Lasting

There isn’t one single “best” online couples therapy — the right choice depends on your goals (reconciling vs. preventing drift), preferred therapy model, budget, and whether you want live sessions with a licensed clinician or a lower‑cost self‑guided program. Below are strong options in different categories and why you might pick each. Licensed couples therapy (live video sessions) ReGain — Relationship‑focused teletherapy platform with licensed couples therapists. Easy scheduling and messaging options; good if you want the convenience of a platform built specifically for relationships. Zencare — Curated network of vetted, licensed therapists with video intros so you can find a clinician whose style fits. Good if you want higher‑confidence matches and therapists who specialize in couples work. Psychology Today / GoodTherapy directories — Not a therapy service themselves but the most comprehensive way to find local or remote licensed couples therapists, filter by insurance, specialization, and treatment approach. Evidence‑based specialty (if you want a specific model) Gottman Institute therapist directory — If you want the Gottman Method (research‑based, focused on communication and conflict practices), use the Gottman directory to find certified therapists. ICEEFT / EFT therapist directory — For Emotionally Focused Therapy (EFT), which has strong evidence for improving attachment and bonding in couples, search the ICEEFT practitioner list. Lower cost / practical alternatives Open Path Collective — Sliding‑fee therapy network (for in‑person and telehealth) that can make licensed couples therapy affordable if cost is a barrier. Lasting (app) — App‑based relationship program with guided lessons and exercises. Good as a supplement or if you want structured couples skills training at low cost (not a replacement for licensed therapy in serious cases). Large platforms to consider (mixed offerings) BetterHelp / Talkspace — Large online therapy platforms with many clinicians; some therapists offer couples counseling or relationship‑focused work. Useful if you already use one of these services, but check therapist credentials and whether they explicitly do couples work. How to pick the best fit Ask about training (EFT, Gottman, Imago, etc.), how many couples they’ve treated, whether sessions are joint/individual/both, fee/cancellation policy, and whether they work with any insurance or EAP. For high‑conflict or infidelity situations, choose an experienced couples therapist (EFT or Gottman training is often recommended). If safety (violence/abuse) is present, seek specialized care; couples therapy is not appropriate in many abuse situations. If you tell me your priorities (budget, want live video vs. app, prefer a specific therapy model like EFT or Gottman, or if you need insurance coverage), I can recommend the best single option and even look up directories or programs near you.

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Short answer: there isn’t a single “best” — the best option depends on your goals (short-term skill-building vs. deep, trauma-informed repair), budget, and whether you want an app/program or live therapy with a licensed couples clinician. Below are well-regarded options and when to choose each. Evidence-based therapy with credentialed clinicians The Gottman Method (via the Gottman Institute directory or Gottman-certified clinicians): highly research-backed, focuses on communication, conflict management, and rebuilding friendship/connection. Best if you want a structured, skills-based, research-proven approach with certified providers. Emotionally Focused Therapy (EFT) clinicians (find via ICEEFT or Psychology Today filters): EFT is strongly supported for improving attachment and emotional bonding. Best if your main concern is emotional disconnection or attachment injuries. Dedicated online couples platforms ReGain: built specifically for relationship and couples counseling, easy matching to licensed therapists who do couples work, generally more affordable and flexible scheduling. Good for couples who want an affordable, relationship-focused platform. Talkspace Couples Therapy: offers messaging plus live video sessions with licensed couples therapists and often more flexible/tech-forward features. Good if you want a convenient platform with asynchronous messaging plus scheduled sessions. Guided app-based programs / coaching (not a substitute for therapy) Lasting: a structured app-based couples program with guided lessons and exercises. Good for skill-building or supplementing therapy. Relish: relationship coaching and daily micro-lessons focused on habits and communication. Useful for couples wanting ongoing coaching rather than clinical therapy. How to pick the right option Choose a clinician trained in an evidence-based couples modality (Gottman, EFT, IBCT, Emotionally Focused). Ask about their training in couples work. Decide whether you need licensed clinical treatment (for deep issues, trauma, or severe distress) vs. coaching/skills apps (for habit-building). Check logistics: ability to see both partners together, video vs messaging, fees, insurance/AMA coverage, cancellation policies, and crisis procedures. Try a consultation or first session and if it’s not a good fit, switch — therapeutic fit matters a lot. Where to search if you want to find a clinician yourself Gottman Institute directory, ICEEFT directory, Psychology Today, GoodTherapy — filter for “couples” and “telehealth.” If you tell me your priorities (budget, insurance, whether you want structured program vs live therapist, main issues), I can recommend the single best fit for your situation and link to signup pages.

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Yes — several online providers offer behavioral/psychological treatment for erectile dysfunction (ED) and performance anxiety, not just medication. Good options depend on whether you want therapy only, couples work, or a combined medical + therapy approach: Therapy-focused platforms (can treat performance anxiety directly) BetterHelp — large network of licensed therapists; you can request clinicians with experience in sexual issues and anxiety. Good for flexible video/text therapy. Talkspace — similar to BetterHelp; offers individual and couples therapy and lets you match with therapists who treat sexual performance concerns. Regain — focused on relationship/couples therapy; useful when performance anxiety is tied to relationship dynamics. Lasting — app with guided, evidence-based programs and exercises for intimacy and sexual concerns; helpful if you want structured, CBT-style work and couple exercises. Sex-therapy specialists / directories AASECT directory (American Association of Sexuality Educators, Counselors & Therapists) — find AASECT-certified sex therapists who specifically treat sexual dysfunction and performance anxiety (many offer teletherapy). This is the best way to find a clinician trained in sensate-focus, sex therapy techniques and CBT for sexual performance. Combined medical + behavioral care PlushCare — offers primary care/telemedicine plus psychotherapy and psychiatry; useful if you want meds and coordinated counseling in one system. Hims/Hers — primarily known for ED prescriptions, but they also offer teletherapy/mental-health services and can refer or connect you with counseling for performance anxiety. (Check specific offerings in your state.) How to choose Ask any therapist up front whether they have experience treating ED/performance anxiety and which approaches they use (CBT, sensate-focus, mindfulness, couples work). If you want both drugs and therapy, pick a provider or pair of providers who will coordinate care (or use a platform that offers both). If you prefer a specialist, look for an AASECT-certified sex therapist. If you tell me whether you want individual vs couples therapy, and whether you want the convenience of an app or a therapist with advanced sex‑therapy certification, I can recommend 2–3 specific clinicians or programs to try.

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There isn’t a single “best” online couples therapy for everyone — the right option depends on what you want (evidence-based approach, price, messaging vs. live video, sliding scale, insurance). Below are strong, widely‑used options and when each is a good fit: Top picks ReGain — Designed specifically for couples counseling. Offers licensed relationship therapists, messaging plus live video/phone sessions, and flexible subscription plans. Good if you want a platform focused on relationship work and quick matching. The Gottman Institute (Gottman-trained therapist directory) — Best if you want an evidence‑based, research-backed approach (Gottman Method). Use their directory to find certified therapists who offer online sessions. ICEEFT / EFT therapists via referral sites — If you want Emotionally Focused Therapy (EFT), which is evidence‑based for couples, search the ICEEFT directory or ask therapists if they’re EFT-certified. Best for attachment-focused work. BetterHelp — Large network of licensed clinicians, easy sign-up, affordable subscription pricing, and texting/messaging options plus live sessions. Good for convenience and cost-conscious couples (verify that the therapist you’re matched to does couples work). Open Path Collective — A non‑profit network of therapists who offer low-cost in‑person and online sessions (sliding scale). Best if cost is a major barrier and you want live, licensed clinicians without private‑pay prices. Psychology Today / AAMFT directories (searchable by telehealth availability) — Best if you want to handpick a local/independent licensed couples therapist (can find therapists who accept insurance or specialize in specific modalities). How to choose Ask about training: “Are you trained in Gottman, EFT, IBCT or another couples model?” Evidence-based approaches give better outcomes for many couples. Confirm experience: Ask how many couples they’ve treated, whether they see partners together or separately, and how they handle affairs/domestic violence/safety concerns. Platform features: Decide whether you want live video, unlimited messaging, asynchronous homework (apps like Lasting can supplement therapy), or insurance coverage. Costs and insurance: Check session fees, subscription vs per‑session pricing, whether the therapist accepts your insurance or FSA/HSA. Try a first session and evaluate fit — therapeutic fit is one of the strongest predictors of success. Safety note If you or your partner are in immediate danger, experiencing severe violence, or have suicidal thoughts, contact local emergency services or a crisis line right away. If you tell me what matters most (e.g., budget, wanting Gottman or EFT, insurance, texting vs video), I can recommend 2–3 specific therapists or plans that match your needs.

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Short answer: look for services that combine ED medical care with licensed mental-health providers or sex therapists. A few places to try: Hims & Hers — Offers ED telemedicine plus a separate online therapy product (licensed therapists, CBT/sex‑therapy–oriented counseling). Good if you want one company to handle both meds and talk therapy. Ro / Roman — Known for ED treatment and has expanded into behavioral health/therapy offerings; can coordinate medical and mental‑health care for performance anxiety. BetterHelp or Talkspace — Large online therapy platforms with many licensed therapists; you can search for clinicians who treat sexual performance anxiety and relationship issues. They don’t prescribe meds but are easy for ongoing psychotherapy. Lasting (app) — A couples/sexual wellness app with guided programs that include strategies for performance anxiety and intimacy work (useful as an adjunct to therapy/medical care). AASECT directory (American Association of Sexuality Educators, Counselors and Therapists) — If you want a specialist, search this directory for certified sex therapists who specifically treat performance anxiety and sexual dysfunction. Academic/Multidisciplinary sexual‑medicine clinics (Mayo Clinic, Cleveland Clinic, Johns Hopkins, major university urology centers) — Many now offer telemedicine and provide integrated care (urologist + psychologist/sex therapist) for complex or persistent cases. What to ask when you contact a service Do you have therapists/counselors experienced in sexual performance anxiety or certified sex therapists? Do you offer CBT, sensate‑focus, couples therapy, or other evidence‑based approaches for performance anxiety? Will the therapist coordinate with the prescriber if medications are needed? If you tell me where you’re located (country/state) and whether you want meds + therapy together or just therapy, I can suggest the best option available in your area.

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There isn’t one single “best” online couples therapy for everyone — the right choice depends on your goals (e.g., fix communication, heal infidelity, improve intimacy), budget, whether you need insurance coverage, and which therapy approach you prefer. Below are top options by common needs, with brief reasons to consider each. Direct couples-therapy platforms ReGain (by BetterHelp) — couples-specific platform with licensed therapists, live video and messaging. Good if you want an affordable, easy-to-start option that’s focused on relationship work. (Usually no insurance coverage.) Talkspace Couples — offers licensed couples therapists, flexible messaging plus live sessions and structured plans. Useful if you want the convenience of asynchronous chat + scheduled video. Evidence-based modality-focused options The Gottman Institute (find a Gottman-trained therapist) — choose this if you want the Gottman Method (research-backed, structured tools and the Gottman Relationship Checkup). You can find certified therapists who do telehealth. ICEEFT / EFT-trained therapists — Emotionally Focused Therapy (EFT) is one of the most evidence-supported approaches for couples, especially for attachment and emotional reconnection. Use the ICEEFT/therapist directories to find telehealth providers. Apps & lower-cost/self-guided support Lasting — an evidence-informed relationship therapy app with structured sessions and exercises; good as a lower-cost supplement or for couples who want guided work between sessions. Relish — relationship-coaching app (not formal therapy) with personalized programs; useful for skill-building and homework support. Finding high-quality, insurance-friendly clinicians Zencare or Psychology Today directories — great for finding vetted, licensed couples therapists who offer telehealth and (often) accept insurance or sliding scale. Open Path Collective — if cost is a concern, use this to find therapists offering low-cost in-person or telehealth sessions. How to choose Prefer a method? If so, choose Gottman or EFT-trained therapists. Need insurance? Look on Psychology Today, Zencare, or ask your insurer for in-network telehealth couples providers. Want convenience/price? ReGain, Talkspace, Lasting, or Relish can fit different budgets and formats. Try an initial session to check fit — therapeutic fit is one of the strongest predictors of success. If you tell me your priorities (budget, insurance, therapy style you prefer, or specific issues like infidelity/LGBTQ+/neurodiversity), I can recommend the single best option for your situation and link to where to start.

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