ONLINE DEPRESSION THERAPY, COVERED BY INSURANCE
Online Therapy For Depression That Meets You Where You Are
Depression makes everything harder, including asking for help. Octave makes the next step small: online treatment with a licensed therapist who specializes in depression, matched to you in 1 to 3 days, with most members paying $28 or less per session with insurance. In-person sessions available in select cities.
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 Depression Therapy, Answered
Depression makes even the small steps expensive. Here's what therapy involves, what it costs, and how quickly you can start — without the guesswork.
Yes, in most cases. Depression is one of the most commonly covered reasons for therapy, and most Octave members pay $28 or less per session using in-network insurance. You can check your coverage and per-session cost before booking with the cost estimator, so there is no surprise bill after your first session.
Cognitive behavioral therapy (CBT) has the strongest evidence base for depression, and behavioral activation, interpersonal therapy, and psychodynamic therapy also help many people. In practice, the best type is the one that fits how you think and what your depression looks like. Octave matches you with a therapist based on your needs and preferences, and your therapist recommends an approach in your first sessions.
Most Octave members are matched with a therapist in 1 to 3 days and have a first appointment within 1 to 8 days, with evening and weekend times for the weeks when daytime energy is not there. Sessions are online, with in-person options in select cities.
No. Octave provides therapy, not medication management. If you and your therapist decide medication is worth exploring, your therapist coordinates with a psychiatrist or your primary care doctor, and therapy continues alongside it.
Many people notice change within the first month, and 94% of Octave members report meaningful improvement within 12 sessions. You and your therapist set concrete goals early and check progress against them, so how long you continue is a decision you make together against visible progress.
Yes. Controlled studies show online therapy for depression performs comparably to in-person care. The two things that drive outcomes are the quality of the therapist and the consistency of sessions, and online sessions make consistency easier during the weeks when leaving the house feels hardest.
If you are in crisis or thinking about suicide, call or text 988 to reach the Suicide and Crisis Lifeline, available 24/7, rather than waiting for a therapy appointment. The crisis resources section on this page lists additional lines, including the Veterans Crisis Line and the SAMHSA National Helpline. Therapy at Octave can begin once you are safe.
More On Online Depression Therapy
What Online Depression Therapy At Octave Looks Like
Depression is a mood disorder that causes persistent low mood, loss of interest in things you used to enjoy, and physical symptoms like fatigue, disrupted sleep, and difficulty concentrating, lasting most of the day for weeks or longer. About one in five adults experiences it at some point, and it is one of the most treatable conditions in mental health care. Online depression therapy treats it in weekly video sessions with a licensed therapist, using the same evidence-based methods as in-office care.
How therapy helps depression
Therapy works on depression from two directions at once: reducing symptoms now and changing the patterns that keep them coming back. Octave therapists draw on the approaches with the strongest evidence for depression:
Behavioral activation rebuilds energy and momentum through small planned actions, even when motivation is gone.
Cognitive behavioral therapy (CBT) catches the automatic negative thoughts depression generates and tests them against evidence.
Interpersonal therapy (IPT) and psychodynamic therapy work on the relationships and histories that feed low mood.
Most therapists blend these approaches around what you need rather than applying one method to everyone.
The first sessions of depression therapy
The first session is a conversation, not an exam: your therapist asks what brought you in, what your days look like, and what you want to be different. By the second or third session you have goals concrete enough to measure and something to practice between sessions. If the fit is not right, Octave’s Care Navigators rematch you, because the relationship with your therapist predicts outcomes more than any credential.
Therapy, medication, or both for depression
Therapy is a core treatment for depression, and some people also work with a prescriber on medication. Octave therapists do not prescribe, and your care stays coordinated: if medication becomes part of your plan, your therapist works alongside your psychiatrist or primary care doctor while therapy continues.
Starting depression therapy when you do not feel ready
Depression itself lowers the energy and hope that starting takes, which is why Octave’s process is deliberately small: answer a few questions, get matched with a therapist in 1 to 3 days, and have a first conversation within about a week. You do not have to be at your worst to start, and you do not have to be sure therapy will work. One appointment is the whole first step.
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
Depression is treatable. Start online therapy this week.
You have already done the hard part of looking for help. Octave handles the rest: a matched therapist in 1 to 3 days, covered by most major insurance plans.
Find Your Best Therapist