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Best Online Therapy Platforms for Couples

We spent weeks researching platforms, reading clinical reviews, and comparing pricing so you don't have to. Here are the five that are actually worth your time.

Online therapy has made couples counseling more accessible than ever. No awkward waiting rooms. No scheduling nightmares. You and your partner can connect with a licensed therapist from the couch, on a schedule that works for both of you.

But not all platforms are the same. Some are built specifically for couples; others offer it as an add-on. Here's how the top five compare.

Platform Couples Plan Price Session Format Insurance Our Rating
BetterHelp Yes $65-90/wk Video, phone, chat No 4.8/5
ReGain Yes (couples only) $65-90/wk Video, phone, chat No 4.7/5
Talkspace Yes $69-109/wk Video, messaging Yes (some plans) 4.5/5
Cerebral Individual only $99-365/mo Video Yes (some states) 4.3/5
Amwell Yes $199-299/session Video Yes 4.2/5

1. BetterHelp — Best Overall for Couples

The largest online therapy platform, with 30,000+ licensed therapists and a dedicated couples track.

  • What we like: Huge therapist network means faster matching. Both partners get access to the shared therapy room plus individual messaging. Easy to switch therapists if the fit isn't right.
  • What to know: Not covered by insurance. Subscription-based, billed monthly. Financial aid available for qualifying users.
  • Pricing: $65-90/week, billed every 4 weeks.
  • Best for: Couples who want flexibility, fast matching, and a proven platform.
Try BetterHelp for Couples

2. ReGain — Built Exclusively for Couples

A BetterHelp sister platform designed specifically for relationship counseling.

  • What we like: Every therapist on ReGain specializes in relationships. The intake process asks couples-specific questions so matching is more precise. Shared and individual communication rooms.
  • What to know: Same backend as BetterHelp. Not covered by insurance. Some users report slightly fewer therapist options in rural areas.
  • Pricing: $65-90/week, billed every 4 weeks.
  • Best for: Couples who want a platform fully dedicated to relationship work.
Try ReGain

3. Talkspace — Best If You Have Insurance

A well-known platform that partners with major insurance providers and employers.

  • What we like: Insurance acceptance can significantly reduce cost. Offers asynchronous messaging therapy in addition to live sessions. Clean, user-friendly app.
  • What to know: Couples plan costs more than individual. Therapist availability can vary by state. Insurance coverage for couples is more limited than individual therapy.
  • Pricing: $69-109/week depending on plan. Lower with insurance.
  • Best for: Couples whose insurance covers Talkspace, or who prefer messaging-based therapy.
Try Talkspace

4. Cerebral — Best for Individual Therapy + Medication

Combines therapy with medication management for anxiety, depression, and related conditions.

  • What we like: Integrated prescribing is valuable if one or both partners are managing anxiety or depression alongside relationship issues. Insurance accepted in many states.
  • What to know: No dedicated couples therapy plan. Best used when one partner needs individual support as a complement to couples work elsewhere.
  • Pricing: $99/month for therapy, $365/month for therapy + medication management.
  • Best for: Individuals who need therapy and medication management alongside couples work.
Learn More About Cerebral

5. Amwell — Best for Pay-Per-Session

A telehealth platform offering on-demand therapy sessions without a subscription.

  • What we like: No subscription commitment. Good for couples who want to try a session without locking in. Widely accepted by insurance. Board-certified therapists.
  • What to know: Higher per-session cost than subscription platforms. Less specialized matching for couples. Better for scheduled check-ins than ongoing intensive work.
  • Pricing: $199-299 per session. May be lower with insurance.
  • Best for: Couples who want to dip a toe in, or who prefer paying per session.
Learn More About Amwell

Our Recommendation

For most couples, BetterHelp or ReGain offers the best balance of quality, flexibility, and price. If you have insurance that covers online therapy, check Talkspace first.

Get Started with BetterHelp