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Whether you’re newly engaged or celebrating decades of marriage, you and your partner may benefit from couples counseling. Research shows that your relationships can impact mental health, and working on your relationship together could be mutually beneficial. Online therapy is one way to work on your relationship at home.
We’ve researched and tested some of the best online therapy platforms to help you find the right one for your relationship. We evaluate each platform for therapist availability, the onboarding process, additional learning materials, and cost. Read about our top five picks.
Our picks of the best online couples counseling platforms
- Regain by BetterHelp: Best overall
- Talkspace: Best for using insurance
- Online-therapy.com: Best for improving communication
- Little Otter: Best for parenting issues
- Thriveworks: Best for choosing your own provider
In a mental health emergency:
Online therapists may not be the most appropriate resource to help in a mental health crisis. If you or someone you know is a danger to themselves or others around them, it is an emergency, and cannot wait for an online therapist’s response.
Don’t wait. You can find help immediately by:
- Visiting urgent care
- Calling or texting 988 for the Suicide & Crisis Lifeline
- Chatting online at 988lifeline.org
- Calling the Substance Abuse and Mental Health Services Administration (SAMHSA)’s Helpline at 1-800-662-4357 or text your zip code to 435748
If you’re experiencing domestic violence, also known as intimate partner violence (IPV), there are free, confidential, and immediate ways to get help.
- Chat with someone from the National Domestic Violence Hotline at https://www.thehotline.org/
- Call 1-800-799-SAFE (7233)
- Text “START” to 88788
All the above options will connect you with trained professionals who can provide crisis support. You can find even more resources, including international options, on our helpline directory page.
Our testing experience
The Handbook Team has researched more than 70 online therapy platforms, directories, and networks. Based on our research, we sign up for the top platforms to test out for ourselves. To test couples therapy, we ask real couples to test the platforms and report back. Here’s what we do with each online therapy platform:
Testers explore the platforms and attend online therapy sessions for at least four weeks. We instruct testers to test the platforms through the lens of a real user, paying attention to how easy or difficult it is to find a therapist they can talk to. Testers log their experience in a diary and come together to share their findings.
We find that most testers feel the need to switch providers, especially the ones testing platforms that initially match users to their providers. With couples therapy, it’s important to find a therapist both partners feel comfortable with.
From our tester
“We immediately felt like we didn’t connect with this therapist. She didn’t seem to understand the technology we were talking about (like spending time on Instagram instead of interacting with each other after we put the girls to bed). She also spent a surprising amount of time talking about herself and her own family, which felt inappropriate. We decided to switch therapists.”
Still, in both couples and individual therapy, we are pleased that most of our testers are able to find a therapist they trust. “I’ve been through many therapists before, but I was surprised when I found a therapist who specialized in my concerns and had a different approach to therapy,” says one tester. “I learned a new perspective to frame my ongoing concerns and got to connect with a caring provider that I felt comfortable with.” While the ease of switching providers varies by platform, all the platforms we’ve tested allow you to switch therapists.
Handbook’s research into online therapy platforms
Collectively, the Handbook Team has put in more than 7,500 hours of research, testing, and evaluation to review different online therapy platforms, down to the fine print. This review can guide you in finding a provider who best fits you and your partner’s needs.
Compare the best online couples counseling platforms of 2024
Monthly Cost* | $260–$360** | $436 or the cost of your insurance copay per session | $440 | $800*** | $640–$700**** or the cost of your insurance copay per session |
Services Offered | Individual and couples therapy | Individual and couples therapy; Psychiatry | Individual and couples therapy | Child and parent therapy; Psychiatry | Individual, couples, child, teen, and family therapy; Psychiatry |
Accepts Insurance? | No | Yes | No | Yes | Yes |
* Monthly cost for four weekly live therapy sessions without using insurance.
** Price increases if you choose to do both individual and couples therapy.
*** Estimated monthly cost for kickoff session ($20) and four follow-up sessions ($195 each).
**** Estimated monthly cost for an initial session ($220) and three follow-up sessions ($160 each), or four follow-up sessions. Actual costs may vary by clinician or location, per Thriveworks customer service.
The best online couples counseling reviews
Regain: Best overall
Talkspace: Best for using insurance
Online-therapy.com: Best for improving communication
Little Otter: Best for parenting issues
Thriveworks: Best for choosing your own provider
Frequently asked questions
Couples therapy can be effective for people in relationships whether they are newly dating, engaged to be married, or committed for decades.
Users can expect their couples counseling subscription to include live video sessions and messaging with their therapist between sessions. When signing up, you may have to fill out an initial questionnaire about why you’re pursuing mental health care before being able to search for a therapist who fits your needs and schedule.
Online couples therapy can cost between $200 and $700 per month. The cost varies depending on whether the platform accepts insurance or offers discounts and financial aid.
- Adamczyk, K., Watkins, N., Dębek, A., Kaczmarek D, & Łazarów, N. Relationship (in)congruency may differently impact mental health. (2023, July). International Journal of Clinical and Health Psychology, 3. Link
- Kysely, A., Bishop, B., Kane, R.T., McDevitt, M., De Palma. M., & Rooney, R. (2022, February). couples therapy delivered through videoconferencing: Effects on relationship outcomes, mental health and the therapeutic alliance. Frontiers in Psychology, 12. Link
- FTC says Online Counseling Service BetterHelp Pushed People into Handing over Health Information – and Broke its Privacy Promises. (2023, March 3). Federal Trade Commission. Link
- The Harris Poll. (n.d.). Research method and reading the report (By American Psychological Association). Link
- Carroll, J.S., & Doherty, W.J. (2004, February 17). Evaluating the effectiveness of premarital prevention programs: A meta-analytic review of outcome research. Family Relations, 52(2), 105-118. Link
- Fischer, D. J., & Fink, B. C. (2014). Clinical processes in behavioral couples therapy. Psychotherapy, 51(1), 11–14. Link