In-Person Therapy, When Face To Face Is The Right Fit
Some work goes deeper in the same room. Octave offers in-person therapy at offices in select cities, with the same vetted therapists, the same in-network coverage, and the option to mix online and in-person sessions as life requires.
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.
Specializations
Care for the things that bring people to therapy.
Our experts can treat a wide variety of issues:
Audience segments
Therapy for the shape your life is in.
Online Therapy
Licensed therapists by video, from wherever you actually are.
Online Individual Therapy
One-on-one sessions focused entirely on what you're working through.
Online Family Therapy
Work through conflict, communication, and old roles as a family.
Online Couples Therapy
Couples therapy and marriage counseling with licensed therapists trained in couples care.
In-Person Therapy
Some work goes deeper in the same room.
Therapy approaches
Therapy for what works for you.
We match you with a therapist whose approach fits the work you want to do.
CBT
Cognitive Behavioral Therapy
Retrain the thoughts and habits that keep anxiety and low mood going.
DBT
Dialectical Behavior Therapy
Develop skills for intense emotions, impulsivity, and relationships.
EFT
Emotion-Focused Therapy
An evidence-based approach for depression, relationship distress, and grief.
Grief Counseling
GRIEF & LOSS SUPPORT
Dedicated space to process a loss with someone who knows the terrain.
Psychodynamic
Insight-Oriented Therapy
Online psychodynamic therapy with licensed therapists. Depth-oriented work on the patterns underneath the symptoms.
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
Comparison table
Therapy that fits into your life
It shouldn’t be the other way around, and that’s why we do what others don’t.
First session wait
Within 1-8 days
3-6 weeks
Insurance verified upfront
Yes- before first session
Often after-the-fact
Average out-of-pocket
$25-$60
$120-$250
Evening & weekend availability
Standard
Limited
Re-matching if it’s not a fit
Free, anytime
Start the search over
Care coordination
Dedicated coordinator
Self-managed
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
Sometimes the room matters. Here's where Octave has offices, what a first in-person session looks like, and how easily you can switch formats.
Octave has physical offices in select cities, with the current list on the state and city location pages. If there is no office near you, the same vetted therapists are available online statewide, and new locations are added as the network grows.
For most people and most conditions, research shows comparable outcomes; the better format is the one you will attend consistently. In-person earns its place when you prefer full physical presence, when home offers no private space to speak freely, or when a screen makes it too easy to stay guarded. The good news is you are not choosing forever: at Octave you can mix formats with the same therapist where offices are available.
Yes, where in-person is offered. Many members hold a weekly in-person session and move it to video during travel, illness, or impossible weeks, rather than cancelling. Your therapist, your plan, and your progress carry across formats; only the room changes.
Yes, the same way it covers Octave’s online sessions: most members pay $28 or less per session. The cost estimator shows your cost before booking.
Matching still takes 1 to 3 days; first appointments run within 1 to 8 days, though in-person slots can book further out than video in some offices. Many members hold a first session online and move in person from there, so the wait never delays the start of care.
An office built for the conversation: private, unhurried, and yours for the hour. The first session is the same wherever it happens, a conversation about what brought you in and what you want to be different, and by the second or third you and your therapist have a working plan.

More on In-Person Therapy
What In-Person Therapy At Octave Looks Like
In-person therapy at Octave is the traditional room with the traditional friction removed: offices in select cities, the same sub-4%-acceptance therapist network, in-network insurance at $28 or less per session for most members, and a Care Navigator match in 1 to 3 days instead of a phone list. Where Octave has offices, in-person is a first-class option, not an upsell.
When the room matters
Plenty of therapy works identically over video, and some work is easier in shared space: trauma processing where presence steadies the pace, sessions where silence does work a screen makes awkward, homes where privacy is impossible, or simply the ritual of a door that closes behind you. Preference counts as a clinical reason; the format you trust is the format that works.
Hybrid care as the default, not the exception
The either/or is obsolete. Members with office access commonly run hybrid: in person as the anchor, video when travel, illness, childcare, or a brutal week would otherwise cancel. Continuity is what compounds in therapy, and hybrid care exists to protect it.
Finding care near you
The state and city location pages list where Octave operates, what is available in person, and the therapists serving each area. If in-person is not near you yet, online care covers every state Octave serves, with the same standards and the same coverage.
Starting this week
Answer a few questions, including where you are; meet your matches in 1 to 3 days; and take the first session in whichever room comes available first. The start matters more than the format, and both are handled.
In-Person Therapy
In-Person Therapy Locations
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 room is ready when you are.
In-person therapy in select cities, online everywhere else, covered by most major insurance plans
Find Your Best Therapist