The 5 Best Online Sex Therapy Programs of 2022

Where possible, sex therapy is often best pursued as couples therapy. Still, not everyone experiencing sexual difficulties is part of a couple. That’s what makes Talkspace a good option. Unlike many of the other online therapy websites, TalkSpace offers both individual and couples therapy options. Talkspace also has both accurate and affirming educational content about sexual health and the role of therapists in helping with sexual problems. Talkspace therapists are all licensed and verified. Additionally, a number of employers and health plans will cover the cost of using the service. 

Talkspace is one of the largest and best-known online therapy sites. One of the advantages? The matching process. After answering the consultation questions, their algorithm will match you to someone who can meet your needs. That means the system can pair you with providers experienced in sex therapy as well as in working with your specific concerns. Another advantage of Talkspace is that they have so many therapists that it may be possible to find a provider who has expertise in your specific concern, or in some area that’s important to you. For example, you might be most concerned about finding a therapist who is understanding about your gender identity, or who knows a lot about sexual trauma. Talkspace also offers both asynchronous and live sessions

Talkspace is a subscription-based site that costs vary depending on the plan and level of service you choose. Some plans come with live video sessions, and live sessions can also be added on at an additional cost. However, not all therapists offer live sessions as an option. Couples therapy is more expensive than individual therapy, but costs vary depending on your plan. However, some employers provide access to Talkspace through their employee assistance programs (EAP). Talkspace may also be covered by insurance.

ReGain is one of a very few sites that specialize in relationship and intimacy therapy. It is specifically designed to allow both members of a couple to interact clearly and transparently with a therapist. All written messages are visible to both members of the couple. Individuals also have the option of having private, live sessions with their therapist. This combination of openness and privacy is well suited for sex therapy. It allows the couple to work on issues specific to their sexual and romantic interactions while providing individuals’ space to address any underlying issues. 

When signing up for therapy at ReGain, you have the opportunity to state your preferences for a counselor during the matching questionnaire. Although all counselors on the site are licensed psychologists, marriage and family therapists, social workers, or professional counselors, some couples may be more comfortable working with a therapist who is male or female, older or younger. If you don't like who you are matched with, you can request a new counselor. In general, sessions on Regain do not happen in real-time. Text-based messaging is used to communicate back and forth at the convenience of the individual and the therapist. Real-time video or phone sessions can be scheduled as well. However, for couples to both be part of a real-time session, they must be in the same place. 

ReGain costs between $60-$80 per week and subscriptions are billed monthly.

Like Talkspace, BetterHelp is one of the larger and more established online therapy sites. They have thousands of experienced counselors with specialties in a variety of issues. ReGain.us is actually the sister site of BetterHelp that focuses on couples counseling. Even though it's more focused on individuals and less on couples you can still get couples counseling through BetterHelp if you want to. As with most of the larger online therapy sites, BetterHelp offers both messaging options and live sessions. Live sessions require you to pre-schedule with your therapist and can be set up as text based chat, phone calls, or video sessions. 

The site costs $60-$90 per week, billed monthly. Because of their large roster of therapists, it’s often possible to find someone who specializes in areas or interests that are important to you. The site offers access to LGBT-focused therapists and is one of the few sites that is specifically gender affirming—asking about pronouns as part of the intake process. The intake process also allows you to identify “intimacy issues” as a specific reason you are seeking therapy.

Pride Counseling doesn’t offer sex therapy, per se. However, for some LGBTQIA+ individuals experiencing sexual or relationship difficulties, it may be more important to have an LGBTQ competent therapist than a therapist with specific experience in sex. All of the counselors at Pride Counseling are not only licensed in their specific field, they are also specialists in the LGBTQ community. 

There are a number of different ways to interact with your Pride Counseling therapist. You can exchange messages in your own time. You can also live chat—either by text, phone, or video. Depending on your needs and schedule, you can figure out what works best for you, and you can change it up as needed. Pride Counseling fees range from $60-$90/week and are billed monthly. 

At this time, Pride Counseling only offers individual counseling, not couples counseling.

MyCounselor.Online is a small, specialty website that provides Christian faith-based therapy both in-person (in Colorado, Missouri, and Texas) and online worldwide.  As of July 2021, the site offers a connection to one of 29 professional counselors. One of the founders of the site is a certified sex therapist, and the company supervises its therapists to ensure quality care. 

As part of its focus on faith-based therapy, MyCounselor.Online has a strong focus on relationship health. In addition, they are is one of the only counseling websites that offers sex therapy as a specialty area. Specifically, the site offers referrals to Christian sex therapists, sex therapists who work from a context of religious faith. As religion and spirituality may play a role in many couple’s sexual difficulties, it can be enormously helpful to work with a licensed sex therapist who understands their faith. The site offers counseling worldwide and in-person sex therapy for people who live in Colorado, Missouri, and Texas. 

In order to access care, individuals select the experience level of the therapist they are interested in working with. Then they schedule an appointment with the site receptionist in order to identify the therapist who will best fit their needs. Unlike many counseling sites, hours are restricted. Sessions are only offered live (online) between the hours of 9 AM and 9 PM. Costs range from $110-$195 per session, based on the experience level of the therapist. Scholarships for therapy are also available which reduces the cost to $55/session.