ONLINE INDIVIDUAL THERAPY, COVERED BY INSURANCE
Online Individual Therapy, Matched To You
One hour a week that is entirely yours: a licensed therapist matched to what you are dealing with and how you want to work. Matched 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.
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.
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.
Explore
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.
Explore
Online Couples Therapy
Couples therapy and marriage counseling with licensed therapists trained in couples care.
Explore
In-Person Therapy
Some work goes deeper in the same room.
Explore
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.
Explore
DBT
Dialectical Behavior Therapy
Develop skills for intense emotions, impulsivity, and relationships.
Explore
EFT
Emotion-Focused Therapy
An evidence-based approach for depression, relationship distress, and grief.
Explore
Grief Counseling
GRIEF & LOSS SUPPORT
Dedicated space to process a loss with someone who knows the terrain.
Explore
Psychodynamic
Insight-Oriented Therapy
Online psychodynamic therapy with licensed therapists. Depth-oriented work on the patterns underneath the symptoms.
Explore
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.
Traditional in-person
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
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 Individual Therapy, Answered
Therapy starts with the right match. Here's how Octave finds yours, who we see, and what you'll pay once you're in the room.
Individual therapy is one-on-one care with a licensed therapist: a private, recurring session built around what you are dealing with, whether that is a diagnosable condition like depression or anxiety, or a season of life that is simply too heavy to carry well alone. It is the most common form of therapy and the starting point for most people’s care.
No. Plenty of people start therapy without a named condition: stress that stopped being temporary, a decision that will not resolve, relationships that keep costing more than they give, or the sense of running on fumes. If something is taking more from you than it should, that is reason enough, and your therapist helps you name it as part of the work.
You answer a few questions about what you are dealing with, your preferences, and your insurance, and a Care Navigator matches you with fitting therapists in 1 to 3 days. You pick from the matches, and if the fit is not right after a session or two, rematching is simple and expected. The relationship drives the results, so the match is treated as the product, not an afterthought.
Yes, in most cases; individual psychotherapy is the most commonly covered mental health service. Most Octave members pay $28 or less per session using in-network insurance, and the cost estimator shows your exact cost before booking.
Yes. Octave therapists work with adults, teens, and college students one-on-one, with parents involved to the degree that is clinically right and legally required. Availability can vary by state; the match process accounts for it.
The match handles that. If what you are carrying has a name (depression, anxiety, ADHD, PTSD, OCD, panic, social anxiety, insomnia, bipolar disorder), Octave has therapists who specialize in it and dedicated pages describing that care. Grief has its own path too. You do not need to route yourself correctly before starting; that is the Care Navigator’s job.
More On Online Individual Therapy
What Online Individual Therapy At Octave Looks Like
Individual therapy is a weekly hour with a licensed therapist that belongs entirely to you: no agenda but yours, no audience, no version of yourself to maintain. At Octave it is delivered over secure video (with in-person available in select cities), matched to you in 1 to 3 days, and billed through in-network insurance at $28 or less per session for most members.
The first sessions
The first session is a conversation about what brought you in and what you want to be different; by the second or third you have goals concrete enough to notice progress against. Whatever the approach your therapist recommends (CBT’s structure, psychodynamic depth, or a blend; the approaches pages describe each), the work is collaborative and paced to you.
Care that fits around a life
Sessions run on evenings and weekends as well as workdays, from wherever you are, and consistency is what makes therapy work. The people who benefit most are rarely the ones with the most dramatic problems; they are the ones who keep showing up, and the format is built to make showing up easy.
When individual therapy is the wrong door
Sometimes the right care is a different shape: a couple whose problem lives between them (link: /therapy/couples), a family system pulling in different directions, or a crisis that needs immediate help (call or text 988; the crisis resources below list more). Starting individual and adjusting later is normal, and your therapist will say so if a different door fits better.
Starting this week
Answer a few questions, meet your matches in 1 to 3 days, and have your first session within about a week. One hour that is yours, on the calendar, this week.
Therapists By State
Therapy in nearby states
Search For an Online Therapist in Your State
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
One hour a week, entirely yours.
Online individual therapy with a matched therapist, covered by most major insurance plans.
Find Your Best Therapist