The 10 Best Online Couples Therapy and Counseling Services We Tried and Tested in 2023

We had four people from four different locations (New York, Ohio, South Dakota, and the United Kingdom) test out ReGain’s couples counseling services, both with and without their partners—and overall, our experience was positive. 

During the sign-up process, we were prompted to choose whether we wanted to sign up with our partner, by ourselves, or if we were unsure. (We were reminded that we could always invite our partner at a later time when we selected the latter options). Then we filled out a brief intake questionnaire, which would help the company match us with the right therapist. This assessment asked a variety of logistical and screening questions, such as whether or not we lived with our partner, if there was any domestic violence currently present in the relationship, if we had been in therapy before, why we were seeking therapy now, and what we were looking for in a therapist. 

We liked that the intake also asked for our preferences regarding our therapist’s sexual orientation, gender identity, age, and religious background because it gave us confidence that ReGain was making an effort to tailor the care we received to our needs. It also asked about our financial status—and had we stated that we found the couples therapy plan unaffordable, we would have been offered a scholarship option (this happened when we indicated that we could not afford the prices we were quoted, and could be an essential help to couples who need financial assistance to access counseling). 

ReGain’s flexibility stood out to us once we started therapy too. 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 even schedule sessions on weekends with some therapists. 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.

There are a few things to consider before trying ReGain, though. First, ReGain offers messaging for both partners in a shared "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 (which in private practice usually last 60 to 90 minutes). Finally, while ReGain clearly offers individual relationship therapy, we did have an unpleasant experience testing the individual services with at least one therapist, who told us we shouldn’t be seeking relationship-focused therapy if our partner didn’t want to participate. 

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. Something 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. Such a practice can lead to therapy being more cost-prohibitive. 

ReGain does not accept insurance or payment through flexible spending accounts (FSAs) or health savings accounts (HSAs). It also does not provide any free consultations.

We surveyed 105 users of ReGain, and according to our survey data, 71% of users would recommend this service to their friends. It also has a high user satisfaction rating, with more than three-quarters of users giving it an overall positive rating of good, very good, or excellent. Users generally found ReGain to be of good value for the money, with four out of five rating it excellent, very good, or good. Overall, 84% of users found ReGain better than other services they’ve used in the past.

We asked nine people to tested Talkspace for us and of those, two specifically tried Talkspace’s couples counseling services from Indiana and California—and overall, we were pleased with the services we received. 

During our testing, we learned that in order to sign up for couples therapy, only one partner can initiate the intake process, which requires answering a series of questions about yourself, why you’re interested in couples therapy, and what you’re looking for in a therapist. You will then, after paying, invite your partner to join your couples therapy subscription. If your partner accepts, they will then be asked to sign a consent form, which will give you both access to a shared therapy “room” from your own individual Talkspace portals. While you both have your own login and portal, because you share a therapy room, any message you send your therapist will be seen by your partner—you cannot message them privately. We were initially intrigued by the text-therapy option for couples therapy, but we ultimately found it difficult to express our emotions via messaging and didn’t find our therapist’s replies to be sufficiently helpful, causing us to prefer our live therapy sessions.

These live video sessions are scheduled by either partner, and we were pleased to find that we didn’t have to be in the same physical location to join our session—so we entered our therapy room on different devices. 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’re dealing with less serious issues in your relationship or looking for advice for making it better (say, looking for tips to improve communication, as we were), the shorter sessions work. 

We were pleased with the therapists we were matched with in this process. We found them to be warm, supportive, and invested in our growth as a couple. 

They asked insightful questions about our relationship and provided useful advice, making us feel comfortable and understood. 

We also appreciated 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 appreciated the ability to include this service if we so chose.

Talkspace offers a couples therapy subscription service, meaning you pay a flat fee of $436 a month ($109 per week) for four 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 between sessions. 

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

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

The majority of Talkspace users would readily recommend it: Mre than four out of five clients said so in our survey of 105 Talkspace users. This platform is also great at taking the guesswork out of finding a couples therapist: While 7% of users sought couples or marital counseling specifically, 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, more than half of users (58%) reported they found it to be affordable. Overall, an impressive 91% of the users we surveyed rated Talkspace as good, very good, or excellent.

We asked five people to test Online-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.

In addition, we found our therapists to be professional and caring; they made us feel immediately at ease. This is especially important in couples therapy, where honest communication is key and a therapist needs to balance more than one person’s opinions, feelings, and needs in order to encourage us to want to open up. 

We also liked that Online-Therapy.com’s couples services use cognitive 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. 

Finally, we appreciated how easy it was to sign up and—if we wanted to—switch therapists. We could simply log into our account and click the “change therapists” button directly under the photo of our therapist or request a switch at the end of session. One of our therapists also cleared the air right away by making it clear that we could switch at any time, no hard feelings, by asking us at the end of our first session if we felt comfortable continuing with her. 

We did have a small snafu with one of our first therapists—she indicated on her bio that she offered all types of sessions (including video, which we specifically requested), but once we had scheduled a session with her, she informed us that she only offered text therapy. This was frustrating, but switching therapists was easy, and we found someone suitable who offered video sessions.

Online-Therapy.com only offers one couples therapy subscription plan, which costs $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.

It also offers a variety of individual therapy plans, ranging in price from $50 to $110 a week. The Basic tier ($50 a week) includes unlimited messaging with your therapist, the 8-session CBT program, and access to additional resources like worksheets and yoga videos. The Standard tier ($80 a week) includes everything in the Basic tier plus one 45-minute live therapy session a week. The Premium tier ($110 a week) includes everything in the Basic tier plus two 45-minute live therapy sessions a 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.

Of the 105 Online-Therapy.com users we surveyed, 85% rated the company as good, very good, or excellent overall, and nine out of ten felt the same about their therapist’s qualifications. Additionally, seven out of ten users specifically called out the program’s additional resources as better than other companies. 

In addition, 82% of survey respondents said they would refer Online-Therapy.com to a friend, and nearly three-quarters told us they found a provider who met most or all of their needs.

We tested how easy or difficult it is to find qualified couples therapists that met 36 different criteria at the Gottman Referral Network across 16 ZIP codes in the United States. And by far, this directory outperformed the 24 other directories we researched in terms of its ease in finding therapists that specialized in relationship issues such as communication problems, infidelity, whether or not to get a divorce, and navigating issues in a polyamorous relationship. 

We were able to find qualified therapists in all 50 states, as well as in 40 other countries. After entering our location, we could search for a specific provider or filter our search by factors like level of training, type of insurance accepted, and any specialties we were specifically seeking. We could also find couples therapists that offered therapy marathons, which are couples therapy intensives that last for one to three days. 

Each Gottman Referral Network profile indicated the provider's level of training in the Gottman Method, from level one (having been taught foundational skills of the approach) 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 of that research was conducted on homosexual couples, and it was also almost exclusively centered on white couples.

Providers do not list their pricing nor session lengths on the directory; however, in our research we found that therapy sessions generally range between $60 and $200 each and are typically 50 minutes long. 

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

Overall, nearly four out of five of the 180 users we surveyed rated this directory as good or very good. Of those, 35% used the directory to find a therapist because they were dealing with relationship issues, considering a divorce, or looking for premarital counseling—far more than any of the other 24 directories we tested. In addition, more than 95% were able to find a therapist who met most or all of their needs. 

In addition, 79% rated the Gottman Referral Network as good or very good overall, and more than seven out of ten are still using the therapist they found on the directory. Nearly three quarters of users said they would start their search at Gottman Referral Network again if they needed another therapist.

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

It is easy to filter for therapists by specialization and expertise at the company—which is why we also found it easy to narrow our results to those that offer Christian counseling. And because Thriveworks serves all 50 states and Washington, D.C., we didn’t have any trouble finding therapists with the background and expertise we wanted in a variety of locations. (However, we should point out that there was only one therapist offering individual counseling and no therapist for couples counseling listed in Kansas at the time we signed up, limiting our options.)

We also appreciated the fact that Thriveworks gave us the opportunity to choose our own therapist. While filling out an intake form and letting a company choose a therapist match can be convenient and save time, we found that process at competitor companies to sometimes mean we were poorly matched, requiring us to switch therapists until we were happy. Thriveworks, meanwhile, works really well if you are looking for a more specialized type of therapist, like a therapist who is also a practicing Christian. The filters on the Thriveworks site also allowed us to narrow results by visit type (in-person or video), clinician gender identity, the ages they treat (from 0 to 65+), language, and counseling approach.

Although we did not test couples therapy ourselves, we did research the process in detail. Couples sessions at Thriveworks are an hour long—significantly longer than many of the couples sessions we tested at other companies. We found that the first session would be more of an intake session, where we would go over our relationship history, and then our therapist would fill us in on important information to know about therapy at Thriveworks, such as that it’s HIPAA-compliant. From there, we’d discuss what we wanted to work on in couples therapy. Then after that, we’d start to dive into our concerns in our relationships with our later sessions. 

We found all therapy sessions to be generally comfortable and supportive, though, and our therapists asked us insightful questions and guided the conversations nicely. We felt like our therapists were a good fit for ourselves and our families, and we’d gladly go back to Thriveworks if we needed therapy again. 

In addition, Thriveworks is one of the few online couples therapy platforms we found that offers faith-based counseling, without having “statements of faith” that discriminate against the LGBTQIA+ community by citing Bible verses that denounce homosexuality.

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. 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—and be sure to check if your insurance plan covers couples therapy, as many do not.

Thriveworks has a very high user satisfaction rating: Nine out of 10 of the 105 users we surveyed rated it as excellent, very good, or good, and 88% felt the same about their therapist’s qualifications—an especially impressive figure compared to the other online therapy companies we reviewed. Seven percent of users specifically looked for and found a couples therapist at Thriveworks. 

What’s more, four out of five Thriveworks users would recommend the company to a friend, and more than three-quarters were able to find a provider who met most or all of their needs. 

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. That’s why we recommend Modern 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 that therapists who don’t have a sex therapy license—when seeking sex therapy, you should always look for a licensed sex therapist to ensure you get the most professional care possible. Plus, it's inclusive, offering specialized support aimed at those healing from trauma, the LGBTQIA+ community, and the BDSM/kink communities. 

In our research, we found that to sign up, you start with a free 30-minute phone consultation with an intake coordinator and your partner. During this session, 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 based on what you discussed.

We found that Modern Intimacy prides itself on a nonjudgmental approach and its therapists are  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 Method 
• Imago 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 also may use trauma-informed therapy, ensuring they cultivate a safe space for both you and your partner. 

Our testing of Modern Intimacy is ongoing, but we strongly felt it deserved a place on our list because of its specialization. However, unfortunately, Modern Intimacy only serves a few states: California, Colorado, Florida, Illinois, and New York.

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.

We have not yet had the opportunity to survey Modern Intimacy users, but we did thoroughly research it and found that most past and present users that 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.”

Mindful Care is one of the only online therapy companies we tested that offers true group therapy, rather than just group support. Group therapy is led by a licensed mental health professional and involves the same small group of people who share a common experience, characteristic, or identity meeting regularly, often for a set period of time. And when we tested Mindful Care in New York, we found its MindFit groups to be especially welcoming and effective. 

While we are aware that this company doesn’t serve as many states as others on our list (it only serves six states) and we did find signing up for group therapy through our patient portal a bit confusing, requiring us to get help from the customer service team, our experience with Mindful Care was so great we couldn’t not include it on this list.

When we signed up, we received an email with all of the MindFit groups available that week and from there, we could choose the one that interested us. From this list of available groups, we chose the group focused on facing everyday challenges, but our other options included trauma, anger management, substance use support, LGBTQIA issues, and anxiety. 

Our group was capped at 15 people, and we found that nine to 15 people attended depending on the day (we attended a few group sessions across the course of a couple weeks). Our group met for an hour on Zoom and our facilitator (a licensed therapist) was professional and welcoming. We all started by introducing ourselves to the rest of the group, and then from there, conversation flowed quickly and easily. 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. The only reason we didn’t continue with this group was that the time wasn’t very convenient for our schedule.

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.

Group therapy at Mindful Care costs $35 per session. 

The company also offers other types of therapy, including:

• MicroTherapy: This is an urgent 20-minute check-in that you can schedule same-day; it costs $50 per session.
• Individual therapy: The initial evaluation costs $150 out-of-pocket, and subsequent 40-minute sessions are $100.
• Psychiatric evaluation: The initial 40-minute session costs $175, and 20-minute follow-up appointments cost $75.
• Addiction recovery plan: This 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.

Mindful Care did very well in our user survey of 105 current and past patients: 95% found the service’s clinicians to have good, if not excellent, qualifications. In addition, most users were satisfied with the platform’s therapists, with more than four out of five saying they felt that their therapist was able to meet most, if not all, of their needs. Five percent said specifically that Mindful Care’s couples therapy options were better than at other online therapy companies they’d tried.

Therapist diversity is another win with this platform: 86% of users found Mindful Care to have a range of diversity among providers. Overall, nearly all (95%) of users rated Mindful Care as good, very good, or excellent. 

We had three 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.

All therapy at Little Otter starts with a meeting with a “care lead,” a clinician in charge of organizing and scheduling all our care through Little Otter. This session, which costs $90 for 30 minutes, introduced us to the services the company offers and explained what services were available to kids and what services were available to parents and families. After this session, you can schedule your additional appointments, though we found that for the next two sessions, you’ll still be going over goals and your treatment plans. It will take about four sessions before therapy really starts—which can feel a little frustrating. However, these thorough intro sessions did reassure us that the company did truly care about our family’s well-being and helped us feel confident in the level of care it provides. 

Since this platform is specifically for families, we expected strong support on parenting challenges—and Little Otter delivered on this front. We found that 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. This focus on parenting sets Little Otter apart from the other companies we reviewed, and makes it a great resource for parents in need of support.

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 writing this article, Little Otter is only available in California, Colorado, Florida, Illinois, Maryland, New York, North Carolina, Pennsylvania, Texas, Utah, Virginia, and Washington, D.C. It is also on the pricier side compared to other companies we evaluated. However, we still felt like its unique emphasis made the company stand out and deserving of a spot on our list.

Your initial 30-minute assessment session costs $90 at Little Otter. Every session after is 45 minutes long and costs $200, except for psychiatry sessions. A 75-minute psychiatric evaluation costs $500, and each follow-up psychiatry session costs $250.

Bundles are available at a slight discount. An assessment bundle costs $540, which includes a 90-minute assessment and one therapy session; it costs $2,040 for 12-session bundle. 

Unfortunately, Little Otter is only in-network with one insurance provider (Kaiser Permanente), but payments can be made through an FSA or HSA.

Overall, the 105 Little Otter users we surveyed were satisfied with the care they received.

Seventy-five percent of our 105 survey participants rated Little Otter as excellent, very good, or good overall. In addition, 81% of users scored it higher than similar services they’ve used in the past—a better rating than most of the other online therapy companies we evaluated. Nearly eight out of ten users thought the qualifications of Little Otter therapists were good, very good, or excellent, and 18% turned to this company specifically because of marriage or relationship issues. Additionally, seven out of ten users found a therapist who met most or all of their needs.

When we tested Growing Self from Colorado, we found it excelled in its relationship therapy and coaching offerings because it offered more tailored services. 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. 

The breakup and divorce support group is a 75-minute group session, capped at six people, that meets weekly for eight weeks. We learned that the group is facilitated by a divorce counselor and breakup recovery coach who leads the group through various exercises and guided discussions. Plus, each session is only $40, ensuring it is financially accessible even in the midst of an expensive divorce. The only thing to know: This is a coaching-oriented support group, which means that while the facilitator is a divorce counselor and breakup recovery coach, the groups will be focused on more actionable activities and guided discussions rather than in-depth emotional processing or sharing in a group setting like you might find at other support groups, including some we included on our list after testing. 

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 therapeutic goals.

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.

We surveyed 105 people that were using or had recently used Growing Self’s services and of those, almost four out of five told us the company was better or much better than services they’d tried in the past. Overall, 90% of the 105 users we surveyed rated Growing Self as good, very good, or excellent, and nearly seven out of ten were able to find a provider who met all or most of their needs. Eight percent sought therapy at Growing Self specifically for marriage or relationship issues, and 4% received divorce or discernment counseling. Seven out of ten users would recommend Growing Self to a friend or someone like them.

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. 

Octave’s therapists have a wide range of training and specializations, including repair after infidelity, a specialty that we found was hard to come by even at companies that specialize in couples counseling. These therapists can help support couples in moving forward together or deciding if it’s better to end the relationship, giving them the tools to move on in a more healthy way for future relationships. 

In addition, because the therapists have such a wide range of specializations, the company seems to be able to match you well to one that can help you with the issues you are looking to address in therapy. We were impressed with how detailed the intake questionnaire was when we signed up and with the personalized level of care the company took to match us; however, the matching process takes seven to 10 days, which is way longer than almost all the other 54 companies we tested. Still, the matching process is very individualized: Octave does not use a matching algorithm (like Talkspace and BetterHelp) and instead uses a care navigator (i.e. an actual, qualified person) to help pair you. Our care navigator called us a few days after filling out the intake form to let us know we’d been assigned a therapist. And in our testing, we found the therapists to be very well matched to our needs.

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. We felt seen and respected in session and while some therapists were a bit more goal-oriented than others, our therapists seemed to use therapy techniques that aligned with our stated goals for therapy from the intake process. 

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

Couples sessions at Octave are 55 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.

Seven out of ten Octave users rated the company overall as good, very good, or excellent, and three-quarters of the 105 users felt the same about their therapist’s qualifications. Its matching service is highly regarded amongst clients; 69% of users found it to be helpful in connecting them to a therapist, and the same number would recommend Octave to a friend or someone like them. If they needed a new therapist in the future, 56% of clients surveyed said they would use Octave again.