ONLINE THERAPY, BUILT FOR REAL LIFE
Online Therapy That Insurance Actually Covers
Real therapy with licensed, vetted therapists, over video, at in-network rates: most members pay $28 or less per session. Matched to your best therapist in 1 to 3 days, with evening and weekend appointments that fit an actual life.
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.
Online Individual Therapy
One-on-one sessions focused entirely on what you're working through.
Explore
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 Therapy, Answered
Therapy works differently when it comes to you. Here's how online sessions hold up, what they cost, and how soon you can be talking to someone.
Yes, for most people and most conditions. Decades of research on video-delivered therapy show outcomes comparable to in-person care for depression, anxiety, PTSD, OCD, insomnia, and more. What predicts results is the quality of the therapist and the consistency of sessions, and online care makes consistency easier to keep.
Most Octave members pay $28 or less per session using in-network insurance. Before booking anything, run your plan through the cost estimator and you will see your exact per-session number, so the first session never comes with a question mark.
Most members are matched with a therapist in 1 to 3 days and have a first appointment within 1 to 8 days, with evening and weekend times available. The whole intake happens online; there is no phone tag.
You answer a few questions about what you are dealing with, your preferences, and your insurance, and a Care Navigator matches you with therapists who fit within 1 to 3 days. You choose from the matches, and if the fit is not right after you meet, you can rematch anytime without starting over.
Yes. Sessions happen over a secure, HIPAA-compliant video platform, one-on-one with your licensed therapist, and the same confidentiality rules that govern any therapy office apply. What you need on your end is a device and a space where you can speak freely.
Online therapy at Octave covers depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, panic, social anxiety, insomnia, and the everyday weight of stress, relationships, and transitions. It is not the right tool in a crisis or when a higher level of care is needed; if that is where you are, call or text 988, and the crisis resources on this page list additional lines.
Yes, in select cities. Octave has physical offices, and many members mix formats: online for regular weeks, in person when it matters to be in the room. Your therapist and care stay the same either way where offices are available.
More On Online Therapy
What Online Therapy At Octave Looks Like
Online therapy is real therapy, licensed clinicians, evidence-based methods, weekly sessions, delivered over secure video instead of across an office. At Octave that comes with the two things the traditional route makes hardest: a fast, guided match to the right therapist, and a cost you can see before you start, with most members paying $28 or less per session.
Costs you can see before you start
Much of the anxiety around starting therapy is the unknown cost. Octave removes the unknown: check your coverage with the cost estimator before booking, see your per-session cost, and start knowing that most members pay $28 or less per session with insurance.
The match is the product
Therapy works when the fit is right, and finding the fit is where the traditional route bleeds people: calling practices, waiting weeks, starting over after a bad first try. Octave’s Care Navigators do the finding, matching you in 1 to 3 days against your needs, preferences, and coverage from a network where fewer than 4% of applicants are accepted. If the first match is not right, rematching is expected, not awkward.
Care that continues in person
Online is where most members start, and it does not have to be where care ends: Octave has offices in select cities, and the state and city pages list what is available near you. Same therapist standards, same insurance coverage, whichever room you are in.
Starting this week
Answer a few questions, see your matches in 1 to 3 days, book a first session within about a week, evenings and weekends included. The hardest part of therapy is the start, and the start has been engineered down to one sitting.
Therapists By State
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
Therapy that fits your life, and your insurance.
Matched in 1 to 3 days, first session within about a week, most members at $28 or less per session.
Find Your Best Therapist