Marriage Counseling Services Reviews

11 Best Marriage Counseling Services of 2026

We've analyzed the best Marriage Counseling Services to help you find the right solution for your needs.

2026 Marriage Counseling Reviews

Where Can You Find the Best Online Marriage Counseling?  In recent years, the number of people turning to online therapy for help has increased exponentially. According to a report in the Annals of Internal Medicine, more than half of all mental health appointments are conducted via the internet or telehealth. While the 2020 pandemic may have increased those numbers initially, many have chosen to stay with or start online counseling as a way to fit the service into their busy lives.

5.0

EXCELLENT

1

Best Option

  • Licensed therapists and life coaches
  • Simple online registration process
  • Offers combination of services including E-video, E-journal, and instant E-chat
  • Trial first session offered at reduced price
  • Pay by the session or purchase a package for lower price
  • Military, first responder, student, teacher discounts
  • Service is secure, confidential, and HIPAA compliant
  • In business since 2016

EXCELLENT

5.0

On the E-Therapy Cafe website

With the slogan "empowering lives, one session at a time," E-Therapy Cafe touts itself as "a safe place to work through life's messy things" since its beginning in 2016. Founded by Dr. Jude Black, a military wife who first discovered the power of long-distance connection when she and her husband were in touch via tele-conference. While the company strives to be particularly military-friendly in its offerings, E-Therapy Cafe wants to make marriage counseling accessible for all people who are looking for support.

Choose from a limited group of providers

The small group of E-Therapy Cafe professionals (referred to as Expert Life Baristas - because it's a cafe) include international clinical counselors, clinical therapists, expert level life coaches, and breathwork therapists (though due to licensing requirements across states, your chosen provider may "coach" you instead). You are able to view detailed profiles of the available counselors to choose the one you want to help you reach your desired life change. Included in the bios are a photo, areas of expertise, modalities, certifications, about the therapist, and professional background.

Feel the connection

Some of the "about" tidbits shared can make you feel a connection to the therapist or perhaps the experience mentioned meets you and your spouse where you are most desiring aid. (Since choosing a name from a listing of available counselors can feel random, we like this personal touch.) Additionally, across the bottom are testimonials from people who have used the professionals' services, helping provide a bit of feedback to assist you in choosing the right fit for your needs. If you find yourself in need of wedding coaching, this service is also offered to help couples looking to navigate the challenges and stress of the time leading up to the big day, as well as the post-wedding crash.

Simple sign-up process

The first step on E-Therapy Cafe is to complete the registration form, indicating the type of session (individual, couples, or family) and session focus. Then you provide your personal contact details, current feelings and mood, and goals you'd like to achieve through therapy, finishing by providing your credit card payment information.

Varying E-options to meet your needs

Therapy options on E-Therapy Cafe include virtual E-video sessions, instant E-chat sessions, and virtual E-journal exchanges. Clients may choose from any combination of these services to meet their needs. You will have 24/7 access to your E-space portal to use these communication tools as you build your therapeutic relationship at your convenience.

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Subscribe or pre-pay per session - it's your choice

With pay-as-you-go or subscription package options, E-Therapy Cafe telehealth appointments are offered in five options.

  • First, the ETC Trial costs $55 for a half-hour first session.
  • ETC Straight provides 30-minute sessions, which may be extended as needed, for $65 each.
  • There are two options for pre-purchasing sessions to save money.
    • First the ETC Flex Monthly Wellness Pack provides 8 online sessions to be completed within 30 days from purchase for $470. This plan easily allows clients to customize their session lengths as desired.
    • For those ready to commit to therapy for the next 90 days, the ETC90: Quarterly Commitment costs $440 per month (total $1,320), saving you some more money per session while allowing you to use the 24 pre-purchased online sessions as desired over the three months. (We appreciate that the cost is per session, not per person in the session, unlike some other online platforms.)
  • For those needing support between sessions, ETC Reflect costs $65 and is used for digital journal and email sessions to provide quick advice in a secure manner without a scheduled appointment time. No insurance providers are accepted, and payment is required prior to a session, so you'll have to seek reimbursement from your insurance company if they do offer benefits for services provided by E-Therapy Cafe.

Trial session given at a discount

As noted above, if you're looking to see if E-Therapy Cafe is right for you, register for the ETC Trial, a $55 session which can be used as a way to try out their therapy services. It is meant for first-timers who want to get a feel for the service and is valid for 30 days after you pay for it.

Privacy is protected

E-Therapy Cafe's platform is 100% secure, confidential, and HIPAA compliant, so know that you can have the conversations you need to have in complete privacy.

Short sessions may be combined

While session lengths at E-Therapy Cafe are short at just 30 minutes each, we do like the fact that you are allowed to "stack" them to create the environment that works best for you and your partner.

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Standard cancellation policy

E-Therapy Cafe has a 24-hour cancellation policy. All session fees are prepaid 24 hours prior to the session and no refunds are given. The policy may be viewed on the E-Therapy website, but note that exceptions to the 24-hour notice are rare.

Discounts offered to specific groups

E-Therapy Cafe offers 10% off subscription plans for veterans, first responders, educators, and students if you ask about the discount. In order to help others, the company offers Operation Give Back which donates a portion of each session's proceeds to charity affiliates like The Gary Sinise Foundation, The Freedom Service Dogs of America, and Appalachian Trauma and Resiliency Center.

Limited reviews available

Aside from the E-Therapy Cafe individual testimonials on the bio pages, there is not a lot of feedback from clients available across review platforms. There are a few testimonials scattered across the internet which positively note they were happy with the skilled and compassionate services they received, the flexible scheduling (including late night and weekends), and different methods of connection. Negative comments mentioned that the E-Therapy Cafe's emphasis on coaching may not be appropriate for those who have deeper mental health needs and called for a more user-friendly website.

Top of the list

E-Therapy Cafe provides services you need in a flexible format to fit your lifestyle and budget. A focus on giving back to charity and offering discounts for veterans, first responders, educators, and students is a plus. We are pleased to put E-Therapy Cafe once again at the top of our recommended providers for online marriage counseling.

On the E-Therapy Cafe website

4.5

GREAT

2

Great

  • Most therapists have an advanced degree in marriage therapy
  • Registration process is quick and easy
  • Prices set by individual providers, depending on experience level
  • Insurance not accepted but will provide receipt to submit for out-of-network services
  • HIPAA compliant using secured Zoom for sessions
  • In business since 2005

GREAT

4.5

On the Growing Self website

Helping their clients "create Love, Happiness, and Success" since 2005, Growing Self provides relationship experts who use evidence-based approaches to reach positive outcomes for those in need of couples counseling. The company provides therapy in "many states besides Colorado" (their base), as well as coaching in all 50 states.

Therapy in some states, coaching in all

Offering both in-person couples and marriage counseling in Denver and Broomfield, Colorado, and online, Growing Self asserts that online sessions, which they've offered since 2012, can often be even better than in-person counseling. Relationship coaching is an alternate option provided by Growing Self, providing action-oriented insight to reach a desired outcome. Twenty of their 21 therapists specialize in marriage counseling, using emotionally-focused couples therapy and the Gottman Method. Other areas of specialized knowledge include sex therapy, parent coaching, financial counseling for couples, long distance couples counseling, affair recovery, and discernment counseling. Their listings differentiate between marriage counseling, relationship coaching, premarital counseling, and long-distance couples therapy.

Preview your therapists

The therapists available on Growing Self are listed along with a photo, qualifications, extensive personal bio with treatment focuses, and scheduling options. With a few exceptions, all couples counselors at Growing Self have a Master's degree in marriage and family therapy (they claim 95% of therapists who offer this counseling elsewhere do not have it). Therapy services available in limited states, so you may end up with a coaching option instead (soif therapy is important for your needs, be sure to ask at the consultation). Though we could not find the list of states which are licensed for therapy, the company is based in Colorado and each bio lists where the therapist is based, which can give you a general idea which ones may be licensed to practice in your state.

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Choose the method that works for you

There are a couple of ways to start the process at Growing Self. First, you can select a therapist and click on a date and time that work for your schedule. Input your personal information, along with the type of growth work you desire, and a couple of topics you want discussed in your consultation. Alternatively, there is a more in-depth process with questions to explain your current situation which has led you to therapy. Both are pretty quick and easy. If you prefer, you can call to be matched with the right therapist for your needs - a free consultation to discuss your hopes and goals to see if their company is right for you.

Zoom sessions only

All Growing Self online counseling is through secure, HIPAA-compliant online Zoom video, with standards to ensure privacy and confidentiality. Video sessions may be accessed via laptop, tablet, or phone. Additionally, if you prefer, you can access your Growing Self session via a phone call instead of video. They do not, however, engage in text or email counseling options.

Bonus options offered

Solution Sessions offer immediate support for anyone who would like to meet with an expert from Growing Self by phone or online video, providing a one-time, solution-focused coaching session. Lifetime of Love group premarital education is offered at a 75% savings from private sessions. Additional services such as group divorce recovery, Happiness Class, healing a broken heart, and Find the One online course are available. Plus, if you're interested, you can find a library of relationship advice on the Growing Self blog, relationship podcasts, and a relationship health quiz - all at no charge to you.

Pricing difficult to find

Trying to find pricing for services on Growing Self was difficult, but we finally discovered that rates will vary depending on which therapist you work with. Fees are generally between $75 and $170 for a 45-minute session, with costs based on their professional experience level. Additionally, they mentioned some therapists offer affordable, sliding scale rates to connect you with the solution which works for you. Growing Self does not take your insurance but will provide a receipt for you to submit for out-of-network care when applicable.

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Session length may be extended

Sessions are typically 45 minutes in length, though you can choose to have longer visits, which will be prorated accordingly.

Cancellation 48 hours in advance

Growing Self has a 48-hour cancellation policy, though refunds on prepaid solution sessions or classes are permitted.

Limited reviews but ranked highly by some

With an "A+" rating from the BBB, Growing Self has no reviews or complaints and is not accredited by the BBB. Growing Self has brief client testimonials on their site (all positive, of course). A therapy review site named Growing Self as one of the top 5 "best, most affordable online couples therapy" companies; additionally, in that site's survey of 100 Growing Self users, 93% of clients rated their therapist's qualifications as very good or excellent and 96% ranked Growing Self as better or much better than other online therapy options they have used before. Two other different therapy review sites listed Growing Self as their best online premarital counseling option.

Good inexpensive option

Providing a solid option for those seeking online therapy without insurance, Growing Self offers traditional counseling, as well as coaching services across state lines. We recommend this company for its highly-qualified providers and focus on marriage counseling.

On the Growing Self website

4.4

GREAT

3

Great

  • Focusing on CBT, the company offers couples and sex therapy in addition to other therapies
  • Quick registration process
  • May include messaging, journal, and yoga in addition to counseling, depending on subscription chosen
  • Counseling offered via video, phone, or chat
  • Subscriptions are $96 for one couples' 45-minute session each week, charged monthly
  • Secure platform, HIPAA compliant
  • In business since 2009

GREAT

4.4

On the Online-Therapy website

Online-Therapy boasts they have the "most complete online therapy toolbox" for their clients, providing instant help on any device anywhere in the world. Started in 2009 as the world's first and leading platform for online therapy, therapists here have offered top quality counseling specializing in cognitive behavioral therapy (CBT) in 41 states, as well as Australia, the United Kingdom, and Canada.

Therapists focus on CBT

With a science-based therapy platform, Online-Therapy developed their online treatment using CBT techniques, which studies have demonstrated to be similar in efficacy to in-person therapy. Online-Therapy matches you with a dedicated and experienced licensed therapist. You can browse therapists by state, viewing photos, bios, areas of specialty, languages spoken, types of therapy offered, reviews about the therapist from clients, and availability.

What kind of session do you want?

Conveniently, you are permitted to choose from three types of sessions: video, voice (phone), and text chat. Another thing worth noting is that not all therapists on this site work with couples. (Look for the couples icon before reading the full bio so you don't waste your time.) Online-Therapy claims that unlike other services, they do more than chat with you to provide temporary ease; they provide tools and teach skills to help your relationship thrive. In their marriage counseling sessions, you will identify your problems, create long-term goals, learn to break the patterns, rediscover the love, take care of yourself, and receive long-term results. The company also offers CBT therapy specifically related to intimacy and sex.

Quick onboarding process

Claiming that it only takes a minute to get started with Online-Therapy, first you choose individual or couples therapy, and then indicate areas of relationship you want to improve and areas of concern. Preferences regarding the therapist and type of live sessions you would prefer come next, followed by a description of your financial status (you can apply for financial aid at checkout if needed). Then you create an account and check out.

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Providing multiple methods for growth

In addition to the therapy sessions, Online-Therapy includes multiple "tools" for their clients. The main tool is a self-help online CBT course with interactive worksheets for all clients. Depending on your subscription level, you can have live chat messages (video, voice only, or text chat), a journal, an activity plan, and yoga and meditation videos. These work together to help you work through your challenges and "become an even happier you." There is no app needed for the Online-Therapy services, which are optimized for smartphones and tablets.

Subscription plans vary, no insurance accepted

Insurance payments are not accepted at Online-Therapy, though you can request a receipt to submit for possible reimbursement, depending on your insurance plan, or you can use your Health Savings Account or Flexible Spending Account to pay for services. Fees at Online-Therapy are subscriptions, starting as low as $48 a week. There are four levels of subscriptions, with couples therapy being its own level at $96 per week. At Online-Therapy, a marriage counseling subscription includes one 45-minute live therapy session per week with your partner and your therapist, unlimited messaging throughout the week (expect a response within 24 hours on weekdays), and individual therapy components such as CBT course worksheets, a journal and activity plan, and yoga sessions. Subscriptions are charged on a monthly, quarterly, or biannual basis.

Availability is robust

Early morning sessions are an option with some therapists on Online-Therapy, as are evenings and weekends. They offer secure, 45-minute therapy sessions and are HIPAA compliant.

Bonus materials to explore

A trove of mental health articles are offered for free learning on Online-Therapy's website, though it has not been updated in a couple of years. It is searchable and can be filtered by topic, providing another tool to help you in your wellness journey.

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No refunds permitted

If you forget to cancel your subscription, refund requests may be considered, though you cannot receive a refund for services. Additionally, there is a 24-hour cancellation policy for live therapy sessions. Though they do not offer an option to put subscriptions on hold, they will allow you to cancel and reactivate so you do not lose any prepaid days.

Discounts offered

On the first page we visited, we noticed Online-Therapy offers 20% off for the first month, so be sure to look for that discount or ask about it. Additionally, many reviewers mention income-based discounts, so if you are in need, be sure to ask.

Reviews are mostly positive

Online-Therapy has been mentioned on many review sites, including being listed as a top affordable online therapy option. The website for Online-Therapy has a page of reviews from their clients, averaging 4.8 out of 5 stars, (with no complaints, of course). Independent online reviews are sparse for this company, which is not listed on the BBB at all, but you can find a few user experiences here and there, as well as limited ratings. One such review mentioned that some users might find the amount of homework and worksheets "too rigid." Trustpilot has the company rated 4.3 out of 5 stars, with fewer than 50 reviews (not many for a company that's been around for over 15 years). Positive reviewers shared that they loved their therapists, found the platform easy to use, and enjoyed the resources and worksheets. Negative experiences included difficulty with scheduling and customer support.

Great value with added accessibility

Online-Therapy provides their clients with multiple ways of communicating with their therapists and growing outside of a session. We highly recommend this service as an excellent option for couples who don't mind homework and plan to attend weekly marriage counseling sessions.

On the Online-Therapy website

4.0

VERY GOOD

4

Very Good

  • Licensed therapist available for couples in 46 states
  • Quick and simple registration process
  • Free 30-minute trial session
  • Insurance not accepted but will provide receipt to submit for out-of-network services
  • Costs $350 for 50-minute session
  • HIPAA compliant using secured Zoom for sessions
  • In business since 2014

VERY GOOD

4.0

On the Couples Learn website

Couples Learn offers research-based online couples therapy, claiming to have "relationships down to a science." Headed by online relationship guru Dr. Sarah Schewitz, the service provides therapy in most states, though since there was only one provider when we viewed the website, getting an appointment time may be difficult.

Specialized therapy approaches

By analyzing research on relationships, Couples Learn says they will teach you "everything you need to know" to keep the relationship flame burning for a lifetime. While the site refers to other therapist options, the only one who shows up on Our Team page is the founder, psychologist Dr. Sarah Schewitz - and she sees clients weekdays for limited daytime hours out of California. All appointments are booked through online service to make it more convenient for you. Though based in California, Dr. Sarah is licensed in 46 PsyPact states, an agreement allowing licensed professionals to practice across state lines. She started the practice as a way to "break generational trauma patterns" and help clients heal attachment wounds for healthier relationships and has listed ten areas of expertise, including Imago couples therapy, Attachment Focused Eye Movement Desensitization Reprocessing (AF-EMDR), and ending codependency.

Trial session offered

A free 30-minute consultation is offered by Couples Learn with the founding psychologist Dr. Sarah - who was named "most influential dating expert" in 2019 by Datezie. Dr. Sarah is also a guest on some podcasts and has online videos you can watch if you want to see her style prior to a trial consultation. Couples Learn is HIPAA compliant, and sessions are provided on Zoom.

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How the process works

Select the date and time for your free consultation from the available calendar on Couples Learn. The counselor's name will show up as available. Provide your personal contact details along with the services sought, state of residence, and your partner's name and email address - straightforward and easy.

Highest price, no insurance accepted

According to Couples Learn, the cost of working with their various therapists varies by length of session and qualifications of the counselor you choose, $150 to $550 per session, though it appears only one therapist is currently available on the site (again, its founder Dr. Sarah). Priced per session, Dr. Sarah charges $350 for 50 minutes or $550 for 80 minutes. Couples Learn does not take insurance but may be accepted by your insurer as an out-of-network provider; you can request a receipt to submit to insurance for possible reimbursement. More of an explanation regarding understanding out-of-network benefits is available on the website's FAQs. (Insurance is notoriously difficult to navigate and they provide some guidance if needed.) A note on the site says a reduced fee could be offered in some circumstances, so it can't hurt to ask if that is something you require.

More to learn even if you don't choose to do counseling here

Online courses are offered by Couples Learn on topics including Relationship Recharge, Attachment, and Codependency. From multiple online lessons on a topic to a pre-recorded webinar, prices range from $19.99 to $197. Some of them include money-back guarantees, so read everything before you purchase if you are interested. While they cannot take the place of couples counseling, they may provide a boost you need in the meantime.

Cancellation must be 24 hours in advance

The full session fee will be charged by Couples Learn for appointments canceled or rescheduled if less than 24 hours notice is given. If you cancel or reschedule the free consultation with less than 24 hours notice, your card on file will be charged $50.

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Other therapists not currently available

The Couples Learn website says other therapists in the group offer evening and weekend appointments, though no other therapists were available at the time we viewed the site. According to the site, other team members - only licensed in California - will provide coaching if your needs and goals work with that option (not diagnosed with mental illness or dealing with substance abuse). All therapists at Couples Learn have advanced degrees in psychology and are trained in the areas of love and relationships. However, since the site seems to be just Dr. Sarah's solo practice, this may not apply.

Bonus freebies for relational growth

One fun freebie on Couples Learn is a download of 82 questions to help couples reconnect and spark intimate conversations. Ranging from serious and extremely personal to humorous, the questions could be used for date nights, dinner conversation, email exchanges, or however you choose. A blog also provides helpful tips such as signs your partner needs marriage counseling, pros and cons of couples therapy, and other tips. You can take some helpful quizzes to learn about your attachment styles, or diagnose the health of your relationship or conflict handling methods.

Reviews are mainly positive

Customers are pleased with the couples counseling offered by Couples Learn. Across various online review sites, they rank 4.7 out of 5 stars. Comments about Dr. Sarah say she is personable, non-judgmental, and worth the investment. One reviewer who tried EMDR therapy with Dr. Sarah called it "a truly luxe, personalized experience." Negative reviews mention being dropped from a therapist without any notice or follow-up.

High-end option with limited availability

Providing targeted marriage counseling only, Couples Learn is a place to find tools to work on your relationship - for those who can afford it. The excellent reviews and resources put this company high on our recommended list.

On the Couples Learn website

3.9

VERY GOOD

5

Very Good

  • Group of 30 professionals includes one-third Gottman Certified therapists
  • Focuses on weekend intensives to provide concentrated counseling in short time period
  • Lengthy but comprehensive intake form
  • Free phone consultation to see if their service is right for your relationship
  • HIPAA compliant
  • In business since 2015
  • "A+" BBB rating

VERY GOOD

3.9

On the Couples Therapy website

With a mission to change how couples approach therapy, Couples Therapy Inc. provides intensive, science-based marriage counseling. With international online services as well as in-person couples therapy retreats, Couples Therapy Inc. has used their unique method to help over 3,500 couples since 2015.

Weekend intensive format

Promising that their intensive weekend will help you "experience the results of over six months of traditional therapy in one weekend," Couples Therapy Inc. offers something completely different from the other services we have seen. The company operates on the belief that marriage counseling is not meant for all couples and the way this is currently practiced is substandard, with short sessions not allowing for significant progress. The company also believes that a comprehensive assessment is a requirement before a couple gets into therapy (be ready to answer those questions honestly), leading to "targeted, intelligent, and informed questions" in treatment. The 30 clinicians of Couples Therapy Inc. speak 10 languages, with half having doctoral degrees and one-third certified as Gottman Therapists. Other speciality training includes discernment counseling, Imago, and emotionally-focused couples therapy. Couples Therapy Inc. lists affair recovery, sex therapy, and neurodiverse couples among their specialties. When you click on "Meet Our Team" on the website, you will see a map of the United States. Click on the state (only those highlighted in blue) and see available therapists. Each will provide a photo, therapist's message (which gives you a taste of his or her personality and approach), location, credentials, and reviews.

Start with a consultation phone call

Answer five questions to see the Couples Therapy Inc. recommendation for your relationship (hopeful spouse coaching, intensive weekend, discernment counseling retreat, or "last shot" intensive weekend were some options we discovered). If desired, you can sign up for emails and receive the course "Five Important Relationship Practices" in your inbox. After taking the quiz, schedule a call and have all of your questions answered so you can be connected with the right therapist for your situation. Noting that you will be contacted within a business day, provide your personal contact information, any pertinent information or specialized areas you desire, and schedule that consultation. After that, you speak with the therapist, discuss your situation, and ask questions, all at no cost to you.

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Fill out your complete assessment

The third step is a big one, as noted above, as you complete "The BIG BIG Book Assessment," designed to go deep (it takes three to six hours to complete). Your answers help your therapist prepare for your sessions - without wasting time getting to know you - so it can be tailored to meet your needs. After this, you will attend Couples Therapy Inc.'s unique Intensive Therapy Retreat, which takes place over a weekend and is completely private. The retreats are held in-person in 33 locations or online in 45 states (and international locations). Following the weekend intensive, you can have as little or as much support as needed, with online therapy sessions or free enhancement courses. Couples Therapy Inc. is HIPAA compliant.

What to expect at an intensive weekend

If the idea of an entire weekend of marriage counseling has you curious - or hesitant - Couples Therapy Inc. has a long section on their website about what you can expect to encounter over the course of the intensive. Starting with a private session to welcome you, participants are encouraged to share their stories, define their challenges, and remember the reason they are together in the first place. The Saturday session is designed to deepen the work and lead to action, focusing on communication, individual sessions with your therapist, and creating a plan to move forward. Sunday's schedule of therapy includes looking for strengths and vulnerabilities in your relationship, de-escalating conflict, overcoming intimacy blockers, and making a plan for lasting change as a couple. While these are general terms, Couples Therapy Inc. emphasizes that each intensive is customized work and that no two intensives are exactly the same since no two couples are the same.

Be prepared for a high price tag

Fees for the Intensive retreat range between $3,500 and $7,000, based on the education, location, and experience of the therapist. The exact cost is not disclosed until after your consultation, and the cost does not include follow-up sessions (if desired). Payment is due at the time of booking, and additional days can be arranged as needed. Couples Therapy Inc. services are not covered by insurance.

Session length for the weekend and beyond

The couples intensive weekend is typically two full, 7-hour days, though additional days may be added. Regarding follow-up therapy sessions for Couples Therapy Inc., their consent form states it is up to the client to determine session length with the therapist (from the typical 45-minute psychotherapy session to an hour and 20 minutes for Gottman Method couples therapy).

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Cancellation is tricky for weekend

Couples Therapy Inc. requires 48 hours notice for an appointment cancellation without penalty. Alternatively, a 60 days' notice is required to reschedule an intensive weekend, with only 50% of the fee being refunded if cancellation occurs 60 days prior to the scheduled intensive.

Learn on the blog while you wait

To learn more about relationships, Couples Therapy Inc. offers a blog on their website with over 450 articles to explore. Topics include faith differences, emotional intimacy, preparing for couples counseling, and sex. These articles are available for free but also could be used as you prepare for your weekend event.

Mainly positive, though limited, reviews

Though not accredited by the BBB, Couples Therapy Inc. has received an "A+" rating and has no reviews or complaints. Couples Therapy Inc. offers "success stories" on its website to help you get an idea of what the intensives provide for those who participate, including nearly 300 anonymous testimonials. Across online review sites, reviews are harder to come by. A very scathing review of an intensive weekend with a particular therapist can be found on Yelp and Google (same reviewer). Since there is no third-party review with positive feedback and there are limited reviews in general, it's difficult to get a true feel for how this intensive format helps those searching for marital assistance. It should be noted that a therapy review site named Couples Therapy Inc. as its best choice for divorce counseling as a result of the discernment counseling offered. A different therapy review site called Couples Therapy Inc. the best for an intensive online couples retreat.

Great option if you need a lot of help

Some couples find that fitting in weekly therapy sessions around all of their other responsibilities is tricky. Others need focused time to get to the heart of the issue. If you find yourself in one of these situations or something similar, Couples Therapy Inc. may be just what you need. The free phone consultation may help you decide if this is the right fit for you. Of course, most people aren't going to be looking for an intense weekend when searching for marriage counseling (or planning to spend thousands of dollars in one shot), so we give this service a good-but-not-for-everyone rating.

On the Couples Therapy website

3.8

VERY GOOD

6

Very Good

  • Coaching is the only service provided, though credentials may include advanced education
  • Registration includes answering questions and being matched with a coach based on your answers
  • Video or audio Zoom sessions, phone sessions, or text sessions available
  • Ranges between $80 and $250 per hour depending on credentials, with discount offered for prepaid session packages
  • Insurance not accepted but will provide receipt to submit for out-of-network services
  • Maintains privacy and uses secured Zoom for sessions
  • In business since 2017

VERY GOOD

3.8

On the Relationship Hero website

Declaring themselves to be the #1 relationship coaching service, Relationship Hero's certified professional coaches have helped over 100,000 clients achieve their relationship goals since their start in 2017. While some coaches on the site are therapists, the services offered by Relationship Hero are not the same as therapy and they cannot deal with severe mental, psychological, or emotional trauma, abuse, or other serious situations.

All coaches with varying experience

Relationship Hero provides coaching, for individuals or couples, by a team of over a hundred full-time relationship coaches (though only 25 of them are shown on the coaches page, predominantly female). With varying qualifications and certifications, the specialties and bios of the coaches can be viewed in their profiles. Each biography features a photo, books the coach is currently reading (on some profiles), educational background and other languages spoken, a brief written bio, and cancellation or other policies.

Preview the videos

One unique feature is a short video interview with the coach, which can help to give you a feel for his or her demeanor and if you would be a good fit together (we really liked this feature). Next, the bio features a click-down menu for that coach's offers (this is where you find the coach's pricing schedule). Finally, each coach's bio includes reviews from their clients. (We noticed the coaches truly do vary in their qualifications, some having advanced education while others just list specialty areas. Since coaching itself is not regulated or licensed, it may be helpful to compare what makes each coach an expert to help with your relationship.)

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Coaches are recommended to you

Click the Get Started button and answer some questions about your situation. Once you have completed the questions, it will go to an online specialist to receive a coach recommendation from Relationship Hero. Then you will be connected to text with a coach and schedule your first session, which is typically an hour on Zoom (video or audio). A phone call or text with 100% privacy for clients is a key part of the Relationship Hero coaching experience.

Prices vary by coach's experience

At Relationship Hero, prices vary by coach, with the typical costs between $80 and $250 per hour. A discount is offered for prepaid plans of multiple session hours. No insurance is accepted but they will provide a receipt for your possible reimbursement from your insurance provider.

Cancellation policies vary by coach

Each coach sets his or her own cancellation policy, which is clearly listed on the bio, with some requiring over 48 hours notice, while others were shorter. Some charged a partial fee for cancellation, while others mentioned a rescheduling fee.

Educational materials available

The Relationship Hero blog offers free articles on dating and relationship coaching topics such as reaching plateaus, building stability, and experiencing real growth. If desired, the site also sells pricey ebooks, like How to Attract Your Dream Partner by Nicole Colantoni for a whopping $59. Another is Reconnect with Your Ex by Lior Gatesman, claiming to be the company's "proven handbook for understanding and overcoming your unique breakup," sold for $39. Lastly, they have Me 2 We: A Matchmaker's Guide to Love by Channa Bromley, which claims to help you attract and keep the partner you truly desire. We usually don't see ebooks this expensive, but if you're interested, each ebook comes with a 30-day satisfaction guarantee, providing a 100% refund with no questions asked. A master class created by one of Relationship Hero's coaches on Emotional Education is also featured for $175 as a stand-alone or supplement to coaching sessions.

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Mainly positive reviews

The Relationship Hero website mentions they have received over 143,000 5-star reviews, and numerous testimonials are there if you are interested in reading those. We found it interesting that one competing online therapy company actually reviewed and recommended Relationship Hero, while noting that coaching can be beneficial for receiving general advice compared to therapy for those with mental health symptoms or concerns. Across review platforms, Relationship Hero has earned an impressive 4.5 out of 5 stars, which is consistent with their 5-star review claim (though significantly fewer reviews than they claim). Positive comments about coaches included easy to talk to, practical approach, and genuine. Negative reviewers warned about coach policies which differ from the website's policy about credit expiration and poor management with missed appointments.

Best coaching option

Relationship Hero offers coaches for anyone seeking help, with or without a partner. After considering the personal coach profiles and reading the countless positive reviews, we can confidently recommend Relationship Hero as a top option for marriage counseling if you choose coaching over therapy.

On the Relationship Hero website

3.5

GOOD

7

Good

  • Variety of professionals offered and licensed to work in 22 states
  • Registration online and includes consultation to match with therapist
  • Prices set by individual providers
  • HIPAA compliant
  • In business since 2018
  • "A+" BBB rating

GOOD

3.5

On the Octave website

Providing "outcome-focused care that measurably changes lives" since the company started in 2018, Octave believes that premium mental health care should be for everyone. With online marriage counseling offered in 22 of the states plus DC, Octave will connect you with the right counselor to help meet your therapy goals and bill your insurance.

Helpful profiles for choosing a provider or getting matched

The Octave website lets you either browse therapists or get matched with one by their team. If you want to try their service to get matched, you will have to sign up for their free account with a valid email address first, receiving a match by email within three business days. Additionally, the site notes that couples may schedule a free 15-minute consultation with a member of the Octave Care Navigation Team to help make the appropriate counseling match. To browse therapists, you select your state and insurance plan or self-pay from the drop-down menu. Therapists who fit your specifications will be listed with a short bio, which is expanded in a more complete listing by clicking on show more, to display the therapist's specialties, accepted payment, title, brief introduction, photo, communication style, experience, focus areas, license number, approaches, languages spoken, education, and personal interests. (We like this kind of profile because it can help you make a more informed decision about whether or not you may connect well with the counselor.)

Drill down your preferences

Once you see the listings of those who meet your basic criteria, you can include other preferences to indicate specialties, availability, approach, language, and licenses. It is easy to see therapist availability, and some offered Saturday appointments. Octave therapists will also provide care in your preferred language, where available, speaking over 40 languages, including Spanish. But, this is a good time to point out that some negative reviews mentioned issues with being required to first have a consultation to match you with a therapist, not truly allowing you to choose your own as you are led to believe on the Octave page. This consultation is with an Octave rep, not the therapist, which some reviewers complained was unhelpful to determining if they have truly found a good match.

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Vetted therapists only

More than just a listing of counselors, Octave hires providers for its online therapy services, extensively interviewing them, including demonstrating their treatment and passing background checks. The providers are regularly monitored as well, so you can be certain to receive professional service. According to the website, this leads to a superior patient experience in which 89% of Octave's clients report having a strong relationship with their therapist.

How the process works

Look at the Octave counselors as mentioned above, then click on a date and time to book the appointment. This will lead you to answer a brief questionnaire about your relationship and your goals, get a cost estimate, and confirm the appointment time. Disappointingly, you are unable to get further than this without entering your email to create an account, keeping a true cost estimate out of reach when you're just shopping for a counselor.

Insurance billed when applicable

Accepting plans from nearly a dozen major insurance companies, Octave says their clients pay an average copayment of $32 for a couple's therapy session. When booking an appointment, you must create an account to see a true cost estimate, but the site will provide a general estimated cost of care through the site's cost calculator. It lists the accepted insurance plans and says 40 million Americans are in-network with Octave. The cash out-of-pocket cost varies by state, such as $185 to $195 in Illinois and $205 to $250 in California. Octave notes that session costs vary not only by location but also by provider and length of session (which is not listed anywhere - extremely frustrating when you want to compare options). Medicaid and Medicare patients are not accepted on Octave, even if you want to pay out of pocket. Health Savings Accounts or Flexible Spending Accounts may be used to pay for marriage counseling. There is no membership and sessions are charged individually.

Help determining what you need

One interesting feature on the site was the explanation of different common approaches to couples therapy. Octave briefly describes Emotionally Focused Therapy, Integrative Behavioral Couples Therapy, and the Gottman Method. Another benefit is a page of free resources to help guide you to the right type of care for your individual circumstances. Additionally, there are articles to explain what you can expect during marriage counseling.

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Security is maintained

Octave maintains high security measures and is HIPAA compliant. Though it is not mentioned on their website, reviews note that Zoom is used for therapy E-video sessions.

Cancellation fee

Another item that is not easy to learn on the Octave website is the cancellation policy. However, some negative reviewers indicated that it was as high as $100.

Reviews are a letdown

Scrolling across the Octave website, you may review patient testimonials. Across various online review sites, Octave earns a not-great average of 2.3-3 out of 5 stars from users. Negative experiences mentioned learning that insurance was no longer accepted and being left with a large bill for out-of-network services, frequent cancellations, long times elapsed between starting the process and seeing a therapist, being unable to choose your therapist without consulting first, billing issues, feeling as if "everything and everyone is a transaction" instead of personally cared for by Octave. Positive reviews mentioned great experiences with individual providers and speedy service. The company is not accredited by BBB and has an "A+" rating, with just a few complaints over the past year, though all of the reviews on the BBB were negative. This is a major shift since the last time we reviewed this company, which is disappointing to say the least.

Slightly better than average

Octave earns points with us for vetting its providers and accepting insurance. However, recent poor reviews about the service, limited states serviced, and the less-than-transparent website place it just above average in our list. We'd recommend looking at the marriage counseling options higher on our list, and coming back to Octave if you don't find what you need elsewhere.

On the Octave website

3.0

AVERAGE

8

Average

  • Licensed professionals providing therapy
  • Answer questions and be matched with a provider
  • Video, audio, or live chat options for sessions, plus messaging with provider
  • Couples therapy out-of-pocket cost is $436 per month for a subscription
  • Accepts some insurance
  • Secure platform, HIPAA compliant
  • Offers app on iOS and Android platforms
  • "A+" BBB rating
  • In business since 2012

AVERAGE

3.0

On the Talkspace website

Talkspace offers "affordable, high-quality mental health care" including online marriage counseling for their more than 1,200,000 members. Since its start in 2012, the company has evolved to provide unlimited messaging capabilities for clients and therapists.

Therapy from licensed providers

With 5,700 licensed providers, Talkspace offers several options for couples therapy, such as relationship counseling, marriage counseling, and premarital counseling. The main website page says "Meet the Talkspace licensed providers" and shows three rotating therapists' photos but no other information to make a decision about the service. (We're not sure how this is helpful since this service chooses a provider for you.) Hidden at the bottom of the webpage is a link to "find a therapist" in your state for your particular specialty or need. Profiles here include a photo, a brief bio including treatment approach, years in practice, accepted insurance, specialties, and appointment availability if accepting new clients. While this can give you an idea of available therapists, it is unclear you can choose one for yourself instead of being matched through their intake process.

Insightful questions help you get matched

Answer a few questions about your situation and preferences, and then you will be matched to a Talkspace licensed provider. Clients can switch providers if desired at any time for no cost. They say you will have access to a licensed therapist in two days or sooner. First, choose reasons why you want to start therapy, then note what you are hoping to receive from the provider treating you (do you want an active listener, collaborator, or teacher of new skills? If we don't get to choose our own provider, we like these types of questions for helping to match someone looking for a therapist). A few easy personal questions follow before you are taken to the "choose plan" page, which shows the cost and payment options. Payment is taken once you are matched to a provider, but you cannot get any further without putting in your credit card or bank information if doing self-pay.

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Sessions plus messaging equals therapy

Talkspace is HIPAA compliant and has a secure messaging platform. Live sessions (30 minutes in length) are offered via video, voice, or live chat at Talkspace. Unlimited messaging 24/7 is part of the Talkspace marriage counseling experience, with your therapist responding to messages daily during the week as part of the service. The Talkspace Therapy and Support app is available for both iOS and Android platforms, earning 4.6-4.8 stars out of 5.

Insurance accepted or out-of-pocket subscription options

The Talkspace bannerhead boasts that most insured members have a $0 copay, including Medicare. The website offers a place to check insurance coverage. For those paying out-of-pocket, Talkspace costs $436 per month (listed as $109 per week) for couples therapy, a subscription which includes text, video, and audio messaging, plus four live appointments. A 10% discount was offered if we chose to sign up for quarterly payments instead of monthly payments, which can help if you know this is the service you want to use. You will need to enter your payment information but the website says you will not be charged until you have been matched with a provider. If Talkspace is out of network for your insurance, you may use your Health Savings Account or Flexible Spending Account to pay for therapy.

Bonus offerings from Talkspace

Between sessions, Talkspace clients may access support with Talkcast personalized podcasts. Additionally, a non-subscription free app called Talkspace Go provides "self-guided therapy" for anyone - with live classes, questions for reflection, and more.

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Reviews are improving

Talkspace's website claims that they have more than 60,000 5-star reviews, which you may access on their website. Accredited by the BBB, Talkspace has an "A+" rating. Their ratings on the BBB, however, average a dismal 1.22 out of 5 stars. On Trustpilot, though, reviewers rank the company a solid 4.3 out of 5 stars. Both of these rankings (BBB grade and Trustpilot score) are up significantly since the last time we looked at Talkspace, which is promising. Positive reviewers rave about their therapists and the progress they have made. Negative reviews rant about billing issues and customer support troubles.

Average option

Live sessions plus 24/7 messaging are a combination that many seek for marriage counseling. Talkspace provides these but is still working to improve customer satisfaction, leading us to rank it as an average choice for your therapy needs.

On the Talkspace website

2.9

AVERAGE

9

Average

  • Licensed professionals able to practice in your location
  • Brief registration process followed by medical history
  • Telehealth via app or online browser
  • Prices set by individual providers
  • Sesame Plus paid membership gives discounts on service
  • Cancel as few as three hours prior to virtual appointment
  • Secure virtual platform, HIPAA compliant
  • In business since 2018
  • "A" rating from BBB

AVERAGE

2.9

On the Sesame website

Started in 2018, Sesame is an online collective of independently-owned practices offering both virtual and in-person services at affordable prices, including online couples therapy and marriage counseling. As the first-ever healthcare marketplace, Sesame says their 10,000 doctors and specialists charge half the typical price by removing all of the paperwork, claims, and mark-ups of regular healthcare.

Locate providers with specialties in your area

When you visit Sesame's "doctor direct" website, your location is automatically noted if you're logged into the browser (and you can change it at the top right of the page). This allows you to only view providers who are licensed to provide therapy in your state. We recommend using the search tool to type in the service you desire ("online couples therapy session" and make sure you include online or it will only show you those who offer in-person options) so you don't get overwhelmed with the other hundreds of options offered by Sesame. From Licensed Clinical Social Workers, Mental Health Counselors, and Marriage Family Therapists to PhDs and other certifications, each provider is listed with a photo, his or her specialty, type of service offered (look for telehealth), availability, service details, and other brief relevant details, including the price per session. (We felt the short bios failed to provide much of a sense of what the counselor might be like in a session, though.)

Instantly see their availability

One benefit of this platform is that right away you can see times offered, even highlighting if the counselor has openings the same or next day. Since providers offer their own appointment times, we noted a great range of offerings were available, including early morning, late night, and weekend times. If flexibility is a key factor for your marriage counseling needs, having the option to see these times on each provider's listing could be extremely helpful.

Easy to sign up

Look through the various professionals Sesame offers in your area for online couples therapy. Click on a time that works for you on the chosen date, then click on the "book" button. You will be prompted to select your membership tier (Sesame Plus or Sesame Basic) before you create an account for the site with your personal information plus "reason for visit" (including patient location during visit) and payment details. After this, you will complete a brief medical history form for the provider prior to meeting at the appointed time online.

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Highly-rated app for telehealth

Sesame counselors appear to only offer telehealth appointments, as opposed to added messaging or other E-options. Perhaps individual providers offer different options, but if so, they were not mentioned in the listings we viewed. Sesame does, however, offer an app on both iOS and Android platforms, which may be utilized for the telehealth appointments. The app ranks highly with users who give it an average of 4.8-4.9 out of 5 stars. Appointments also may be accessed through the link in your email using Chrome, Firefox, or Safari browsers.

No insurance accepted, prices vary per therapist

Each different therapist or counselor lists the price per session right on their page listing, so there are no surprises here. If cost is the driving factor for you, this is quite helpful, though it's surprising how widely the prices varied. For example, in the town we viewed, 13 professionals were listed, with fees starting at $110 and going up through $230. (It should be noted that though these fees may seem high, they are within the national cash-pay average for such services.) Sesame Plus members receive discounts on services by prepaying a year's membership for $99. The Plus benefits include same-day visits, choice of provider, discount on urgent care, free lab or blood test, and 90-day prescriptions. The online counseling discount for using Plus is noted on the listing, and it's $10, which has decreased since we last reviewed the company. To keep prices low, insurance is not accepted, and the site says it will not provide paperwork for filing insurance claims (only the online booking confirmation as a receipt). However, if you have a Health Savings Account or Flexible Spending Account, a linked debit card may be used on the platform.

Secure system

All telehealth appointments through Sesame are through a secure online video platform, which may be accessed through their app. The doctor-referral company also takes your privacy seriously and is HIPAA compliant.

Unclear about session length

Length of sessions for providers on Sesame vary by therapist. You are told how long the session is when you go to checkout. We noted sessions ranged from 30 minutes to 60 minutes in length. While you can get an idea of how long a session may be from the times offered, the fact that you are unable to know exactly prior to going through to checkout was frustrating. (It definitely should be more upfront, next to the price or in the service details of the provider's bio.)

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Generous cancellation policy

Unlike the typical doctor 24-hour cancellation policy, Sesame gives you the "book worry-free" alternative. Clients are permitted to cancel virtual appointments up to three hours prior to the appointment time - or within an hour of booking for same-day appointments - and get a full refund. (We find this policy to be extremely flexible, especially because life happens.) Any rescheduling must occur within 24 hours of the appointment time.

Providers not vetted or endorsed

Though there are over 10,000 doctors and specialists in the Sesame network, the site says these clinicians do not work for their company, nor are they supervised. Instead, Sesame recommends that potential members "conduct your own due diligence concerning the qualifications" before paying for or receiving care (meaning their site is listing of services rather than vetted and endorsed providers, which is somewhat disappointing).

Discounts offered

We noted there was a 20% off welcome coupon when we created an account on Sesame. Additionally, there was a pop-up which said you can refer friends and give them $10 off their first appointment on Sesame.

Customer support for billing issues

If you have questions or need assistance from Sesame (not the provider), online chat and phone support is available. An email option is also offered. Support should be contacted for billing issues or if the provider does not join your appointment. Some negative reviews labeled the support slow and impersonal, unfortunately.

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Reviews for the company may not reflect quality of care

Since the doctors and specialists on Sesame are not endorsed by the company, they have a place on each provider's listing for reviews (if any have been made), which are verified to ensure they are made by real patients and are informational, helpful, and trustworthy. Reading any posted reviews on the site is one way to decide about the counseling service before you book it. As a service, Sesame Inc. is an accredited BBB business with an "A" rating, despite the company's 50+ complaints in the past 12 months. We find the number of complaints regarding billing and customer service a little concerning, as it has slightly fallen from its previous "A+" ranking. Reviews on the BBB are mixed, with 3.88 out of 5 stars. Trustpilot reviews are more positive, with Sesame earning 4.5 out of 5 stars. Negative comments about Sesame across online review platforms mentioned a provider already being booked for the time a client chose and paid for online, providers not showing up for the scheduled session, automatic end time resulting in abrupt ending of session, delayed refunds, and therapists who were not engaged in the conversation. Positive reviews mention friendly and professional service, easy-to-use service, affordable care, and specific practitioners by name.

Just average

Sesame offers a unique premise to provide a marketplace for those without insurance or who choose not to use it. However, the group does not endorse its providers and even tells users to do their own research. This holds us back from ranking the service higher on our list of marriage counseling providers. Overall, it's an affordable option if you are going to pay out of pocket and have the time to investigate the therapists for yourself.

On the Sesame website

2.5

FAIR

10

Fair

  • Licensed professionals providing therapy
  • Short questionnaire followed by AI-enabled therapist matching
  • Video or audio counseling, plus messaging
  • Ranges from $70 to $100 per week, as a subscription service typically charged every four weeks
  • Insurance not accepted, but you may be able to submit a receipt for reimbursement
  • Secure platform to protect client privacy, HIPAA compliant
  • App available on iOS and Android
  • In business since 2016

FAIR

2.5

On the Regain website

Started in 2016, Regain offers counseling specifically for couples or two parties seeking such assistance. Owned and created by online therapy platform BetterHelp, Regain provides only online relationship therapy for their clients.

Therapy performed by licensed pros

Regain offers professional relationship therapy from licensed psychologists, counselors, and therapists. Each professional must have relevant academic degrees, three years or more and over 1,000 hours of hands-on experience, and the appropriate state licensing. Regain is HIPAA compliant.

Matched to therapist by AI, though may switch anytime

First you will need to indicate if your preferred therapy will be individual or couples. Next, answer a handful of general questions about yourself and reasons for seeking counseling. If you want, you may indicate any specific preference for your therapist (male/female, religious or not, age, LGBTQ+, or ethnicity). Financial situation follows with questions regarding your income (though it says nothing on the Regain website, we found in other reviews that the company offers financial aid based on household income, overall financial situation, and recent financial hardship, resulting in a possible 10%-40% discount). Then you create an account. When you sign up with Regain, they will use AI to match you to a therapist based on your objectives, preferences, and issues. You can request to be matched with a different therapist at any time. Matching can take anywhere from a few hours to a few days, with the average client being matched within 48 hours. There are no therapist profiles on the website, and only after sign-up will you learn the cost of the subscription.

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App allows messaging, though both partners have access

Regain sessions, ranging from 30-45 minutes in length, may be accessed via computer or smartphone for either video or audio options. Regain uses a secure platform and says they protect client privacy. You can message the therapist as soon as you are matched. We found it unusual (and unsettling considering privacy laws) that all written communication will be visible to both partners using the joint account. Any private conversations must be scheduled separately if desired. Messaging is not in real-time and you'll receive email notifications of responses from your therapist, though Regain therapists may vary in their response time. An app is available to enhance your experience with Regain, which reviewers said provides extra value to the subscription, though none of this is mentioned anywhere on the Regain website. (So strange - why not promote your best features?)

No prices until you are matched with a therapist

One therapy review site named Regain as the most affordable online marriage and couples therapy option; however, you won't be able to find out the cost until after you complete the sign-up process. Prices for Regain therapy range from $70 to $100 per week - paid as a subscription - based on location, preferences, and therapist availability. No insurance is accepted, though you may be able to ask for a receipt to seek reimbursement for out-of-network services. Payment is required upfront and no refunds are offered on unused services or if you decide Regain is not for you. (This is disappointing to hear.)

Bonus offerings to help your relationship

If you are looking for free general advice or insight, Regain provides articles on dating, mental health, counseling, marriage, divorce, and other relevant topics. The database is searchable, which can be helpful if you know what you want to learn about.

Information is lacking

There is just not enough information about their policies on Regain's very limited website. All sessions expire within the monthly billing cycle, and nothing is able to "roll over" to the next month if unused. Though a membership is alluded to on the website, not much is given to understand unless you dig through the terms and conditions, which says weekly, monthly, or quarterly billing is available. Free trials may be offered on occasion, per the Regain terms and conditions, but we did not see anything available on our visit to the website.

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Reviews won't impress you

While Regain offers pages of reviews about their therapists, the BBB has given the unaccredited company an "F" rating for failure to respond to complaints. Dissatisfied users mention inability to book services while still being charged, difficulty canceling the subscription, and misleading statements. Surprisingly (when considering the large number of complaints), the reviews on the BBB are mixed, with an average of 3.8 out of 5 stars. Positive comments mention the quality of therapy, affordability, messaging capabilities, and ease of scheduling sessions. Across various online review platforms, Regain earned just 2.9-3.5 out of 5 stars. App reviewers are more generous, ranking the Regain app 4.6-4.8 out of 5 stars. With such mixed reviews, we hesitate to recommend a company with such a terrible grade on the BBB and advise you proceed with caution.

Consider better options

Though Regain offers some of the most affordable per-session pricing, concerns regarding customer satisfaction and billing lead us to rate the company below average. If you can afford it, consider higher-ranking marriage counseling providers on our list before checking out Regain.

On the Regain website

2.0

SUBPAR

11

Subpar

  • Licensed professionals providing non-traditional therapy
  • Complete brief questionnaire to be matched with an Expert
  • Zoom for live sessions combined with app for follow-up exercises
  • Pricing varies, starting at $128 per month for individuals and $208 for couples, though you can't get the exact amount until you sign up
  • Insurance not accepted
  • Secure platform to protect privacy
  • App available on iOS and Android
  • Science-backed therapy options
  • Money-back guarantee
  • In business since 2022

SUBPAR

2.0

On the Our Ritual website

OurRitual provides an alternative to traditional couples therapy to assist people who want to make real improvements in their relationships. Claiming to be effective, affordable, versatile, flexible, convenient, and digital, OurRitual was designed to make support readily available for all who want it.

Their name keeps changing

While this company is the newest on our list, it has been known by different names since its inception in 2022. OurRitual has also been referred to as Hey Ritual and simply Ritual in the not-so-distant past. This can be helpful to know if you're looking for information or reviews on this platform.

Therapy provided by "Experts"

Offering customized counseling from 10 different professionals for both couples and individuals, OurRitual refers to their professionals as "Experts" who provide short, regular sessions for clients using their app. They "integrate classic therapeutic approaches with an online plan and exercises for a well-rounded, modern counseling and guidance experience" (read: there will be homework). The bios for each Expert are found on their website, showing a photo, name, title, and years of experience, though you cannot click on them to learn more or to choose one (seems pointless to us). OurRitual matches you based on the information you provide them. On the page with the brief bios, you can read about different types of therapy (psychodynamic, CBT, narrative therapy, solution-focused brief therapy, Gottman Method, and emotionally focused therapy, though it's hard to know which Experts use which type for their sessions). While the OurRitual app and content are only available in English, the company has Experts who can conduct sessions in Spanish, Italian, Arabic, Polish, Hindi, Greek, and Portuguese.

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Answer a few questions and get matched with a provider

Click on the "get started" button to get matched with an Expert at OurRitual. You will answer questions about yourself and your relationship. Then you will create an account and choose your plan. Experts are matched to clients based on availability. The website notes that you may easily switch providers if you do not wind up with a good fit.

Science-backed homework between sessions

A main component of OurRitual's therapy program is outside of the live sessions with your Expert. While they offer evidence-based therapeutic interventions, for the time between sessions clients are assigned weekly videos and exercises. They say this helps them "meet the most rigorous standards of scientific evidence and effectiveness" because the videos (described as psycho-educational content) focus on their clients' specific needs and goals. (If you don't want homework between sessions, look elsewhere for marriage counseling.)

Sessions on Zoom and app

Precautions to protect your information and privacy are taken at OurRitual. All platforms are secure and encrypted, like when Zoom is used for online sessions. An app for using OurRitual is available on iOS and Android platforms, where a limited number of reviewers have rated it between 3.9-4.5 stars out of 5. Sessions, videos, and exercises are offered through this app to meet clients' goals and needs.

Inexpensive subscription option

Services for OurRitual are provided as a monthly subscription, one of the cheapest we've seen. Individuals start at $128 per month, with couples at $208 a month (listed as cost per week). Insurance is not accepted. An optional "matching session" is another option given for OurRitual clients. For a one-time fee of $79, you get a 40-minute video call to pair you with a trained expert and then explore desires and expectations from the service. The fee unlocks access to the app and its science-backed tools.

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Short sessions available at most times (plus homework)

OurRitual says they offer availability no matter the time zone and at times of day not usually covered. Noting that OurRitual is different from classic marriage counseling, the program uses a combination of face-to-face virtual therapy and individual, relationship-focused work. There is an emphasis on relationship education and skill acquisition, and use of the app's personal-growth tools between sessions is encouraged. Individual sessions are 20 minutes long at OurRitual, while couples get 40 minutes. The growth units are called Pathways and most members spend a month or two on each Pathway, completing at least another one before finishing therapy. (We would have liked to know more information about these Pathways, but found the website to be lacking.)

Money-back guarantee

OurRitual offers a 14-day money-back guarantee, allowing you to try their services without risk. This is something we don't see often enough and makes OurRitual stand out from the companies that charge fees upfront and refuse to roll over sessions or refund missed appointments. (Please note, however, negative reviews across online platforms warn that receiving that refund has proven difficult.)

Mix of good and very bad reviews

No listing for any of the company names associated with this company, including Ritual Health Technologies which owns OurRitual, could be found on the Better Business Bureau website, which has us wondering why OurRitual's online presence is so difficult to find. Other online platforms show OurRitual with limited but mixed reviews. Earning just 3.5 stars out of 5 on less than 30 reviews for Trustpilot, it's hard to get a true feel for this therapy platform. Negative rants against the company complained about the "buggy app," customer service woes, late starts and early ends to sessions, unprepared Experts, and billing issues. Surprisingly, one therapy review site listed OurRitual as its best overall choice for couples therapy and mentioned many features not easily identified by looking at the company's website. While positive reviews called the service "a game changer for our relationship," "flexible and incredibly convenient," and "very positive," the negative reviews leave us warning you to look elsewhere.

Look elsewhere for marriage counseling

While OurRitual has some promising benefits and a low cost, the negative experiences reviewers have had give us pause to recommend this online therapy platform. You have a lot of tried-and-true options for marriage counseling, and you're likely to be more satisfied if you start with one of OurRitual's higher-ranking rivals instead.

On the Our Ritual website

Continued from above...

Where Can You Find the Best Online Marriage Counseling?

In recent years, the number of people turning to online therapy for help has increased exponentially. According to a report in the Annals of Internal Medicine, more than half of all mental health appointments are conducted via the internet or telehealth. While the 2020 pandemic may have increased those numbers initially, many have chosen to stay with or start online counseling as a way to fit the service into their busy lives.

Online marriage counseling, or couples therapy, provides specialized support for those in relationships who want help with any number of issues, from improving communication and dividing household responsibilities, to overcoming infidelity and reconciliation. Therapists providing this type of service focus on helping couples learn to improve relationship dynamics, resolve conflict, and create a stronger partnership. Not strictly for married couples, this type of therapy can help those who are dating, engaged, or in long-term partnerships as well. Some companies provide counseling specific to your relationship situation, including for LGBTQIA+ couples.

While online therapy is not equipped to deal with all situations (most of these services suggest seeking help elsewhere if you are experiencing a medical emergency, need an official diagnosis, must fulfill a court order, or are in danger of physical abuse), it can provide a helpful alternative to in-person counseling, especially for those who are separated by the miles or scheduling challenges. Some companies even focus on military and other transient lifestyles for their counseling services.

Telehealth counseling plays an integral role in providing accessibility to mental health services for areas where professionals do not have a physical office, including rural areas. These services are often available at a reduced rate, which is essential to those paying out-of-pocket for services (many services noted that marriage and couples counseling is not usually covered by insurance, though several companies we reviewed said they accept insurance so be sure to check your policy for covered benefits).

There are some unexpected benefits to online couples therapy. First, there is a reduction in the costs of childcare or transportation to get to a physical office for an appointment. Clients have noted that they waste less time since they are not traveling or sitting in a waiting room. Multiple studies have concluded that there is no discernable client outcome difference between virtual and in-person therapy sessions. Flexible additions of virtual messaging between appointments has improved the therapy experience. Those with disabilities or limited mobility have easier access to help with these online marriage counseling platforms. Some people even note the privacy and anonymity they experience with online services since they are no longer concerned about being seen in the waiting room of a counselor.

Not all marriage counseling platforms are created equal. When deciding which online therapy service best meets your needs, we suggest considering these important aspects:

We at Top Consumer Reviews have sifted through all of these considerations in order to find the best online marriage counseling platforms. We hope that our ranked list from first-to-worst will help you select a therapist who will guide you towards your relationship goals - so that you can enjoy your best life together.

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Marriage Counseling FAQ

What is marriage counseling?
Marriage counseling is a type of therapy designed to help couples resolve conflicts, improve communication, and strengthen their relationship. A trained therapist or counselor guides couples through discussions and exercises to address issues they may be facing in their marriage.
When should we consider marriage counseling?
Marriage counseling can be beneficial at various stages of a relationship. Couples may consider it when facing communication difficulties, unresolved conflicts, infidelity, or when they feel disconnected from each other.
How does marriage counseling work?
Marriage counseling typically involves sessions with a therapist, where couples discuss their concerns, feelings, and thoughts in a safe and structured environment. The therapist provides guidance, offers insights, and teaches communication and conflict resolution skills.
What can we expect in a marriage counseling session?
In a typical session, couples share their perspectives and emotions on specific issues. The counselor facilitates productive conversations, helps identify patterns of interaction, and offers tools to address challenges constructively.
How long does marriage counseling take?
The duration of marriage counseling varies based on the complexity of the issues and the willingness of the couple to engage in the process. Some couples may see improvement within a few sessions, while others may benefit from longer-term counseling.
Can one partner attend counseling alone?
While marriage counseling is typically conducted with both partners present, individual counseling sessions may be recommended if one partner is not initially willing to participate. However, the goal is often to involve both partners for better outcomes.
Is marriage counseling only for couples in crisis?
No, marriage counseling is not solely for couples in crisis. It can be a proactive step to strengthen a healthy relationship, address minor issues before they escalate, or enhance communication skills.
Is everything discussed in counseling confidential?
Confidentiality is a crucial aspect of counseling. Information shared during sessions is typically kept confidential unless there is a risk of harm to individuals or others. Counselors will explain their confidentiality policies at the beginning of therapy.

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