Editor's Guide
Best Couples Therapy Options — How to Compare
An independent guide to couples therapy options — online platforms, private practices and what to look for in a couples therapist.
What to compare
- Therapist training in couples approaches such as EFT or the Gottman method
- Session format — joint video sessions, individual check-ins
- Scheduling that works for both partners
- Pricing and insurance (couples therapy is not always covered)
Learn more about couples therapy and finding a couples therapist.
Side-by-side comparison
| Service | May suit | Pricing | Insurance | Medication | Links |
|---|---|---|---|---|---|
| BetterHelp | Couples who want online sessions through BetterHelp’s sister service, Regain | $70–$100 per week, billed as a subscription; cancel anytime. Price varies with location, preferences and therapist availability. | Offered to eligible members only, with an average copay of $23 per session. HSA and FSA cards accepted. | Not offered | Read review |
- May suit
- Couples who want online sessions through BetterHelp’s sister service, Regain
- Pricing
- $70–$100 per week, billed as a subscription; cancel anytime. Price varies with location, preferences and therapist availability.
- Insurance
- Offered to eligible members only, with an average copay of $23 per session. HSA and FSA cards accepted.
- Medication
- Not offered
Prices and coverage change often. Always confirm current details with the provider.
How we evaluate services
Every service in our comparisons is assessed against the same criteria. Commercial relationships never change our criteria, our findings or the order in which services appear. Full methodology.
Clinician credentials
Are clinicians licensed, and can you verify their credentials and the jurisdictions they practice in?
Evidence-based care
Does the service offer approaches with research support, and does it measure progress?
Pricing transparency
Are total costs, billing frequency and cancellation terms clear before you sign up?
Insurance and affordability
Does it accept insurance, provide superbills, or offer lower-cost options?
Privacy and data practices
How is health information stored and shared? Is any data used for advertising?
Safety and crisis policy
Does the service screen for risk, explain what happens in a crisis and refer to higher levels of care when needed?
Access and fit
How quickly can you start, can you choose or switch clinicians, and are formats (video, phone, messaging) suitable?
When to seek professional help
Consider talking with a doctor or licensed mental health professional if symptomslast for more than two weeks, keep coming back, or make it harder to manage work, school, relationships or daily tasks. You don’t need to wait until things feel severe — getting support early often makes things easier.
If you’re thinking about harming yourself or are in immediate danger, call your local emergency number. In the US, call or text 988 (Suicide & Crisis Lifeline).Crisis resources in other countries.
Explore care optionsReferences
We rely on government health agencies, professional medical organizations, peer-reviewed research and academic institutions. Read our sourcing standards.
About this article
Written by
ExploreMentalHealth Editorial Team
Our editors research and write every article using government health agencies, professional medical organizations and peer-reviewed research, following our published editorial standards.
- First published
- September 19, 2026
- Last updated
- September 25, 2026
- Last medically reviewed
- Review pending