Best Online Family Therapy

LifeStance offers the best online family therapy overall

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Family therapy can be a useful tool for improving your family’s relationships and dynamics. Whether you need to address occasional disagreements, frequent bickering, parenting issues, or relational disconnect, therapy provides a safe space where tough issues can be addressed.  

However, one major hurdle with family therapy is coordinating everyone’s schedule and finding a time when everyone is in one place at the same time. This is why online family therapy can be super convenient: Everyone can participate, no matter their location, and there are often night or weekend sessions available at some companies. Plus, online family therapy has been found to be more effective than in-person family therapy sessions. Studies have found that counselors were better able to observe families in their natural setting with teletherapy simply because families were at home, rather than an unfamiliar office. 

It’s not always easy to find online family therapy though, so to help make your search a little easier, we reviewed 55 online therapy companies and 25 directories, surveying over 105 users and testing many of the companies ourselves in order to find the best family therapy providers. Here are our picks.

Best Online Family Therapy of 2023

Why Trust Us
Companies reviewed
Total users surveyed
Data points analyzed
We surveyed 105 users from each online therapy company and asked the companies to complete questionnaires. Then, we tested the services ourselves, conducted comprehensive data collection research, and evaluated our results with the help of three licensed therapists.

Best Overall : LifeStance Health

  • Price: $150 to $300 per session, if paying out of pocket
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Children's Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

LiveStance Health has an extensive network of family therapists who serve most states in the U.S. It is in-network with a large number of insurance providers and offers both virtual and in-person family counseling with licensed and well-qualified mental health professionals.

 Pros & Cons 
  • Accepts a large network of insurance providers

  • Offers both virtual and online counseling

  • Psychiatry options available

  • Website can be difficult to navigate

  • Costs are not clearly listed


LiveStance Health is an online and in-person therapy service that offers mental health care and resources for numerous issues including families and individuals of all ages. The company was founded in 2017 by Michael Lester, Gwen Booth, and Danish Qureshi, with the goal of providing accessible nationwide mental health services. The company accomplishes this goal through both telemedicine and in-person patient care. LiveStance Health currently employs more than 5,200 healthcare professionals which include psychiatrists, psychologists, therapists, and nurses.

LiveStance Health is our best overall choice because of the company's effort to make mental health services for families both more accessible and affordable. It offers care for all family members together and individually. These options make it a great choice for the constantly evolving needs of a family.

Read Verywell Mind’s full review of Livestance.

Plans & Prices 

If you chose to pay out-of-pocket, the website lists therapy costs ranging from $75 to $300 per session. These prices are based on your location, your clinician’s qualifications, and the type of therapy. Typically, family therapy is more costly than individual therapy sessions since it can be difficult to get your insurance provider to cover the sessions. 

It is in-network with most major medical insurance providers, making it more financially accessible to those insured. Prior to selecting your therapist at Livestance, you can see if your insurance plan is accepted.

User Satisfaction  

Livestance was given a glowing 88% overall positivity review, 73% felt their provider was able to meet most of their needs, and 90% of users found their therapist to be well-qualified.

Best Subscription for Families : Talkspace

  • Price: $276 to $516 monthly
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

Talkspace is our best subscription for families choice because of its variety of services, easy-to-use platform, insurance options, and accessibility. Additionally, its varied therapy approaches, messaging options, and live video sessions can reach a larger demographic of therapy seekers.

 Pros & Cons
  • User-friendly, flexible online sessions

  • Accepts health insurance

  • High user satisfaction

  • Selects therapist for you

  • No sliding scale options


Talkspace is an online therapy service that offers therapy services to individuals, couples, families, and teens; it's a great option for most family needs. The creator of Talkspace, Roni Frank, intended to create a therapy service that was both affordable and highly accessible. Since its start in 2012, Talkspace has become one of the largest online therapy services. On average, it serves over 60,000 therapy seekers each year and has totaled over 1 million users during its 10-year run.

Its subscription-based fee models include options to communicate with a mental health professional at any time through text messaging, voice calls, and video chat.

Users may select one of three plans available: text message-based therapy, live video sessions, and a mix of the two. Medication management and psychiatry services are available separately and priced differently.

To begin therapy at Talkspace, users complete some basic intake information, which includes a simple questionnaire and insurance information. Upon completion of the intake forms, the company will match you with a therapist. Matches are made based on the reported needs and preferences of users. Its website also guarantees that services can be paused or canceled at any time. Currently, no free trials are offered.

Plans & Prices 

Talkspace offers three different subscription options, all priced differently:

  • Unlimited Messaging Therapy Plus ($69): This plan is strictly message-based and includes text, video, and audio message options with your assigned therapist. This plan promises responses within one day and communication up to five days per week.
  • Unlimited Messaging Therapy Premium ($99): This plan offers everything in the Messaging Therapy Plus plan and also includes the addition of one 45-minute live session per month.
  • Unlimited Messaging Therapy Ultimate ($129): This plan includes everything in the Messaging Therapy Plus plan and four 45-minute live video sessions per month. 

Additionally, both couples and teen therapy services are typically $109 per week and include four live 45-minute sessions per month.

Psychiatric services are in addition to talk therapy. To start, there is a $249 initial evaluation cost, then $125 for every subsequent visit.

User Satisfaction  

Ninety percent of Talkspace users surveyed responded with an overall positive rating, describing the overall service as good, very good, or excellent; 83% reported that they would likely recommend Talkspace to others. Additionally, 92% of users felt their therapist’s qualifications were excellent, very good, or good.

Best for Psychiatry : Talkiatry

  • Price: Depends on your insurance
  • Is Insurance Accepted?: Yes. BCBS, Cigna, United Health, Aetna, Tricare, Medicare, and others
  • Type Of Therapy: Individual Therapy, Medication Management, Psychiatry
Why We Chose It

Talkiatry is a virtual mental health provider that offers psychiatric sessions. Sessions with Talkiatry psychiatrists are used to discuss patient symptoms, reach a diagnosis, and prescribe the appropriate treatment course, which can include but is not limited to medication.

 Pros & Cons 
  • Flexible scheduling

  • Accepts insurance

  • High user satisfaction rates

  • Only available in 19 states

  • Only treats users with health insurance, no out-of-pocket options


Talkiatry is a telehealth psychiatry practice that connects adolescents, teens, and adults with licensed psychiatrists and is designed to diagnose and treat patients. Talkiatry is not intended for talk therapy. Psychiatry services can include treatment plans and medication management. After the first initial assessment, most psychiatry appointments are conducted every four weeks but this varies on a case-by-case basis.

While Talkiatry does not offer therapy services on its own, they do have sessions available in addition to psychiatric services for cases that warrant it. 

Overall, Talkiatry is intended to be a user-friendly and convenient service. Its sessions are easy to schedule, and its psychiatrists were rated as highly responsive by our users. Its prescribers will also send prescriptions to your designated pharmacy.

Plans & Prices 

With Talkiatry, there is no monthly subscription fee. Each session is paid for at the time of service. Session costs are based on insurance coverage and copay charges. There are no out-of-pocket options for those uninsured.  

Additional costs could include a $100 cancellation fee if you fail to cancel at least 48 hours before your appointment. Medication/prescription costs are also in addition and contingent upon your medical insurance coverage. Based on reports from our survey, 69% of Talkiatry users could get at least a portion of their care covered by insurance.

User Satisfaction  

Talkiatry received a glowing overall positivity score of 95%. Similarly, 87% of users reported that they would recommend Talkiatry to others. When asked specifically about their psychiatrists qualifications, 86% said that they were either excellent, very good, or good. Eighty-one percent were either satisfied or very satisfied with the choice in psychiatrists.

Best for Teens : Teen Counseling

  • Price: $240 to $360 per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Individual Therapy, Teen Counseling
Why We Chose It 

Teen Counseling offers online therapy to teens ranging from 13 to 19 years old. All sessions are with licensed therapists and a variety of therapy modalities are available to users. We named Teen Counseling as the best option for teens based on its ability to offer affordable, accessible, first-rate online therapy that is designed with teens in mind.

Pros & Cons
  • Varied methods available, including video and phone calls, live chat, and messaging

  • Affordable pricing

  • All therapists are licensed and specialize in teen therapy

  • No insurance coverage

  • Live sessions only run for 30 minutes


Founded in 2015, Teen Counseling is an online therapy company owned and operated by the larger therapy company, BetterHelp. It serves teens between the ages of 13 and 19.

Its licensed therapists provide teen therapy sessions through a variety of modalities including messaging, live chat, live phone, or live video. Therapists at Teen Counseling are all experienced with the common issues that most teens face, including depression, anxiety, relationships, bullying, and trauma.

After answering a few short questions, teens are matched with a therapist with a specialization that meets their individual needs. Teens and their parents can attend sessions separately, together, or a mix of the two. All sessions are confidential as long as safety is not a concern.

Plans & Prices

Teen Counseling offers a monthly subscription fee model. This is similar in structure to its parent company BetterHelp. It only offers one plan, which includes four live online therapy sessions, coupled with an unlimited messaging feature.

Unfortunately, the company is not very transparent about its costs. With some digging, we found that on average, the weekly cost of therapy ranges from $60-$90, to be billed monthly. The website explains that therapy costs are based on a combination of location, preferences, and availability.

User Satisfaction

Our survey respondents reported that 85% had an overall positive experience with their matched therapist, and 76% reported that most or all of their needs were met. However, because therapy sessions at Teen Counseling are only 30 minutes in length, the brevity of these sessions can inhibit the quality of care and ability to form a relationship with a provider. On average, Teen Counseling did not rate as high as some other companies when it came to therapist understanding and care.

Best With In-Person Availability : Thriveworks

  • Price: Session rate varies by provider; $99 per session if not using insurance
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

Thriveworks has licensed therapists available for both in-person and online therapy in most states within the U.S. This range of available therapists makes connecting with a family therapist easy and accessible, especially considering the flexibility that comes with virtual therapy. Thriveworks is also in-network with many insurance providers.

 Pros & Cons
  • Licensed therapist available in 43 states

  • Great search features on the website

  • Ability to select your own therapist

  • Cost is not clear on website

  • Unavailable in select states


Thriveworks was founded in 2008 and has grown exponentially since, including adding children’s TherapyLand immersive play-therapy centers in some US state. The company serves 45 states and employs a large base of therapists, psychologists, and psychiatrists. This wide range of services and locations makes it a great choice for families seeking group and individual care.

The website is easy to navigate and offers extensive filters when searching for a therapist. Most commonly, families use filters to set location preferences, in-person or virtual session therapist capability, and service type (individual, teen, couples, family, etc.).

Thriveworks is also available as an app, which can make searching and scheduling even easier. Additionally, all sessions are conducted in person or via live video Zoom sessions, requiring only a tablet, smartphone, or computer with video capabilities.

Our survey results reflected that 69% of our users found their website to be easy to navigate, and 68% reported that it was relatively easy to find a therapist.

Plans & Prices 

Thriveworks is a membership-based platform with a pay-per-session model. The membership is $39 a month, while each therapy session varies based on the type and the clinician you choose. The range spans from your copay if using insurance to $99-$130 per session without insurance.

Thriveworks is in network with most major insurance providers and has this as a filter option when searching for your therapist to easily verify your insurance eligibility.

User Satisfaction  

On the whole, Thriveworks received glowing reviews from our survey respondents. Impressively, our survey users gave the company a 90% overall positivity rating. Similarly, 89% of users were pleased with the number of providers available to them, with 68% reporting that it was relatively easy to find a therapist. Our survey users reported that only 47% found the services to be affordable, and of our 105 users, 67% found that Thriveworks was covered by their insurance, though not all were attending family therapy.

Best for Families with Young Kids : Little Otter

  • Price: $90 for a 30-minute “Welcome Session”, $200 for one 45-minute session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Children's Therapy, Couples Therapy, Family Therapy, Teen Counseling
Why We Chose It

Little Otter is an online pioneer when it comes to treating the mental health of young children. Most parents struggle to find therapy services for children under 12 years of age, especially through online therapists. Little Otter shines by offering online therapy services to children ages newborn to 14.

 Pros & Cons
  • Serves children 0-14 years old

  • Provides support and tools for the whole family

  • Offers psychiatric services and medication management

  • Does not accept health insurance

  • Expensive compared to other online therapy providers


Little Otter is an online therapy company that offers mental health services for the whole family. Finding quality virtual care for young children can be a real challenge, and Little Otter fills that void (albeit in a limited number of states) through expansion is a major focus for the company.

Even for those not able to use its therapy services in their state, the website houses extensive resources that include a blog with regularly updated posts, a page full of additional resources addressing specific concerns, assessment quizzes, and a page to “Ask a Child Psychologist” a question for free where you’ll receive a personalized response.

Primarily, it offers personalized pediatric mental health care and psychiatric services that aid in early intervention practices, from sleep training to early-teen mental health needs. There's also parent training and support, couples therapy, and psychiatric services including medication management. Little Otter serves only 11 states, but that is impressive considering that it just recently launched in 2021, founded by Helen Egger, M.D., and her daughter Rebecca Egger.

Plans & Prices 

Services with Little Otter are paid one of two ways: pay-per-session, or through session bundles. There is no subscription fee. The plans offered are as follows:

  • Initial “welcome” session: $90
  • A session with a therapist: $200
  • Bundle 1: $680 for 4 sessions ($170 per session)
  • Bundle 2: $1,920 for 12 sessions ($160 per session)
  • Psychiatry evaluation: $500

The Kelp chatline is an additional parent resource that is available to parents, granting them access to mental health experts for behavioral support during business hours. This feature is subscription-based and runs $29.99 per month. 

User Satisfaction  

Little Otter received an overall positivity rating of 75% from our respondents, and 79% felt that their therapist was well-qualified. Even better, 81% found this service to be better than companies that they had previously used. Our survey reflected that most of our users found this service to be costly, with only 54% finding it to be relatively affordable, and 72% finding the services to be of good financial value. Unfortunately, the high cost of this service, paired with the fact that it does not accept insurance, can be a barrier to care. 

Best for Adult Families : Octave Online Therapy

  • Price: $170 to $275 per session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It

Octave is a highly personalized virtual therapy service that matches its clients with qualified mental health professionals. Octave only works with adults over the age of 18 but does offer couples and family therapy options, making it a great choice for families with adult children.

 Pros & Cons
  • Offers group family therapy for adults

  • Personalized therapist matching system

  • Website and sign-up are simple and straightforward

  • Higher price point, no sliding scale options

  • No psychiatry or medication management services


Octave is a virtual therapy service founded by Sandeep Acharya in 2018 with the goal of making mental health care more accessible for everyone. According to its website, its name comes from the musical term that describes a collection of musical notes. Applying that to mental health care, it is intended to represent therapy services that “can be tuned to each person’s unique needs.”

Octave offers individual, couples, and family therapy options for anyone over the age of 18, making it a great option for families with grown children. It can be utilized for parents and their adult children, adult siblings, or a combination of the two.

The website boasts that it is well-equipped to counsel patients experiencing relationship tension, family conflict, trauma, depression, anxiety, and anger management.

Octave serves residents of California, Connecticut, Florida, New Jersey, New York, Texas, and Washington D.C. Due to the COVID-19 pandemic, only virtual sessions are available.

Plans & Prices 

Octave offers a pay-as-you-go fee model. The session costs vary based on the type of service, location, and clinician. To get an accurate idea of cost, therapy seekers can utilize the cost estimator on its website. Exact costs are presented after you are matched with your therapist.

On average, individual therapy sessions range from $170-$250, couples sessions run $230, and group or family therapy starts at $75. All these costs can be offset by insurance coverage, which can vary based on your individual plan.

The results from our survey users reflect that 89% found therapy at Octave to be relatively affordable, with only 8% finding it to be not at all affordable. Additionally, 44% of our users were able to find at least partial coverage with their insurance provider.

User Satisfaction  

Our survey respondents reported an overall positivity rating of 71%. Seventy-five percent found their provider to be well qualified, and 82% felt that their provider was able to meet their therapy needs. Additionally, 88% of users who had used other therapy services found Octave to be of better quality.

Best Peer Support : 7 Cups

  • Price: $150 per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Peer Support
Why We Chose It 

7 Cups is a great platform for anyone seeking support from peers, or as the website refers to them, “caring listeners.” Its variety of free, topic-specific, mental-health chat rooms can serve a wide range of users looking to connect. GIven the variety of free and low-cost options, we named it as the best affordable option for online family therapy.

Pros & Cons
  • Chat-based support groups

  • Accessible 24/7

  • Free chat rooms always available

  • Chat rooms are not facilitated by therapists

  • No live therapist interactions


7 Cups was founded by clinical psychologist Glen Moriarty in 2013. His intent was to create an online platform that people could use for emotional support and understanding, with a lesser emphasis on therapist-based treatment. The company has over 300,000 trained listeners who monitor its variety of mental health chat rooms.

The signup process with 7 Cups is simple and straightforward. After clicking on the “connect now” link, users are directed to enter their email address, choose a username, and create a password. The username is intended to help anyone looking for anonymity when entering chat rooms. 

Many chat rooms are free to users, but there are fee-based premium chat rooms designed for more individual and specialized needs. Additionally, there are therapists available for one-on-one chat through their messaging system, though this service seems to be secondary in focus.

Plans & Prices

At 7 Cups, most chatrooms with trained “caring listeners'' are free. Premium chat rooms are available for a $12.95 monthly fee or an annual $96 subscription. For therapy services, there is one subscription plan that runs $150 a month. The therapy subscription does not offer live therapy sessions, only communication with a licensed therapist via messaging.

User Satisfaction

In 2021, 7 Cups users stated that 66% were overall satisfied with the services offered. Other therapy companies did score a bit higher overall, but the free options available at 7 Cups make it unique among its competitors. That said, 85% said they would recommend 7 Cups to a friend or relative–likely due to the free resources. 

To be trained as a “caring listener” at 7 Cups, there are no particular degrees or experience required; they base qualifications purely on a person's ability to participate in their active listening training, which can create a disparity in satisfaction between groups.

Most Affordable : Amwell

  • Price: $109 to $279
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It 

Amwell offers affordable therapy options for the whole family aged 10+. The company is in-network with a large roster of accepted insurance providers, and its out-of-pocket costs are affordable.

Pros & Cons
  • Offers affordable therapy options for the whole family

  • Medication management services

  • Accepts insurance

  • No available therapist bios

  • Website can be confusing


At Amwell, users can browse and select their therapist from the directory of available professionals in their state. Each therapist’s bio page indicates what types of therapy they are equipped to handle, such as individual, couples, teen, or family therapy services. 

Additionally, Amwell offers an initial video consultation with a therapist and/or psychiatrist who will ask various targeted questions to determine the best therapy match. Next, providers will develop a personalized treatment plan for you or your child.

The therapists and psychiatrists at Amwell offer a variety of affordable therapy options. All sessions are virtual, and most clinicians offer a variety of session times (daytime, nights, and weekends).

Plans & Prices

If you pay out of pocket, the cost will vary depending on the level of therapist expertise. Therapy with a therapist who holds a master’s degree is $109 per session. Therapy sessions with a therapist who has a Ph.D. is $129.

Psychiatry costs are separate. Each psychiatry client needs to attend an initial online visit that costs $279. After this visit, all follow-up visits with a psychiatrist are $109.

Amwell is currently in-network with over 126 different insurance plans.

User Satisfaction

Our survey of 105 Amwell users reported that 73% of users found services at Amwell to be either very good or excellent. Additionally, 86% felt that their provider met their needs, and 88% of our users stated that they were likely to recommend Amwell to others. Ninety-one percent of our users found Amwell providers to be well-qualified, and 24% found them to be more qualified than therapists on other platforms. Also, 66% of Amwell users reported that they found Amwell’s therapy services to be generally affordable, and 88% of users found their services to be of great value given the cost.

Best for LGBTQIA Families : Kip Therapy

  • Price: $95 to $250 per session
  • Is Insurance Accepted?: No. Can provide receipt for reimbursement
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It

Kip Therapy is an online mental health provider that offers “therapy for every identity” to residents of New York. All therapists are sensitive to diverse needs and LGBTQIA+ experience, and many are members of the LGBTQIA+ community.

Pros & Cons
  • LGBTQIA+ affirming therapy

  • Culturally sensitive clinicians

  • Offers sliding scale pricing

  • No insurance accepted

  • Only serves New York


Since its start in 2013, the company’s mission has been to create a therapy platform that prioritizes inclusivity and culturally-sensitive practices. LGBTQIA+ affirming care is a pillar of the support practices at Kip. Many therapists are well-trained to deal with gender dysphoria, life transitions, and questions about sexual and gender identity. 

In addition to the above specialty, Kip also claims that its providers are equipped to provide counsel for a variety of mental health conditions, including trauma, depression, anxiety, loneliness and isolation, and relationship struggles. Sessions are offered to New York residents both virtually and in person with a licensed professional.

AJ Ruben DeSimone, Kip Clinic Director, explains the company’s mission on the website: “Kip continues to disrupt the profession by providing care for people who have been excluded by therapists, and by investing in practitioners from historically marginalized groups. This is most evident in our unique expertise working with LGTBQ+ populations, but it shapes every aspect of our work.”

Plans & Prices 

Kip offers a variety of fee models. Unlike some of its competitors, Kip does not offer a subscription-based fee system. Instead, it offers a three-tiered system that varies in cost. There’s also a sliding scale for rates which would be outlined during a free consultation.

  • Tier 1: $65-$95 per session with associate therapists
  • Tier 2: $130-$150 per session with resident therapists
  • Tier 3: $170-$225 per session with senior therapists
  • Couples therapy: $200-$250 per session

Despite these sliding scale costs, our survey results reported that only 40% of our users found this service to be either affordable or very affordable and 16% found it to be not affordable at all.

User Satisfaction  

The results of our survey yielded an overall positivity rating of 73%. Our users also reported that 70% felt that their provider was able to accommodate most or all of their needs; 71% found their therapist to be well-qualifiedl and 83% claimed that therapy with Kip was superior to other services that they had tried.

Best for BIPOC Families : Inclusive Therapists

  • Price: Individual page: $29 ; Group plan: $119 ( Up to seven individual profiles)
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It

Inclusive Therapists is a directory-based therapy service that connects therapy seekers with culturally responsive clinicians. It houses a diverse population of certified mental health professionals and incentivizes memberships for Black and Indigenous therapists.

Pros & Cons
  • Company's mission is focused on marginalized identities

  • Extensive directory of qualified professionals

  • Website houses extensive therapy filters to accurately match users

  • Does not serve all states

  • Therapist location can be hard to find on bios


Inclusive Therapists is a therapy directory with a clear mission: therapy for every identity. Its website displays messages that corroborate this vision. The “About Us'' section of the website states, “All people with all abilities in all bodies deserve equal access to identity affirming, culturally responsive care … We center the needs of Black, Indigenous, and People of Color (BIPOC) and 2SLGBTQIA+ intersections (QTBIPOC). We amplify the voices and expressions of the Neurodivergent and Disabled Communities of Color.”

This social justice-motivated approach sets Inclusive Therapists apart from other therapy directories. Combine that with the implicit inclusion of the neurodivergent, and it is almost unparalleled in likeness. One practice that Inclusive Therapists has developed to incentivize a diversity-rich directory is offering Indigenous and Black therapists free or reduced-fee directory listings.

Finding a therapist with Inclusive Therapists is simple and straightforward. After selecting search filters (location, type of therapy, identity filters, insurance, etc.), seekers can then peruse therapy bios to find a provider that resonates with them.

Plans & Prices 

Inclusive Therapists is not a membership-based therapy service. It serves as a directory that’s intent is to connect therapy seekers with qualified professionals. As such, there are no listed prices or price scales. All prices vary and are set by the individual clinicians. 

It is worth noting that there are insurance and sliding scale filters. The sliding scale filter begins at $25 and extends to a $125+ option.

User Satisfaction  

Our survey results reflected highly on Inclusive Therapists. Of users who had previously attended therapy elsewhere, 73% found it to be either generally better or much better than the other services they had used. Additionally, 45% found that their provider was better qualified and experienced.

Best Directory : Headway

Why We Chose It

Headway houses an extensive directory of therapists, most of whom are in-network with major insurance providers, making its mental health care both accessible and affordable. Its care team is ready to assist with billing and insurance in an effort to alleviate any barriers to treatment.

Pros & Cons 
  • In-network with most major insurance providers

  • Extensive filters and search capabilities

  • Offers both virtual and in-person sessions

  • Not available in all states

  • No clear diversity inclusion initiatives


Headway is a mental health directory service that is free of charge. Created in 2019 to offer quality mental health care options within most insurance networks, its founders, Andrew Adams, Kevin Chan, Daniel Ross, and Jake Sussman, have sought to make therapy services more accessible to the general population.

Headway is available in 15 U.S. states and offers over 20,000 mental health providers. Its website claims to add more providers daily and intends to expand to other states rapidly. Providers include therapists, psychologists, psychiatrists, counselors, psychiatric nurses, and social workers, and you can look for any in your search.

After finding a clinician who fits your needs, booking can happen immediately; you can see the provider’s availability and book instantly. When booking, the website will generate the cost of your sessions based on the individual provider and your insurance plan.

Plans & Prices 

Session costs vary based on your insurance provider and plan. In an effort to make mental health care more accessible to the masses, Headway has a team ready to handle all insurance and payment options.

Headway’s website advertises that, after insurance coverage, most therapy seekers will only pay $20-$50 per session on average. If you are not looking to use medical insurance to cover your sessions, Headway is not the directory for you as there is no self-pay option.

User Satisfaction  

Overall, Headway received primarily positive responses from the users in our survey. When asked if they would recommend Headway to others, 76% responded affirmatively. Moreover, 73% claimed that they would use Headway in the future and 64% are still currently using a therapist that they found in Headway’s directory.

It is worth mentioning that 25% of our users were disappointed with the lack of diversity in Headway’s directory. In the “Cultural Values” section of the website, the company claims that it’s “dedicated to building a diverse, equitable, and inclusive company.” Hopefully, this is a beacon of changes to come.

Compare the Best Online Family Therapy of 2023

Best For
Is Insurance Accepted?
Does it Accept HSA/FSA?
Type Of Therapy
Communication Options
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LifeStance Health Best Overall $150 to $300 per session, if paying out of pocket Yes Yes Children's Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Video Chat Learn More
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Talkspace Best Subscription for Families $276 to $516 monthly Yes Yes Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Live Chat, Messaging, Phone, Video Chat Learn More
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Talkiatry Best for Psychiatry Depends on your insurance Yes. BCBS, Cigna, United Health, Aetna, Tricare, Medicare, and others Yes Individual Therapy, Medication Management, Psychiatry Video Chat Learn More
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Teen Counseling Best for Teens $240 to $360 per month No No Individual Therapy, Teen Counseling Live Chat, Phone, Video Chat Learn More
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Thriveworks Best With In-Person Availability Session rate varies by provider; $99 per session if not using insurance Yes Yes Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Phone, Video Chat Learn More
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Little Otter Best for Families with Young Kids $90 for a 30-minute “Welcome Session”, $200 for one 45-minute session Yes No Children's Therapy, Couples Therapy, Family Therapy, Teen Counseling Messaging, Video Chat Learn More
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Octave Online Therapy Best for Adult Families $170 to $275 per session Yes No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy Audio, Video Chat Learn More
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7 Cups Best Peer Support $150 per month No No Peer Support Messaging Learn More
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Amwell Most Affordable $109 to $279 Yes Yes Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Video Chat Learn More
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Kip Therapy Best for LGBTQIA Families $95 to $250 per session No. Can provide receipt for reimbursement No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy Audio, Video Chat Learn More
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Inclusive Therapists Best for BIPOC Families Individual page: $29 ; Group plan: $119 ( Up to seven individual profiles) Yes No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy N/A Learn More
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Headway Best Directory N/A N/A N/A N/A N/A Sign Up Now
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Final Verdict

LiveStance Health is our pick for best overall online family therapy because of its varied scheduling options, ability to treat the whole family (adults, couples, teens, and families), compatibility with many insurance companies, and extensive directory of available and well-qualified providers. Additionally, its user-friendly filters make finding the right fit for your family quick and easy. 

Talkiatry is another wonderful option for families also offering a wide host of psychiatry and medication management services and is highly reviewed by our survey respondents. Kip Therapy is an identity-centered therapy service that connects users to LGBTQIA+ affirming therapy and is a good choice for families residing in New York state. Inclusive Therapists is a solid choice specifically for the BIPOC community, as it was highly reviewed for its diversity and inclusion initiatives, and it's one of the few services that specifically lists neurodivergence as a population that it serves.

Guide to Choosing the Best Online Family Therapy

What Is Online Family Therapy? 

Online family therapy is virtual counseling designed to help families with a variety of different needs. 

“Online family therapy is a form of psychotherapy that focuses on the family as a unit,” explains Nicolas Hardy PhD, a psychotherapist and our subject matter expert. “The issues specific to family therapy can vary, but often involve concerns around communication, boundary setting, conflict resolution, and more.” For example, you could use the services to resolve conflict both in and out of the home to improve communication, diagnose and treat mental health issues, get support for family members dealing with substance abuse, or just strengthen familial bonds. 

Online therapy can be accessed anywhere rather than having to travel to an office, thus it is versatile and can better accommodate the varied needs and schedules of all family members, as. Family therapy can involve a few members of each family (e.g. a parent and child), or it could involve both parents and all their children, or it could include more distant family members, such as grandparents.

Who Is Online Family Therapy For?

Fundamentally, family therapy is for families in any shape or form. Families are constantly adapting and changing in both function and need. Hardy shares that, “family therapy also explores systems within the family and the evolving dynamics between two or more individuals.”

Some families, however, may opt instead to look for therapy for their whole family, even if they meet individually with different therapists.

How Is Online Family Therapy Different From Couples or Kids’ Therapy?

The most significant difference between family therapy and couples therapy is the individuals involved. Couples therapy typically centers around the needs and feelings of the couple. Family therapy can accommodate anyone in the family (parents, co-parents, children, grandparents, siblings, etc.).

Is Online Family Therapy Effective? 

Online family therapy can be a useful tool to navigate the relationships in your home. Whether it’s to aid teens with social pressures and communication skills, couples with relationship strain, or individuals suffering from anxiety or depression, all of these struggles seep into family life and stand to benefit from counseling services. 

According to a study conducted by the Centers for Disease Control and Prevention, approximately 20% of children and adolescents ages 9–17 in the United States have diagnosable psychiatric disorders.  Fortunately, the increasing accessibility of family and adolescent therapy can aid both in effectively dealing with and treating these diagnoses. 

In a study published by the National Library of Medicine, Katherine Boydell, found that virtual psychiatrists are able to provide accurate diagnoses, develop critical treatment plans, and accrue high satisfaction rates from families.  

Compare Online Family Therapy Providers 

There are a variety of factors to consider when choosing which online therapy is best:

  • Price: The cost of the family therapy companies listed in this roundup ranges from $60-$299. Additionally, some of the companies offer subscription-based payment models. Depending on your location, session frequency, and therapist qualifications, a subscription model may be more cost-effective. You might want to also consider a company that accepts insurance, which might make services more affordable.
  • Availability: Varied schedules and provider availability are huge factors for most therapy seekers. Before enrolling in a subscription or committing to a session, ensure that the company is able to accommodate and adapt to your changing needs. Additionally, make note of any cancelation policies and their attached fees. 
  • Types of therapy: Not all therapy companies treat couples, teens, and children. Medication management is also not always available from online therapy platforms.
  • Platforms: The above companies offer a variety of online therapy models, including video calls, live chat, phone support, and group support. 
  • Therapist qualifications: All therapists have different expertise and experience levels. Some companies offer matching services that ensure therapists with qualifications that are well-suited to your individual needs. Others provide clinician bios with listed experience and specialties to help you to make your selection.
  • Ease of switching: Most companies have FAQ links that outline how to switch providers and choose a new therapist. If they do not, contact their customer service team with your questions about switching. 
  • Insurance: Typically, online therapy companies have an intake survey where users have the option to enter insurance information and check coverage. All health insurance plans are federally required to cover mental health services with in-network providers. If you opt to go with a provider who is out of network, you can still request a super-bill to submit to your insurance company for reimbursement. 
  • Financial assistance: Some providers offer aid in the form of sliding scale fees that are tiered and based on your income. If there is no sliding scale information on the company's website, contact customer service to inquire about assistance options.

What if I'm Having Thoughts of Harming Myself? 

If you are in crisis or have suicidal thoughts, it’s imperative that you seek help immediately. Please call the National Suicide Prevention Lifeline at 988 or text “HOME” to the Crisis Text Line at 741741.

Frequently Asked Questions

How Much Does Online Family Therapy Cost?

Online family therapy costs can be dependent on insurance coverage, with some companies accepting insurance and others not. If you are paying out of pocket, the cost of services for the companies listed above ranges from $60-$299 per session.

What Are Three Goals of Family Therapy?

The most common goals for family therapy are improving communication, creating understanding and awareness between family members, and reducing conflict, thus improving upon the home environment. “Online family therapy is a proven treatment strategy to effectively address concerns within the family. Family therapy is often used to create a safe place for individuals to openly express their concerns and can be effective in helping individuals gain new perspective and learn new skills” adds, Hardy.

Are There Any Free Options for Online Family Therapy?

7 Cups offers a free chat service with “caring listeners” as well as a chatroom support group for families. Both options are free, but not monitored or hosted by therapists or professionals. 

CalHope is another free resource for families. This website has free phone lines and live chat features available for crisis situations, children and teens, veterans, substance abuse and general mental health.

How Frequent Are Sessions for Online Family Therapy?

Most sessions are conducted weekly, but some companies have different scheduling options. For optimum results, it is recommended that users attend weekly sessions. 

Hardy responded to this question by commenting, “The frequency of family therapy is largely contingent on the needs of each family and their presenting concerns. Additional factors such as outside support, existing coping [mechanisms], and communication skills, can also influence the recommended frequency of treatment.”


Our methodology for evaluating online therapy companies is thorough and composed from user data. To review the best online therapy programs fairly and accurately, we sent questionnaires to 55 online therapy companies and surveyed 105 present users of each. This survey was used to directly assess services offered by collecting qualitative and quantitative data about each therapy service and its users’ experiences.

In the survey, we evaluated each company on its diversity, identity and inclusion initiatives, and the ability to filter and search for providers by cultural and identity-based criteria. We then looked at therapist qualifications, the types of therapy services offered, quality of care by both providers and companies, modes of provider communication, session length, medication management practices, and the therapist assignment and/or matching process. Lastly, we assessed the cost of therapy services, insurance coverage within the company, and ultimately the overall user approval rates.

Mother having a family therapy session for her daughter with psychologist

mixetto / Getty Images

Article Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Orlowski EW, Friedlander ML, Megale A, Peterson EK, Anderson SR. Couple and family therapists’ experiences with Telehealth during the COVID-19 pandemic: a phenomenological analysis. Contemp Fam Ther. 2022;44(2):101-114.

  2. Centers for Disease Control and Prevention. (n.d.). Mental health surveillance among children -- United States, 2005-2011. Centers for Disease Control and Prevention.

  3. Boydell, K. M., Hodgins, M., Pignatiello, A., Teshima, J., Edwards, H., & Willis, D. (2014, May). Using technology to deliver mental health services to children and youth: A scoping review. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent.

By Ashley Rowe
Ashley is a contributor with Verywell who brings nearly 15 years experience teaching in early childhood education. She has written for early childhood education blogs and newsletters, and focused her expertise on developing curriculum around The Nature Explore project. Ashley has helped develop nutritional guides for families and education centers in Southern California, as well as spearheaded the implementation of physical fitness programs for children. As a mother of two boys (with a third on the way!), Ashley splits her time between her career and her family.

Edited by
April McCormick
April McCormick

April is the health editor for performance marketing at Verywell. Her work has appeared in Time, Parents Magazine, The Huffington Post, TripSavvy,, First Time Mom and Dad, Mama Mia, All4Women, the New York Times Bestseller, A Letter To My Mom, and more.

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