long as they’re 14 years old or younger) for treatment too and add parent coaching sessions or family sessions.Pros & ConsProsTreats children aged 14 and youngerCouples counseling and coaching for parentsFocus on the entire family unit’s mental healthResources and tools that can be used outside of sessionsMessaging between sessionsConsOnly accepts one insurance planInitial assessment session is not freeExpensive compared to other companies on the listOur TestingWe had four parents and their families test Little Otter from California, Pennsylvania, and New York so we could get a sense of how well the company served kids and their parents alike—and it delivers. This focus on parenting sets Little Otter apart from the other companies we reviewed and makes it a great resource for parents and kids in need of support.Since this platform is specifically for families, we expected strong support on parenting challenges—and Little Otter did not let us down on this front. We found that no matter the parenting service we chose, be it parent coaching or couples therapy, we could discuss co-parenting, differences in parenting styles, and communication issues that were impeding our parenting. Additionally, we found it helpful for individual child therapy with parents joining sessions intermittently. Little Otter’s services work best, however, for a kid who responds well to video communication.Be aware, though, that Little Otter is currently not available in all 50 states, which is a drawback compared to many other companies on our list. As of August 2024, Little Otter is only available in California, Colorado, D.C., Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Texas, Utah, and Virginia. It is also on the pricier side compared to other companies we evaluated. However, we still felt like its unique emphasis on children and parenting support made the company stand out and deserving of a spot on our list.Plans & PricingInsurance Accepted:Yes, but only four companies: Independence Blue Cross, AmeriHealth, Sana, and Florida Blue. Payments can be made through an FSA or HSA.Subscription Required:NoOut-of-Pocket Costs:A standard therapy session costs $195; An assessment costs $390; A 75-minute psychiatric evaluation costs $500, and each follow-up psychiatry session costs $250.What Users SayWe surveyed 100 users of Little Otter:86% rated Little Otter as very good or excellent overall86% rated their therapist’s qualifications as very good or excellent96% said that most or all of their needs were met at Little Otter95% are likely or very likely to recommend Little Otter to a friend or someone like them33% were seeking couples counseling, 18% were seeking marriage counseling, and 16% were seeking divorce/discernment counselingOnline Therapy Services for Kids and Families, Tried and Tested

Having children can have a big impact on your relationship with your partner—which in turn can affect your child’s mental health as well. That’s whyLittle Otter’s focus on the entire family unit stood out to us: It offers online couples therapy specifically aimed at parents and takes a holistic family approach in doing so. In addition to your couples sessions, you can also sign up your child (as long as they’re 14 years old or younger) for treatment too and add parent coaching sessions or family sessions.

ProsTreats children aged 14 and youngerCouples counseling and coaching for parentsFocus on the entire family unit’s mental healthResources and tools that can be used outside of sessionsMessaging between sessionsConsOnly accepts one insurance planInitial assessment session is not freeExpensive compared to other companies on the list

Treats children aged 14 and younger

Couples counseling and coaching for parents

Focus on the entire family unit’s mental health

Resources and tools that can be used outside of sessions

Messaging between sessions

ConsOnly accepts one insurance planInitial assessment session is not freeExpensive compared to other companies on the list

Only accepts one insurance plan

Initial assessment session is not free

Expensive compared to other companies on the list

We had four parents and their families test Little Otter from California, Pennsylvania, and New York so we could get a sense of how well the company served kids and their parents alike—and it delivers. This focus on parenting sets Little Otter apart from the other companies we reviewed and makes it a great resource for parents and kids in need of support.Since this platform is specifically for families, we expected strong support on parenting challenges—and Little Otter did not let us down on this front. We found that no matter the parenting service we chose, be it parent coaching or couples therapy, we could discuss co-parenting, differences in parenting styles, and communication issues that were impeding our parenting. Additionally, we found it helpful for individual child therapy with parents joining sessions intermittently. Little Otter’s services work best, however, for a kid who responds well to video communication.Be aware, though, that Little Otter is currently not available in all 50 states, which is a drawback compared to many other companies on our list. As of August 2024, Little Otter is only available in California, Colorado, D.C., Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Texas, Utah, and Virginia. It is also on the pricier side compared to other companies we evaluated. However, we still felt like its unique emphasis on children and parenting support made the company stand out and deserving of a spot on our list.

Since this platform is specifically for families, we expected strong support on parenting challenges—and Little Otter did not let us down on this front. We found that no matter the parenting service we chose, be it parent coaching or couples therapy, we could discuss co-parenting, differences in parenting styles, and communication issues that were impeding our parenting. Additionally, we found it helpful for individual child therapy with parents joining sessions intermittently. Little Otter’s services work best, however, for a kid who responds well to video communication.

Be aware, though, that Little Otter is currently not available in all 50 states, which is a drawback compared to many other companies on our list. As of August 2024, Little Otter is only available in California, Colorado, D.C., Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Texas, Utah, and Virginia. It is also on the pricier side compared to other companies we evaluated. However, we still felt like its unique emphasis on children and parenting support made the company stand out and deserving of a spot on our list.

Insurance Accepted:Yes, but only four companies: Independence Blue Cross, AmeriHealth, Sana, and Florida Blue. Payments can be made through an FSA or HSA.Subscription Required:NoOut-of-Pocket Costs:A standard therapy session costs $195; An assessment costs $390; A 75-minute psychiatric evaluation costs $500, and each follow-up psychiatry session costs $250.

We surveyed 100 users of Little Otter:86% rated Little Otter as very good or excellent overall86% rated their therapist’s qualifications as very good or excellent96% said that most or all of their needs were met at Little Otter95% are likely or very likely to recommend Little Otter to a friend or someone like them33% were seeking couples counseling, 18% were seeking marriage counseling, and 16% were seeking divorce/discernment counseling

We surveyed 100 users of Little Otter:

Online Therapy Services for Kids and Families, Tried and Tested

Best for Divorce Counseling:Growing Self

Price:$40 per group session; $75 to $170 per individual therapy or coaching sessionIs Insurance Accepted?:NoType Of Therapy:Couples Therapy, Individual TherapyLearn More

Divorce can be an incredibly difficult time to navigate. You might be stressed as you find a new place to live; you might feel grief or be dealing with custody battles, court proceedings, and co-parenting agreements. That’s whyGrowing Selfstood out to us: It offers support specifically aimed at helping people deal with the complicated emotions and stress that arise from a divorce (or even a breakup) through individual therapy, couples therapy, and support groups.

ProsSpecific focus on relationshipsOffers divorce group therapyOffers a free consultationDivorce counselors and breakup recovery coachesConsExpensive compared to other servicesNo adjunct messaging servicesMinimal diversity across providers

ProsSpecific focus on relationshipsOffers divorce group therapyOffers a free consultationDivorce counselors and breakup recovery coaches

Specific focus on relationships

Offers divorce group therapy

Offers a free consultation

Divorce counselors and breakup recovery coaches

ConsExpensive compared to other servicesNo adjunct messaging servicesMinimal diversity across providers

Expensive compared to other services

No adjunct messaging services

Minimal diversity across providers

When we tested Growing Self twice from Colorado, we found it excelled in its relationship therapy and coaching offerings because it offered more tailored services than its competitors. Not only can you find traditional couples therapy at Growing Self, but you can also find individual relationship-focused therapy, premarital counseling, sex therapy, long-distance relationship counseling, affair recovery counseling, divorce coaching, and—most uniquely compared to the other 54 companies we evaluated—divorce or breakup support groups.

We also tested Growing Self’s individual relationship counseling and were very pleased with the care we received. We found our therapists to vary in experience: One was an early-career therapist currently obtaining her counseling and marriage and family therapist licensures, and the other was a licensed counselor with a PhD, but both were supportive and highly educated, with direct, strengths-based, and solution-oriented focuses on counseling. We also found that both created a comfortable space for discussing relationship issues and developing goals.

Insurance Accepted:NoSubscription Required:NoOut-of-Pocket Costs:Support groups cost $40 per 60- to 75-minute group session. Couples therapy ranges from $65 to $160 per 45-minute session based on the therapist’s level of training. Sliding scale pricing is available.

We surveyed 100 users of Growing Self:85% rated Growing Self as very good or excellent overall93% rated their therapist’s qualifications as very good or excellent97% said that most or all of their needs were met at Growing Self96% are likely or very likely to recommend Growing Self to a friend or someone like them17% were seeking couples counseling, 2% were seeking marriage counseling, and 3% were seeking divorce/discernment counseling

We surveyed 100 users of Growing Self:

The 10 Best Online Divorce Counseling Services, Tried and Tested

Best for Overcoming Infidelity:Octave

Price:$170 - $275Is Insurance Accepted?:YesType Of Therapy:Couples Therapy, Family Therapy, Group Therapy, Individual TherapyLearn More

Life after infidelity can feel isolating and scary—and it can impact our ability to trust for a long time. That’s why we were impressed withOctave: Many of its couples therapists focus specifically on supporting couples recovering (or navigating life) after infidelity. These therapists also use techniques, like emotionally focused therapy, that have been clinically shown to help people develop trust and secure attachments.

ProsSupport available specifically for infidelityIn-network with some insurance plansHighly qualified providersMatches you with a therapistCare navigator matches you (rather than an algorithm)ConsOnly available in six states and Washington, D.C.Doesn’t accept a wide range of insurance plansSessions can be very expensive

ProsSupport available specifically for infidelityIn-network with some insurance plansHighly qualified providersMatches you with a therapistCare navigator matches you (rather than an algorithm)

Support available specifically for infidelity

In-network with some insurance plans

Highly qualified providers

Care navigator matches you (rather than an algorithm)

ConsOnly available in six states and Washington, D.C.Doesn’t accept a wide range of insurance plansSessions can be very expensive

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

Doesn’t accept a wide range of insurance plans

Sessions can be very expensive

We asked four people to test Octave’s therapy services from California, New York, and Florida; two of them tested Octave’s couples counseling specifically. And overall, we had a very positive experience. Our couples therapists were thoughtful, informed, and attentive, asking us thought-provoking questions and making sure to encourage us and our partners to speak up equally during the session.

The biggest drawback for Octave is that it is a relatively smaller company than most of the others we reviewed, so it only currently serves patients in California, Connecticut, Florida, New Jersey, New York, Texas, and Washington, D.C.

We surveyed 100 users of Octave:92% rated Octave Online Therapy as very good or excellent overall92% rated their therapist’s qualifications as very good or excellent100% said that most or all of their needs were met at Octave Online Therapy100% are likely or very likely to recommend Octave Online Therapy to a friend or someone like them14% were seeking couples counseling, 12% were seeking marriage counseling, and 6% were seeking divorce/discernment counseling

We surveyed 100 users of Octave:

Hide, not for me

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:

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—though with the latter two options, be aware that police might be the first responders.

Online couples counseling is great for people who want to address issues like communication and trust in their relationship; it can even be a good resource for people whose relationship is already strong but who want to prevent problems or concerns that might come up down the road. However, if one or both of you has a diagnosis of asevere mood disorderorschizophrenia, online therapy platforms may not provide the level of support needed when working with both relationship issues and serious mental health concerns.

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 each partner seeks out therapy separately.

Frequently Asked Questions

Couples therapy is a form of therapy that provides clinical support to you and your partner, helping with anything from infidelity to parenting issues or even just to make sure the relationship stays healthy. This differs from individual therapy, where only one person meets with the therapist, and family therapy, where it’s a family unit that is working with a therapist to understand and change their family dynamics.

Mostcouples therapysessions range from 30 to 90 minutes and take place either online (via a video call or phone call) or in-person every week. Your therapist will likely be amarriage and family therapist, apsychologist, alicensed mental health counselor, or alicensed social worker, and will have training in treating couples.During your session, your therapist will ask you and your partner questions and guide you through conversations in order to develop goals and ways to enhance your relationship and reduce conflict. Some online therapy platforms also offer an opportunity to message your therapist and complete homework assignments between sessions.

During your session, your therapist will ask you and your partner questions and guide you through conversations in order to develop goals and ways to enhance your relationship and reduce conflict. Some online therapy platforms also offer an opportunity to message your therapist and complete homework assignments between sessions.

Best Online Couples Counseling

Article SourcesVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.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:10.1186/1471-2458-12-735The Gottman Institute.Overview - research.Benson LA, Sevier M, Christensen A.The impact of behavioral couple therapy on attachment in distressed couples.J Marital Fam Ther.2013;39(4):407-20. doi:10.1111/jmft.12020Lebow J, Snyder DK.Couple therapy in the 2020s: Current status and emerging developments.Fam Process. 2022;61(4):1359-1385. doi:10.1111/famp.12824Spengler, P. M., Lee, N. A., Wiebe, S. A., & Wittenborn, A. K. (2022).A comprehensive meta-analysis on the efficacy of emotionally focused couple therapy. Couple and Family Psychology: Research and Practice. Advance online publication.https://doi.org/10.1037/cfp0000233

Article Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.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:10.1186/1471-2458-12-735The Gottman Institute.Overview - research.Benson LA, Sevier M, Christensen A.The impact of behavioral couple therapy on attachment in distressed couples.J Marital Fam Ther.2013;39(4):407-20. doi:10.1111/jmft.12020Lebow J, Snyder DK.Couple therapy in the 2020s: Current status and emerging developments.Fam Process. 2022;61(4):1359-1385. doi:10.1111/famp.12824Spengler, P. M., Lee, N. A., Wiebe, S. A., & Wittenborn, A. K. (2022).A comprehensive meta-analysis on the efficacy of emotionally focused couple therapy. Couple and Family Psychology: Research and Practice. Advance online publication.https://doi.org/10.1037/cfp0000233

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:10.1186/1471-2458-12-735The Gottman Institute.Overview - research.Benson LA, Sevier M, Christensen A.The impact of behavioral couple therapy on attachment in distressed couples.J Marital Fam Ther.2013;39(4):407-20. doi:10.1111/jmft.12020Lebow J, Snyder DK.Couple therapy in the 2020s: Current status and emerging developments.Fam Process. 2022;61(4):1359-1385. doi:10.1111/famp.12824Spengler, P. M., Lee, N. A., Wiebe, S. A., & Wittenborn, A. K. (2022).A comprehensive meta-analysis on the efficacy of emotionally focused couple therapy. Couple and Family Psychology: Research and Practice. Advance online publication.https://doi.org/10.1037/cfp0000233

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

The Gottman Institute.Overview - research.

Benson LA, Sevier M, Christensen A.The impact of behavioral couple therapy on attachment in distressed couples.J Marital Fam Ther.2013;39(4):407-20. doi:10.1111/jmft.12020

Lebow J, Snyder DK.Couple therapy in the 2020s: Current status and emerging developments.Fam Process. 2022;61(4):1359-1385. doi:10.1111/famp.12824

Spengler, P. M., Lee, N. A., Wiebe, S. A., & Wittenborn, A. K. (2022).A comprehensive meta-analysis on the efficacy of emotionally focused couple therapy. Couple and Family Psychology: Research and Practice. Advance online publication.https://doi.org/10.1037/cfp0000233

Hannah Owens, LMSW

Amanda Tust

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Why Trust Us?#

Our Online Therapy Methodology#

Most Flexible:ReGain#

Best for Busy Couples:Talkspace#

Most Affordable:Online-Therapy.com#

Best Directory:Gottman Referral Network#

Best for Christian Couples:Thriveworks#

Best for Sex Therapy:Modern Intimacy#

Best for Group Therapy:Mindful Care#

Best for Parenting:Little Otter#

Best for Divorce Counseling:Growing Self#

Best for Overcoming Infidelity:Octave#

Frequently Asked Questions#