ONLINE PANIC DISORDER THERAPY, COVERED BY INSURANCE

Online Therapy For Panic Attacks And Panic Disorder

A panic attack convinces you something is catastrophically wrong; treatment teaches your body the alarm is false. Octave offers online treatment with licensed therapists experienced in panic, 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.

Cost calculator illustration

Affordable therapy that fits your life

Find a therapist who gets you

How it works

4 steps to start therapy

Answer a few questions

Answer a few questions

Find the right therapist

Find the right therapist

Start therapy

Start therapy

See results

See results
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.

Find your best therapist

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).

RCT

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012).

Outcomes

Lambert, M. J. (2017).

Comprehensive Review

Smith, J., et al. (2021).

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 Panic Disorder Therapy, Answered
Panic makes the next attack the thing you plan your life around. Here's what treatment actually does about that, what it costs, and how soon you can start.

Yes, in most cases. Therapy for panic disorder and panic attacks is routine care, and most Octave members pay $28 or less per session using in-network insurance, with your per-session cost visible in the cost estimator before you book.

A panic attack is a sudden surge of intense fear with physical symptoms (racing heart, shortness of breath, dizziness, a sense of doom) that peaks within minutes. Panic disorder is what develops when the attacks recur and the fear of the next one starts running your decisions: avoiding places, monitoring your body, shrinking your life. Therapy helps with both, and you do not need to know which one you have to start.


Cognitive behavioral therapy (CBT) for panic is the first-line treatment, and it is one of the best-performing treatments in mental health care. It combines education about what panic actually is, retraining your response to the physical sensations that trigger attacks, and gradually retiring the avoidance the fear built.


For most people, yes. CBT for panic substantially reduces or eliminates attacks for the majority of people who complete treatment, and the gains hold because you learn the mechanism rather than just coping with episodes. The goal is not white-knuckling through attacks; it is your body no longer sounding the alarm.


Most Octave members are matched in 1 to 3 days and hold a first appointment within 1 to 8 days, with evening and weekend times. Sessions are online (in-person is available in select cities), so getting to the first one asks nothing of the places panic has fenced off.

The most useful thing to hold onto is what a panic attack is: it peaks and passes on its own. Teaching you specific skills for the moment is one of the first things treatment covers, so relief does not wait for the end of therapy. And if your symptoms are new or you are unsure they are panic, seeing a doctor to rule out other causes is always reasonable.

More On online Panic Disorder therapy

What Online Panic Disorder Therapy At Octave Looks Like

Panic disorder is recurring panic attacks plus the fear of the next one: sudden surges of intense physical fear (pounding heart, tight chest, dizziness, unreality, a sense that something terrible is happening) followed by growing avoidance of wherever an attack might strike. The attacks are real and physical, and they are also false alarms: a healthy survival system firing at the wrong time. Online therapy for panic disorder at Octave means video sessions with a licensed therapist, using cognitive behavioral therapy for panic, the first-line treatment.



How therapy treats panic

CBT for panic dismantles the cycle piece by piece:

Education first: what a panic attack physiologically is, why it cannot do the catastrophic things it threatens, and how fear of symptoms fuels the symptoms.

Interoceptive exposure: deliberately and safely producing the feared body sensations (a racing heart, dizziness) in session, until your alarm system stops misreading them.

Retiring safety behaviors and avoidance, step by agreed step, so the situations the fear fenced off come back.

The logic is the treatment: panic feeds on the fear of panic, and each piece of the work starves it.

The first sessions of panic therapy

The first sessions map your attacks (triggers, sensations, what you avoid because of them) and begin the education that is itself therapeutic, because understanding the false alarm loosens its grip. Skills for managing an attack come early; the deeper retraining follows at an agreed pace. If the fit is not right, Octave’s Care Navigators rematch you.

Therapy, medication, or both for panic

CBT alone is an effective treatment for panic disorder and is recommended first-line. Some people also use medication, especially early on. Octave therapists do not prescribe; if medication is part of your plan, your therapist coordinates with your psychiatrist or primary care doctor while the therapy does its structural work.

Starting before the map shrinks further

Panic disorder grows by subtraction: first the highway, then the grocery store, then anywhere far from an exit. Treatment reverses the subtraction, and 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, from wherever feels safe. That is allowed to be your couch.

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

The Alarm Is False. The Treatment Is Real.

Online therapy for panic attacks with a matched therapist, covered by most major insurance plans.

Find Your Best Therapist