Online PTSD Treatment At A Pace You Control
Trauma therapy is not about reliving what happened; it is about it losing its grip on now. Octave offers online treatment with licensed therapists trained in trauma-focused care, 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
Deciding to treat trauma takes a lot. Here's what the work actually involves, what it costs, and how much of it stays under your control.
Yes, in most cases. PTSD and trauma-related care are among the most common reasons people use therapy, and most Octave members pay $28 or less per session using in-network insurance. The cost estimator shows your per-session cost before anything is booked, one less unknown at the start.
The treatments with the strongest evidence for PTSD are trauma-focused forms of cognitive behavioral therapy, including cognitive processing therapy (CPT) and prolonged exposure, along with EMDR. They work differently, and the right one depends on the trauma, your symptoms, and your preferences. Your therapist walks you through the options in your first sessions rather than locking you into one on day one.
Not necessarily, and never before you are ready. Some evidence-based treatments, like cognitive processing therapy, focus on the beliefs the trauma left behind more than the event itself, and every approach begins with stabilization and skills before any processing. You and your therapist set the pace together.
No. You do not need a diagnosis or a referral, and you do not need the event to have been any particular kind or size. If something you lived through is still driving nightmares, avoidance, jumpiness, or numbness, that is reason enough to start.
Matching takes 1 to 3 days and first appointments run within 1 to 8 days, with evening and weekend times, online or in person in select cities. Fast to start does not mean fast-paced: the early sessions build safety and skills, and nothing moves faster than you choose.
Yes. Trauma-focused therapy delivered by video shows outcomes comparable to in-person care in clinical studies, and many people find that being in their own space, with their own exits and comforts, makes the hard parts of the work more approachable, not less.
If you are in crisis or thinking about suicide, call or text 988 to reach the Suicide and Crisis Lifeline, available 24/7. Veterans can press 1 for the Veterans Crisis Line. The crisis resources section on this page lists additional lines. Therapy at Octave can begin once you are safe.

More On Online PTSD Therapy
What Online PTSD Treatment At Octave Looks Like
Post-traumatic stress disorder (PTSD) is the mind’s alarm system staying switched on after something overwhelming: intrusive memories or nightmares, avoiding reminders, feeling constantly on guard, and mood or memory changes that persist for more than a month. It can follow a single event or years of them, and it does not require the event to look “big enough” from the outside. Online PTSD treatment at Octave means video sessions with a licensed, trauma-trained therapist, using the same evidence-based treatments delivered in offices.
How trauma therapy works
Effective PTSD treatment moves in phases, and none of them are rushed:
Stabilization first: grounding skills, sleep support, and enough safety that the work never outpaces you.
Processing, using an evidence-based approach: cognitive processing therapy reworks the stuck beliefs the trauma installed, prolonged exposure retires the avoidance that keeps fear alive, and EMDR helps the memory lose its present-tense charge.
Reconnection: rebuilding the relationships, activities, and sense of self that the symptoms crowded out.
Which processing approach fits is a decision you make with your therapist, not a prerequisite for starting.
The first sessions of trauma therapy
The first sessions are about safety and mapping, not disclosure: what the symptoms are doing to your life now, what helps, and what you want back. You will leave early sessions with grounding skills that work this week, because relief and trust come before depth. If the fit is not right, Octave’s Care Navigators rematch you.
Trauma therapy, medication, or both
Therapy is the core treatment for PTSD, and some people also use medication for sleep, anxiety, or depression that travels with it. Octave therapists do not prescribe; if medication becomes part of your plan, your therapist coordinates with your psychiatrist or primary care doctor while the trauma work continues.
Starting when avoidance is the symptom
Avoidance is not a character trait; in PTSD it is the symptom doing its job, and it will argue against this page too. The process is built to be small: answer a few questions, get matched with a trauma-trained therapist in 1 to 3 days, and have a first conversation within about a week, with nothing you are not ready to say. One appointment, your pace after that.
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
What happened is not the end of the story.
Online PTSD treatment with a trauma-trained, matched therapist, covered by most major insurance plans.
Find Your Best Therapist