ONLINE EMOTION-FOCUSED THERAPY, COVERED BY INSURANCE

Online Emotion-Focused Therapy: Work With Feelings, Not Against Them

Emotion-focused therapy starts from a simple premise: emotions are not the obstacle to change, they are the engine of it. Octave offers online treatment with licensed therapists trained in emotion-focused therapy. Speak with a therapist in 1 to 3 days, on average, with most members paying $28 or less per session.

2,500+

Therapists

In-network

with major carriers

2,500+

Licensed Therapists

$28

Typical Out-Of-Pocket Per Session, In Network

1 to 8

Days To A First Appointment

Insurance

We Work With Major Carriers

Clients only pay $28 per session, on average. How is this possible? Octave works with you and your insurance provider to secure the best coverage for therapy and make high-quality care accessible.
Did you know?
Got an HSA or FSA? You can also use your pre-tax funds to pay for therapy.

Insurance Coverage

Save time and money

Know the cost of therapy before you start. Discover how much your insurance will cover for therapy with Octave. Simply select your state and insurance provider to see any out-of-pocket costs.

Cost calculator illustration

Affordable therapy that fits your life

Find a therapist who gets you

How it works

4 steps to start therapy

Answer a few questions

Answer a few questions

Find the right therapist

Find the right therapist

Start therapy

Start therapy

See results

See results
Get seen by an Octave therapist within 1-8 days.

Provider credentialing section

Octave client satisfaction scores are 36% higher than industry average.

Every clinician is independently licensed, masters- or doctorate-trained, and reviewed for clinical fit before they see a single client.

Find your best therapist

2,500+

Therapists in network

Independently licensed across 20+ states

100%

License verified

Active state licensure confirmed quarterly with the issuing board

40+

Languages spoken

Clinicians speak 41 languages

10 yrs

Average experience

Median post-licensure clinical practice in the network

Outcomes and clinical evidence

Results that speak for themselves

95%

state that therapy through Octave has been worth the effort

Octave Client survey, 2025 (n=305)

89%

report a strong therapeutic alliance with their provider

Ongoing Octave client provider survey, 2026

76%

clients with clinical depression report significant improvement within 3 months of care

Octave Clinical Outcomes study, 2023 (n=17,000+)

In our clients’ own words
Our success is measured by the satisfaction of the clients we serve. See what some of them have to say about their experience.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient

Frequently Asked Questions

Online Emotion-Focused Therapy, Answered

Understanding a pattern doesn't always change it. Here's what emotion-focused therapy is, what it treats, and how it differs from CBT and EFT tapping.

Emotion-focused therapy (EFT) is an evidence-based, experiential therapy built on the finding that lasting change happens through emotion, not just insight about it. Rather than managing feelings from a distance, you learn to access what you actually feel, understand what the emotion is telling you, and transform the stuck, painful responses into something that serves you. It is a warm, active approach with a strong research base for depression, relationship distress, and unresolved grief.

No. Emotion-focused therapy is a talk therapy developed through decades of psychotherapy research; EFT tapping (Emotional Freedom Techniques) is an unrelated practice involving tapping on acupressure points. They share initials and nothing else. This page describes emotion-focused therapy, the evidence-based psychotherapy.


Emotion-focused therapy has strong evidence for depression, couples and relationship distress, and complicated or unresolved grief. It also fits people who feel cut off from their emotions, flooded by them, or stuck repeating reactions they can see but cannot change. If you can explain your patterns perfectly and they persist anyway, that gap is what this approach targets.

CBT works top-down: change the thinking, and the feeling follows. Emotion-focused therapy works bottom-up: access the feeling, and it reorganizes the thinking. Neither is universally better; many people who found CBT useful but incomplete find the missing piece here, and many therapists blend both.

Yes. The work happens in the live conversation between you and your therapist, which video carries fully, and being in your own space often makes emotional depth easier to reach, not harder.


Yes, in most cases. Most Octave members pay $28 or less per session using in-network insurance, confirmed upfront with the cost estimator. Emotion-focused therapy runs as standard weekly sessions, with nothing extra to account for.

More On Online Emotion-Focused Therapy

How Emotion-Focused Therapy Works

Emotion-focused therapy (EFT) works on the level where change actually sticks. Most people arrive in therapy already knowing their patterns; what they cannot do is feel differently inside them. EFT closes that gap by treating emotions as information and as the mechanism of change: you learn to reach the feeling under the feeling, hear what it needs, and let a stuck emotional response transform into one that fits your life now. The approach was developed through decades of research on what actually produces change in therapy sessions.


What emotion-focused therapy sessions look like

Sessions are active and experiential rather than analytical:

Your therapist helps you slow down and stay with what you feel as it happens, instead of narrating it from a distance.

Structured experiential work, like speaking to an empty chair as a person or a part of yourself, brings the live emotion into the room where it can move.

Together you distinguish emotions that point to real needs from the learned, stuck reactions that cover them.

It sounds unusual on paper but feels natural in practice, and it is the key factor clients most often name as the reason things shifted.

The conditions emotion-focused therapy treats

Emotion-focused therapy has its strongest evidence for depression, distressed couples, and unresolved grief, and it serves anyone whose feelings are either out of reach or overwhelming. For couples, EFT’s relational form works on the attachment cycle underneath recurring fights. The common thread is emotion that stopped moving; the therapy gets it moving again.

Who emotion-focused therapy fits best

This approach fits people who intellectualize brilliantly and feel stuck anyway, people carrying old grief or self-criticism that logic does not touch, and couples having the same fight in different costumes. If you want structured skills and homework first, CBT or DBT may fit better. With Octave, you also have the option to tell a Care Navigator what you are experiencing and have them find a match for you, or to search our directory and book directly with a therapist who sounds like a good fit.

If you need help right now

Crisis resources.

Octave is not an emergency service. If you or someone you love is in immediate danger, call 911 or go to your nearest emergency room.

988 Suicide & Crisis Lifeline

24/7, free, confidential — call or text

Crisis Text Line

Text HOME — 24/7 trained counselors

National DV Hotline

24/7 confidential support

Veterans Crisis Line

Press 1 after dialing 988

SAMHSA National Helpline

Treatment referral & info, 24/7

Trevor Project

LGBTQ+ youth crisis support

You already understand it. Now feel it change.

Online emotion-focused therapy with a licensed therapist, covered by most major insurance plans.

Find Your Best Therapist