Couples Therapy Platforms Compared
Published October 2025 · Last updated · Written and edited by Paul Paradis · Educational information – not medical or mental-health advice
What changed: Reworded link and heading text without ranking claims: “About the editor of this best couples therapy platforms guide” to “About the editor of this couples therapy platform comparison”; “Before you act on this best couples therapy platforms information” to “Before you act on this couples therapy platform comparison”; “Next guides to read after best couples therapy platforms” to “Next guides to read after the couples therapy platform comparison”; plus 6 similar labels. Earlier on October 30: Relabeled the Ours row to say Ours Privacy, a healthcare data-privacy company, spun off from it and that we could not confirm it still offers therapy; moved the row to the end of the table and cited AdExchanger (September 8, 2025).
Online couples therapy has made relationship counseling more accessible and less intimidating: you and your partner can attend sessions from the comfort of home, often at lower cost than traditional in-office therapy. This guide explores the best platforms for virtual couples counseling and what to consider when choosing one. Learn more about how online couples therapy works, find out when relationship issues need professional help, or see our guide on therapy costs and insurance.
Where this couples therapy platform comparison stops
The couples therapy platforms compared material here is for educational purposes only. We are not endorsing any specific service. The information reflects publicly available details at the time of writing; verify current information directly with each platform.
Online couples therapy is not appropriate for relationships involving domestic violence or abuse. If you are in an abusive relationship, please contact the National Domestic Violence Hotline at 1-800-799-7233.
Disclosure: No link on this site was placed by hand to pay us a commission, though a script from Sovrn Commerce (VigLink) that runs on every page may turn some ordinary links to outside stores and services into affiliate links that can earn us a commission at no extra cost to you. When it converts a link, our page code tags that link rel="sponsored" for search engines, but nothing on screen marks it as paid, so treat any outbound link as one that could earn us money. Our “best” and comparison guides do not score or rank services, and a possible commission never changes which services we list or what we say about them; see the affiliate disclosure.
How couples therapy works
Couples therapy, also called marriage counseling or relationship counseling, helps partners:
- Improve communication: Learn to express needs and listen effectively
- Resolve conflicts: Develop healthier ways to handle disagreements
- Rebuild trust: Work through betrayal, infidelity, or broken promises
- Handle transitions: Adjust to major life changes together
- Reconnect emotionally: Address distance or disconnection
- Strengthen the relationship: Build a stronger foundation
- Make decisions: Work through difficult decisions including whether to stay together
Couples therapy works best when both partners are willing to participate and engage in the process.
Online Couples Therapy Platforms
ReGain
ReGain is an online platform dedicated specifically to couples therapy, run by the same company as BetterHelp.
- Focus: Exclusively couples and relationship counseling
- Communication options: Messaging, live chat, phone, and video sessions
- Pricing: Subscription-based; $70-$100/week per ReGain's FAQ, varying with location and therapist availability (checked October 22, 2026)
- Insurance: Does not accept insurance directly
- How it works: Both partners can message the therapist individually or together
- Therapists: Licensed marriage and family therapists and counselors
- Flexibility: Can switch therapists if match isn't right
- Financial aid: Available for qualifying couples
Potential considerations: Subscription model may be more than some couples want to commit to initially; no insurance billing.
Talkspace for Couples
Talkspace offers couples therapy alongside their individual therapy services.
- Service: Couples therapy plans available
- Communication: Messaging and video sessions
- Insurance: Some plans may accept insurance
- Shared room: Both partners share a therapy room with messages visible to all
- Therapist selection: Can choose from matched therapist options
- EAP: May be available through employer programs
Potential considerations: Couples therapy is a separate service with its own pricing; check if insurance applies.
Growing Self
Growing Self offers online couples counseling with licensed therapists.
- Focus: Relationship counseling, life coaching, and premarital counseling
- Session format: Video sessions primarily
- Pricing: Per-session pricing
- Specialties: Includes premarital counseling and dating coaching
- Approach: Evidence-based relationship therapy
Other Options
A note on the links in this list: they go straight to each service, but the Sovrn Commerce (VigLink) script on this site may convert some of them into affiliate links, which can pay us if you sign up.
- Private practice therapists: Many licensed marriage and family therapists (LMFTs) offer video sessions
- Insurance-based telehealth: Check if your insurance covers couples counseling via telehealth
- Headway – Can help find in-network couples therapists
- Grow Therapy – Insurance-based therapy including couples counseling
- The Gottman Institute: Offers referrals to Gottman-trained couples therapists
How Online Couples Therapy Works
Getting Started
- Both partners sign up: Create accounts and link them together
- Complete assessments: Each partner typically fills out questionnaires about the relationship
- Get matched: Matched with a therapist experienced in couples work
- First session: Meet together (virtually) with your therapist
Session Format
Online couples therapy sessions typically involve:
- Joint sessions: Both partners meet with the therapist together (most common)
- Individual sessions: Sometimes therapist may meet briefly with each partner separately
- Video sessions: Usually 50-60 minutes, sometimes longer for couples
- Messaging: Some platforms allow ongoing messaging between sessions
Between Sessions
- Practice communication techniques or exercises at home
- Complete homework assignments from your therapist
- Some platforms allow messaging for quick questions or updates
- Reflect on what you discussed in session
Benefits of Online Couples Therapy
- Convenience: No need for both partners to travel to an office
- Scheduling: Often easier to find times that work for two busy schedules
- Location independence: Can participate even if partners are temporarily in different locations
- Comfort: May feel less intimidating than going to an office
- Accessibility: Helpful if you live in an area with limited couples therapists
- Privacy: No one sees you entering a therapist's office; learn more about telehealth privacy and security
Common Issues Addressed in Couples Therapy
- Communication problems: Difficulty expressing needs, frequent misunderstandings, stonewalling
- Conflict patterns: Recurring arguments, escalation, difficulty resolving disagreements
- Trust and infidelity: Rebuilding after betrayal, addressing jealousy
- Intimacy issues: Emotional distance, physical intimacy concerns
- Life transitions: New baby, job changes, moving, retirement
- Parenting differences: Disagreements about raising children: our family therapy telehealth guide covers family-focused approaches
- Financial stress: Money conflicts and financial planning
- Extended family issues: In-law relationships, family boundaries
- Premarital preparation: Building a strong foundation before marriage
- Considering separation: Deciding whether to stay together
Couples Options Compared, Checked October 22, 2026
This table uses only what each company publishes on its own site, checked October 22, 2026. See how we compare services for how we gather and date these figures.
Same caveat for the services below: Sovrn/VigLink can turn these brand links into affiliate links after the page loads. Prices and order are not affected by that.
| Service | Format | Price | Insurance | Source |
|---|---|---|---|---|
| ReGain | Shared couple account with messaging, plus live sessions | $70–$100 per week | Does not work with insurance companies | ReGain FAQ |
| Talkspace couples | Up to four 30-minute video sessions a month for both partners, plus unlimited messaging | $109 per week | Talkspace bills many plans in-network, but couples therapy often is not covered; check your plan | Talkspace pricing |
| Online-Therapy.com couples | Couples version of its therapist-led subscription plan | $120 per week ($96 per week the first month) | Not billed to insurance; itemized receipts available | Online-Therapy.com pricing |
| OurRitual | One 40-minute video session a week with a “Relationship Expert,” plus app exercises and chat between sessions | $84 per week on the 4-week plan, $68 on the 12-week plan, $64 on the 24-week plan, billed every 4, 12 or 24 weeks | Its FAQ says it is not yet covered by insurance | OurRitual plans |
| Ours — a couples-therapy platform; in 2024 a healthcare data-privacy company, Ours Privacy, spun off from it. Its site would not load when we checked on October 30, 2026, and we could not confirm it still offers therapy. | 50-minute video sessions with a hand-matched licensed couples therapist | Not confirmed: its site could not be loaded on October 22, 2026, and we found no dated price source | Not stated on its site | withours.com; news coverage: AdExchanger, September 8, 2025 |
OurRitual calls its providers Relationship Experts rather than therapists, and its plans auto-renew; cancelling a discounted plan early resets the price to the shorter plan’s rate. Growing Self is not in the table because it does not publish a fixed price on the pages we checked.
Factors to Consider When Choosing
Therapist Qualifications
- Look for licensed marriage and family therapists (LMFTs) or therapists with couples training
- Consider therapists trained in evidence-based approaches (Gottman Method, Emotionally Focused Therapy)
- Look the therapist up on your state licensing board's website
Cost and Payment
- Subscription models vs. pay-per-session
- Whether insurance is accepted (couples therapy coverage varies); see our insurance coverage guide for details
- Total cost for both partners combined
- Availability of financial assistance
Communication Options
- Video sessions (most similar to in-person)
- Messaging options for between sessions
- Whether both partners can message the therapist
Practical Logistics
- Do you need to be in the same location for sessions?
- How do scheduling and cancellations work?
- Can you switch therapists if needed?
Tips for Successful Online Couples Therapy
Before You Start
- Both partners should agree to participate genuinely
- Discuss what you each hope to get from therapy
- Agree on confidentiality boundaries (what you'll share with others)
Setting Up for Sessions
- Find a private space where you won't be interrupted
- Test your technology before the first session
- Sit side by side or position yourselves so you're both clearly visible
- Minimize distractions (phones, notifications)
During Therapy
- Be honest and open, even when it's uncomfortable
- Listen to your partner without interrupting
- Take the therapist's guidance and try suggested techniques
- Remember you're working as a team, not adversaries
Between Sessions
- Practice what you learn in therapy
- Complete any homework or exercises
- Be patient: change takes time
When Online Couples Therapy May Not Be Appropriate
Online couples therapy is not suitable for every situation:
- Domestic violence or abuse: If there is physical, emotional, or verbal abuse, individual support and safety planning should come first. Contact the National Domestic Violence Hotline: 1-800-799-7233
- Active addiction: If one partner has an untreated substance abuse problem, that may need to be addressed first
- Severe mental health crises: Individual treatment may be needed first
- One partner is unwilling: Couples therapy requires both partners to participate
- Privacy concerns: If you cannot find a private space for sessions
Questions to Ask Before Starting
- What is your experience with couples therapy specifically?
- What therapeutic approach do you use (Gottman, EFT, etc.)?
- How do sessions work: are they always joint, or sometimes individual?
- What is the cost, and is insurance accepted?
- How long do couples typically work with you?
- What happens if one partner can't make a session?
- How do you handle it if one partner shares something privately?
- What are your policies on confidentiality between partners?
What the primary sources say
NIMH describes psychotherapy as treatment that usually happens one-on-one with a licensed mental health professional or in a group setting, and couples work is a form of that (NIMH, Psychotherapies). NAMI lists the Licensed Marriage and Family Therapist (LMFT) as one of the common licenses held by counselors, so it is a fair credential to look for on a couples platform's therapist profile (NAMI, Types of Mental Health Professionals). If either partner feels unsafe at home, that is a reason to speak with a clinician one-on-one before starting joint sessions.
Talk to a licensed clinician: Before you pick a platform, ask a licensed couples or family therapist whether joint sessions are the right starting point for your situation. The site's free AI guide can help you sort through questions, but it is not a therapist or doctor.
Sources
Checked .
- National Institute of Mental Health (NIMH), “Psychotherapies.” Accessed October 29, 2026.
- National Alliance on Mental Illness (NAMI), “Types of Mental Health Professionals.” Accessed October 29, 2026.
- 988 Suicide & Crisis Lifeline, “988 Lifeline home page.” Accessed October 29, 2026.
Frequently asked questions
How much does online couples therapy cost?
Online couples therapy on a subscription platform such as ReGain runs $70-$100 per week, according to ReGain (checked October 22, 2026); Online-Therapy.com lists a couples plan at $120 per week ($96 the first month). The alternative is per-session rates that vary by provider and insurance coverage. Some insurance plans cover couples counseling, which can reduce costs to just your copay. Growing Self and private practice therapists often offer per-session pricing.
Does insurance cover online couples therapy?
Insurance coverage for couples therapy varies by plan. Platforms like ReGain do not accept insurance directly, while Talkspace may accept some insurance for couples therapy. Headway and Grow Therapy can help you find in-network couples therapists where you only pay your copay. Always verify coverage with your insurance provider.
Is subscription or pay-per-session better value for couples therapy?
Subscription models like ReGain ($70-$100/week as of October 22, 2026) provide predictable costs and include messaging between sessions. Pay-per-session may be more economical if you want less frequent sessions or have insurance coverage. Consider how often you plan to attend and whether you value between-session communication when deciding.
Do both partners pay separately for online couples therapy?
No, couples therapy is typically one service with one fee that covers both partners together. On platforms like ReGain, you pay one subscription that gives both partners access to message the therapist and attend joint sessions. The cost covers the therapy for the couple, not per individual.
Is there financial assistance available for couples therapy?
Yes, several options exist. ReGain offers financial aid for qualifying couples. You can also find couples therapists who offer sliding scale fees based on income through directories like Open Path Collective or Psychology Today. Some employer EAP programs include couples counseling sessions at no cost.
How long does couples therapy typically last and what is the total cost?
Couples therapy duration varies based on your goals and issues, but many couples attend for 3-6 months or longer. At ReGain's listed $70-$100/week, roughly 13 to 26 weeks works out to about $910-$2,600 before any financial aid. With insurance coverage, costs would be significantly lower at just your copay per session.
Next guides to read after the couples therapy platform comparison
Before you act on this couples therapy platform comparison
This overview of couples therapy platforms compared is general educational information only. It is not relationship advice and does not replace consultation with qualified professionals. The effectiveness of couples therapy depends on many factors including both partners' willingness to engage.
If you or your partner are in danger due to domestic violence, contact the National Domestic Violence Hotline at 1-800-799-7233 or text START to 88788.
If you are experiencing a mental health emergency, contact emergency services (911) or the 988 Suicide and Crisis Lifeline (call or text 988 in the US).
Sources
- Online-Therapy.com: Pricing (checked October 22, 2026)
- ReGain: Frequently asked questions
- 988 Suicide & Crisis Lifeline
- SAMHSA: Find help, including the National Helpline (1-800-662-4357) and FindTreatment.gov
- Telehealth.HHS.gov: How do I protect my data and privacy?
- Open Path Collective
- American Association for Marriage and Family Therapy
- Company websites for the services named in this guide: ReGain, Talkspace, Growing Self, Headway, Grow Therapy.
About the editor of this couples therapy platform comparison
The writer and editor of this couples therapy platforms compared guide is Paul Paradis, founder and editor of Telehealth Navigator, who worked for more than two years inside a forensic mental health hospital setting and has seen mental health run through his own life and family. Each guide begins with source material most readers don’t have time to read, such as APA and NIMH guidance, SAMHSA program documents, and CMS telehealth policy, and then translates it into plain English with links back to the originals so you can check the work. Nothing on this couples therapy platform comparison page is medical advice, because Paul is not a licensed clinician, and our editorial standards explain in full how each guide is researched, reviewed, and updated.