Online Grief Counseling For Loss That Reshapes Everything
Grief is not a problem to fix; it is a weight that should not have to be carried alone. Octave offers online counseling with licensed therapists experienced in grief and loss, matched to you in 1 to 3 days, with most members paying $28 or less per session with insurance.
1,200+
Therapists
In-network
with major carriers
3,400+
Licensed Therapists
$28
Typical Out-Of-Pocket Per Session, In Network
1 to 8
Days To A First Appointment
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.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.

How it works
4 steps to start therapy
Step 01
Answer a few questions
Tell us a little about yourself and what you're looking for. You'll get an idea of your cost (if any) after answering.
Step 02
Find the right therapist
Browse licensed Octave therapists or work 1:1 with our team to find a match for your needs and schedule.
Step 03
Start therapy
Schedule your sessions and build a care plan with your therapist that measures progress.
Step 04
See results
Care is grounded in measurable outcomes, with tailored techniques to support real improvement in anxiety, depression, and other concerns.
Provider credentialing section
Less than 4% of therapists who apply join the Octave network.
Every clinician is independently licensed, masters- or doctorate-trained, and reviewed for clinical fit before they see a single client.
3,400+
Therapists in network
Independently licensed across all 50 states
100%
License verified
Active state licensure confirmed quarterly with the issuing board
3.8%
Acceptance rate
Clinicians pass a multi-stage interview, case review, and reference check
10 yrs
Average experience
Median post-licensure clinical practice in the network
Outcomes and clinical evidence
A clearer alternative to the typical referral grind.
94%
report meaningful improvement within 12 sessions
Octave outcomes report, 2024 (n=18,400)
71%
show clinical reduction in PHQ-9 depression scores
Octave outcomes report, 2024 (n=18,400)
82%
remain in care at 6 months — well above industry average
Octave outcomes report, 2024 (n=18,400)
Published research
Andersson, G., et al. (2019).
Internet-delivered psychological treatments: from innovation to implementation.
World Psychiatry, 18(1), 20–28.
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012).
The efficacy of cognitive behavioral therapy: A review of meta-analyses.
Cognitive Therapy and Research, 36(5), 427–440.
Lambert, M. J. (2017).
Maximizing psychotherapy outcome beyond evidence-based medicine.
Psychotherapy and Psychosomatics, 86(2), 80–89.
Smith, J., et al. (2021).
Digital mental health interventions: bridging the gap between research and practice.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Frequently Asked Questions
Grief doesn't follow a schedule. Here's what grief counseling actually offers, when people start, and what it costs to keep going.
Grief counseling is dedicated support for processing a significant loss with a licensed therapist experienced in bereavement. It is not about getting over the loss or hitting stage milestones; it is a place where the grief can be exactly its size while you find a way to carry it and keep living. Sessions are shaped around you: some people need to tell the story, some need help with the practical collapse, some need permission to feel relief or anger alongside sorrow.
You do not need your grief to be abnormal to deserve support; wanting help carrying it is reason enough. That said, when grief stays at full intensity for a year or more, dominating daily life and making the future unthinkable, clinicians call that prolonged grief, and it responds well to targeted treatment. A grief counselor helps in both cases and can tell you honestly which one is yours.
Whenever you want support, and there is no wrong answer: some people start within weeks, others come years later when the grief resurfaces or never settled. Early on, counseling steadies the ground; later, it helps with what got frozen. The timeline belongs to you, not to a calendar.
Yes. Divorce, estrangement, miscarriage, a diagnosis that redrew your future, the end of a friendship, a home or country left behind: these are real losses that grieve like deaths and often get less support, because no one sends casseroles. Grief counseling takes them as seriously as they feel.
Yes, and the format is particularly kind to grief: no commute while raw, no composing yourself in a waiting room, your own tissues and your own door. Video sessions with a licensed therapist deliver the same evidence-based care as an office, from wherever you can let your guard down.
Yes, in most cases. Most Octave members pay $28 or less per session using in-network insurance, and the cost estimator shows your cost before booking. Grief counseling has no set session count, and the per-session cost stays the same however long you need it.

More On Online Grief Counseling
How Grief Counseling Works
Grief counseling gives loss a dedicated place to be processed with a licensed therapist who knows the terrain. Grief does not follow a script or a stage sequence; it comes in waves, doubles back, and shows up as anger, numbness, guilt, exhaustion, or moments of unexpected relief that then feel like betrayal. All of it is grief. Counseling does not shrink the loss; it builds your capacity to carry it, and it keeps you company in the parts that friends and family, with the best intentions, stop being able to hold
What grief counseling sessions look like
Sessions follow your grief rather than a curriculum, and over time the work usually touches a few common threads:
Telling the story of the loss as many times as it needs telling, to someone who will not flinch or change the subject.
Working with the complicated parts: guilt, unfinished conversations, relief, anger at the person who is gone.
Rebuilding a continuing bond, because healthy grief is not detachment; it is finding the form the relationship takes now.
Reassembling daily life around the absence, at whatever pace it allows.
There is no deadline in this work, and no session where you are supposed to be done.
When grief gets stuck
Most grief, given support and time, becomes carryable. Sometimes it does not: a year or more on, the loss still dominates every day, the future stays unthinkable, and life has not restarted. Clinicians call this prolonged grief, and it is not a failure of love or strength; it is a recognized condition with effective, targeted treatment. If this is where you are, that is a reason to start, not a verdict.
Grief that is not about a death
Some of the heaviest grief follows losses no one recognizes: the marriage that ended, the parent still alive but estranged, the pregnancy that ended, the health or future a diagnosis took. Disenfranchised grief, grief without social permission, tends to go underground and stay there. Counseling gives it the standing it never got, and the same care as any bereavement.
Starting when everything is heavy
Grief makes everything effortful, so starting is built to ask almost nothing: answer a few questions, get matched with a grief counselor in 1 to 3 days, and have a first conversation within about a week, from home. You do not need to be ready to talk about all of it. You just need an hour and a door you can close.
If you need help right now
Crisis resources.
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 don’t have to carry this alone.
Online grief counseling with a matched therapist, covered by most major insurance plans, from home.
Find Your Best Therapist