Health and Wellness Mental Health Inclusive Online Couples Counseling Services Improve communication and calm conflicts with these couples counseling providers. By Sharon Brandwein Published on January 5, 2023 Share Tweet Pin Email We independently research, test, review, and recommend the best products—learn more about our process. If you buy something through our links, we may earn a commission. Photo: Geber86 / Getty Images A common misconception is that couples therapy is a last-ditch effort to save a relationship. While therapists can help couples decide if divorce is imminent, they can also help couples work through issues well before they reach the point of no return. Online couples therapy can help you communicate better, work through trust issues, and even improve intimacy. The best online couples therapy will be tailored to your specific needs and help you work through your problems in a safe and supportive environment. The best part about online couples therapy is that you and your partner can address outstanding issues from the comfort of your home. You can skip the hassle of matching calendars, the logistics of getting to-and-fro and finding a babysitter, and most importantly, ditch the excuses and get to work on your relationship. To help you find the best online couples therapy provider to meet your needs, our research team evaluated 55 online therapy companies, including surveying over 105 users from each of those companies. The ultimate goal was to ensure the final list was accurate, inclusive, and accessible to all socioeconomic income levels. In the end, only seven online couples therapy companies made it through the rigorous vetting process. Best Online Couples Therapy of 2023 Best Overall: ReGain Best for Married Couples: Talkspace Best for Engaged Couples: E-Therapy Cafe Best for Addiction: Monument Best for Divorcing: Couples Therapy Inc. Best for Christians: Calmerry Best for Inclusivity: Kip Therapy Best Overall: ReGain ReGain Key Specs Price: $60 to $90 per week Insurance Accepted?: NoTypes of Therapy: Individual, couples Why We Chose It ReGain offers individual and couples therapy with licensed, trained, and accredited professionals. Users get one live video session per week, or the session can be conducted anonymously via text. Pros & Cons Pros Offers individual and couples therapy Text-based, so it can be anonymous Therapists reply within 24 hours Cons Therapists are assigned Users can’t see therapists’ bios or credentials until they are matched Overview Owned by BetterHelp, ReGain is specifically geared toward couples therapy, helping couples with issues such as stress, anxiety, communication problems, parenting, depression, and family conflicts. The therapists at ReGain are licensed, trained, experienced, and accredited psychologists, licensed marriage and family therapists, licensed clinical social workers, and licensed professional therapists. Upon signing up, you’re assigned a therapist based on your intake questionnaire answers, but it’s worth noting that there are no bios for the therapists for your reference prior to the match. You get what the algorithm chooses for you, and once you’re matched, you can see your therapist’s bio and credentials. If the therapist is not a fit, you can request a new therapist by clicking on "Change Therapist" from within your account portal. ReGain offers counseling via phone or live video once per week, along with unlimited messaging in between. Once you’re assigned to a therapist, you can reach out to them within 24 hours. If you choose to communicate with your therapist via text, you can also expect a reply within 24 hours. Reviewers found that, overall, the responses felt genuine and thoughtful. Moreover, the responses felt like they were actual answers to what was being shared, not scripted. Regain doesn’t offer medication management, nor does it work with minors. Plans & Pricing ReGain is subscription-based; fees range from $240 to $360 per month depending on where you live and demand when you sign up because the company engages in surge pricing. The platform doesn’t accept health insurance. It also doesn’t offer a free trial. User Satisfaction Overall, the company looks to be a reliable option for couples therapy. A tester noted prompt response times, thoughtful responses, and satisfactory quality of care. Considering that this is a text- and online video based-service, there’s plenty of room for technical error, but testers found that ReGain does its due diligence to make the process easy and support the user(s). If numbers speak louder than words for you, here are a few stats to consider. 77 percent of users surveyed rated ReGain as very good or excellent.51 percent of respondents said that all their therapy needs were met with ReGain. 45 percent said they’re likely to continue seeing a therapist 12 months from now.50 percent rated ReGain's customer service as very good or excellent. Best for Married Couples: Talkspace Talkspace Key Specs Price: $69 - $109 per week Insurance Accepted?: YesTypes of Therapy: Individual, couples, teens Why We Chose It Talkspace offers a wide range of couples therapy, from premarital to marriage counseling. Pros & Cons Pros Accepts insurance Offers a range of couples therapy Affordable Cons New users are limited to therapists from a pool of potential matches No bios for therapists on the site Overview Founded in 2012, Talkspace was one of the first online therapy sites, and today, it’s still one of the largest. Through the platform, couples can meet with a licensed therapist for virtual couples therapy to help them resolve the issues and challenges in their relationship. Counseling sessions are offered via messaging on Talkspaces’s secure platform, by phone, or through live video sessions. Couples who choose to message their therapist will typically get a response within two hours. Those who prefer live 30-minute video calls will have to book the sessions themselves, but generally, appointments are available within the week. Plans & Pricing Talkspace offers a range of plans, with prices as follows: $69 messaging only$99 per week for video and messaging therapy $109 per week for video messaging and workshops You can also save an additional 10 percent to 20 percent if you choose to be billed quarterly or biannually, and you can cancel your subscription at any time. Unlike many other therapy platforms, Talkspace accepts insurance, including Premera, Cigna, Optum, Gatorcare, Aetna, Blue Cross Blue Shield, and more. User Satisfaction Overall, Talkspace ranked well among surveyed users: 69 percent rated Talkspace as very good or excellent.78 percent of respondents indicated that all or most of their needs were met. 82 percent said that they were likely or very likely to recommend the service to a friend. Best for Engaged Couples: E-Therapy Cafe Key Specs Price: $55 per session (or subscriptions up to $360)Insurance Accepted?: NoTypes of Therapy: Individual therapy, couples therapy, marriage counseling, wedding and bridal coaching Why We Chose It E-Therapy Cafe offers a host of counseling services, many of which are geared toward couples approaching their wedding day. It offers couples and marital counseling as well as bridal and wedding coaching to help couples manage the excitement, stress, and feelings of overwhelm that inevitably occur in the lead-up to the big day. Pros & Cons Pros Offers pay-as-you-go options or tiered pricing subscriptions Users can choose their therapist Board certified, licensed therapists Cons No free consultation Clunky website that’s busy and overwhelming Overview Clinical psychologist and military wife Jude Black, Ph.D., has been providing online therapy services for over 20 years, primarily to military members overseas. In 2016, she expanded her offerings to people everywhere with E-Therapy Cafe. E-Therapy Cafe matches licensed mental health professionals and certified life coaches to those who need them. Users can choose their therapist based on their bios, so you can make an informed choice. It’s worth noting that E-Therapy Cafe doesn’t work with psychiatrists, so it doesn’t offer medication management or work with minors. Once matched, users can communicate with their therapist via messaging through the portal in a private chat room. Upon receiving the comments, questions, and discussion, the therapist will respond. Testers said they typically received answers within minutes. If you prefer, you can book live 30-minute video sessions with your therapist, and appointments are typically available within a few days. Beyond a host of online therapy options, other services include trauma counseling for military service members and their spouses and emotional support animal services. For those facing high-stress bridal commitments or weddings (think: in-laws, immediate family demands, or finances), E-Therapy Cafe can offer talk therapy along with meditation tools to help couples conquer all the highs and lows that come with planning one of the biggest events of their life. Plans & Pricing E-Therapy Cafe doesn’t offer free trials or consultations, but it does offer a trial session at $50 for 30 minutes. After that, you prepay for e-sessions 24 hours prior to your scheduled time or choose from one of their subscriptions. Plans are: $55 for a 30-minute therapy session$196 for a monthly four-session package $360 for a monthly eight-session package E-Therapy Cafe also offers discounts for military, first responders, and students. User Satisfaction While E-Therapy Cafe has a clunky and outdated website that can be off-putting, reviewers and survey respondents had a positive experience with the platform. 94 percent of users rated it as good, very good, or excellent overall.80 percent said they were satisfied or very satisfied with the therapists on the site.82 percent said they were likely or very likely to recommend the service to a friend. Notably, the speed of response, the type of therapy offered, and the therapists’ qualifications came out on top. Best for Dealing with Alcohol Addiction: Monument Monument Key Specs Price: $10 to $249 per monthInsurance Accepted?: YesTypes of Therapy: Individual Why We Chose It For couples that are trying to either beat addiction together or support their partner through alcohol addiction recovery, Monument is a great choice. The platform specializes in treating alcohol addiction using the Sinclair Method and connects users with highly-skilled addiction recovery therapists. Pros & Cons Pros Specializes in treating alcohol addiction Offers medication management Highly rated therapists Cons Doesn’t treat other mental health issues Users can’t choose their therapist Overview Monument connects users with medical doctors that help manage their alcohol addiction. Doctors are typically board-certified and have at least one year of experience working with patients struggling with alcohol addiction or other forms of substance abuse. Therapy is available via chat-based messaging or 45-minute live sessions. It’s also worth noting that while other platforms require a per-session fee, Monument offers a free community membership that gives users access to therapist-moderated support groups on topics related to alcohol abuse and changing their relationship with alcohol, as well as an anonymous 24/7 community forum. It’s important to note that Monument typically uses The Sinclair Method to treat alcohol addiction. Developed by John Sinclair, this method of alcohol abuse treatment involves prescription medication that, when taken prior to consuming alcohol, blocks endorphins or the reward system in your brain. When taken over time, the brain learns not to associate alcohol with pleasure, resulting in reduced cravings and improved control over alcohol use. That said, Monument only prescribes medication that is FDA-approved for the treatment of alcohol use disorder, such as disulfiram; no other prescriptions are ever prescribed. Monument doesn’t offer help with other mental health conditions, meaning partners of those dealing with addiction will need to seek an Al-Anon-like therapy elsewhere. But because it deals with such a sensitive issue, it has a pretty responsive team that can help coordinate referrals to external mental healthcare providers should doctors feel it’s warranted. Moreover, Monument has crisis policies and procedures in place to respond to adverse reactions and emergent issues. Plans & Pricing Monument offers multiple plans that range from free community groups to $249 per month. It accepts insurance, including Cigna Aetna, Oxford Health Plans, and Medicare. Anyone can enroll in Monument’s community membership for free. Enrollment grants them access to therapist-moderated support groups and 24/7 community forums. Beyond that, paid plans for Monument include Physician Care For $10 a month, users get virtual prescription management for medications related to the Sinclair Method, chat-based messaging with their physician, unlimited therapist-moderated support groups, and the ability to schedule additional appointments for $45 per appointment. Total Care (bi-weekly) For $35 per week or $149 per month, users can access the same resources as the Physician Care plan (outlined above) as well as bi-weekly, 45-minute therapy sessions. Total Care (weekly) For $58 per week or $249 per month, users have access to the Physician Care plan (outlined above) and weekly 45-minute therapy sessions. User Satisfaction Overall, Monument has a pretty good reputation in terms of online therapy. Users have indicated that they found the doctors to be attentive, compassionate, and non-judgmental. 69 percent rated Monument as very good or excellent. 78 percent of respondents indicated that all or most of their needs were met. 82 percent said that they were likely or very likely to recommend the service to a friend. Best for Divorcing: Couples Therapy Inc. Couples Therapy Inc. Key Specs Price: $150 to $275 a sessionInsurance Accepted?: NoTypes of Therapy: Premarital counseling, affair recovery, discernment (divorce contemplation) counseling, and "last shot" couples counseling Why We Chose It Couples Therapy Inc. is a solid choice for potentially divorcing couples because it offers a host of therapy options, such as affair recovery, divorce discernment, and “last shot” counseling. Moreover, beyond its online therapy options, Couples Therapy Inc. also offers intensive couples retreats for divorce discernment. Pros & Cons Pros Offers science-based therapy Online or in-person counseling options Weekend intensives Cons No medication management Fees are by session only, no subscriptions Intensives are expensive Overview Couples Therapy Inc. provides assessment and treatment using evidence-based therapy, including the Gottman Method, emotionally focused therapy, solution-focused therapy, and integrative behavioral couples therapy, to help couples growing through difficult patches and those considering divorce. Most of the marriage counselors on its roster have 20 to 30 years of experience as relationship professionals. Included among them are clinical social workers, clinical psychologists, marriage and family therapists, and even board-certified sex therapists. The website is easy to navigate, and users can click on their geographic area to find available therapists. Even better, each listing shows where the therapist is licensed as well as their certifications and qualifications. Couples Therapy Inc. also offers weekend therapy retreats led by licensed professionals. The combination of personalized attention and intensive work in a short time may lead to faster results than 50-minute sessions over weeks and months can offer. There’s also discernment (divorce) counseling for couples on the precipice of divorce who are struggling with the decision. Couples Therapy Inc. also offers a sexuality retreat and a comprehensive online library of self-guided help through a series of downloadable e-books and workbooks. Plans & Pricing The exact fee you’ll pay per session will vary based on the therapist you choose. For an 80-minute session, couples can expect to pay about $244 per session, but the most senior therapists charge $500 to $1,500 more. Intensive marriage retreats (which typically run Friday through Sunday from 9:30 a.m. to 4:30 p.m.) are available online and in-person in every state except Rhode Island, Delaware, Mississippi, Louisiana, the Dakotas, Wyoming, and Montana, and range in price from $3,500 to $6,500. The fee does not include travel, lodging, or food. Couples Therapy Inc. doesn’t accept insurance, but potential users can schedule a free consultation. User Satisfaction Survey respondents seemed to have a good experience with Couples Therapy Inc. overall. 90 percent of users rated Couples Therapy Inc. as good, very, good, or excellent.82 percent said all or most of their needs were met.72 percent rated their therapist's qualifications as very good or excellent. Couples Therapy Inc. also showed a strong performance in speed of response and types of therapy offered. Best for Christians: Calmerry Calmerry Review Key Specs Price: $230 to $360 per monthInsurance Accepted?: NoTypes of Therapy: Individual, peer, couples, group Why We Chose It Users can indicate a preference for Christian-based counseling or a therapist of the faith on their intake form and be assigned accordingly. Pros & Cons Pros Manually matches patients and therapist—no algorithms Offers text and video therapy Therapists are independent contractors Cons Video sessions abruptly cut off at 30-minute mark Underwhelming technology Overview While most online therapy platforms match users to a qualified therapist, many use an algorithm to do so. Calmerry sets itself apart from the rest by matching users and therapists manually. On the intake form, users can indicate a preference for everything from language to religion. That means that if you prefer a Christian therapist who shares your faith, one will be assigned to you. (Calmerry only features this option for Christian faiths, not any other religions). If you do not want faith-based therapy, then that is an option as well. According to the website, Calmerry works with a variety of clients, but their primary users are 25- to 34-year-old women who struggle with depression, anxiety, and relationship and self-esteem issues. Calmerry also offers online couples therapy and a range of other therapies, including pediatric therapy, parent counseling, psychiatry, and more. Once you’re matched, you can reach out to your therapist right away through the Calmerry app. Therapy is conducted via text message or 30-minute video calls with your therapist on the app. If you message your therapist, you can expect a response within three to four hours. If you’re scheduling a live session, you shouldn’t have to wait longer than 24 hours for availability. Plans & Pricing Calmerry is a subscription-based service, and clients can choose from 3 subscription plans: Messaging only: $230 per monthMessaging + 1 video session: $300 per monthMessaging + 4 video sessions: $360 per month It’s worth noting that Calmerry offers discounts on the first month, so new users can expect to pay slightly lower prices: $42 per week (billed monthly) for messaging only $52 per week (billed monthly) for messaging + 1 video session Calmerry doesn’t accept insurance. User Satisfaction Overall, 74 percent of survey respondents rated Calmerry as very good or excellent. 84 percent gave the platform positive ratings ranging from good to excellent.83 percent of respondents indicated that all or most of their needs were met. 68 percent said that they were likely or very likely to recommend the service to a friend. Best for Inclusivity: Kip Therapy Key Specs Price: $65 to $250 Insurance Accepted?: NoTypes of Therapy: Individual, couples, teens, groups Why We Chose It Kip Therapy offers New York residents a diverse team of who clinicians specialize in working with clients facing all forms of oppression, including racism, sexism, homophobia, and transphobia. Pros & Cons Pros Diverse team of clinicians Users can choose their therapist Offers prices on a sliding scale Cons No text-based therapy options No free consultations Overview Kip Therapy caters to a wide range of clients, including LGBTQIA+, people of color, and people struggling with anxiety, depression, substance use, body image issues, and disordered eating. In comparison to many of the online therapy providers reviewed, Kip also had a far more diverse group of therapists on its roster. Perhaps more importantly, users can do their own research on the website and choose the therapist they feel would best serve them. You can filter your search based on a number of factors, including race, budget, sexual orientation, or clinician specialty. Once you hone in on a particular therapist, you’ll find a comprehensive bio with every bit of information you might need to make an informed decision. Therapy sessions are typically conducted over video or phone calls, with each session lasting about 45 minutes. Therapists are typically available from 7 a.m. to 10 p.m., Monday through Friday, and 9 a.m. to 5 p.m. on Saturdays. Prior to 2020, Kip Therapy offered in-person therapy in New York, but due to the pandemic, the online couples counseling service went completely remote. The remote offerings no doubt opened Kip Therapy to a whole new client base. While Kip Therapy may return to offering in-person therapy at some point, it's currently still online only. Plans & Pricing Kip Therapy offers prices on a sliding scale to accommodate all sorts of budgets, but it doesn’t take insurance. After your first consultation session (which is free for Tier 1 and $25 for other appointment types), therapists charge the following rates: Tier I (Emerging Therapist): $65 to 95 per session; $200 for couples therapy and adolescent therapyTier II (Resident Fellow): $130 to $150 per session; $200 for couples therapy and adolescent therapyTier III (Senior Clinician): $170 to $225 per session; $250 for couples therapy and adolescent therapy User Satisfaction Seventy-five percent of users rated Kip Therapy as very good or excellent. Other user survey results included: 54 percent of users said that they were likely or very likely to recommend the service to a friend.67 percent said that Kip was better or much better than other services they've used in the past.89 percent indicated that all or most of their needs were met. Final Verdict Over the last decade, online therapy has grown by leaps and bounds, vastly improving accessibility for those who need it. Today, users don’t have to look too far into their Google search to find therapists specializing in premarital or couples counseling. Even more promising are the online therapy providers who provide specialized care for BIPOC and LGBQT+ couples. ReGain is the best online couples therapy service, according to our testers. This platform offers relatively affordable therapy for couples with licensed and accredited therapists. ReGain provides both text-based therapy and live video sessions. Testers say ReGain's online therapy feels genuine, well thought-out, and not scripted. Couples who need therapy for specific stages of their relationship may consider looking into other platforms. For those just starting out, E-Therapy Cafe offers marriage counseling as well as wedding and bridal coaching. For established couples that need help with getting over a hump or figuring out their next steps, Couples Therapy Inc. offers affair recovery counseling and discernment (divorce contemplation). Compare the Best Online Couples Therapy Company Price Insurance Accepted? Types of Therapy Best Overall ReGain $60 to $90 per week No Individual, couples Best for Married Couples Talkspace $69 to $109 per week Yes Individual, couples, teens Best for Engaged Couples E-Therapy Cafe $55 per session (or subscriptions up to $360) No Individual therapy, couples therapy, marriage counseling, wedding and bridal coaching Best for Divorcing Couples Therapy Inc. $150 to $275 a session No Premarital counseling, affair recovery, discernment (divorce contemplation) counseling, "last shot" couples counseling Best for Christians Calmerry $230 to $360 per month No Individual, peer, couples, group Best for Inclusivity Kip Therapy $65 to $250 per session No Individual, couples, teens, groups Best for Addiction Monument $10 to $249 per month Yes Individual Guide to Choosing the Best Online Couples Therapy What Is Online Couples Therapy? Online couples therapy is a type of counseling where couples meet with a licensed therapist in a virtual setting, typically via video or messaging through the provider’s proprietary messaging app or platform, to improve their relationship and work through specific challenges. How Does Online Couples Therapy Work? While online couples therapy may differ in packaging and delivery, it works the same way as in-person therapy. Through a series of regularly scheduled appointments, a therapist facilitates communication between couples to help them address challenges in their relationship and work through issues and conflicts. While online couples therapy is primarily delivered through chat or video sessions, other online therapy options include intensives, group support, workbooks, and self-led courses. Comparing Online Couples Therapy Providers Price For the platforms examined, testers found that the rates were typically in line with the national average of $100 to $200 per session. So, when comparing online therapy providers, pricing is key. Remember that many online therapy companies don’t accept insurance. Moreover, therapy is never a one-and-done endeavor. For proper treatment, you may need to continue therapy for weeks and months. So, while $90 per week may not seem awful, don’t forget to do the math and choose an online therapist that fits your budget. Scheduling Online therapy removes one of the most common barriers most people have with traditional therapy: time. These platforms typically conduct therapy sessions via text or messaging, making online therapy quite accessible. However, you may have to wait weeks before getting an appointment, which could be an issue. Ultimately, you should be sure the therapy company you choose gives you access to your therapist when you need it. Types of Therapy While researching online therapy, be sure to familiarize yourself with the types of therapy each one offers. So, whether you’re looking for premarital counseling or divorce discernment, be sure to keep specialties in mind. Therapist Qualifications Most online therapy companies align themselves with reputable therapists, which is good news. But again, you’ll need to do your due diligence for any company on your shortlist. For example, if one or both partners are on medication for mental illness, many online couples therapists are not qualified to provide medication management. You’ll need a psychiatrist for prescriptions and medication management. Also, keep in mind that there are all types of certifications for therapists, and if you’re looking for couples counseling, it may be best to seek out a licensed marriage and family therapist (LMFT) who is specifically trained to deal with marriage and family issues. Frequently Asked Questions Why Do People Go to Couples Therapy? Every couple is different, so their reasons for seeking couples therapy may be equally unique. That said, some of the more common reasons couples seek therapy are poor communication, constant arguing, a lack of trust, jealousy, and divorce discernment. What Is the Success Rate of Couples Therapy? The American Association of Marriage and Family Therapists reports a success rate of 98 percent for couples therapy, meaning the majority of couples who seek therapy can absolutely work out their issues and improve communication. However, research shows that the number may be slightly lower, although still quite respectable. Specifically, studies have shown that couples therapy has a positive impact on 70 percent of couples receiving therapy. Does Insurance Cover Couples Therapy? Health insurance providers don’t typically provide coverage for couples therapy (online or in person), nor are they required to. But every insurance plan is different, so if you’re considering couples therapy, you may want to contact your insurance carrier to be sure. Is Couples Therapy Recommended for Infidelity? Couples therapy can be beneficial even after infidelity. Not only can it help both partners gain some understanding of how they got there, but it can also help rebuild trust in the relationship. Therapists are trained and experienced in helping couples understand betrayal of trust. Therapists often uncover a past breach of trust that is still lingering in the marriage today. Therapists are also trained to look at other symptoms that can have a negative effect on the marriage. Is Couples Therapy Good for Relationships? Couples therapy can be very good for relationships. Remember that when you’re in the thick of things, you may not be able to see the forest for the trees. Having an unbiased third party to facilitate communication between parties can be incredibly helpful for couples that find it hard to communicate effectively. Methodology To curate this list of the best online therapy for couples, reviewers researched and tested the companies and surveyed over 105 users from 55 online providers. The vetting process gave special attention to the online providers that prioritized inclusion, easy access to therapy, and affordability — whether through accepting insurance, sliding scale fees, or offering low-cost subscription plans. Providers that were available nationwide, were HIPAA compliant, and covered a range of services, including medication management and specialty therapies, were also give special attention. Edited by April McCormick April McCormick April is the health editor for performance marketing at Dotdash Meredith, overseeing family, health, fitness, wellness, and lifestyle content. Her work has appeared in Real Simple, Martha Stewart Living, Verywell Mind, Verywell Family, Verywell, Fit, Verywell Health, Time, Parents, Parents Magazine, The Straits Times, The Huffington Post, TripSavvy, Parenting, First Time Mom and Dad, Mama Mia, All4Women, the New York Times Bestseller, A Letter To My Mom, and more. learn more and Simone Scully Simone Scully Simone is the health editorial director for performance marketing. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science. learn more Was this page helpful? Thanks for your feedback! Tell us why! 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