Online Treatment For Anxiety That Does More Than Manage It
When worry stops switching off, willpower is not the fix. Octave offers online therapy with licensed therapists who specialize in anxiety and generalized anxiety disorder (GAD), 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
Anxiety is good at making the questions louder than the answers. Here's what treatment involves, what it costs, and how soon you can be in a session.
Yes, in most cases. Anxiety is one of the most common reasons people start therapy, and most Octave members pay $28 or less per session using in-network insurance. The cost estimator answers the cost question before it becomes another thing to worry about.
Cognitive behavioral therapy (CBT) is the first-line treatment for generalized anxiety disorder in major clinical guidelines, and exposure-based methods, mindfulness, and acceptance-based approaches also have strong evidence. The right fit depends on how your anxiety shows up. Octave matches you with a therapist based on your needs, and your therapist recommends an approach in your first sessions.
No. You do not need a diagnosis, a referral, or a name for what you are feeling to start therapy at Octave. If persistent worry, restlessness, or physical tension is interfering with your life, that is reason enough, and your therapist will help you understand what you are experiencing as part of the work.
No. Octave provides therapy, not medication management. If medication is something you want to explore, your therapist coordinates with a psychiatrist or your primary care doctor while therapy continues. For many people with generalized anxiety, therapy alone produces lasting improvement.
Most Octave members are matched with a therapist in 1 to 3 days and have a first appointment within 1 to 8 days, online or in person in select cities. The runway is short on purpose; spending weeks anticipating an appointment is nobody’s idea of anxiety treatment.
Many people notice change within the first several weeks, and 94% of Octave members report meaningful improvement within 12 sessions. Progress in anxiety treatment is concrete, fewer hours lost to worry and avoided things done, and how long you continue is a decision you and your therapist make against it.
Yes. Online CBT for anxiety is among the best-studied forms of teletherapy, with outcomes comparable to in-person care across multiple trials. Consistency drives results in anxiety treatment, and online sessions remove the scheduling and commute friction that breaks consistency.

More On Online Anxiety Therapy
What Online Anxiety Treatment At Octave Looks Like
Generalized anxiety disorder (GAD) is persistent, excessive worry across many areas of life, most days for six months or longer, usually with restlessness, fatigue, muscle tension, irritability, or disrupted sleep. Plenty of people who seek anxiety treatment do not meet that full definition, and they do not need to: if worry is taking more of your life than it should, treatment applies. Online anxiety treatment at Octave means weekly video sessions with a licensed therapist, using the same evidence-based methods as in-office care.
How therapy treats anxiety
Anxiety treatment works by changing your relationship to worry rather than arguing with each individual worry. Octave therapists draw on the methods with the strongest evidence for anxiety:
Cognitive behavioral therapy (CBT) identifies the predictions anxiety makes, tests them against what actually happens, and retrains the habit of catastrophizing.
Exposure-based methods practice facing avoided situations and tolerating uncertainty in graduated, manageable steps.
Mindfulness and acceptance skills reduce the fight with anxious thoughts, which is itself a major fuel source for them.
Most therapists combine these around how your anxiety actually behaves, since worry about health, work, family, and money rarely follows one pattern.
The first sessions of anxiety treatment
The first session is a conversation about what anxiety is costing you: where it shows up, what it stops you from doing, and what you want back. By the second or third session you have concrete goals and skills to practice between sessions, because anxiety treatment works through repetition in real situations, not insight alone. If the fit is not right, Octave’s Care Navigators rematch you.
Therapy, medication, or both for anxiety
Therapy alone is an effective treatment for generalized anxiety, and clinical guidelines recommend it as a first-line option. Some people also use medication, and the combination is a valid path. Octave therapists do not prescribe: if medication becomes part of your plan, your therapist works alongside your psychiatrist or primary care doctor while therapy continues.
Starting treatment when worry gets in the way
Anxiety is good at generating reasons to wait: the schedule, the cost, the question of whether it is bad enough. The process is built to leave those objections little room: answer a few questions, get matched with a therapist in 1 to 3 days, and have a first conversation within about a week, with the cost visible upfront. One appointment is the whole first step.
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
Worry has had enough of your time.
Online anxiety treatment with a matched therapist, covered by most major insurance plans, starting within about a week.
Find Your Best Therapist