The Best Online Couples Therapy for Parents

ReGain is our pick for best online couples therapy service for parents.

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

Couples therapy for parents
Photo:

PARENTS / Design by Amelia Manley

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.

As parents, you want to set the best possible example that you can for your kids. However, conflicts with a partner are unavoidable. You may disagree over parenting styles or how to work together as a team, and, at times, you may find that you need support from a mental health professional. There’s no shame in seeking help: A skilled couples counselor can make a big difference in your partnership, help you provide the positive environment your kids need, and help you feel happier and healthier. Even if you're navigating separation, co-parenting, or new relationships, a couples or relationship counselor can help you navigate those challenges and hopefully make them easier to handle. 

The best online couples counseling takes place with someone you and your partner feel safe with—empathy, experience in treating the issues you’re facing, and cultural inclusivity are key. Of course, your therapist will also need specialized training in a modality that’s proven to work well for couples and that resonates with you and your spouse. Accessibility is important, too, which means reasonable rates or insurance options and flexibility in the therapy delivery format (such as video and messaging).

The list below is a collection of couples counseling services that excel in these areas. We arrived at these with the help of extensive research and user survey data that looked at the experiences of over 100 users of more than 55 online counseling companies.

Best Online Couples Counseling of 2023 

Best Overall: ReGain

ReGain logo

ReGain

Key Specs  

  • Price: $240–$360+ per month 
  • Insurance Accepted? No
  • Types of Therapy: Couples, individual 

Why We Chose It

ReGain is designed specifically for supporting relationships and offers 12,000 clinicians across 50 states. It also offers a combination of live sessions and messaging.

Pros & Cons 

Pros
  • Designed specifically for relationship therapy

  • Offers 24/7 messaging between sessions

  • Large pool of therapists to choose from

Cons
  • Doesn’t accept insurance

  • Price varies widely 

  • You can’t pick your initial therapist

Overview 

ReGain is one of a handful of online therapy platforms created specifically for relationships. It offers support for couples and individuals (you can attend without your partner if needed, or even if you’re single) who want to tackle relationship issues such as communication, intimacy, or conflict with a licensed couples counselor. Intimacy can be difficult for parents to find once there's a baby and the focus and energy go to a child. Whether you’re trying to build intimacy with your partner of decades or work on unhealthy dynamics as you’re dating, ReGain can help.

Getting started at ReGain is quick and easy. After filling out a 10-minute questionnaire, you’ll be matched with a counselor within a few hours to days. You don’t have the option to select your own therapist initially, but if you’re unhappy with your match, you can easily request to be matched with a new therapist, based on the filter preferences you use in your search. And you’ll be choosing from a large network: ReGain has 12,000 clinicians who use a variety of modalities including cognitive-behavioral therapy (CBT), psychodynamic, and trauma-focused.

Therapy at ReGain is easy to fit into a busy schedule: Sessions are 30 to 40 minutes long and take place over live video, audio, or chat. If attending via video or audio, you can join from a different location than your partner if needed. In addition to live sessions, you’ll also have 24/7 messaging, which comes in handy if issues arise throughout the week.

Plans & Prices 

ReGain’s prices vary based on location, preferences, and therapist availability, but you can expect to pay between $240 and $360+ per month. This gets you live sessions plus messaging. You will be billed every four weeks. ReGain doesn’t accept insurance.

User Satisfaction  

ReGain performed well overall in our user survey: Eighty percent said their therapist satisfied all or most of their needs, compared to a 77% average. Fifty-five percent said the therapist sign-up process was very easy, compared to a 33% average, and 88% would rate their therapist’s qualifications as generally positive, compared to an 84% average.

Best for Improving Communication: Growing Self

Growing Self

Courtesy of Growing Self

Key Specs

  • Price: $65 to $160 per session 
  • Insurance Accepted? No
  • Types of Therapy: Couples, individual

Why We Chose It 

Growing Self is a platform devoted almost exclusively to relationship counseling. Its counselors use a variety of approaches to improving couples’ communication. 

Pros & Cons

Pros
  • Designed specifically for relationships 

  • Has therapists who treat communication issues 

  • Offers psychoeducation for couples’ issues

Cons
  • Doesn’t accept insurance

  • Expensive compared to competitors 

  • No messaging option 

Overview 

Growing Self is a platform that focuses on relationship counseling. It's designed to help couples and individuals work on the relationship issues and experiences that affect them the most, such as tackling finances together, preparing for a new baby, or perhaps most importantly, improving communication, a factor that influences almost every aspect of a partnership.

There are so many ways communication rifts can happen, and each therapist approaches them differently. Those at Growing Self use diverse modalities like Acceptance and Commitment Therapy (ACT) and Internal Family Systems, among many others, to help couples resolve issues and take steps to prevent them. The platform is also big on psychoeducation—it offers resources like the "A Lifetime of Love" Premarital Course", a quiz, and helpful articles.

Sessions at Growing Self are held over live video and are 45 minutes long. You won’t have the option for messaging between sessions unless it has to do with logistics, such as scheduling.

Plans & Prices

Growing Self isn’t a subscription-based service and doesn’t accept insurance. Therapy costs $65 to $160 per 45-minute session, depending on the experience level of the therapist. 

  • Doctorate-level therapists charge $160 per session but may offer some sliding scale rates.
  • Advanced-level therapists charge $135 per session but may offer sliding scale rates as low as $95.
  • Pre-licensed therapists with Master’s degrees charge $115 per session, with sliding scale rates as low as $75.
  • Pre-licensed, recent graduates charge $105 per session, with sliding scale rates as low as $65.

User Satisfaction

Growing Self performed well overall with 90% rating it positively overall, compared to an 84% average. Eighty-nine percent rated therapist qualifications positively, compared to an 84% average, and 62% said they would start their search there again if needed, compared to a 59% average.

Best for Parenting Issues: Amwell

Amwell logo

Amwell

Key Specs

  • Price: $109 to $279 per session without insurance
  • Insurance Accepted? Yes
  • Types of Therapy: Couples, family, individual, medication management, psychiatry, teen, kids

Why We Chose It 

Amwell has counselors who specialize in parenting issues and how they affect couples. It also offers kids and family therapy, plus psychiatry and medication management, making it a convenient one-stop platform for all your needs.

Pros & Cons 

Pros
  • Has counselors who specialize in parenting

  • Offers family, kids, and teen therapy

  • Accepts insurance

Cons
  • Limited therapy formats

  • You must sign-up to see therapist info

  • Not designed specifically for relationships

Overview

Amwell is one of the largest telemedicine platforms out there. When it comes to mental health, it serves a wide range of needs, from treating anxiety to addressing trauma to helping couples with kids. It’s also flexible and accessible: It offers a pay-as-you-go system, accepts insurance, offers psychiatry, and treats a wide age range of age demographics (kids ages 10 and up, though the availability of kids' therapists varies).

Unlike many other platforms, you can choose your own therapist at Amwell. This is important for parents as many therapists aren’t trained in treating kids (should you choose to opt for family therapy) or in addressing parenting-specific issues in a couples session. Having the option to choose a practitioner right off the bat increases the chances of finding someone who aligns with you, your spouse, and your parenting goals. 

Sessions are 45 minutes long and held over live video only. Since Amwell accepts insurance, it’s more likely to be cost-effective, which is important when you have the added expenses that come with kids. The pay-as-you-go system is also a big benefit; you can slow down or even pause sessions when life gets busy or if family expenses are running high.

Plans & Prices

Amwell doesn’t offer a subscription service and is a pay-as-you-go system. Rates vary based on your therapist’s level of education and type of session:

  • Therapist with Master’s degree: $109 per session
  • Therapist with PhD: $129 per session
  • Initial psychiatric visit: $279 
  • Follow-up psychiatric sessions: $109 per session

It accepts over 126 insurance plans—the largest number on this list. 

User Satisfaction

Amwell performed well across the board in our user survey: Eighty-eight percent rated it positively overall, compared to an 84% average. Seventy percent would start their search at Amwell again if needed, compared to a 59% average, and 86% said their provider fulfilled all or most of their needs, compared to a 77% average. Eighty-eight percent said the services were a good value for the cost.

Best for LGBTQIA Couples: National Queer and Trans Therapists of Color Network

nqttcn

Key Specs

  • Price: Depends on provider
  • Insurance Accepted? Yes, depending on provider
  • Types of Therapy: Couples, family, group, individual, teens, psychiatry/medication management

Why We Chose It

The National Queer and Trans Therapists of Color Network (NQTTCN) is a nonprofit health justice organization and therapist directory. All clinicians commit to NQTTCN’s values of inclusivity when they join, making it a safe space for LGBTQA+ married couples.

Pros & Cons

Pros
  • Offers couples counseling for the LGBTQA+ community

  • Is committed to cultural inclusivity

  • Wide pool of clinicians to choose from

Cons
  • Not available in all 50 states

  • Availability varies

  • Fees vary

Overview 

The National Queer and Trans Therapists of Color Network (NQTTCN) has an impressive mission. As a nonprofit health justice organization, it strives to make mental health support accessible and inclusive for marginalized communities that may have been pathologized or excluded by traditional health care systems. Not only does it serve as a therapist directory, but it’s also a community hub for QTPoC (queer and trans people of color) of all kinds to deepen their ability to serve these populations (though you do not need to identify as a PoC to use it).

As it’s a directory, therapy-seekers can search for and connect with clinicians on their own. The bios of providers are clear and easy to follow, offering helpful information about the types of counseling offered (including family counseling), a wide variety of treatment approaches, specialties, and more. All therapists have agreed to the statement of community care, which includes guidelines for providing culturally inclusive LGBTQA+ care. 

Plans & Prices

There are no subscriptions or set prices at NQTTCN. Session rates, lengths, formats, and frequency will vary according to the provider. Therapists are available in 30 states plus D.C. and parts of Canada.

User Satisfaction

NQTTCN has excellent user satisfaction overall: Ninety-one percent rated their therapist’s qualifications as generally positive, compared to an 84% average. Forty-three percent said it was more LGBTQA+ affirmative than services used in the past, compared to a 23% average, and 99% of users were able to find a provider who met all or most of their needs.

Best Grief Counseling: Thriveworks

Thriveworks logo

Key Specs

  • Price: Varies by provider and starts at $99 per session without insurance
  • Insurance Accepted? Yes
  • Types of Therapy: Couples, family, group, individual, teens, medication management, psychiatry

Why We Chose It

Thriveworks offers therapy for couples whose relationships are affected by grief, whether it’s the loss of a pregnancy, a parent, or a child.

Pros & Cons

Pros
  • Offers 380-in-person locations

  • Offers individual, family, and group grief counseling

  • Accepts insurance

Cons
  • No messaging

  • Expensive without insurance

  • Rates vary according to provider

Overview

Thriveworks is an online counseling platform that treats a wide range of mental health issues online or at one of its 380 in-person locations across the country. It features experienced couples counselors who can support you through times of loss. This is important for relationships because when tragedy strikes, it can profoundly affect our closest relationships. Getting couples counseling during times of loss can help you navigate challenges without compromising your connection.

Whether you and your partner are facing the loss of a pregnancy, a parent, or are experiencing another major life change, grief therapists at Thriveworks can guide you through it via numerous modalities. These include cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) among others. Thriveworks offers family and child therapy. too, so if you need to get the kids involved, you can easily do so. Sessions at Thriveworks take place in person or over live audio or video chat. 

Plans & Prices

Thriveworks accepts insurance and has a pay-per-session system. Rates vary according to the provider but start at $99 per session without insurance. 

User Satisfaction

Thriveworks performs well overall among users: Ninety percent rated it generally positively, compared to an 84% average. Fifty percent said it was likely that they’d be seeing the same therapist in 12 months, compared to a 40% average. Eighty-eight percent rated therapist qualifications as generally positive, compared to an 84% average.

Most Budget-Friendly: Wellnite

Wellnite Review

Wellnite

Key Specs

  • Price: $450 per month, up to $3,510 per year 
  • Insurance Accepted? Yes
  • Types of Therapy: Couples, individuals, teens, families, medication management 

Why We Chose It

Wellnite offers affordable couples counseling plus teens and family therapy if you need to get the kids involved. It offers a good value for the price and accepts insurance.

Pros & Cons 

Pros
  • Affordable couples counseling rates

  • Accepts insurance

  • You can choose your therapist

Cons
  • Primarily uses one treatment modality

  • User satisfaction is average

  • Most cost-effective with a large bundle 

Overview

Wellnite is a solid budget online counseling platform that may help parents who are looking for counseling for the whole family. It treats a range of issues for couples (alongside individuals and teens), plus it offers psychiatry services such as medication management, although that’s typically reserved for people willing to do longer-term therapy.

It’s known for being accessible and flexible: You can choose between short sessions more frequently or longer sessions less frequently, plus you can pay for sessions in bundles at a discounted rate. While it’s not among our highest-scoring platforms with our surveyed users, it does a lot for the price.

Couples counselors at Wellnite use one primary modality: cognitive-behavioral therapy (CBT) which addresses challenging negative thought patterns and behaviors that get in the way of relationship harmony. It’s one of the most well-researched and well-supported approaches available. While the single approach isn't for everyone, if it does work for you and you like your counselor, consider buying a bundle, as that’s how you’ll get the most for your money.

Plans & Prices

Wellnite offers discounts when you pay ahead. Bi-annual or annual payments will be lower than monthly payments. You can opt for therapy, psychiatry/medication management, or a combination of both. 

Couples will most likely opt for stand-alone therapy, which costs $450 per month charged monthly, $360 per month charged bi-annually, or $292.50 per month if charged annually. This gets you six 30-minute live sessions, four 45-minute live sessions, or three 60-minute live sessions per month.

User Satisfaction

User satisfaction is good, though not top-tier, which is to be expected in a budget therapy service. Eighty percent of users rated it positively, which is somewhat below the 84% average. Seventy-five percent said most or all of their needs were met, compared to a 77% average and 81% rated their therapist’s qualifications positively, compared to an 84% average. Finally, 87% said the service was a good to excellent value for the money, compared to a 78% average.

Best for Postpartum Depression: Hers Therapy

Hers Online Therapy

Hers Online Therapy

Key Specs

  • Price: $99 per session
  • Insurance Accepted? No
  • Types of Therapy: Individual, medication management

Why We Chose It 

If you're looking for a service that specializes in treating birthing parents for postpartum depression, Hers Therapy stands out. Not only can you find affordably priced individual therapy, but you can also get medication sent right to your door if you need it.

Pros & Cons

Pros
  • Service specializes in treating women

  • Straightforward pricing model

  • Has medication management services

Cons
  • No couples therapy

  • No family therapy

  • Medications prescribed by general practitioners rather than psychiatrists

Overview

Postpartum depression can be a very trying experience for a birthing parent—and the whole family. When what “should'' be a happy time just isn’t, both partners can experience the strain. Hers Therapy—an online counseling, medication, and supplement service for women led by doctors and therapists—can help by offering individual counseling for those experiencing postpartum depression. While it's not couples counseling, individual counseling at Hers can help support a healthy relationship during a challenging time. 

Hers therapists offer 50-minute live video sessions and are trained in a variety of modalities that bring relief from depression, anxiety, sleeplessness, and more. Doctors at Hers are well-versed in treating postpartum depression alongside other mental health concerns with medications and even supplements, like their calming adaptogenic herbal drops. If you do opt for those services, you’ll have your meds delivered straight to your door.

Plans & Prices

Hers Therapy doesn’t require a subscription. All sessions cost $99 (paid after the session) and last 50 minutes. It doesn’t accept insurance.

User Satisfaction

Hers Therapy did well overall on our user survey: Ninety-one percent rated it positively overall, compared to an 84% average, and 89% rated therapist qualifications positively, compared to an 84% average

Eighty-one percent would recommend Hers Therapy to a friend, compared to a 71% average, and 89% said Hers was better than services they’d used in the past compared to an 86% average.

Best Self-Guided Course: Couples Therapy Inc

Couples Therapy Inc. Review

Couples Therapy Inc.

Key Specs

  • Price: Course is free 
  • Insurance Accepted? No
  • Types of Therapy: Relationship therapy for couples and individuals, retreats

Why We Chose It 

Couples Therapy Inc’s free course has 19 helpful lessons that touch on topics like affair recovery, choosing a counselor, and what couples can expect after the counseling process.

Pros & Cons

Pros
  • Helpful content to address couple’s issues

  • Prepares couples for therapy

  • Includes video lessons

Cons
  • Primarily designed to promote Couples Therapy Inc

  • Limited content

  • Short lessons 

Overview

Couples Therapy Inc is known for its intensive couples retreats led by therapists trained in the highly regarded Gottman Method. The well-researched, evidence-backed approach gives a framework for a stable relationship and provides tools to disarm conflict and build intimacy. And it appears to work, as does Couples Therapy Inc’s intensive format itself, as evidenced by the high user satisfaction data we’ve gathered.

Its self-paced free course offers 19 lessons (video and text) on topics like finding the right couples therapist, managing conflict when you and your partner have trauma, and how to take care of yourself during the crisis of infidelity. Lessons are short (around five minutes or less), yet they pack helpful and practical information in them. Plus, the video format provides an intimate experience and may help couples or individuals feel empathized with more than entirely text-based courses. 

The entire first module is dedicated to the process. You’ll get plenty of actionable tips from the course, but don’t expect it to transform your relationship; the primary goal of the course appears to be promoting Couples Therapy Inc itself.

Plans & Prices

Couples Therapy Inc’s course is free on their website if you create an account. Eighty-minute sessions with a relationship therapist costs vary based on experience. Weekend retreats start at $3,500.

User Satisfaction

Couples Therapy Inc was highly rated among users surveyed: Ninety percent of the users we surveyed rated their experience positively overall, compared to an 84% average, and 82% said their provider met all or most of their needs, compared to a 77% average. Eighty-three percent said they’d recommend it to a friend, compared to a 71% average. Thirty-eight percent of users said they came to Couples Therapy Inc for relationship/couples issues compared to a 7% average.

Best Family Counseling: LifeStance

LifeStance Health

LifeStance Health

Key Specs

  • Price: $75–$300 per session without insurance
  • Insurance Accepted?: Yes
  • Types of Counseling: Individual, family, couples, groups, kids, teens, psychiatry, medication management

Why We Chose It 

In a family, the parents' relationship affects the children too. LifeStance Health offers family counseling for couples who want their kids involved in the counseling process and who need to discuss family dynamics and relationships.

Pros & Cons

Pros
  • Offers a wide range of therapy types, including family therapy

  • Culturally diverse and inclusive providers

  • Large pool of providers to choose from

Cons
  • Messaging therapy not available

  • Won’t see final fees until after you sign up

  • Not available in all 50 states

Overview

LifeStance Health provides a variety of different types of therapy including couples and family therapy for parents who want their kids involved in the counseling process. Relationship issues undoubtedly affect kids and having the facilitation of a professional can help. Whether you’re concerned that your arguing impacts your children or you want help navigating the complex dynamics of a family unit, LifeStance’s counselors are trained to offer the targeted support you need. 

Sessions are 45 minutes long and held over live video. Counselors are well-versed in a variety of counseling approaches including dialectical behavior therapy, emotion-focused therapy, and psychodynamic techniques. A counselor might give you and your loved ones the opportunity and space to honor and express emotions, learn how to regulate emotions and nervous system states more effectively, explore and shift reactions, establish boundaries, and see conflict from another’s perspective. 

LifeStance Health also offers kids and teens individual therapy, as well as parent-child relationship therapy.

Plans & Prices

There are no subscription options at LifeStance Health. It’s a pay-as-you-go system, and cost varies according to the provider.

LifeStance does accept most commercial insurance plans from each state in which it offers services; otherwise, you can expect to pay between $75 and $300 per 45-minute session.

User Satisfaction

LifeStance Health was rated favorably among users with 88% rated it positively overall, compared to an 84% average. Fifty-one percent said they’d still be seeing the same counselor in six months, compared to a 42% average, and 90% rated their counselor’s qualifications positively overall, compared to an 84% average. Seventy-one percent said most or all of their needs were met by their counselor. 

Best Premarital Counseling: E-Therapy Cafe

E-therapy Cafe Recirc

E-therapy Cafe

Key Specs

  • Price: $196–360 per month; $55 a session
  • Insurance Accepted? No
  • Types of Counseling: Couples therapy, individual therapy 

Why We Chose It 

Compared to other services we evaluated, E-Therapy Cafe offers affordably-priced, specialized, and quality premarital counseling to help engaged couples prepare for a lifelong commitment. It also offers bridal coaching and wedding coaching and many of its therapist have experience treating parents.

Pros & Cons

Pros
  • Specializes in premarital counseling

  • Offers bridal and wedding coaching

  • Has experienced couples therapists

Cons
  • Small pool of providers to choose from 

  • Short session times 

  • Doesn’t accept insurance

Overview

E-Therapy Cafe is an online therapy platform that offers treatment for a variety of mental health issues, but it excels at couples counseling, including premarital counseling. The company also offers bridal and wedding coaching to help couples navigate what can be a highly stressful experience. Getting support for the emotional, relational, and practical sides of engagement can be highly beneficial for starting a new chapter in the best way. 

When we tried the service, it was clear to us that the counselors were engaged and enthusiastic, plus they’re highly trained in a variety of modalities. There’s a small pool of counselors, but our user survey also found satisfaction to be very high, so it’s unlikely that you’ll cycle through practitioners in an attempt to find a quality clinician. Sessions are a little short for couples therapy at just 30 minutes long, but they’re affordable at $55 or less per session. You’ll have the option of live video or audio, or a virtual journal where you’ll write a 700-word entry and get a detailed response. 

Plans & Prices

E-Therapy Cafe doesn’t accept insurance but it's affordable and flexible. You can pay per session or in bundles:

  • E-Therapy Shot: $55 per 30-minute session (instant chat, live video, or virtual journal)
  • E-Therapy Four: $49 per session for four 30-minute sessions (instant chat, live video, or virtual journal)
  • E-Therapy Flight: $45 per session for eight 30-minute sessions (instant chat, live video, or virtual journal)

User Satisfaction

E-Therapy was one of our highest performing platforms: Ninety-four percent rating it positively, compared to an 84% average, and 90% rated their therapist’s qualifications positively, compared to an 84% average. Eighty-two percent would recommend it to a friend, compared to a 71% average, and 58% said they’d be likely or very likely seeing their counselor six months from now, compared to a 42% average. 

Best Directory: Gottman Referral Network

Gottman Referral Network

Key Specs

  • Price: Depends on provider
  • Insurance Accepted? Depends on provider
  • Types of Counseling: Couples, individual, family, teens, children

Why We Chose It 

The Gottman Referral Network is a directory of therapists who are trained in the highly regarded Gottman Method, a highly researched, evidence-based approach to couples counseling.

Pros & Cons

Pros
  • All therapists are trained in The Gottman Method

  • Family, children, and teen counseling available

  • Includes international counselors

Cons
  • Fees vary widely

  • As its a directory, you’ll handle logistics 

Overview

No one wants to gamble on their relationship. Taking the guesswork out of both the treatment approach and the therapy platform in question is a good idea when it comes to couples counseling. For couples who will only consider therapists trained in a highly evidence-based, well-researched modality, the Gottman Referral Network is a great option.

As it's a directory, you’ll seek out and connect with therapists on your own, which means their rates, formats, and additional specialties will vary. Yet all therapists on the directory are trained in The Gottman Method, a distinctly science-backed, well-supported approach to couples therapy. It’s based on observable, predictable relationship patterns that determine rates of divorce or reconciliation among other things.

Creators Dr. John and Julie Gottman took a cue from those patterns when creating their method, which lays out nine components of a healthy relationship, known as the “Sound Relationship House Theory.” Research around The Gottman Method is abundant, so you can get a feel for the method and its effectiveness for yourself.

Plans & Prices

As it’s a directory, prices, session frequency, and platform options (video, text, etc.) depend on the provider. Some therapists may take insurance. 

User Satisfaction

Gottman Referral Network is very well-liked by users: Ninety percent rated it positively overall compared to a 96% average. Seventy-eight percent said it was very likely they’d be seeing the same therapist in six months, compared to a 74% average, and 90% rated Gottman’s counselor options as very good to excellent, compared to an 89% average. 

Final Verdict

ReGain offers the best online couples counseling out of the companies we reviewed. It’s a platform that’s exclusively focused on relationships, and it offers a wide network of 12,000 therapists in 50 states. All therapists specialize in relationships and draw on diverse specialties and treatment approaches. It’s also flexible: You can choose from live video, audio, or chat sessions, and you’ll have 24/7 messaging to support you throughout the week. While you can't pick your initial therapist, switching is fast and convenient.

As parents, you may want to involve your kids in the therapy process. In that case, Amwell is an excellent choice. It also offers a large network to choose from, but relationship therapists at Amwell may also treat kids and offer family therapy. Plus, you get to choose your own therapist, so you can find a clinician who meets your needs exactly. Amwell accepts insurance, and sessions run 45 minutes.

Compare the Best Online Couples Counseling

Company Price  Accepts Insurance?  Types of Counseling Offered 
Regain Best Overall $240–$360+ per month No Live video, audio, or chat, plus messaging
Growing Self  Best for Improving Communication  $125–$150 per session  No  Live video 
Amell Best for Parents  $109–$279 per session without insurance  Yes  Live video 
National Queer and Trans Therapists of Color Best for LGBTQIA Couples  Depends on provider  Depends on provider  Depends on provider 
Thriveworks Best Grief Counseling  Starts at $99 per session without insurance  Yes  Live video or audio 
Wellnite Most Budget-Friendly  $450 per month to $3,510 per year without insurance  Yes  Live video, audio, or chat 
Hers Therapy Best for Postpartum Depression  $99 per session  No  Live video 
Couples Therapy Inc Best Self-Guided Course  Free  No Self-paced course with video and text 
Lifestance Best Family Counseling  $75–$300 per session without insurance  Yes  Live video 
E-Therapy Cafe Best Premarital Counseling  $45–$55 per session  No  Live video, audio, or virtual journal 
Gottman Referral Network Best Directory  Depends on provider  Depends on provider  Depends on provider 

Guide to Choosing the Best Online Couples Counseling Service

What Does Online Couples Counseling Involve?

Couples counseling falls under the category of relationship counseling, which has many forms (including premarital, marriage and even divorce counseling). Each type of relationship counseling has a different focus.

Just like in individual therapy, relationship therapists will meet with you and your partner online or in person on a regular basis. Clinicians draw on one or more modalities that have different approaches to relationships. For example, the PACT (Psychobiological Approach to Couples Therapy) method honors and addresses the biological aspects that affect our connections, such as attachment styles

What Is Online Couples Counseling For?

  • Online couples counseling can address or prevent destructive or hurtful issues in a relationship. Typically, couples enter therapy when something has gone wrong, such as after an infidelity. But therapy is also appropriate for proactive couples who love each other but know things could be better.

“Just like any kind of relationship counseling, couples counseling is useful for people who wish to improve their communication skills, work through specific issues pertaining to their relationship such as trust and respect, and address more charged or traumatic problems such as infidelity.” says Owens. 

Other topics commonly covered in couples counseling include:

  • Being on the same page when it comes to finances 
  • Maintaining intimacy after having kids
  • Negotiating mutually beneficial boundaries that affect the partnership
  • Reducing conflict that could be harmful to children  

It’s important to know that relationship counseling can take many forms besides couples counseling. Sometimes, only one person may seek out help to improve their relationship even if their partner doesn’t attend, or to heal unhealthy relationship patterns if they’re single and dating.

Other types of relationship counseling include discernment counseling (to decide whether or not to stay in a partnership), divorce counseling (to assist in the process of divorce), and sex therapy, (which addresses sexual issues as a couple, specifically). In many cases, these issues are broached in couples counseling. 

How Does Online Couples Counseling Work? 

Online couples counseling "is pretty similar to in-person couples counseling,” says subject matter expert and psychologist Dr. Amy Marshall. However, "you join a secure platform from any location and connect with your therapist, usually via video but sometimes via audio, for your sessions. You and your partner might be in the same location or join separately; this can be super convenient if you have busy schedules, jobs, etc.”

Your first sessions will likely involve giving your counselor background info about your relationship and what brought you to counseling. Then, they’re likely to come up with a treatment plan to help you and your partner resolve those issues. 

Compare Online Couples Counseling Services

There are various factors to consider when choosing which online couples counseling is best for you:

  • Price: Couples counseling often isn’t covered by insurance, and many online counseling providers don’t accept it. If you do have coverage, shop around for a therapist who does accept it and that you can afford long term: You never know if counseling will take longer than anticipated, and you want to be able to stick with the same provider over time. You can also look into companies that offer sliding scale rates, but keep in mind that lower rates often mean less experienced therapists.
  • Modality: There are diverse modalities to treat couples and couples' issues. Each modality has a different approach to creating positive change in couples. For example, cognitive-behavioral therapy (CBT) works primarily with the mind while somatic psychotherapy works primarily on the body. Opt for those with a significant body of evidence to support them, and ask questions of your provider. Also, don’t be afraid to switch therapists if their approach doesn’t resonate.
  • Scheduling: With couples counseling, you’re coordinating three people’s schedules instead of two. Without having to commute, you and your spouse may be able to fit online therapy in at times you couldn’t for in-person sessions. Just keep in mind that counseling sessions can be emotionally taxing, so avoid scheduling sessions at a time when you have a busy work day ahead.
  • Method of Counseling (chat system, text messaging, phone call, video call, etc.): Look for counselors whose method of counseling is comfortable, effective, and convenient for both you and your partner. A therapist who can provide multiple formats for therapy is preferable, as it’s more flexible to life circumstances. For example, you may find video is best, but phone or messaging might be good if you or your spouse can’t find a private location.
  • Ease of switching between counselors: As much as you may research, you won’t know if a counselor is a right fit until you spend a session or two together. When signing up for online counseling services, especially those for which you can’t select your own counselor, make sure you can switch counselors easily and quickly.

What if I'm Having Thoughts of Harming Myself? 

If you’re having thoughts of suicide or self-harm, seek help immediately. Call or text 988 to reach the 24/7 suicide lifeline. For the deaf or hard of hearing, use your preferred relay service or dial 711 and then 988.

Frequently Asked Questions
  • What Sort of Counselor Expertise Is Best for Couples Counseling?

    There are many approaches to couples counseling. Some modalities, like the Gottman Method, are older and more well-researched than others, but that doesn’t mean newer techniques aren’t valuable. Do some background research on potential clinicians’ modalities as you vet them, and ask your therapist questions. Always seek out a therapist with experience or specialized training in treating relationship issues.

  • Can I Include My Family/Children in Online Couples Counseling?

    Yes, you can incorporate your family and children in online couples counseling, depending on the provider. However, not every couples counselor treats groups/families or children under age 18. You may wish to seek out a therapist who provides both couples counseling and family counseling if you anticipate adding your kids.

  • Is Online Couples Counseling Covered by Insurance?

    Some insurers will cover online couples counseling, though not many do. Check directly with your carrier to determine your coverage. If you plan to incorporate your kids, check for family therapy coverage or parent-child coverage as well.

  • Is Couples Counseling Effective?

    There is ample evidence to support couples and couples counseling’s efficacy. Here are just a few examples:

    • A 2022 study found that emotionally-focused therapy reduced relationship distress in couples in which a spouse had experienced trauma.
    • A 2017 study found that imago relationship therapy reduced marital conflict after 12 couples sessions. 
    • Compiled research from 2018 discussed how cognitive-behavioral therapy is beneficial for couples with communication issues.
    • In a 2017 study, The Gottman Method was shown to be effective for LGBTQA+ couples.


Methodology

To select the best online couples counseling, we surveyed 105 users at 55 of the most popular online therapy platforms and 180 users at 25 directories. We also tested many of these platforms ourselves, consulted three industry experts, and sent questionnaires to the companies themselves. For the best online couples counseling, we favored platforms designed specifically for relationships or those that had a strong relationship focus. We liked those that also offered family, kids, and teen counseling, so parents with marital troubles can easily get treatment for their kids.

Services that were affordable and/or accepted insurance also ranked highly, as did those with therapists who used a variety of treatment approaches. We also assessed for convenience, flexible scheduling, and of course, user satisfaction in all of these areas.

The companies in this article beat out the rest because of their ability to help couples specifically. Our picks feature qualified counselors who specialize in treating issues that affect couples and families. They’re more likely to use modalities that are proven to be effective for couples and to have extensive experience treating issues married couples face.

Was this page helpful?
Sources
Parents 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. Emotionally focused couple therapy within VA healthcare: Reductions in relationship distress, PTSD, and depressive symptoms as a function of attachment-based couple treatment. Psychnet APA. 

  2. Randomized Controlled Trial of Imago Relationship Therapy: Exploring Statistical and Clinical Significance. Journal of Couple and Relationship Therapy. 

  3. Cognitive-Behavioral Psychotherapy for Couples: An Insight into the Treatment of Couple Hardships and Struggles. Cognitive Behavioral Therapy and Clinical Applications. 

  4. Results of Gottman Method Couples Therapy with Gay and Lesbian Couples. Journal of Marital and Family Therapy. 

Related Articles