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
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
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.
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