Best Online Family Counseling

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When it comes to resolving issues in the family, there’s no one-size-fits-all approach. While friends and other parents can offer advice for addressing problems with relationships, families have unique conflicts and communication styles that may need more dedicated, specific attention. 

That’s why family therapy can be helpful in addressing the unique needs of your family. Studies have shown that family therapy can play a positive role in creating a better home environment, resolving family conflicts, and strengthening family relationships. It can be difficult to find a time to get everyone together for therapy in person, though, which is why online therapy might be a better option for busy families. 

Some companies offer family subscriptions or group sessions, while others offer individual sessions for kids, teens, or parents with experienced family therapists to work on their issues one-on-one if they don’t have the time for the whole family to come together at once. In order to determine the best online counseling companies that cater to families, we surveyed 100 users of 33 different companies that provide therapy services. We also sent detailed questionnaires to the businesses themselves in order to gain further information. Here are the best companies that provide online therapy, according to our research.

Best Online Family Counseling of 2022

Why Trust Us We surveyed 100 users from each online therapy company and asked the companies to complete questionnaires. Then, we conducted comprehensive research with a psychotherapist. Read our Full Methodology
33 Companies reviewed
3,497 Total users surveyed
300 Data points analyzed

Best Overall : Rethink My Therapy

Verywell's Rating
4.0

Rethink My Therapy Logo
  • Price: $99-$159 per month
  • Is Insurance Accepted?: No
  • Communication Options: Audio, Video Chat
Why We Chose It

Rethink My Therapy pairs affordable individual, couples, and family therapy sessions with medication management and a convenient seven-day free trial.

Pros & Cons
Pros
  • Affordable subscription rates

  • Offers medication management services

  • Offers individual, couples, and family sessions

  • Free trial

Cons
  • Does not accept insurance

  • Text messaging not available yet

Overview

Rethink My Therapy is one of the few online therapy companies that specifically offers a family therapy subscription, so it’s the clear overall winner. The company’s therapists are trained to address grief, bullying, parenting, family conflict, relationship issues, and other mental health concerns, such as depression, stress and anxiety, and substance abuse.

Rethink My Therapy’s behavioral health services are also available to minors 10 years old and older, as long as their parents or guardians consent. The company also provides learning modules to help parents learn more about common child struggles, including sleep difficulties, ADHD, and bullying.

Family users meet with their therapists via video consultations or telephone visits. Many of the providers are also available during evenings and weekends. Once you choose a therapist, you can schedule an appointment with them directly.

Rethink My Therapy was also one of the highest-rated services of all the 33 companies we reviewed. Eighty percent of the users rated the services they received through the company as either very good or excellent, and 82% said its value was very good or excellent for the money spent. Eighty-nine percent of users reported that they were either likely or very likely to recommend Rethink My Therapy to someone like them.

Plans & Pricing


Rethink My Therapy offers three subscription plans, which include 30- to 60-minute sessions with a therapist:

  • The Singles Plan: $99 per month; includes 24/7 access to virtual primary care and $0 copays for access to a therapist or psychiatrist as needed for virtual live sessions
  • The Couples Plan: $129 per month for two individual accounts with 24/7 access to virtual primary care, and $0 copays for individual or joint virtual therapy or psychiatry sessions
  • The Family/Children’s Plan: $159 per month; up to four individual accounts for 24/7 access to virtual primary care, again with $0 copays 

Rethink My Therapy is one of the few companies that offers a free seven-day trial in addition to affordable subscription plans.

Best for Improving Communication : TeenCounseling

Verywell's Rating
3.1

Teen Counseling Review
  • Price: $240 to $400 per month
  • Is Insurance Accepted?: No
  • Communication Options: Audio, Live Chat, Messaging, Video Chat
Why We Chose It

Providing therapy services to parents and teens, Teen Counseling can help families cope with issues such as anger, stress, low self-esteem, and bullying, and provide them with skills needed to communicate better and improve relationships.

Pros & Cons
Pros
  • All therapists are licensed

  • Serves teens 13–19

  • Offers therapy to parents looking for parenting advice

  • Several communication options available

Cons
  • No psychiatrists on staff

  • Pricing ranges depending on therapists and location

Overview

Parents of teens know that many familial relationship issues stem from poor communication skills. Teen Counseling, owned by BetterHelp, aims to improve the relationships between teens and their parents by matching them with therapists who specialize in teen mental health and parenting issues. 

Teen Counseling’s therapists are all licensed and have master’s degrees, though some also have PhDs. They also have a minimum of three years and 1,000 clinical hours of experience treating patients. These therapists can offer parents advice and support for communicating with and supporting their teens and can help teens develop coping skills and provide resources for dealing with mental health or relationship issues.  

The subscription plan includes dedicated private “rooms”—one for the parent and one for the teen. The rooms are separate and confidential; information will not be shared from room to room without consent unless it’s an emergency. You can communicate with your therapist through messaging, live chats, phone calls, and video sessions.

Seventy percent of the users we surveyed said the services they received through Teen Counseling were either very good or excellent, and 64% said its value was very good or excellent for the money spent. Eighty-four percent of users also reported that they were either likely or very likely to recommend Teen Counseling to someone like them.

Plans & Pricing

Teen Counseling’s therapy pricing ranges from $60 to $90 a week (billed every four weeks).

Best for Gender Identity Issues : Kip Therapy

Verywell's Rating
3.8

Kip
  • Price: $95 to $250 per session
  • Is Insurance Accepted?: No. Can provide receipt for reimbursement
  • Communication Options: Audio, Video Chat
Why We Chose It

Kip’s skilled therapists help families in New York navigate shifting gender identities and other LGBTQIA+ issues with individualized support.

Pros & Cons
Pros
  • You can choose your therapist

  • Inclusive, culturally relevant care

  • Sessions usually available same- or next-day

  • Offers sliding-scale pricing

Cons
  • Not as affordable as other services

Overview

Kip Therapy was founded in 2013 by Ryan Kull, a therapist and educator with more than 20 years of experience working with patients with sexual orientation and gender identity issues.

In March 2020, New York-based Kip moved its services online to continue to serve families and young people seeking individualized support with mental health challenges, offering individual sessions for teens, parenting sessions, and group therapy for the entire family.

The company’s team of therapists are trained and experienced in addressing the needs and experiences of LGBTQIA+ and questioning kids and adults alike. Kip therapists can also help parents of transgender or gender-nonconforming children manage the complex dynamics that can come up in families.

Overall, 75% of the Kip clients we surveyed said their services were very good or excellent, and 80% reported finding Kip a very good or excellent value.

Plans & Pricing

Kip Therapy doesn’t offer a monthly subscription, but therapy is built on a sliding scale, and rates depend on therapists’ level of experience and expertise in certain areas:

  • Tier I: $95 per session with a graduate intern 
  • Tier II: $150 per session with a postgraduate fellow
  • Tier III: $170 per session with an advanced practitioner 
  • Tier IV: $195-225 per session with a senior clinician

Sessions at Kip are conducted over video or phone calls, and its website features free resources and articles covering mental health. The company also offers group therapy dedicated to specific topics or specific communities, such as support for transgender and gender-nonconforming folks.

Best Flexibility : Talkspace

Verywell's Rating
4.2

Talkspace logo
  • Price: $260 to $400 a month; $125-$199 for psychiatric services
  • Is Insurance Accepted?: Yes
  • Communication Options: Audio, Messaging, Phone, Video Chat
Why We Chose It

Talkspace’s network of licensed providers specialize in multiple areas of conflict, including parenting, anger management, relationships, and substance abuse. The company offers a variety of different therapy types, including individual, couples, and teen therapy, as well as psychiatry. 

Pros & Cons
Pros
  • Accepts some insurance plans

  • Variety of communication methods available

  • Offers medication management services

Cons
  • Add-on services can get expensive

  • No group therapy option available

Overview

Although Talkspace doesn’t offer group therapy, it offers counseling and therapy for individuals, couples, and teens, so it can benefit families who prefer to communicate and work with their therapists separately to address family relationships and conflicts.

The variety of communication methods available on Talkspace—and the ability to send messages to therapists anytime, day or night—may be especially appealing to teens. Users can also communicate via audio messaging, phone calls, or video conferencing. Once you are matched with your therapist, you receive access to a private “room,” where you can message your therapist and receive a guaranteed response at least once a day. 

Sixty-five percent of users we surveyed rated Talkspace’s value as either very good or excellent for the money spent. However, 93% shared that it is likely or very likely they would recommend Talkspace to someone like themselves. Overall, 69% of users said they rate Talkspace as either very good or excellent.

Talkspace therapists also address various topics that may affect family relationships and contribute to conflicts. These include addiction, parenting, bullying, spiritual and faith issues, anxiety, depression, trauma, ADHD, and more.

Plans & Pricing

Talkspace offers several subscription plan options, ranging in price from $69 to over $129 a week, depending on your location and method of communication. However, the most basic Talkspace plan is an affordable text-based therapy-only plan. Plans that include weekly live sessions are more expensive. 

Psychiatric services are billed separately and cost $249 for an initial evaluation and $125 for every follow-up visit.

It is important to note that while Talkspace caters to teens and parents, each family member will need their own individual subscription.

Best on a Budget : Thriveworks


Thriveworks
  • Price: $15-$40 per session with insurance; $65-$140 per session without insurance; $39 initial enrollment fee
  • Is Insurance Accepted?: Yes
  • Communication Options: Audio, Phone, Video Chat
Why We Chose It

Thriveworks aims to offer premium counseling online and in-person at affordable self-pay rates.

Pros & Cons
Pros
  • Accepts insurance

  • Offers in-person counseling in more than 300 locations

  • Same- and next-day sessions available

  • Sessions are 50 to 60 minutes long

Cons
  • Not all locations offer psychiatric services

  • Offers counseling rather than therapy

Overview

Founded in 2008 as a single counseling office, Thriveworks has since grown to over 300 centers across the U.S., as well as an online counseling platform with more than 2,000 clinicians. The company provides the ability to book and attend counseling sessions online, contact your provider via phone and email, and get 24/7 text support.

Depending on the location, Thriveworks offers family therapy, couples therapy, child therapy, and individual therapy. Its therapists use a variety of family-oriented therapy approaches to tailor treatment plans to families of different age ranges, abilities, and needs.

Some of the issues Thriveworks counselors address include behavioral problems in children, substance abuse/addiction, financial stress, blended family issues, eating disorders, marital conflict, LGBTQ+ issues, and more.

Plans & Pricing

Thriveworks is in-network with most insurance plans. If the company accepts your insurance, the out-of-pocket cost is typically just a copay—usually around $15 to $40 per session. If you’re not using insurance, the company says fees range from $65 to $140 per session, although prices vary by location or provider. 

Most Thriveworks locations charge an enrollment fee of $39 a month.

Best for Christians : MyCounselor.Online

Verywell's Rating
2.7

MyCounselor.Online Review
  • Price: $110 to $195 per full-price session
  • Is Insurance Accepted?: N/A
  • Communication Options: Video Chat
Why We Chose It

MyCounselor.Online offers Christian family counseling from family therapists, available online through video therapy and in person at offices in three states across the country.

Pros & Cons
Pros
  • Risk-free guarantee for online counseling

  • Offers scholarships and payment plans

  • Counselors share religious background

Cons
  • In-person sessions not available everywhere

  • Does not accept insurance

  • Not LGBTQIA+ friendly

Overview

MyCounselor.Online’s Christian is a faith-based therapy and counseling resource, but it’s also one of the only companies we reviewed that specifically offers family therapy. Its therapists are available to families seeking help managing family conflict, developing parent-child relationships, establishing trust, and navigating parenting challenges.

The company, which has a network of 16 counselors, also offers counseling services for those going through divorce and issues related to blended families, young children, and teenagers. 

Online counseling is done through video, but MyCounselor.Online also offers in-person services at several locations in Colorado, Missouri, and Texas.

MyCounselor.Online also stands out from its Christian online therapy competitors because all of its therapists and counselors undergo a highly selective interview and vetting process, as well as a mandatory 18- to 24-month paid residency based on the company’s proprietary therapeutic model, Neuroscience Informed Christian Counseling (NICC).

All therapists also complete 100 hours of continued education training each year, and advanced-practice therapists also have 5000-10,000+ clinical practice hours, as well as one advanced certification. 

Of the users we surveyed that had tried MyCounselor.Online, 71% reported the services they received as very good or excellent—higher than its Christian competitors, Cornerstone Christian Counseling and Faithful Counseling. In addition, 91% were likely or very likely to recommend someone like them to the company. 

It’s very important to note, however, that LGBTQIA+ folks might want to consider another company. According to MyCounselor.Online’s website, all counselors are professing Christians whose faith and practice are in alignment with the Focus on the Family Statement of Faith and American Association of Christian Counselors (AACC) Code of Ethics. Both organizations believe that God has ordained marriage to be a sacrament between one cisgender man and one cisgender woman. 

Plans & Pricing

Counseling fees at MyCounselor.Online range from $55 to $195 per session, depending on your counselor’s level of experience. Advanced-practice counselors’ fees start at $195 per session; MCO-certified counselors charge $135 per session; and resident counselors’ fees start at  $110 per session. 

The company also offers a scholarship so families can get the help that they need. Scholarships provide one free session followed by five sessions at $55 each.

Compare the Best Online Family Counseling of 2022

Overall Rating Best For
Price
Is Insurance Accepted?
Does it Accept HSA/FSA?
Communication Options
Reset All
Rethink My Therapy
4.0
Best Overall $99-$159 per month No No Audio, Video Chat Sign Up Now
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TeenCounseling
3.1
Best for Improving Communication $240 to $400 per month No No Audio, Live Chat, Messaging, Video Chat Sign Up Now
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Kip Therapy
3.8
Best for Gender Identity Issues $95 to $250 per session No. Can provide receipt for reimbursement No Audio, Video Chat Sign Up Now
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Talkspace
4.2
Best Flexibility $260 to $400 a month; $125-$199 for psychiatric services Yes No Audio, Messaging, Phone, Video Chat Sign Up Now
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Thriveworks Best on a Budget $15-$40 per session with insurance; $65-$140 per session without insurance; $39 initial enrollment fee Yes No Audio, Phone, Video Chat Sign Up Now
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MyCounselor.Online
2.7
Best for Christians $110 to $195 per full-price session N/A Yes Video Chat Sign Up Now
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Final Verdict

Whether you’re experiencing relationship conflicts or behavioral issues in the home, online family therapy can help equip you with the guidance and support to address the issues impacting family life. Overall, Rethink My Therapy is our pick for the best online family therapy. It has a network of thousands of mental health professionals trained to help with improving home environments and managing conflicts. It’s also one of the few online therapy services that offer family group therapy sessions and provide services to minors. However, if you’re a parent looking for help for your teenager or parenting advice, you might prefer Teen Counseling. 

Compare the Best Online Family Therapy

Company Price App Available Platforms Insurance
Rethink My Therapy Best Overall $99 per month for single plan; $129 per month for couples plan; $159 per month for family/children plan No Live video and audio, messaging No
TeenCounseling Best for Improving Communication  $60–$90 per week Yes Live chat, phone, and video No
Kip Therapy Best for Gender Identity Issues $95–$250 per session No Video, phone, in-person in New York City office No
Talkspace Best Flexibility $69-$129 per week Yes Live video, chat, audio, unlimited messaging Yes
Thriveworks Best on a Budget $15–$40 per session with insurance; $65–$140 per session without insurance; $39 enrollment fee No Video, phone, in-person in 300+ locations Yes
MyCounselor.Online Best for Christians $55–$195 per session No Video, phone No

Guide for Choosing the Best Online Family Therapy

What Is Online Family Therapy?

Online family therapy is a virtual type of online counseling that can help family members improve communication, resolve conflicts, and address mental health or substance abuse issues that can impact home and family life.

Specifically, online family therapy, like in-person family therapy, can help family members identify the problems, develop coping and communication skills, and strengthen relationships. 

For example, a 2019 study found that family therapy helped improve different areas of family functioning to help teens who were experiencing mental health problems. A 2018 review found that family therapy could be useful in treating adult-focused problems, including relationship distress, intimate partner violence, mood disorders, anxiety disorders, psychosis, alcohol issues, and adjustment to chronic physical illness.

Is Online Family Therapy as Effective as In-Person Family Therapy?

“Many [of my] clients have expressed finding it beneficial to be able to be in their own space, wrapped in their own cozy blanket, sitting on their own couch while processing challenging emotions or memories,” says Samantha Kingma, a licensed marriage and family therapist in Arizona. “[Online] family and couples therapy have the potential to be even more impactful, because you are able to talk through the conflict or relationship stresses in the exact location where you will continue to interact throughout the week.”

For families with teens, in particular, online therapy may also be beneficial. A 2016 study of teens in Australia found that 72% of adolescents said they would access online therapy if they experienced a mental health problem and required support. 

Of course, as with any therapy, finding an online therapist who is the right fit for the family members is essential. Research has shown that the relationship between the therapist and the client is a reliable predictor of the outcome of therapy. “Connecting online can feel different than an in-person connection, and you will want to find someone who you can form a therapeutic relationship with without ever meeting in person,” says Kingma. 

Is Online Family Therapy Right for You?

If your family is facing challenges impacting daily functioning, experiencing extreme emotional reactions, or suffering from a breakdown in communication, family therapy may be right for you. And if you’re finding that in-person therapy sessions are hard to manage, online family therapy may be helpful. 

“Many clients are finding that dealing with traffic, parking, and sitting in a waiting room are actually elements that increase their stress prior to a therapy appointment,” says Kingma. “Obviously, the goal of therapy typically involves reducing stress, so when online therapy allows us to do the same work without these added stresses, it is a real win.”

Compare Online Family Therapy Providers

When searching for an online family therapy provider that’s right for your family, it’s important to consider these factors:

  • Cost: While some providers accept insurance, many health plans don’t cover telehealth or online therapy. Check with your health plan provider before booking or scheduling your first consultation. 
  • Therapy methods and platforms: Determine if group therapy sessions are essential for your family, or if you would prefer separate sessions for parents and children. Research the online therapy service to see what communication methods are available and which your family would be most comfortable with. Some teens may be more comfortable with messaging and live chat than audio and video, while some families may prefer the face-to-face interaction of live video conferencing.
  • Medication management: If you’re dealing with mental health issues such as anxiety and depression, it’s also important to determine if the online therapy companies you’re considering offer prescription medication services.
  • Services for teens and children: Check if the online therapy provider serves minors. Some companies also offer services especially for teens, which is important if you’re looking to address issues specific to them, such as eating disorders, bullying, grief due to divorce, or stress.

Scheduling Your First Online Family Therapy Session

To avoid possible technical difficulties, check your internet connection in advance or ensure that your audio and microphone are working properly. Before your first session, find a safe, comfortable, and quiet space where you can easily talk and share with family members. 

“If a family or couple is feeling safe enough to be in a separate room from their therapist while they work through issues or concerns, online therapy could be a great fit,” says Kingma. “But if any member of the family or couple is feeling physically or emotionally unsafe, and would feel more comfortable working through difficult topics in the physical presence of a therapist, online therapy may not be the right option.”

Frequently Asked Questions

How much does online family therapy cost?

Pricing for online family therapy may depend on several factors, including your location, therapist experience, or type of therapy involved (psychiatry sessions can cost more, for example). Some online family therapy services are also based on a subscription plan, and some are on a pay-per-session basis. Subscription-based plans can start at $75 a month and can go up to $600 a month, especially if live sessions are included.

Is online family therapy covered by insurance?

It depends.


Insurance companies only pay for “medically necessary” treatment. Under the Affordable Care Act, the Mental Health Parity and Addiction Equity Act, and other federal laws, that includes treatment for diagnosed mental health conditions—which is why individual talk therapy is often covered. However, family therapy (as well as couples counseling) is generally not covered by insurers because needing family therapy is not the result of a medical diagnosis. 

However, family therapy might be covered by an insurer if the need for family therapy arises because one family member does have a mental health condition. In that case, the insurer might cover some sessions as individual therapy where the family is in the room to aid with treatment. 

Determine what is covered by your health insurance plan and check the online therapy companies’ websites to see what might be covered.

Methodology

Our methodology for evaluating online therapy and counseling companies is comprehensive and data-driven. To review the best online therapy programs, we sent questionnaires to 33 companies and surveyed 100 current users of each respective service. In addition, we examined five additional counseling companies that specialize in treating families, using data collectors to gather more information about them in addition to reading user reviews online. We narrowed down our list by analyzing each company’s offering based on price, specialization, locations served, therapist qualifications, user satisfaction, types of therapy, and value for the cost. 

Edited by
Ray Finch
Ray Finch

Ray is a copy editor, fact-checker, mental health writer, and editorial producer with over five years of experience.

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and
Simone Scully
simone-scully-verywell

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.

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Verywell Family 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.
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