These 9 Online Couples Therapy Providers Can Help Restore Harmony and Balance

These are the best online couples therapy for your relationship needs, schedule, and budget

We independently evaluate all recommended products and services. If you click on links we provide, we may receive compensation. Learn more.

Good relationships take work—after all, you can’t expect love to flourish without putting in some time and effort. That’s where couples counseling can help. 

Spoiler alert: Therapy isn’t just for relationships that are on the brink of death. If you and your partner have hit a rough patch, chances are you’ve already considered it, but even if things are going well, online couples therapy can be extremely beneficial. Think of it like car maintenance for your relationship. The best online couples therapy can help you resolve conflicts, work on communication, prepare for marriage, and build a stronger connection. It can even improve your sex life. Put simply, it’s a good way to keep your relationship running smoothly. 

So, if you’re looking for the best online couples therapy, keep scrolling because we evaluated 55 online therapy companies and 25 therapist directories, surveyed over 10,000 therapy users, and tested the services ourselves. Here are our picks for the best couples therapy for a variety of needs, budgets, and schedules. 

9 Best Online Couples Therapy of 2023

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

When choosing an online therapy provider, we recommend that you read the company’s privacy guidelines before you sign up to better understand whether it is HIPAA-compliant and whether it shares any private information with third parties. There have been some concerns raised by the Federal Trade Commission (FTC) and several government officials about what user health information online therapy providers collect and what they do with any information they collect.

These 9 Online Couples Therapy Providers Can Help Restore Harmony and Balance
These 9 Online Couples Therapy Providers Can Help Restore Harmony and Balance

Most Specialized : ReGain

  • Price: $240-$360+ per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Why We Chose It 

ReGain stands out from the crowd because it specialized exclusively in relationship therapy. You can sign up alone or with your partner but either way you’re guaranteed to work with a licensed therapist that specializes in couples work. 

Pros & Cons
  • Therapists all specialize in relationship counseling

  • Offers a relatively affordable monthly subscription 

  • Couples can join therapy sessions from different locations

  • You can sign up alone or with a partner—or ask them to join later on

  • Your therapist is “matched” to you; you cannot choose

  • Your monthly subscription depends on where you live and surge demand


While many online therapy companies we reviewed offer couples or relationship therapy, ReGain specializes in it. Owned by the therapy giant BetterHelp (which focuses only on individual therapy), all of ReGain's providers are licensed professional therapists, psychologists, marriage and family therapists, or clinical social workers that focus on relationship-focused issues with individuals or couples/marriage therapy. 

For example, they could help you address parenting issues in your relationship, anger issues, infidelity, family conflicts, or intimacy issues. They could also offer you discernment counseling if you’re thinking of ending your relationship or could offer co-parenting coaching if you and your child’s father need help to navigate post-separation agreements. 

You can sign up for ReGain by yourself or with your partner—and if you decide to start by yourself, you can always invite your partner at a later time. You are matched with a therapist at this company based on your intake questionnaire, but if you find your therapist isn’t the right fit, you can easily ask to switch right in the app or your patient portal. 

Each therapy subscription at ReGain included four live sessions (one a week) and access to a messaging room where you can reach out asynchronously to your therapist and receive responses back five days a week. If you sign up with a partner, this room is visible and shared by both of you with your therapist.

Because ReGain is specialized, this is not the platform for anyone under the age of 18, seeking group therapy, peer support, or psychiatry services. In addition, those who are in crisis or experiencing relationship abuse are advised against using this platform.

Plans & Pricing 

As we noted above, ReGain is a subscription-based therapy service: you pay one monthly price for a therapy plan that includes four sessions and unlimited messaging. 

While there is only one plan, the price you pay for that plan ranges from $240 to $360 per month, billed every four weeks, depending on where you live and the demand for therapy at signup.  In other words, this company engages in surge pricing. 

Insurance is not accepted, but financial aid is available for those who qualify. 

User Satisfaction 

We surveyed 105 current ReGain users and found that the company has a good reputation among clients:

  • 77% rated the services they received from ReGain as overall good, very good, or excellent.
  • 80% said all or most of their therapy needs were met
  • 72% would recommend ReGain to a friend
  • 84% of respondents who used a different therapy service in the past rated ReGain as being better. 

Best for Engaged Couples : Ours

  • Price: $50 - $400
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy
Why We Chose It 

If you’re recently engaged, Ours is a six-week premarital counseling program that combines live counseling sessions with self-guided learning modules tailored to fit your relationship needs. While technically not the same as traditional premarital counseling, we felt this program was a great program for anyone considering walking down the aisle—or anyone looking for a short course that helps them realign on their relationship goals. 

Pros & Cons 
  • Designed specifically for couples

  • Research-based program

  • Clear and upfront pricing information

  • Not the same thing as couples therapy

  • No option to continue coaching sessions after the program ends

  • Not suitable for couples dealing with serious issues 


If you’re getting ready to walk down the aisle—or just take the next step in your relationship—Ours might be a great online relationship wellness program you could benefit from. It is aimed at helping couples connect, build communication skills, and create a happier relationship, just like premarital counseling traditionally does. And while its structure draws heavily from premarital counseling techniques, the program is great for anyone in a relationship, even if you’re dating or already married. 

Over this six-week, psycho-educational “experience” for couples, you’ll have two live sessions with a relationship guide and four self-guided sessions using the Ours software system, Loveware, which take about an hour each. It’s recommended that you complete one of these online lesson module sessions per week.

It’s important to note that the relationship guides you meet with in the live sessions are not necessarily licensed therapists in your state, but they do have a master’s degree in therapy, mental health, or counseling. During your first 45-minute video session, your guide will develop a personalized program for you and your partner based on your relationship needs, which will inform what four Loveware sessions you take. Topics could cover sex, boundaries, parenting, relationship goals, or household tasks. Loveware sessions include conversation prompts, hands-on activities, psychoeducation, and planning exercises. In between sessions, your guide will check in on you and send fun mini-challenges. You can also reach out to them for additional support.

Plans & Pricing 

The Ours program costs $400 or $500, depending on how you purchase it. You can choose to try the first two sessions for $50. If you like the program and want to continue, you can purchase the remaining four sessions for $450. 

Alternatively, you can purchase the entire program upfront for $400. There is also a 2-week money-back guarantee. Plus, there’s a promotional code for an 11% discount hidden in the FAQ section (under the question “Does anyone actually read these FAQs?”). 

User Satisfaction 

Ours is highly rated among users, with many indicating that their therapist was understanding, supportive and caring.

  • 80% of users rated Ours as good, very good, or excellent.
  • 78% reported that all or most of their therapy needs were met.
  • 78% of users rated the value of Ours for the money as being good, very good, or excellent. 

Best for LGBTQIA+ Couples : TherapyDen

Why We Chose It 

TherapyDen is an inclusive, LGBTQIA+ affirming, mental health directory with thousands of therapists nationwide. Users can find providers based on cost, specialty, and location—and the company features trans-inclusive therapists right from the homepage. 

Pros & Cons
  • LGBTQIA+ affirming

  • Easy to use directory with expansive search filters

  • Trans-affirming therapists features on the homepage for easy search

  • Therapists offer individual, child, teen, couples, group, family therapy

  • Psychiatrists also listed

  • Requires you to search and reach out to your therapist yourself

  • Doesn’t process billing for you

  • Not all therapists listed accept insurance and session rates vary


If you’re a member of the LGBTQIA+ community, chances are we don’t need to tell you how important it is to find an inclusive, affirming therapist that just gets what it is like to identify as queer or trans. That’s why we recommend TherapyDen as your place to find a therapist that will feel safe to open up to because they either identify as LGBTQIA+ themselves and/or they specialize and have been competently trained in supporting this community. 

TherapyDen is a directory, not a therapy company like most of the other companies on this list, which means you can’t sign up for a therapy subscription or pay for your sessions through the company. But it does mean you can search for and pick whatever therapist you feel most comfortable with—no matching algorithms required. 

The directory lists therapists nationwide that offer therapy in-person or online, and you can filter your search for a range of services (i.e. individual therapy, couples therapy, family and child therapy, group sessions, and medication management) as well as more specific filters, like whether they identify as LGBTQIA+ themselves, their sexual orientation, gender identity, and ethnicity. You can also search for providers based on whether they’re body-positive, sex-positive, kink-friendly, neurodiverse affirming, offer a free consultation, or offer gender-neutral bathrooms for in-office visits.  

Plans & Pricing

Since TherapyDen is a directory, it is free to use to search for your therapist. Then, the ultimate cost of your therapist will depend on the therapist you reach out to. 

You can see your therapist’s rates in their bios. If price is a big concern, you can filter therapists' options by cost or insurance in your search to make sure you find a provider who meets your price range or insurance requirements.

User Satisfaction

Of the 181 current Therapy Den users we surveyed, 80% rated the directory as good or very good. In addition, 97% of respondents said they were able to find a therapist that met all or most of their needs.

The directory also stood out to us after our testing and research. “Therapy Den is one of my go-to recommendations for therapy directories,” says Dr. Amy Marschall, licensed clinical psychologist and one of the licensed therapists we worked with for this article. She likes that Therapy Den offers a variety of customization tools and filters to make finding mental health care easy for users.

In addition, she tells me that it’s a fantastic resource for LGBTQIA+ couples. “The people behind TherapyDen are very social justice-oriented,” she says.

Best for Sex Therapy : Modern Intimacy

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

Specializing exclusively in sex therapy and couples therapy, all the therapists at Modern Intimacy are sex-positive, LGBTQIA+ affirming and trained in trauma, addiction, relationship issues, and sex or intimacy issues.

Pros & Cons
  • Free 30-minute consultations offered

  • Therapists are all LGBTQIA+ affirming

  • Options for in-person and online therapy

  • Only available in five states

  • No clear pricing information on the company website


When it comes to an issue as sensitive as sex, you want to work with a therapist that feels safe—and that’s why we recommend Modern Intimacy. Like ReGain, Modern Intimacy is a therapy practice that is specialized: it mostly focuses on treating individuals and couples experiencing relationship, sex, or intimacy issues in a safe, non-judgmental, sex-positive space. You can sign up for therapy, life coaching, and workshops with topics like women’s sexuality and healing from toxic relationships.

Therapy is available in-person and online, and appointments are 50 minutes long. Nearly every therapist on the staff is a licensed psychologist, marriage and family therapist, clinical social worker, certified sex therapist or actively pursuing certification. All of them are trained in working with people across the sexual health spectrum, with areas of expertise that include infidelity, sexual dysfunctions, porn addictions, alternative lifestyles, LGBTQI+ affirming therapy, body image issues, and trauma. Several also have specialized training in Eye Movement Desensitization and Reprocessing (EMDR) or somatic therapies such as Trauma Yoga or NeuroEffective Touch.

Unfortunately, Modern Intimacy is only available in five states: Florida, Illinois, California, New York, and Chicago. To get started, you will schedule a free, 30-minute consultation with an intake specialist to discuss your therapy goals.

Plans & Pricing 

Therapy with Modern Intimacy can range from $150 to $400 per session, depending on the therapist’s experience and credentials. Some providers may also offer a sliding scale. Insurance is not accepted, but you can request a superbill to submit to your insurance company for possible reimbursement.

User Satisfaction 

Although Modern Intimacy wasn’t evaluated in our survey, our research found users to have a generally positive impression of the company, especially when it came to helping them learn more about healthy sexuality, intimacy, and relationship tools. 

“With a topic as sensitive and personal as sex and sexuality, it’s imperative to find a therapist who is a certified sex therapist and can provide informed sex-affirming therapy,” explains Hannah Owens, LMSW and subject matter expert. “The fact that Modern Intimacy has certified sex therapists available makes it a great choice for sex therapy.”

Best for Couples Retreats : Couples Therapy Inc.

  • Price: $150–$275 per ongoing coaching session; $3,500+ per intensive weekend retreat
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy
Why We Chose It 

All of the therapists at Couples Therapy Inc. have advanced training in the Gottman method and some are certified Gottman therapists. There are also certified sex therapists and providers certified in emotionally focused couples therapy (EFT).

Pros & Cons
  • Flexible scheduling and weekend availability

  • Sessions last 55 to 80 minutes

  • All therapists on this directory are trained in the Gottman Method

  • Not available in every state

  • No clear pricing


If the idea of a couples retreat—where you can work on your relationship, get guidance from experts, and find time to connect—appeals to you, Couples Therapy Inc. might be what you’re looking for. This relationship-specialized company not only offers couples therapy, but it also offers intensive therapy weekend retreats. 

Weekend retreats are held in person or online and include one evening session and two days of in-depth, seven-and-a-half-hour counseling sessions. It is a private retreat, not group therapy, and each couple will have their own therapist throughout the weekend. You can also choose therapy over a three-month period, which includes 80-minute online therapy sessions, or sexuality retreats.

You can also choose to sign up for intensive couples therapy—which takes place over the course of three months—or more standard online relationship therapy sessions over an indefinite period of time. The company also offers discernment therapy (which helps you decide if you want to remain in a relationship), if that were ever needed, as well as hopeful spouse coaching.  

As of right now, the company serves users in 44 states and four countries. All of its therapists are well-qualified therapists, with advanced training or certification in the Gottman method, a form of relationship therapy that aims to increase feelings of intimacy and address unhealthy communication. There are also a number of therapists who are certified in sex therapy, emotionally focused couples therapy (EFT), a short-term approach focused on creating a more secure attachment between couples, and Imago therapy, which is designed to help couples work through conflict. 

Plans & Pricing

Pricing varies at Couples Therapy Inc. depending on what you sign up for—but it can get kind of pricey. 

  • Intensive Couples Therapy – $3,500+ for an intensive weekend retreat or for 80-minute therapy sessions over the course of three months. Payment is due upfront for either option and includes the assessment. 
  • Couples Coaching – $150-$300 for online therapy sessions lasting 55 minutes.
User Satisfaction 

Couples Therapy Inc. has a good reputation and the users we surveyed reported an overall positive experience:

  • 90% of respondents surveyed rated Couples Therapy Inc. as good, very good, or excellent.
  • 82% said all or most of their therapy needs were met.
  • 89% rated the therapist’s qualifications as good, very good, or excellent.
  • 75% of users said they would choose Couples Therapy Inc. if they needed therapy again in the future.

Best for Overcoming Infidelity : Growing Self

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

As a therapy company that specializes in relationship issues, Growing Self is our pick for anyone dealing with or overcoming infidelity in current or past relationships. You can sign up for the service’s affair recovery therapy, breakup group therapy, couples counseling, coaching, sex therapy, or discernment counseling.

Pros & Cons 
  • Therapists specialize in relationship issues

  • Free, 30-minute consultation offered

  • Affair recovery and discernment counseling available

  • Online therapy only offered in 16 states

  • Pricing information is hard to find


It can be painful to discover that a partner has been unfaithful and whether you want to stay in that relationship or end it, it can be beneficial to have some support. That’s why we recommend Growing Self, an online therapy platform that primarily focuses on relationship issues—including infidelity. Not only does it offer couples counseling, premarital counseling, marriage counseling, sex therapy, blended family therapy, and coaching services, but it also offers some services that are particularly helpful if you’re dealing with an unfaithful partner.

For example, you can sign up for its affair recovery services, which allows you to work with a marriage or couples therapist to heal and rebuild your relationship by repairing trust and restoring hope. If you’re unsure if you want to remain in your marriage, the company offers discernment counseling, which can help you work through your uncertainty and either decide to repair or separate. You can also join the company’s divorce and breakup therapy group.  

All therapists at Growing Self are licensed mental health professionals, such as licensed marriage and family therapists (LMFT), and many of them use evidence-based treatment approaches, including EFT and Gottman Method, in their relationship therapy. Therapy sessions can take place in person (if you live in Denver) or via a 45-minute video session if you live in one of the 16 states it offers therapy. If you do not live in one of those states, you can also sign up for coaching—by yourself or as a couple. Most coaches are therapists, with a minimum of a Master’s degree in counseling or therapy, but they’re not licensed to treat patients in your state. 

Growing Self offers a free 30-minute consultation prior to any counseling or coaching service so that you can make sure it’s the right fit.

Plans & Pricing 

The cost for couples coaching or therapy varies depending on provider experience and qualification. Rates range from $65 to $160 per 45-minute session. Other services include:

  • Solution sessions – 45-minute solution-focused coaching session for $105.
  • Premarital course – a six-hour, small-group workshop held online for $295 per couple.
  • Divorce recovery group – a small, eight-week group that meets weekly for 60-75 minutes and costs $40 per session.
User Satisfaction 

Overall, our survey respondents found therapists at Growing Self to be understanding, caring, and well-qualified.

  • 90% of survey respondents rated Growing Self as good, very good, or excellent.
  • 68% said all or most of their therapy needs were met.
  • 89% rated therapist qualifications as good, very good, or excellent

Best for Separation or Divorce : Thriveworks

  • Price: Session rate varies by provider; starts at $99 per session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It 

Going through a separation or divorce affects the whole family, which is why Thriveworks—which can support the whole family—stands out to us. You can sign up for individual therapy, couples therapy, family therapy or enroll your child in specialized therapy to help them navigate all these confusing and emotional changes. 

Pros & Cons 
  • Offers in-person therapy and online therapy

  • Individual, couples, kids, teen, and family therapy offered, as well as psychiatry

  • Health insurance is accepted

  • Therapy sessions are 50-60 minutes

  • Not available in every state

  • Specific counseling services vary by location 


Going through a separation or divorce can be difficult—not just for you, but also your whole family, especially if you have kids. But Thriveworks, as a full-service therapy company, can help. It has over 380 locations nationwide for people to access in-person therapy and it offers online therapy services in 42 states and Washington, D.C. Not only that, but it has a number of services available geared specifically toward helping kids and adults navigate a divorce or separation.

For example, it offers divorce counseling for kids as one of those services. When you enroll your child, they will work with a therapist trained in a variety of techniques, including play therapy, to help kids process their emotions and grieve their parents’ separation. This type of therapy is available at 19 behavioral centers in 14 states.

Many of its locations also offer divorce counseling, codependency counseling, and divorce recovery. You can also sign up for individual therapy, couples therapy, or family therapy. 

All therapy sessions, whether for couples or individuals, last 50 to 60 minutes. Thrivework therapists are licensed counselors, psychologists, marriage and family therapists, and clinical social workers. Couples therapists are trained in multiple therapeutic approaches, including the Gottman Method, EFT, Imago therapy, cognitive behavioral therapy (CBT, a type of therapy that helps you challenge negative thinking patterns), and solution-focused therapy, which encourages you to focus on finding solutions rather than dwelling on problems.

Plans & Pricing 

Therapy rates vary based on location and provider but will typically cost $60 to $130 per session. Online counseling sessions are held by video or phone and last 50 to 60 minutes. On top of that, insurance is accepted, although coverage will depend on the therapist.

User Satisfaction 

Overall, Thriveworks is highly rated with the users we surveyed finding it easy to use and helpful at providing quality therapy:

  • 90% of survey respondents rated Thriveworks as good, very good, or excellent.
  • 78% said all or most of their therapy needs were met.
  • 80% would recommend Thriveworks to a friend.

Most Affordable : E-Therapy Cafe

  • Price: $196-360 per month; $55 a session
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Why We Chose It 

With multiple therapy plans starting at $55 a session and discounts available for students, veterans, and first responders, E-Therapy Café is the most affordable choice for couples seeking online therapy.

Pros & Cons 
  • Discounts for veterans, students, and first responders

  • Pay-as-you-go or bundled plans available

  • Offers premarital counseling and wedding coaching  

  • Short, 30-minute sessions

  • Sessions expire after 30-days with no rollover 


If you think you and your partner could benefit from couples therapy, but you’re not sure you can afford it, we recommend E-Therapy Café. It offers online counseling, couples therapy, and wedding coaching for the most affordable out-of-pocket price of all the other therapy companies we evaluated. Therapy sessions cost $55 or less and you can also pay per session or pre-purchase a number of bundled sessions for a discounted price. 

Most couples therapists at the company are board-certified, licensed clinical counselors, though some are coaches. All providers have various areas of expertise though, including trauma, grief, anxiety, conflict resolution, parenting, sex therapy, and relationship issues. The company’s wedding coaching service is also unique to this company and will help you deal with all the stress and emotions that come with planning for a wedding. 

Live therapy sessions last 30 minutes—which is admittedly shorter than at other companies—and can be done via video or live chat. There is also an E-journal option, allowing you to send a 700-word journal entry to your therapist, who will respond within 48 hours. The therapy format is completely up to you; subscribers can mix and match various therapy session formats. Subscribers can also stack live therapy sessions for a longer, 60-minute session.  

Plans & Pricing 

For your first session, E-Therapy Café offers a trial price which is $50 with no subscription necessary. After that, you can purchase sessions individually or by package:

  • E-Therapy Shot: $55 per session with no subscription needed
  • E-Therapy Four: $196 per month for f four sessions.  
  • E-Therapy Eight: $360 per month for eight sessions.

Subscriptions are billed monthly and will renew automatically, although you can cancel or change your plan anytime. First responders, veterans, and students can all get a 10% discount on subscriptions.

User Satisfaction

E-Therapy Café is one of the most budget-friendly services we looked at. When surveyed, 68% of respondents rated it as affordable or very affordable. A further 19% rated it as somewhat affordable. Other survey results suggest an overall positive therapy experience.

  • 94% of respondents rated E-Therapy Café as good, very good, or excellent.
  • 82% said all or most of their therapy needs were met.
  • 82% of users would recommend E-Therapy Café to a friend.

Best Directory : Gottman Referral Network

Why We Chose It 

If you think the Gottman Method might work for you and your partner, the Gottman Referral Network is the best directory to find a therapist trained in this therapy technique. All therapists listed must be licensed, have a master’s or doctoral degree in mental health, and have at least a Level 2 training in Gottman Method couples therapy. 

Pros & Cons 
  • Geared towards couples therapy

  • Expansive network with providers available in all 50 states

  • Therapists have advanced Gottman-training

  • Limited search features

  • Lack of diversity in research


One of the most popular frameworks for couples therapy is the Gottman Method. Developed by clinical psychologists John and Julie Gottman, this approach focuses on managing conflict, increasing closeness, and creating shared goals. Research shows it is highly effective and can increase marital happiness, boost intimacy between couples, improve problem-solving skills, and reduce stress. So if you think you’d like to work with a couples therapist trained in the Gottman Method, the Gottman Referral Network is an online directory of over 1,000 Gottman Method-trained therapists in all 50 states and 40 different countries. 

To join the network, therapists must be licensed, have a Master’s or Doctoral degree in mental health, carry liability insurance, and have at least Level 2 training in the Gottman Method.  “Level 2 Gottman training means the therapist has attended an additional 3-day course taught by Drs. John and Julie Gottman,” explains Owens.

Using the directory, you can find a therapist based on your location, whether or not insurance is accepted, therapist specialties, level of certification, and services offered, including online therapy, couples therapy, and individual therapy. However, Owens points out that it might not be the best choice for everyone. “It is important to know that most of the research was conducted using white heterosexual couples,” she says, adding that very little focus was given to LGBTQIA+, BIPO, or polyamorous couples.

Plans & Pricing 

The directory is free to use to find a therapist, and the rate per session will depend on the therapist you choose to work with. 

User Satisfaction 

Of the 181 current Gottman Referral Network users we surveyed, most were very pleased:

  • 78% of respondents rated the Gottman Referral Network as good or very good.
  • 60% said the process of looking for the right therapist was easy or very easy.
  • 95% of users were able to find a therapist that met all or most of their needs.

“The Gottman Method has 40 years of research behind it, making it a reliable evidence-based approach for many couples,” says Owens. “The fact that there’s an entire directory comprised solely of Gottman-trained therapists guarantees that you and your partner will find someone with expertise in this method to provide you with the tools necessary to improve communication and trust in your relationship.”

Compare the 9 Best Online Couples Therapy of 2023

Best For
Is Insurance Accepted?
Does it Accept HSA/FSA?
Type Of Therapy
Communication Options
Reset All
ReGain Most Specialized $240-$360+ per month No No Couples Therapy, Individual Therapy Audio, Live Chat, Messaging, Video Chat Learn More
Hide, not for me
Ours Best for Engaged Couples $50 - $400 No No Couples Therapy Messaging, Video Chat Learn More
Hide, not for me
TherapyDen Best for LGBTQIA+ Couples N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me
Modern Intimacy Best for Sex Therapy $150-$300 No No N/A Video Chat Learn More
Hide, not for me
Couples Therapy Inc. Best for Couples Retreats $150–$275 per ongoing coaching session; $3,500+ per intensive weekend retreat No No Couples Therapy Video Chat Learn More
Hide, not for me
Growing Self Best for Overcoming Infidelity $125 to $150 per session No No Couples Therapy, Individual Therapy Video Chat Learn More
Hide, not for me
Thriveworks Best for Separation or Divorce Session rate varies by provider; starts at $99 per session Yes Yes Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Phone, Video Chat Learn More
Hide, not for me
E-Therapy Cafe Most Affordable $196-360 per month; $55 a session No No Couples Therapy, Individual Therapy Live Chat, Messaging, Video Chat Learn More
Hide, not for me
Gottman Referral Network Best Directory N/A N/A N/A N/A N/A Sign Up Now
Hide, not for me

Final Verdict 

Online couples therapy is more accessible than ever. Multiple options are available, too, so no matter what you’re looking for, you can find a provider that meets your needs. If you’re looking for a company that offers specialized couples therapy services, flexible scheduling, and a relatively affordable monthly price, ReGain is our recommendation. All of its therapists are trained in helping you—and your partner if they choose to join—cope with a range of relationship issues.

However, if you’re looking for a shorter commitment, Ours is a great option. Designed for couples who are engaged or in a committed and happy relationship, it’s a short-term form of counseling with an emphasis on goals and connectedness, so it would work well for couples who want to try counseling but don’t necessarily need to work through any major issues. If you’re dealing with a more specific issue, though, such as an affair, Growing Self offers a variety of mental health resources to help in affair recovery, breakup therapy, or overcoming a divorce.

Guide to Choosing the Best Couples Therapy

Who Is Couples Therapy For?

Couples therapy is for anyone in an intimate relationship that wants to learn to communicate better, build or rebuild trust, resolve conflict, work through issues, or improve general relationship satisfaction with their partners. 

It can be helpful to anyone, regardless of whether you’re dating, engaged, married, poly, or in an ethically non monogamous partnership. And it can be helpful whether you’re currently not experiencing issues (as a form of preventative medicine) or whether you have a specific issue to address, such as sexual dissatisfaction, parenting, finances, or infidelity. 

However, couples therapy is not recommended in cases of domestic violence or abuse. 

Is Online Couples Therapy Effective?

Yes, couples therapy can be effective. One study found online couples therapy to be comparable to in-person couples therapy Couples also reported improvements in relationship satisfaction and mental health. “However, couples therapy is only effective if both partners are willing to examine their relationship and make changes,” explains Owens. “If both people aren’t committed to the work, it’s unlikely that anything will improve.”

What Types of Online Couples Therapy Are Offered?

There are several different forms of online couples therapy you might encounter, including:

  • Premarital counseling: The goal of premarital counseling is to help couples prepare for marriage by improving communication, addressing unresolved issues, and setting relationship goals. It can also help couples discuss important matters like finances and family. 
  • Sex therapy: A type of counseling aimed at helping couples resolve sexual issues by looking at the mental and emotional aspects of intimacy.
  • The Gottman Method: The Gottman method takes a problem-solving approach to help couples improve their relationship.
  • Emotionally focused therapy for couples (EFT): In EFT, conflict is viewed through an attachment theory lens, so the goal is to help couples create a more secure attachment.
  • Imago therapy: With Imago Therapy, conflict in a relationship is thought to stem from childhood wounds, so the focus is on mutual healing. Couples learn to empathize and understand one another.
  • PACT therapy: The Psychobiological Approach to Couples Therapy (or PACT Therapy) is a combination of attachment theory, neuroscience, and arousal regulation. It focuses on body language, facial expressions, and subtle voice changes to get to the root of tension in a relationship.  
  • Discernment counseling: Short-term therapy to help couples who are considering divorce. The goal is to help a couple decide whether or not to continue with the relationship.

Comparing Online Couples Therapy Providers

When choosing the best online couples therapy option for you, there are a number of factors to consider.

  • Price: One of the biggest barriers to mental health is the financial aspect, and couples counseling is no different. Couples therapy can cost anywhere from $70 to $250 per session, depending on location and therapist experience. Insurance generally doesn’t cover couples counseling, but some providers may offer discounted rates for packages or a sliding scale.
  • Therapy needs and goals: It’s a good idea to determine your therapy goals beforehand. Is there a specific issue you and your partner are trying to work through, or are you seeking general relationship guidance? Depending on your needs and goals, certain types of therapy may be more beneficial.
  • Qualifications: There’s a difference between relationship therapy and relationship coaching. Depending on your needs, a relationship coach might be perfectly fine or you might want a licensed therapist. Licensed marriage and family therapists (LMFT) are specifically trained to work with couples while certified sex therapists (CST) specialize in treating sexual issues. You can also seek therapy with a licensed professional counselor (LPC) or licensed clinical social worker (LCSW).
  • Scheduling: Time constraints are always a big issue when it comes to therapy, especially when there are two people. Online counseling generally offers more flexibility in terms of scheduling, and some providers have weekend or evening availability.
  • Therapist expertise: Do you want a therapist who specializes in specific issues, like infidelity or polygamy? Other considerations include cultural sensitivity and providers who are LGBTQ+ affirming.
  • Method of counseling: Online therapy is typically provided via live video sessions. Some providers also offer other options for communication, including phone, live chat, or text-based therapy. Others might also offer the option of in-person therapy or an intensive couple’s retreat.
  • Ease of switching therapists: Finding a therapist you feel comfortable with is incredibly important, so you should look for a provider that allows you to easily switch therapists if needed.  

What If I'm Having Thoughts of Harming Myself?

If you are in crisis or having thoughts of self-harm, please seek help immediately. There are several options and resources available to you.

Frequently Asked Questions

  • How Do I Get My Partner to Go to Couples Therapy With Me?

    If your partner is unwilling to go, you can’t force them. “Therapy is only effective if the person is engaged and wants to be present,” says Dr. Marschall, who adds that if one partner doesn’t want to be there, it won’t do much to help the relationship.  You can try to explain to them why you think couples therapy would be valuable—or if that doesn’t work, try going to therapy on your own. Individual counseling can help you work on how you can improve the relationship and, on top of that, if your partner sees firsthand the positive change in you, they might be more likely to give it a try.

  • What Is the Success Rate of Couples Therapy?

    The exact success rate of couples therapy is hard to say—it depends largely on the couple involved. But it can be very successful for those who are committed to the relationship, willing to address issues, and open to therapy. Research suggests that 70% of couples experience positive results with therapy. Another study found that between 80% and 90% of couples in emotionally focused therapy reported increased sexual satisfaction in the relationship.  

  • Does Insurance Cover Online Couples Therapy?

    Whether online or in-person, couples therapy is typically not covered by insurance. There are some exceptions, but in general, unless couples counseling is deemed medically necessary, it won’t be covered. It could be available through your employee assistance program (EAP), though, so that’s worth looking into.  

  • Can Couples Therapy Fix a Broken Relationship?

    According to Hardy, it’s important for couples to understand that therapy isn’t a magic relationship cure. “Couples therapy is only beneficial to the extent that each person is willing to work and engage in the therapeutic process,” he says.


To help you find the best online couples therapy, we compiled data from 25 online therapy directories, sending surveys to 180 current users of each. We also looked extensively at online therapy programs.

We researched 55 different online therapy companies and surveyed 105 users of each. We evaluated each company based on therapist qualifications, services offered, scheduling, and cost of therapy along with user satisfaction. We also looked for companies that were inclusive and relationship-oriented.

Worried couple meeting counselor

StefaNikolic / Getty Images

Article Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Davoodvandi M, Navabi Nejad S, Farzad V. Examining the effectiveness of Gottman couple therapy on improving marital adjustment and couples’ intimacy. Iran J Psychiatry. 2018;13(2):135–141.

  2. Kysely A, Bishop B, Kane RT, McDevitt M, De Palma M, Rooney R. Couples therapy delivered through videoconferencing: effects on relationship outcomes, mental health and the therapeutic allianceFront Psychol. 2022;12:773030. doi:10.3389/fpsyg.2021.773030

  3. Lebow JL, Chambers AL, Christensen A, Johnson SM. Research on the treatment of couple distress. J Marital Fam Ther. 2012;38(1):145-168. doi:10.1111/j.1752-0606.2011.00249.x

  4. Soleimani AA, Najafi M, Ahmadi K, Javidi N, Hoseini Kamkar E, Mahboubi M. The effectiveness of emotionally focused couples therapy on sexual satisfaction and marital adjustment of infertile couples with marital conflictsInt J Fertil Steril. 2015;9(3):393-402. doi:10.22074/ijfs.2015.4556

By Katie Mannion
Katie Mannion is an Occupational Therapy Assistant and freelance writer. As both a COTA and a writer, she is passionate about helping people improve their health, happiness, and activities of daily living. She has a background in Psychology and frequently writes about mental health, wellness, relationships, and entertainment.

Edited by April McCormick
April McCormick

April is the health editor for performance marketing at Verywell, where she oversees family health, 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 about our editorial process
and Simone Scully

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

Learn about our editorial process