Best Online Marriage & Couples Therapy Options of 2024

Regain is an online couples therapy platform that is available across the US and costs $260 – $360 monthly, depending on your location. A Regain subscription includes weekly 45-minute live video, phone, or texting sessions with a licensed therapist with special experience in conducting marriage therapy online. You will also be able to send text messages to your therapist between sessions, plus access a shared journal and educational webinars.

After you sign up, you and your partner will have access to a dedicated chat room you share with your therapist. There is also an in-app journal space and group webinars to attend through the app. While you are initially matched with a therapist, you and your partner can easily choose a new one if you feel your match is not the right fit.

To learn more about what this subscription can offer you and your partner, please read our full review of Regain.

Talkspace Couples Therapy works for any relationship type, from partners and spouses to siblings and friends. Talkspace is one of the only virtual marriage counseling services to accept insurance, potentially saving you hundreds of dollars per month.

Talkspace Couples Therapy offers online relationship counseling across the US. Couples will be initially matched with their top three therapist choices and can choose from two subscription options. Subscriptions cost $436 monthly.

A great perk to Talkspace is the option for three-way calling, which makes it convenient for those with busy work schedules or partners who travel to attend regular therapy sessions. To learn more, check out our independent review of Talkspace Couples Therapy.

Amwell is a comprehensive platform for finding many kinds of mental and physical healthcare, including virtual relationship counseling. Amwell costs range from $112 – $135 per session, depending on the experience level of your therapist.

During our review of Amwell, we found that it is a very flexible platform that allows you and your partner to receive online marriage counseling on a per-session basis. There are no ongoing subscription fees and you aren’t matched with a therapist automatically, so it’s entirely up to you to choose a suitable therapist. Each therapist sets their own rate based on experience level. Amwell does accept insurance, which can lower costs significantly.

Relationship Hero provides relationship coaching nationwide, has several ways to attend live sessions, and can help with a wide range of challenges. This is why it was awarded Best for Relationship Coaching.

Relationship Hero is an online coaching service that connects anyone in a relationship with certified relationship coaches. Services are available nationwide and live coaching sessions can be attended through video, phone, or live texting sessions. Coaching costs $80 – $250 per one-hour session, with ultimate costs depending on the coach you are matched with.

After you fill out a brief questionnaire, which includes questions about what type of coaching you’d like, your sexual orientation, and your gender identity, you will be matched with a relationship coach. Coaches with Relationship Hero go through a 160-hour training program called the Relationship Hero Professional Coaching Certification (RH PCC). You can view a detailed list of the RH PCC curriculum at any time to see exactly what your coaches have learned. Currently, Relationship Hero has over 90 relationship coaches available to sign up with.

For more information, check out our in-depth review of Relationship Hero.

Recovering from infidelity requires space for you and your partner to rebuild trust, strengthen intimacy, sincerely apologize for past actions, and deal with the problems in the relationship that made it susceptible to an affair in the first place. Octave personally matches you with a provider who has experience with the issues you are dealing with as a couple. Having this personalized matching process is why Octave was awarded Best for Affair Recovery.

Octave (findoctave.com) is an online therapy platform that also offers couples counseling. They are available in CA, CT, FL, NJ, NY, TX, and D.C. After you are matched with a couples therapist, you will be able to attend live 45-minute video sessions. Octave costs $190-$275 per session and they do accept select insurance plans.

The early conversations about infidelity may be filled with accusations or defensiveness. Part of the therapist’s role is to help you and your partner recognize these interactions, learn fair fighting rules, and stabilize the situation.

To learn more about Octave and whether it’s a good fit for you, read our full review of Octave.

Couples Therapy Inc. provides in-person and online support to struggling couples. They offer intensive weekend retreats as well as couples coaching sessions. All of their therapists are licensed and hold certifications in couples-related therapeutic methods, such as the Gottman Method.

Couples Therapy Inc. has a large staff, and service area, and specializes in all types of couples counseling. For those beginning to decide whether or not they want to continue their marriage, Couples Therapy Inc. offers a type of divorce counseling, called discernment counseling. Discernment counseling can be especially effective when one partner wishes to leave the relationship while the other partner desires to stay together. For this reason, Couples Therapy Inc. was awarded Best for Divorce.

Couples Therapy Inc. offers online therapy and in-person couples retreats to couples in most US states and internationally. They specialize in working with couples from different backgrounds and can help with numerous relationship issues. Couples Therapy Inc. costs for therapy vary, and they do not currently accept insurance.

Visit our full review of Couples Therapy, Inc. for more details.

Premarital counseling with Growing Self is secular, affordable, provided by licensed LMFTs, and available nationwide. For these reasons, they earned our award for Best for Premarital Counseling.

Growing Self is an online therapy and coaching platform for people who seek personal growth on many fronts. They offer a wide range of therapy and coaching services and also specialize in premarital counseling. All of Growing Self’s services range from $75-$170 per session, depending on the education level of the therapist or counselor you see.

To begin, you will start with a detailed relationship assessment that identifies your relationship’s strengths, and where you can grow as a couple, and then provides an individualized premarital program. Couples in the premarital program will learn healthy communication and conflict resolution skills, how to talk about kids, money, sex, and much more.

It is vitally important that sex therapy is provided by someone licensed, trained, and certified in the field. For this reason, AASECT was awarded our Best for Sex Therapy.

The American Association of Sexuality Educators, Counselors, and Therapists (AASECT) serves as a trusted directory for individuals seeking qualified professionals trained and certified in sex therapy. Collaborating with an AASECT-certified sex therapist ensures the use of appropriate techniques as you and your partner navigate discussions about your desires and needs.

AASECT members encompass a diverse range of professionals, including sexuality educators, counselors, therapists, physicians, nurses, and marriage and family counselors. By joining AASECT, members demonstrate a commitment to promoting understanding of human sexuality and fostering healthy sexual behavior.

Choosing to work with an AASECT member guarantees a safe and non-judgmental environment where your sexual preferences and past traumas are respected, eliminating any discomfort or feelings of being misunderstood.

Having someone understand your community and the pressures that can be placed upon you as a couple in the gay community can be challenging. You want a therapist who is an ally and also may share some lived experiences with you. This is why The Gay Therapy Center was awarded our Best for LGBTQIA+ couples.

The Gay Therapy Center offers a range of online therapy for those in the LGBTQIA+ community, including couples therapy that focuses on Emotional Focused Couples Therapy (EFT). The Gay Therapy Center is available nationwide online, with costs averaging about $200 per 50-minute video or phone session.

Gay Therapy Center has two matching coordinators who will personally match you with a provider. After being matched, your therapist will call you for a free, 15-minute get-to-know-you call. This call allows you to get to know your therapist and ensure the match is a good fit. Many of the couples therapists with The Gay Therapy Center have completed training with Sue Johnson, the founder of EFT.

Being a parent can bring stressors to a relationship that cannot be foreseen or prepared for. It can be doubly stressful if your children are experiencing mental health symptoms, like anxiety, depression, or ADHD. Little Otter can treat the entire family, which is why they were awarded Best for Parents.

Little Otter is an online mental health platform that offers therapy and psychiatry services to kids up to age 14. Little Otter offers live, 45-minute video sessions with a licensed therapist. A 30-minute “Kickoff Session” costs $20 with all subsequent therapy sessions costing $200. All services include parent resources and parent strategies, but for parents who need extra support, there is couples therapy available.

Little Otter’s services include access to Parenting Specialists, who aim to help you deal with the behavior you can see your child struggling with as well as identify behaviors you want to see more of. The goal is to give parents more tools, more support, and more guidance for the day-to-day grind of parenting.