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I. The 5 Best Online Sex Therapy Services of 2024

Ritual Best Overall

Ritual combines the approach of traditional couples’ therapy with a modern, self-driven twist. You may use Ritual on your own or with a partner. The therapy is rooted in focusing on individual aspects of your relationship that need the most work.

ReGain Best for Couples

ReGain’s licensed therapists are dedicated to helping couples reignite their passion for each other and learn to communicate their needs and desires effectively.

PrideCounseling Best for LGBTQ

While PrideCounseling accepts patients of every gender, orientation, and identity, its counselors specialize in treating individuals specific to the LGBTQ community.

My Counselor Online Best for Christian Couples

Couples can strengthen or regain physical intimacy, improve communication, or address conflicting sexual desires, all within the parameters of their faith.

II. How We Chose the Best Online Sex Therapy Services

In our search for the best online sex therapy services, we evaluated companies based on the following key features to ensure that counseling is secure, reliable, and available to a broad range of patients.

Communication Methods

Online sex therapy is about convenience, and that’s why it’s important that the services we feature offer a variety of channels for communication, including video, phone, and text messaging.

Available Therapists

We understand that it’s important to find the right therapist, and for some couples and individuals, that can mean working with several until they find the right fit. That’s why we considered companies that employ multiple therapists and provide clients with the option to work with the therapists they like best that have specialized training in addressing sexual concerns and issues.

Accessible Care

Our search for online sex therapy services with accessible care entailed finding those that offer on-demand or same-day counseling, as well as those with 24-hour services. Additionally, we looked for those that serve a broad geographic area and offer service in a variety of languages.

III. Our Top Picks for Online Sex Therapy

Ritual — Best Overall

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Ritual is a therapy platform that helps clients tackle issues related to sex and other aspects of romantic relationships. Each person begins their therapy with an online consultation, during which they’ll discuss their situation with one of Ritual’s relationship experts. This allows you to establish “pathways,” or specific aspects of your relationship you’d like to focus on such as intimacy, addressing conflicts, or communicating more consciously.

Most people dedicate one to two months to their pathways, exclusively working on one before moving on to the next. These involve progressive daily steps and weekly consultations with your relationship expert. However, the therapy is self-paced and you can spend as much time as needed on each pathway. You can stop or pause your therapy at any time.

You may use Ritual on your own or alongside your partner. If you opt for the latter, you’ll each receive three one-on-one consultations each month along with a joint session. Those who choose solo therapy can receive their one-on-one consultation either once per week or twice per month.

At any time, you can request a new relationship expert if your current counterpart isn’t meeting your needs. A smartphone is required to complete your daily tasks through the Ritual app. Medical insurance cannot be used to pay the monthly subscription fee.

Price Appointment Types Accepts Insurance Therapists on Staff
$100-$160 per month (individuals)
$260 per month (couples)
Video chat
No 10+

What Patients Are Saying

Many Ritual clients attest to the platform’s unique approach to relationship building, using elements of traditional couples’ therapy and tailoring their services to an app-based audience. “This service gives you practical tools and focused one on one time with a relationship expert, and for us it made all the difference,” one positive review reads. “If you’re struggling with your relationship I would definitely give it a go.”

ReGain — Best for Couples


ReGain is a dedicated relationship and sex counseling platform. Its counselors work with couples and individuals to help patients improve the quality of their sex life, as well as their emotional relationship with their partner. Counselors focus on providing patients with communication tools and techniques to ensure that both partners are satisfied sexually and strive to facilitate healthy relationships between their clients. ReGain promises discretion, ensuring every couple can access its services conveniently. Additionally, users can elect to use a nickname to be identified by in the company’s systems.

ReGain is available to clients throughout the United States. While an appointment is required and on-demand services aren’t available, counselors can be booked 24 hours a day, seven days a week. Patients have the freedom to work with the counselors they like best and can receive therapy over the phone, via video chat, or via text messaging. The team at ReGain includes licensed psychologists, marriage and family therapists, clinical social workers, and professional counselors with specialized training in relationship and sex therapy.

Price Appointment Types Accepts Insurance Therapists on Staff
$60-$90 per week (billed monthly) Phone call
Video chat
Text messaging
No More than 5,000

What Patients Are Saying

Patients who’ve worked with ReGain’s counselors frequently mention the compassionate, caring nature of the therapists. Additionally, many are pleased with the effective tools they’ve received from their counselors. One patient provided a review of her therapist online, saying, “She’s given my husband and me tools to communicate more effectively, and we’re getting along a lot better now.”

PrideCounseling — Best for LGBTQ

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PrideCounseling works with patients of all genders, sexual orientations, and identities. However, its counselors primarily work with individuals who are members of the LGBTQ community. The platform’s intake assessment is used to match patients to the best counselor for their needs. Counselors work with individuals to provide support and advice for relationship problems, sexual dysfunction, stress, parenting, depression, and a variety of other mental health concerns.

PrideCounseling also offers general therapy services for patients facing problems such as anxiety, family conflicts, or mental health conditions. Live sessions can take place either over the telephone or via video chat, and patients can also communicate with their counselors via instant messaging 24/7. While messaging is available around the clock, patients do need to schedule appointments to meet with their counselor by phone or video chat.

Price Appointment Types Accepts Insurance Therapists on Staff
$60-$90 per week Phone call
Video chat
Live chat
No Not specified

What Patients Are Saying

Patients appreciate the special care that PrideCounseling provides for LGBTQ couples and individuals. One user was particularly pleased with the convenience and accessibility of the company, saying, “The service is excellent, and much needed for a marginalized community with sometimes poor access to mental health care. In many ways I found this service more convenient and accessible than traditional approaches.”

My Counselor Online — Best for Christian Couples


My Counselor Online is a team of Christian counselors who are focused on helping married couples enjoy meaningful sexual relationships and effective communication within the doctrine of the Christian faith. Team members can provide assistance to those who aren’t experiencing orgasms with their partner, as well as couples with conflicting sexual desires. Additionally, therapy is available for those who have low sex drive, experience painful intercourse, or deal with erectile dysfunction. Sessions can be attended as a couple or individually. The counseling team at My Counselor Online is comprised of licensed and experienced psychologists and professional counselors who are willing to treat anyone, regardless of their faith.

In addition to sex and marital counseling, My Counselor Online also offers counseling for anxiety and depression, as well as family therapy. Patients have the freedom to work with the counselor they like best and can book appointments via video chat. In-person sessions are available for those in a few select cities. Counseling services are offered in English or Spanish. In some cases, My Counselor Online may be able to accept payment from patients’ insurance providers.

Price Appointment Types Accepts Insurance Therapists on Staff
Advanced Practice:
$45-175 per session
State Licensed:
$115 per session
Provisionally Licensed:
$95 per session
Video chat
In person
Varies 16

What Patients Are Saying

My Counselor Online has a large roster of patients who consistently praise the help they’ve received. Many are pleased with the improvements in their relationship, as well as the convenience of online video appointments. One reviewer said, “My wife and I have used several different counselors over the years and MyCounselor Denver has helped us more than all the rest put together in a very short amount of time. We are able to see her even though we live in Louisiana and through the internet. Couldn’t recommend her strongly enough!”

IV. Online Counseling Apps FAQs

What are online counseling apps?

Online therapy apps provide counseling support using electronic devices, like smartphones and tablets. Users can communicate with licensed, trained professionals when they’re going through a hard time, need someone to talk to, or when they need help managing their mental health issues. Online therapy apps are convenient, and they can be used without having to leave the house. Online therapy apps typically include multiple ways to communicate with a therapist, including voice and video calls and texting. These kinds of apps give individuals of all ages a simple way to give therapy a try without having to commit to in-person therapy sessions.

Who is providing online therapy through these apps?

The counselors you will find on these apps are all licensed, trained, and experienced with a variety of different degree types. All of these individuals have either a Master’s or Doctorate Degree in their particular field with training to provide therapeutic support to individuals or couples. They have all been certified by their state’s professional licensing board which requires education, extensive training, and exams. In order to become a qualified therapist most the individuals you will encounter have had roughly 1000 hours of clinical experience as well as around 3 years of experience with clients.

Are online counseling apps effective?

Online therapy apps can be quite useful, and they can be just as effective as traditional therapy options. Since users are communicating with experienced counselors and therapists, just like they would during in-person therapy sessions, they can get the help and support they need to get through any life situation. Many patients prefer online therapy apps because they can fit therapy into their busy schedule, and they may be uncomfortable with the idea of in-person sessions. People who use online therapy apps can feel less stress and can learn how to navigate tough issues better with the help of their therapist.

What are the benefits of online counseling apps?

Many advantages come from using online therapy apps. For starters, users can enjoy more flexibility when making appointments and communicating with their counselor because they can use their mobile device. Online therapy apps can also be more affordable for patients without insurance who cannot afford traditional therapy options. Online therapy apps can also make patients feel more comfortable giving therapy a try because they have more control over choosing a counselor who will be a good fit because of a wider selection at therapists at their fingertips, and they don’t have to deal with the added stress of having to drive to appointments.

How much does it cost to use online counseling apps?

The cost to use online therapy apps varies depending on the capabilities of the app and the number of services that an individual chooses to use. In most cases, individuals can expect to pay at least $60 per month to use an online therapy app. Some apps charge $100 or more per month. Most companies provide discounts if a patient is willing to pay quarterly or annually. Many apps offer unlimited access to a therapist when paying for service, and some online counseling apps accept insurance. In many cases, paying for online counseling apps outright is a lot cheaper than using insurance or having to pay out-of-pocket costs for traditional therapy offerings.


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