Online Therapy For Bipolar Disorder That Supports Stability
Bipolar disorder is managed over years, not visits, and the right therapist is a long-term ally. Octave offers online treatment with licensed therapists experienced in bipolar disorder, 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
Bipolar care is a long game, and it helps to know the shape of it. Here's what therapy involves, what it costs, and what happens if an episode hits along the way.
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. Since therapy for bipolar disorder is long-term, a per-session cost you can plan around matters more here than almost anywhere.
The approaches with the strongest evidence for bipolar disorder are psychoeducation, cognitive behavioral therapy, therapy focused on stabilizing daily and sleep rhythms, and family-focused work. In practice that means learning your early warning signs, protecting the routines that protect your mood, and having a plan before an episode rather than during one.
That is a decision for you and your care team, not a website. Many people with bipolar disorder work with both a therapist and a prescriber, and Octave provides the therapy: your therapist coordinates with your psychiatrist or primary care doctor, and can help you connect with one if you are not.
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. A short runway matters here: the best time to start is a stable stretch, and those do not announce their length.
Your stability plan covers exactly this: the early warning signs you and your therapist mapped, the steps that follow, and who gets contacted, including your prescriber. If you are ever in crisis, call or text 988, available 24/7; the crisis resources on this page list additional lines. Therapy resumes alongside whatever acute care you need.
Longer than most, by design: bipolar disorder is managed over years, and the therapeutic relationship is part of the treatment. That said, the work has structure, with goals, a stability plan, and progress you can point to. 82% of Octave members remain in care at 6 months.

More On Online Bipolar Disorder Therapy
What Online Bipolar Disorder Therapy At Octave Looks Like
Bipolar disorder is a mood disorder involving episodes of depression and episodes of elevated mood (mania or the milder hypomania), with stretches of stability in between. Treatment is long-term, and many people work with both a therapist and a prescriber. Online bipolar disorder therapy at Octave means regular video sessions with a licensed therapist experienced in the condition, coordinated with the rest of your care.
How therapy supports bipolar disorder
Therapy’s job in bipolar disorder is stability: fewer episodes, earlier catches, softer landings. The evidence-based work centers on a few pillars:
Mapping your early warning signs, the specific sleep, energy, and behavior shifts that precede your episodes, and building the response plan for them.
Protecting daily rhythms, especially sleep and routine, because rhythm disruption is one of the most reliable episode triggers.
Cognitive behavioral therapy for the depressive side and for the thinking patterns that follow an episode.
Processing what the condition has cost, from relationships to self-trust, which is real grief and real work.
These sit alongside whatever care you and your prescriber have in place, and together they are what long-term stability is usually made of.
The first sessions of bipolar disorder therapy
The first sessions map your history: past episodes, what preceded them, what helped, and who is on your care team now. From there you and your therapist build the stability plan and pick the first working targets. If the fit is not right, Octave’s Care Navigators rematch you, and continuity of the plan carries over.
Therapy alongside your prescriber
Octave therapists do not prescribe, and for bipolar disorder that boundary is part of good care: medication decisions belong with your psychiatrist or primary care doctor, and your therapist coordinates with them, shares what the sessions are showing when you want them to, and helps you prepare for medication conversations. If you do not have a prescriber yet, your therapist helps you find one while therapy gets started.
Starting between episodes, not during one
The best time to build a stability plan is when you feel fine, which is precisely when treatment feels least urgent. Starting is small: answer a few questions, get matched with a therapist in 1 to 3 days, and have a first conversation within about a week. The plan you build in a stable month is the one that holds in a hard one.
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
Stability is built, and it starts this week.
Online therapy for bipolar disorder with a matched therapist, coordinated with your care team and covered by most major insurance plans.
Find Your Best Therapist