Couples Therapy Inc. Online Counseling Review

Our pick for Best Overall Online Premarital Counseling

We independently research, test, review, and recommend the best products. Healthcare professionals review articles for medical accuracy. Learn more about our process. If you buy something through our links, we may earn a commission.
Couples Therapy Inc. Review

Couples Therapy Inc.

Verywell's Rating

Couples Therapy Inc.’s therapists and coaches use the Gottman method to offer online and in-person sex therapy, couples sessions, and retreats. The service won Verywell Mind’s Best Overall Online Premarital Counseling award.

  • Pros & Cons
  • Key Facts
Pros & Cons
  • Serves couples and individuals

  • Licensed clinicians with specialized, science-based training

  • Dedicated customer service team

  • You can choose your therapist

  • Two free consultations and support available to help pick a therapist

  • Private in-person and virtual retreats offered

  • Sessions are longer-than-average

  • Supports a wide variety of identities

  • Clear, expert focus on relationships

  • No ​​psychiatric services or medication management

  • Does not treat individual mental health conditions

  • Doesn’t take insurance

  • No payment plans or financial aid is available

  • No subscriptions plans

  • Not appropriate for situations involving abuse or addiction

  • Weekend intensive retreats are really expensive

  • Few details about the measures taken for HIPAA compliance

Key Facts
$159 to $250 per couples counseling session; $119 to $199 for couples coaching; $2,500 to $5,000+ per weekend intensive retreat
Is Insurance Accepted?
Type Of Therapy
Communication Options
Video Chat
HIPPA Compliant?
Is There an App?
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.

Years ago, clinical psychologist and sex therapist Dr. Kathy McMahon received ineffectual couples therapy that resulted in divorce. When she later heard about evidence-based couples therapy, she vowed not to let other couples suffer from poor quality counseling—and so she founded Couples Therapy Inc. in 1988. 

At first, the Boston-based practice offered in-person sessions and weekend-long intensive retreats, but its scope eventually expanded to include virtual options for all of its services. Today, Couples Therapy Inc. has fewer providers than many of its competitors, but it offers much more individualized specialized couples therapy. It is also the only one to offer couples therapy retreats. 

First Impressions and Sign-up Process

Couple Therapy Inc.’s homepage is well designed and visually appealing, greeting users with the words, “We use science for more effective couples therapy.” Below is a large button linking to a tool that makes a preliminary recommendation for which service—couples sessions, intensive weekend retreats, and modified intensives—might be best for you and/or your partner(s). You will also get personalized guidance during your two free phone consultations. 

Couple Therapy Inc Homepage

Returning to the homepage, you’ll see links to media outlets that have featured Couples Therapy Inc., followed by short blurbs summarizing the services Couples Therapy Inc. provides, its clinicians’ training and experience and the company’s intensive weekend retreats.

Next is a section about the theory behind its thorough and proprietary intake questionnaire called “The BIG BIG Book,” which incorporates an assessment that renowned relationship psychologist John Gottman designed for the Gottman Institute, a research center dedicated to helping couples improve their relationships.

Further down the webpage, there is a section that follows, explaining that its clinicians can provide couples therapy sessions and weekend intensives online, as well as private in-person retreats.

A short explanation of the booking process, as well as a link to Couples Therapy Inc.’s reviews page are up next, followed by four frequently asked questions and a statement that the team is proud to include eight of only about 350 therapists worldwide who have been certified in the Gottman method, a type of couples therapy designed to create a heightened sense of empathy and understanding in relationships.

Near the bottom of the page are two featured clinicians offering in-person retreats, a map of the states where Couples Therapy Inc. operates, and a link to a free course called, “Upgrade Your Couples Therapy.”

The footer provides multiple links to informative pages about the team and its mission, and blog posts that might help couples decide if Couples Therapy Inc. is right for them. It also includes phone numbers for both U.S. and international callers, a distinct advantage over many of the companies we reviewed that only offer support through contact forms and chat boxes.

Couple Therapy Inc Blog

Couples Therapy Inc.’s blog is informative, with resources for couples who are experiencing many different kinds of dysfunction in their relationship.

Seventy percent of the users surveyed reported that they either had a very good or excellent experience signing up for Couples Therapy Inc. 

The sign-up process with Couples Therapy Inc. is much longer and more in-depth than other companies, but its online assessment, "The BIG BIG Book," results in thousands of data points that your provider can analyze prior to even meeting you.

To begin services, either click the “Book now” button on a therapist’s bio or request more information on the contact page. Couples Therapy Inc.'s administrative team that will help you figure out whether couples therapy, couples counseling, or weekend intensives might be best for you. They’ll also answer any other questions you might have prior to signing up.

The sign-up process also includes free consultations with the client services team and the therapist of your choice (more details on that below). This free consultation process may feel more personalized than other companies’ automatic algorithmic matching and upfront fees.

Since Couples Therapy Inc. has a relatively small number of U.S. and international providers compared to bigger companies like Betterhelp (which boasts thousands), the company warns that it may take a week or more before you hear back from your new therapist. 

However, most of the clients we surveyed didn’t wait that long:

  • Twenty-five percent said they heard from their therapist within a day.
  • Thirty-nine percent noted that they heard back within two days.
  • Eighteen percent reported waiting up to a week.
  • Sixteen percent waited up to two weeks or more, 
  • Two percent answered that they didn’t remember how long they had waited.


Seventy-five percent of survey respondents rated Couples Therapy Inc.’s prices as very good or excellent. 

That being said, we must note that our respondents skewed toward the higher end of the socioeconomic scale: Sixty-six percent had annual household incomes of $100,000 or more while the Census Bureau found that the median household income in 2020 was $67,521. Because of this, many couples may not find Couples Therapy Inc. to be affordable.

As a whole, the company is more expensive than most of the other online companies we reviewed, particularly because insurers very rarely cover couples and marriage counseling. 

The company says this is because its specialty is evidence-based relationship therapy, which goes above and beyond what other platforms offer, and so the prices reflect this advanced training, certifications, and licenses.

Couples Therapy Inc.'s Prices Compared to Other Therapy Options

What Are Couples Therapy Inc.’s Prices?

The prices vary depending on the service you choose:

  • Couples coaching ranges from $119 to $199 for a 50-minute session, depending on whether you choose to work with a licensed therapist or a relationship coach (more details on that below).
  • Couples therapy for couples and individuals begins at $159 and runs up to $250 per 50-minute session. 
  • Weekend intensive retreats cost anywhere from $2,500 to $5,000 or more, depending on the location and the credentials of the therapist who will work with you the entire weekend. This cost also does not include lodging and food for in-person retreats. There is also no indication that virtual retreats come with any kind of discount, which may deter therapy seekers who don’t want to spend thousands of dollars to sit in their living rooms looking at a computer all day. 

Intensives start with a session from 6 to 8 p.m. on Friday and sessions from 9:30 a.m. to 4:30 p.m. local time on Saturday and Sunday, with plenty of scheduled breaks. Modified intensives spread a weekend intensive out over several weeks, which may be more realistic for busy couples. 

If you’re unable to fit a weekend intensive into your schedule, the providers also offer modified intensives that spread the two-hour sessions out over a few weeks. The cost ranges from $238 to $438, depending on your location and provider.

The homepage also advertises a course called "Upgrade Your Couples Therapy," which is free if you sign up for an account. You can also download ebooks like "Infidelity: How You Can Heal and Move On" ($18.95 for the ebook only; $20.95 for a premium bundle including the ebook, audiobook, and bonus features).

Does Couples Therapy Inc. Offer Subscription Plans?

No. Sessions are scheduled a la carte.

Is There a Free Trial? 

The company offers two free consultations:

  • The first is a 20-minute call with the client support team, who will assess whether the service is right for you, help you decide which Couples Therapy Inc. provider sounds like the best fit, and answer any other questions. 
  • Your next free consultation is a 15-minute call with the therapist of your choice. This is an advantage over most of the other companies we surveyed, many of which charge for multiple sessions upfront and/or use algorithms to connect each user with one therapist.

Does Couples Therapy Inc. Accept Insurance?

No. This is because the majority of health insurance plans only cover therapy to treat an official diagnosis and couples therapy doesn’t serve this purpose. 

However, the company can still provide superbills to submit to your health insurance company for possible reimbursement in case your plan does offer something. 

Couples Therapy Inc. notes that the insurance code 90847 (couples or family therapy with the client present) allows for coverage, but the sessions must focus on one partner, rather than both or all of the partners as a unit, which is not true couples counseling.

Can You Change or Cancel Your Subscription?

Since Couples Counseling Inc. does not offer subscriptions plans, users can control the number of therapy sessions they book. Rescheduling and adding additional sessions can be arranged directly with your therapist.

Weekend intensives are booked and paid for fairly far in advance; in order to be refunded, you must cancel with at least 60 days’ notice. The company noted in its response that exceptions may be made on a case-by-case basis.

Are There Discounts Available?

Couples Therapy Inc. does not offer financial aid or a sliding payment scale, instead recommending in its FAQs that potential clients who can’t afford the full out-of-pocket cost seek no-interest payment plans through PayPal. 

Similarly, therapy seekers are directed to “c​​heck [their] listings for community service organizations providing low or no-cost services.” This is a missed opportunity for Couples Therapy Inc. because many of its competitors link to a resource page that recommends options to potential users, rather than force them to do their own research.

Active military families are offered a $5 discount on the ebook, "Military Families: Thrive Before, During, and After Deployment"—normally priced at $17.99 for the premium bundle which includes an audio version of the book—by entering the coupon code “VALOR” during the checkout process.

Ease of Use

To schedule sessions and weekend intensives, contact the administrative team to discuss your needs as a couple, the dates and times that your prospective provider is available, and how to submit the payment needed to reserve your intensive. 

You can also click “Book now” on a provider’s bio and fill out a brief form with your name, email, location, and the services you’re interested in; the provider will reach out to schedule a meet-and-greet session.

Eighty-six percent of surveyed users reported that the speed at which they heard a response from the therapist was either very good or excellent.

Seventy-eight percent of those surveyed thought the platform’s user-friendliness was either very good or excellent, and 94% found the video and platform quality to be very good or excellent.

Couples Therapy Inc. does not offer sessions via messaging or live chat—only video or in person. This is because the company says its therapists need to be able to read body language and microexpressions for the best outcomes.

We couldn’t find a statement of accessibility for disabled users, unlike most of the other companies we reviewed. Without this awareness, people using screen readers and other forms of augmentative and alternative communication (AAC) may not be able to access the service. 

Although Couples Therapy Inc.’s providers collectively speak nine languages, the company does not mention if at least one of those is sign language, which may deter people who are d/Deaf and hard of hearing. Not all speakers of ASL (and/or other countries’ sign languages) communicate in English. There is no information about whether the video platform offers automatic captions. 

Seventy-one percent of our respondents rated the switching process as easy or very easy.

Contact the service team and explain why you want to try a new therapist or coach and which kind would be best for your situation. The team will then help you choose a new therapist and schedule a consultation with them. 

Therapists' Qualifications and Quality of Care

When it came to choosing Couples Therapy Inc., 87% of the company’s respondents said that the staff’s qualifications and expertise played a significant role. The company prides itself on having multiple staff members with 20 to 30 years of experience.

Eighty-five percent said they found the therapists’ qualifications to be either very good or excellent. 

Due to its high standards for training and expertise, Couples Therapy Inc. has a smaller pool of professionals than many of the other companies we reviewed. Its 27 therapists and coaches' qualifications include MFT (marriage and family therapist), MHC (mental health counselor), LCSW (licensed clinical social worker), LPCC (licensed professional clinical counselor), and PsyD (clinical psychologist). Each specialist must earn at least a master’s degree and receive some training in the Gottman method and/or EFT.

Couples Therapy Inc. began as a private practice that later added an online component, and it employs and oversees its staff, rather than merely connecting people with independent providers. This gives the company a leg up on some of its competitors who do not cultivate professional training and development. As mentioned previously, eight staff members are certified Gottman therapists.

Ninety-six percent of users said they were either satisfied or very satisfied with Couples Therapy Inc.’s available therapist options.

Couples Therapy Inc. serves therapy seekers in 36 U.S. states, as well as Ireland, Australia, and Vancouver, British Columbia. The “Therapists near me” page indicates that the company is either pending or hiring in the rest of the U.S. states. 

If no therapists are available in your state, you’re welcome to pursue coaching sessions with a provider through the company (which costs a little less, as noted above, but is available nationwide). Just remember that couples coaching is not actual therapy.  You may only receive actual therapy from clinicians who are licensed in your state. 

There is only one minister available for couples who want therapy from a Christian perspective. If that’s on your must-have list, Faithful Counseling may be a good option to try instead. (However, the company may not offer providers who are trained in the Gottman method, EFT, or discernment therapy like Couples Therapy Inc. does.)

It appears that most clients have to switch therapists at least once before finding the right match. Only 20% found a good match the first time:

  • Thirty-six percent of the people we surveyed reported seeing two different therapists while with the service.
  • Forty percent reported seeing three therapists.
  • Twenty-two percent saw four or more. 

Types of Therapy Offered

Couples Therapy Inc. specializes in therapy for couples and individuals looking to improve their relationship skills. As a result, it told us that the bulk of its business is its weekend relationship and sexuality retreats. 

The company specializes in many types of therapy and coaching that other companies we reviewed don’t, including:

The latter modality, EFT, has been well researched, with studies finding it to improve relationships more reliably than most other evidence-based relationship therapy models. This gives credence to the company’s claim that its services are 70% to 90% effective in restoring and deepening connections.

Couples Therapy Inc., like the other couples-focused companies we reviewed, does not offer psychiatric services or medication management. Instead, clients who require medications are referred to local practitioners for evaluation. 

Privacy Policies

In terms of HIPAA compliance, Couples Therapy Inc. told us that it “follow[s] industry standards for privacy;” its FAQ page repeats this verbatim. This is vague compared to its competitors, the majority of which clearly spell out their security measures, such as whether they use data encryption and secure servers.

The company’s Privacy Policy notes that its browser cookies and web beacons automatically collect data that includes your mobile device or browser, length of time spent on the site, and “other diagnostic data.” The page also clarifies that Couples Therapy Inc. may use your data to analyze the performance of its promotional campaigns, and/or contact you with notifications or special offers. It also reserves the right to utilize this data to “compar[e] the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.”

The company also outlines which third parties the company may share your personal information to, which includes other businesses (in the event that Couples Therapy Inc. is acquired by another company), affiliates, business partners, and law enforcement. 

Anything you share on the site is considered publicly visible, so it’s best not to include any personal information.

The policy includes the disclaimer that while privacy is important to Couples Therapy Inc., no transmission of information online is 100% secure, and that use of the site and its services are at your own risk.

While some online services allow you some amount of anonymity (usually by using nicknames), Couples Therapy Inc. requires clients to provide personal details and emergency contact information. 

However, your assessment and individual communication with your shared therapist is not shared with your significant other, making it easier and faster to be honest and open and have a better chance at making genuine progress with your partner.

Couples Therapy Inc. told us that you can obtain your records or have them sent to other medical professionals within 48 hours by submitting a medical release consent form. 

If your therapist decides you need a different type of therapy, medication management, or more help than they can offer, the company will refer you to a suitable local resource. Its providers also file formal reports to emergency responders or local law enforcement, as is required by law.

According to Couples Counseling Inc’s questionnaire response, this service is not appropriate for anyone experiencing intimate partner violence or abuse, and/or who are in active crisis. This service is for relationship enhancement only and does not replace the need for a primary psychologist or medical doctor.

Overall Client Satisfaction

Seventy-six percent of current users we surveyed rated the services they received through Couples Therapy Inc. as either very good or excellent, and an identical 76% rated the service’s value that highly.

Of those who had used other online therapy platforms in the past, 76% rated Couples Therapy Inc. as better or much better than their previous service(s).

According to the survey, a fairly good percentage stick with Couples Therapy Inc. for a while: 

  • Twelve percent of respondents were clients of three months or less. 
  • Twenty-eight percent had been with the service for three to six months. 
  • Thirty-two percent had been clients for six to 12 months.
  • Twenty percent had used Couples Therapy Inc. for one to two years.
  • Eight percent had used the service for longer than that. 

Additionally, 92% told us they were likely or very likely to be working with a Couples Therapy Inc. coach or therapist a year from now.

Ninety-five percent of users reported that they were either likely or very likely to recommend someone like themselves to Couples Therapy Inc.

Is Couples Therapy Inc. Right For You?

Couples Therapy Inc. seems well suited for clients who want to resolve relationship conflicts, improve communication skills, and renew or increase their sense of connection with their partners. 

Its intensive retreats, if you can afford them, allow you to focus solely on in-depth relationship issues that are often overlooked by other services that don’t offer services like sex therapy, affair recovery, and discernment counseling.

However, Couples Therapy Inc. is also more of a commitment in terms of time, energy, and possibly money. If you’re not looking for intensive counseling, a more affordable service such as Talkspace or ReGain may serve you better.

The site states that some of its therapists have certification in counseling couples with one or more neurodivergent (ND) members. However, it’s hard to tell how knowledgeable these providers are. Some blog posts written by the therapists refer to “Asperger’s,” which no longer appears in the DSM, and is considered offensive by many ND people due to Dr. Hans Asperger’s association with Nazi Germany. As a result, it might not be a fit if you or your partner(s) are neurodivergent. 

Additionally, the company claims it serves the LGBTQIA+ community, but the page about its offerings only discusses Gottman’s findings on lesbian and gay couples, which leaves out most of the other letters in the acronym. “Transgender” does not appear on the site except for a mention in marriage and family therapist Lisa Lund’s bio; “intersex” is nowhere to be found either. This may deter some members of the LGBTQIA+ community.

Despite this, survey respondents who were currently using Couples Therapy Inc.'s services were 20% non-heterosexual and 20% transgender, while the clientele of the average company we reviewed were 12% trans and 15% asexual, bisexual, gay, lesbian, pansexual, queer, or another sexuality. This puts the company, along with Sesh and Kip Therapy, in a three-way tie for the highest number of trans clients (though there are companies with more LGBQIA+ users).

Couples Therapy Inc.’s website makes no mention of how many members of polyamorous relationships are able to participate in therapy and intensives together, which again, may prompt potential clients to investigate other services.

Couples Therapy Inc. does not provide therapeutic mental health care and is not an emergency service, so it cannot help people who are in crisis, and/or dealing with active abuse or addiction, or who need inpatient care. People with psychotic disorders or a history of psychosis are also not a good fit. It is also not a service for anyone under the age of 18. 

Couples Therapy Inc. vs. ReGain

The two companies are similar in terms of specialization in relationship therapy and counseling, but they diverge in terms of their providers’ techniques and services. 

ReGain, as a subsidiary of Betterhelp, is a large company with the goal of providing counseling to as many people as possible using thousands of U.S.-based therapists. Couples Therapy Inc., meanwhile, has only 27 providers with advanced training and certification who can counsel people in 30 states and four countries as of October 2021. 

With a smaller staff, Couples Therapy Inc. displays the bios of all of its providers and lets you choose with help from the company’s customer support, whereas ReGain uses an algorithm to match you directly with a therapist.

Twenty-five percent of Couples Therapy Inc. users and 17% of ReGain users considered therapist qualifications to be the respective companies’ greatest strengths. Both companies require their counselors, therapists, and social workers to be licensed and have plenty of hands-on experience in the field before joining the platform; however, Couples Therapy Inc. requires advanced training in the Gottman method and/or EFT. 

Both companies provide individual counseling, premarital counseling, and couples counseling or therapy sessions via video-sessions. 

Couples Therapy Inc.’s sessions are 50 minutes (compared to ReGain’s 30 to 45 minute sessions) and it also provides in-person sessions, weekend-long in-person or virtual intensives, and free/paid self-guided courses and ebooks. 

ReGain does offer the option to do audio sessions and message your therapist at any time, though.

The respective sites both feature helpful articles about relationships via Couples Therapy Inc.’s blog and ReGain’s advice page

Website Comparison: Couples Therapy Inc. vs ReGain

Couples Therapy Inc.’s services are significantly more expensive than ReGain’s monthly subscription:

  • Couples Therapy Inc.’s weekly sessions range from $159 to $250 each; private weekend intensives start at $2,500 and go up to $5,000 or more.
  • ReGain’s four weekly sessions (billed monthly) range from $240 to $480, depending on your location and therapist availability.

Neither company accepts insurance, and both caution that your chances of getting even partial reimbursement for your out-of-pocket costs are very low; still, therapists at both services can provide receipts for you to submit a claim to your insurer. 

Seventy-six percent of Couples Therapy Inc. users and 77% of ReGain users said their services were either very good or excellent; 95% of both Couples Therapy Inc. and ReGain clients said they were either likely or very likely to refer someone like themselves to their respective services.

In addition, 92% of Couples Therapy Inc. users and 90% of ReGain users reported they were either likely or very likely to still be seeing a therapist within the company a year from now. 

Of those we surveyed that had previously tried other therapy services, 76% of Couples Therapy Inc. users thought that services were either better or much better than those of other companies. In contrast, a higher 83% of ReGain users reported the same. 

Final Verdict

Couples Therapy Inc. is an excellent choice for couples seeking therapists with advanced training in evidence-based couples therapy.

Its high-quality sessions and intensives are designed to bring about genuine progress in relationship(s)—whether leading to a stronger, renewed connection or divorce. The company's small staff is scientifically backed to guide couples to become happier together (or apart, if that is ultimately the best option).

The trade-off, however, is that its out-of-pocket prices—especially its intensives—are likely unaffordable for many.


Our methodology for evaluating online therapy companies is comprehensive and data-driven. As mentioned above, we sent questionnaires to 33 companies and surveyed 100 current users of each in order to gather qualitative and quantitative data about each company and its users’ experiences.

Specifically, we evaluated each company on website usability, sign-up process, subscription offerings, client privacy protections, and how easy it is to change therapists. We then looked at therapist qualifications, the types of therapy offered quality of care, client-therapist communication options, session length, and the therapist assignment process. Finally, we assessed cost, value for money, whether the companies take insurance, overall user satisfaction, and the likelihood clients would recommend them. 

3 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. The Gottman Institute. About The Gottman Method

  2. Semega J, Shrider EA, Kollar M, Chen F, Semega J. Income and poverty in the United States: 2020. U.S. Census Bureau. Washington, DC: U.S. Government Publishing Office; 2020.

  3. Beasley CC, Ager R. Emotionally focused couples therapy: A systematic review of its effectiveness over the past 19 years. J Evid Based Soc Work. 2019 Jan 3:1-16. doi:10.1080/23761407.2018.1563013

By Mary K. Tatum, MS, LMHC
Mary is a licensed mental health counselor and psychotherapist with 15 years of experience working in the psychology field. She earned a Bachelor of Science in psychology from Bluefield College and a Master of Science in Psychology from Palm Beach Atlantic University. She began in social work and then moved to drug rehab settings, working as a therapist, group facilitator, and clinical director. She specializes in family dynamic systems, trauma recovery, improving resilience, addiction recovery, and the psychology of successful business management.

Additional research by
Ray Finch
Ray Finch

Ray is a special projects editor on the performance marketing team.

Learn about our editorial process
Edited by
Ray Finch
Ray Finch

Ray is a special projects editor on the performance marketing team.

Learn about our editorial process
Simone Scully

Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

Learn about our editorial process