Regain

Regain is the most widely used online platform built specifically for couples therapy in the US. The matching process typically takes 24 to 48 hours, and the shared chat room means both partners and the therapist can communicate throughout the week, not just during scheduled sessions. For couples where one person is hesitant, the option to start solo and invite a partner later lowers the barrier to getting started.

Billing runs on four-week cycles rather than calendar months, and Regain doesn’t accept insurance or HSA/FSA. The cost per month is higher than a self-help app but still considerably below in-person rates with a comparably credentialed therapist. For couples who want a licensed professional and the flexibility of remote sessions, it’s a practical first option to look at.