ONLINE ADHD THERAPY, COVERED BY INSURANCE
Online Therapy For ADHD, Built For How Your Brain Actually Works
ADHD is not a discipline problem, and treatment should not feel like one. Octave offers online treatment with licensed therapists experienced in adult ADHD, 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
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.
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.
Get seen by an Octave therapist within 1-8 days.
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
Meta-analysis
Andersson, G., et al. (2019).
Internet-delivered psychological treatments: from innovation to implementation.
World Psychiatry, 18(1), 20–28.
RCT
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.
Outcomes
Lambert, M. J. (2017).
Maximizing psychotherapy outcome beyond evidence-based medicine.
Psychotherapy and Psychosomatics, 86(2), 80–89.
Comprehensive Review
Smith, J., et al. (2021).
Digital mental health interventions: bridging the gap between research and practice.
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 ADHD Therapy, Answered
ADHD therapy is more practical than it sounds. Here's what the work covers, what it costs, and how it fits with a diagnosis or medication.
Yes, in most cases. Most Octave members pay $28 or less per session using in-network insurance, and you can check your per-session cost before booking with the cost estimator. ADHD therapy is ongoing skills work rather than a fixed course, so knowing the number upfront is worth the two minutes.
ADHD therapy builds the systems and skills that make life with ADHD workable: planning and follow-through, time awareness, emotional regulation, and the self-criticism that decades of “just try harder” leaves behind. Cognitive behavioral therapy adapted for ADHD has the strongest evidence for adults. It is practical work with things to try between sessions, not just talking about attention.
No. Octave provides therapy, not formal ADHD testing or medication management. If you want an evaluation or medication, your therapist can coordinate with a psychiatrist or your primary care doctor, and therapy continues alongside whatever you decide. You also do not need a formal diagnosis to start therapy for attention and follow-through struggles.
Yes. Medication helps many adults with ADHD, but it does not build planning systems, repair self-esteem, or manage the emotional side. That is therapy’s job, and it is why many adults use both.
Matching takes 1 to 3 days and first appointments run within 1 to 8 days, with evening and weekend times and reminders built in. Booking happens in the same sitting as the questions, before the tab gets closed.
Yes, and the format fits ADHD well: no commute to forget about, appointment reminders built in, and sessions from the environment where your systems actually have to work. Outcomes for online CBT are comparable to in-person care across multiple studies.
More On Online ADHD Therapy
What Online ADHD Therapy At Octave Looks Like
ADHD (attention-deficit/hyperactivity disorder) in adults is a difference in how the brain regulates attention, time, and impulses, showing up as inconsistent focus, missed deadlines, restlessness, and follow-through that collapses under boring or complex tasks. It is not a character flaw, and it rarely travels alone: years of it often add anxiety, low self-esteem, or burnout. Online ADHD therapy at Octave means weekly video sessions with a licensed therapist experienced in adult ADHD.
How therapy helps ADHD
ADHD therapy works on two levels: the practical machinery of daily life and the emotional residue of living with ADHD in a world built for other brains. The work typically covers:
External systems for planning, prioritizing, and time awareness, designed around how you actually operate instead of how you think you should.
Cognitive behavioral therapy adapted for ADHD, which targets the avoidance spirals and all-or-nothing thinking that stall tasks.
Emotional regulation skills for the frustration, rejection sensitivity, and shame that ADHD tends to accumulate.
The systems only stick when they fit your life, which is why this is collaborative engineering, not a handout of productivity tips.
The first sessions of ADHD therapy
The first session maps where ADHD costs you the most: work, home, relationships, money, or all four. By the second or third session you have one or two concrete targets and an experiment to run between sessions, because small wins compound faster than grand systems. If the fit is not right, Octave’s Care Navigators rematch you.
Therapy and medication for ADHD
Many adults with ADHD use medication, many do not, and therapy belongs in both plans: medication can sharpen focus, but skills, systems, and self-understanding come from the work. Octave therapists do not prescribe or conduct formal ADHD evaluations; if you want either, your therapist coordinates with a psychiatrist or your primary care doctor while therapy continues.
Starting therapy with an ADHD brain
If you have opened and closed this tab before, that is the condition, not a verdict. The process is short enough to finish in one sitting: answer a few questions, get matched in 1 to 3 days, and have a first appointment within about a week, reminders included. One sitting, one appointment, and the follow-through problem becomes shared.
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
Finish one thing today: this.
Online ADHD therapy with a matched therapist, covered by most major insurance plans. The questions take one sitting.
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