Best Online Sex Therapy

Best Overall: Talkspace

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Key Specs

• Price: $276-$516+ a month
• Platforms: Website and app 
• Free Consultation: No

Why We Chose It

With multiple price points for different plans based on your communication preferences, Talkspace is our top choice for sex therapy because it offers services throughout the United States and internationally. 

Pros & Cons  

Overview

Many of Talkspace’s providers are trained in sex therapy, and the service is more affordable than its competitors. With plans for messaging, live therapy, or both, users can focus on the type of communication that works best for them. 

Talkspace performs background checks on all its therapists to confirm licensing and credentials. Sex therapy is available in all states for individuals and couples via the Talkspace therapist directory. To be matched with a therapist, you’ll answer a series of questions, so you’ll be able to share that you’re specifically seeking sex therapy to be matched with an appropriate provider. Alternatively, you can search the online therapist database for therapists in your area, and check if they offer sex therapy services. The platform makes it easy to switch therapists if your first one isn’t a perfect fit. 

For messaging, Talkspace therapists are available five days per week and typically respond within four to six hours on business days. For the live therapy plan, you’ll receive one session per week.

Plans & Pricing

There are three different plans to choose from at Talkspace:

• Unlimited messaging plan: Starts at $276 per month
• Live therapy plan: Starts at around $396 per month
• Live therapy plus unlimited messaging plan: Starts at around $516 per week 

Subscriptions can be canceled any time and can also be paused for seven days at a time. There is no free consultation or assessment.

Best for Couples: ReGain

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Key Specs

• Price: $60-$90/week subscription, billed every four weeks
• Platforms: Website and app 
• Free Consultation: No

Why We Chose It 

With relationship therapy as its focus, ReGain serves both individuals and couples looking to improve the quality of their connections. Its pricing structure is similar to BetterHelp's. 

Pros & Cons  

Overview  

With a business model centered around helping you improve your personal relationships, ReGain is a subscription-based therapy platform that is affordably priced at around $60 to $90 per week (though you’re billed monthly and the exact price you pay varies depending on your location); the pricing is the same as BetterHelp because it is a subsidiary. Like BetterHelp, it’s available in all 50 states and around the world. 

While relationships are the focus at ReGain, you can choose whether or not to include your partner(s) in your therapy sessions. If you prefer to speak to a therapist individually,  that won’t be a problem. 

ReGain’s sex therapists offer therapy types such as Imago relationship therapy (IRT), Focusing on the Positive, the Gottman Method, emotionally focused therapy, narrative therapy, and couples worksheets. For those who want sex therapy that centers around their relationship(s), ReGain is an ideal choice. Sessions are 30 to 40 minutes in length and can be accessed via video or phone. 

Plans & Pricing

ReGain offers one therapy plan, but the price ranges from $60 to $90/week (billed every four weeks) depending on where you live. 

You are matched with your therapist with this plan and get four weekly video sessions. You can also message your therapist through the app between sessions. 

Best Budget: Thriveworks

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Key Specs

• Price: $39 monthly, plus $99 per session without insurance
• Platforms: Website and app
• Free Consultation: No

Why We Chose It  

Thriveworks typically has therapists available within 48 hours and accepts most insurance plans, meaning you’ll only be responsible for a copay for your visit.

Pros & Cons  

Overview 

Unlike many online therapy providers, Thriveworks accepts most insurance plans and is in-network for them. That means that after the $39 monthly membership fee, if you have insurance, you’ll only need to pay a copay for your appointments. 

Thriveworks’ sex therapy department is called Chesterfield Sex Therapy, and its services are available both online and in person. Thriveworks enables you to see a sex therapist alone or as a couple, and is available in 44 states plus Washington, DC. You can choose your own therapist or be matched, and many therapists have quick availability. 

You’ll be able to see a sex therapist as often as you choose, paying your copay or the out-of-pocket cost in addition to your membership fee, and you can message therapists between sessions. The cancellation policy is more flexible than many, allowing you to cancel up to 23.5 hours ahead of your scheduled appointment. 

Plans & Pricing

Online sex therapy at Thriveworks costs $39 per month for a membership, plus therapist fee or copay; the $39 can be waived with hardship claim. There are no different plans to choose from.

You will schedule your sessions via the Thriveworks website or apps. Most therapists have a lot of availability and flexibility for their sessions. 

Best for Communication: The Center for Mental and Sexual Health

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Key Specs

• Price: $200 intake session, then $155 individual or $180 couples per session (or insurance copay)
• Platforms: Video; in person in limited areas
• Free Consultation: Yes

Why We Chose It

By providing customized therapy plans for each patient, The Center for Mental and Sexual Health serves individuals and couples, and centers straightforward communication around sex.

Pros & Cons

Overview 

Speak frankly about your sexual issues free of judgment with a counselor at The Center for Mental and Sexual Health. Fifteen-minute free consultations are given to all patients—whether you’re seeking individual, couples, or polytherapy—and the Center has therapy modalities to serve each, such as Gottman Method and CBT. 

You can choose your own therapist, or have one selected for you based on your needs, and therapists are trained to work with issues around sexuality, trauma, and more. The Center for Mental and Sexual Health accepts insurance in Washington and Colorado, and will soon be in Florida. Because it doesn’t have therapists in all states, whether you can access one in yours depends on your state’s laws around telehealth. 

Plans & Pricing

Online sex therapy costs $200 for the intake session, then $155 for individuals or $180 for couples, or insurance copay. There are bulk discounts available for upfront pay for multiple sessions.

You will schedule your sessions through the website or by phone, but have your sessions either via video call or in person (depending on where you live). 

Best for LGBTQIA+: The Expansive Group

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Key Specs

• Price: $140-$250 session
• Platforms: Web-based video
• Free Consultation: No

Why We Chose It  

A team of LGBTQIA+ affirming therapists offers therapy and coaching that focuses on sex and gender issues. The Expansive Group also has online courses.

Pros & Cons  

Overview

For any LGBTQIA+ person who doesn’t want to worry if a sex therapist will be affirming of your identity, The Expansive Group allows you to breathe a sigh of relief. It works with both individuals and couples, and offers specialized therapy, such as trauma-informed, attachment, and psychodynamic therapy. Its telehealth services are available in all states. 

Founded by a sex therapist certified by the American Association of Sexuality Educators, Counselors, and Therapists (AASECT) who specializes in gender and sexual diversity, The Expansive Group has a highly diverse leadership team and provides a welcoming, safe space for LGBTQIA+ patients to obtain sex therapy. Its therapists and coaches speak frankly about sex in media and on the company’s podcast. The company offers sliding scale therapy for those who can’t afford its services, although the waiting list for that is currently full. 

Plans & Pricing

Online sex therapy at The Expansive Group costs $140 to $250 per session. There are no different plans to choose from at this company. 

Best Directory: American Board of Sexology

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Key Specs

• Price: Varies by provider
• Platforms: Varies by provider
• Free Consultation: Varies by provider

Why We Chose It 

The American Board of Sexology has a directory through which you can find a board-certified sexologist anywhere in the world. It is a one-stop shop for finding sex therapists that serve your area. 

Pros & Cons  

Overview 

On the American Board of Sexology website, every state has an icon,  and when you click it, it populates photos and names of the sex therapists in that state. Every bio can be clicked on, and information about how to reach them is included. You can also search for board-certified sexologists in other countries around the world, or by individual cities within states in the U.S. As can be anticipated, major cities feature dozens of profiles; smaller cities and more rural areas have fewer. 

The website also offers many resources, including books and articles on sexology, information about webinars and events, licensing info, and jobs in the field. There is even information about different types of sexology certifications, so you can be fully clear about what the therapist you choose has studied. Because this is a directory, not a therapy service company, all therapy is conducted directly through providers or the platforms they’re associated with, not this site. 

Plans & Pricing

Because this is a directory, the rates for online sex therapy vary depending on the provider you decide to work with. It is also up to you to reach out to the therapists (through the contact icons on their bios) to schedule a free consultation (if offered), assessment, or first session.

Best for Polyamorous Couples: Modern Intimacy

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Key Specs

• Price: $150-$300 per session
• Platforms: Video
• Free Consultation: Yes

Why We Chose It 

Modern Intimacy offers judgment-free sex therapy for diverse clientele, and caters to polyamorous and other relationship models.  

Pros & Cons  

Overview

Sex therapy is guaranteed to be sex-positive with Modern Intimacy, a platform that believes “everyone has the right to empowered, healthy, and thriving relationships.” Its policy is to be discrimination-free, and its therapists are available to help people navigate issues such as sexuality, gender identity, kink and fetishism, and relationship dynamics and models. 

The company has locations in six cities, and telehealth is currently available in California, New York, Florida, Illinois, and Colorado. Its sex therapists belong to the American Association of Sexuality Educators, Counselors and Therapists (AASECT), and are trained in modalities such as trauma yoga, eye movement desensitization and reprocessing (EDMR), and NeuroAffective Touch. You can work with them individually, or with your partner or partners. If Modern Intimacy currently doesn’t offer telehealth services in your area, you can receive help via its numerous online courses and podcast.

Plans & Pricing

Online sex therapy costs at Modern Intimacy costs $150 to $300 per session, depending on the provider you work with. However, you can schedule a free 30-minute assessment before beginning regular sex therapy sessions.

Best for Intimacy: Blueheart

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Key Specs

• Price: $90/year or $30/month
• Platforms: App
• Free Consultation: 14-day free trial

Why We Chose It  

A relationship-building app that says its users feel 70% closer to their partner in only two weeks, Blueheart is an affordable alternative to traditional sex therapy for enhancing intimacy. Therapy plans are personalized, and there is a sex therapy option available.

Pros & Cons  

Overview  

Anyone struggling to conduct live sessions with a sex therapist has a viable alternative thanks to Blueheart, an intimacy-building app that can be used alone or with a partner. You’ll take an online assessment for free, then before you have to pay, you have two weeks to try out the activities prescribed to you based on that assessment. 

Plans are six months long and tailored to each person based on their needs. Those looking to focus on sex therapy will have their plans reviewed by qualified sex therapists. 

Blueheart enables you to access advice anytime, without scheduling, by using the app and working on the exercises you’re given in your own time. While it doesn’t offer traditional sex therapy directly with a therapist, the service provides a viable alternative for a small fraction of the cost and helps users enhance intimacy and work through relationship problems with their loved one.

Plans & Pricing

There are two different plans to choose from at Blueheart: one costs $90/year and the other costs $30/month. Since this is an app, there is no need to schedule sessions—you can just use the platform whenever you want. You can also sign up for a 14-day free trial.