These Online Sex Therapy Providers Offer Private, Secure Intimacy Counseling

Modern Intimacy specializes in all types of sex therapy, such as sexual dysfunction, sex addiction, porn addiction, body disorders, trauma, LGBTQIA+ affirmative therapy,  and more. It caters to individuals, couples, the LGBTQIA+ community, and those healing from trauma, providing a safe and inclusive space. It also provides education on sexually sensitive topics, such as healing toxic relationships and redefining a healthy relationship with sex.

Its providers are licensed psychologists, licensed marriage and family therapists, licensed clinical social workers, and certified life coaches. Many also have additional qualifications in sex therapy, sex addiction therapy, and holistic living.

Modern Intimacy’s sex therapy services are available online nationwide and in-person in Chicago, Denver, Los Angeles, Miami, and New York. Even though the company serves fewer states than others on this list, we still feel it offers the overall best sex therapy because of its diverse therapists serving a wide range of sex-related issues. Plus, it offers additional resources, such as local group therapy, online workshops, e-books, articles, and videos to help you find the information you need. For example, online education courses cover topics like redefining a healthy relationship with sex, why women should care about porn, and healing from trauma. 

Sessions at Modern Intimacy range from $150 to $350 per 50-minute session, dependent on the therapists' credentials, which can range from pre-licensed and supervised to doctorate degrees. If you cannot afford those rates, sliding scale pricing is available. Unfortunately, the company’s providers do not accept health insurance. However, if your plan covers out-of-network care, you can request a superbill and see if your health insurance provider will reimburse part of the cost for therapy. A free 30-minute consultation is available to new patients.

ReGain offers couples and relationship therapy, as well as individual therapy. Although it doesn’t specialize in sex therapy, the company provides convenient, discreet, and affordable access to therapy in which both partners can partake. ReGain’s user-friendly platform gives you and your partner a secure online “room” to communicate with your therapist. The room is open 24/7 and allows for unlimited messaging from any Internet-connected device. 

ReGain offers experienced practitioner psychologists and accredited counselors. They specialize in improving conflict resolution and communication skills, resolving intimacy issues, and setting boundaries in relationships. 

We surveyed 105 users at ReGain this year and their experience is good overall, especially for couples therapy. Seventy-two percent of users said they are likely, or very likely, to recommend ReGain to a friend or someone like them and 84% said they felt the service was better than other therapy companies they have used in the past. 

Users report that therapists reply promptly, usually within 24 hours or less. Eighty-seven percent of users found the sign-up process easy to navigate. Eighty-three percent of surveyed users said that Regain was helpful at connecting them with a therapist. Additionally, 80% of users surveyed said Regain’s therapists met all or most of their needs, with 88% stating the therapist's qualifications are good, very good, or excellent. 

Membership plans range from $60 to $90 per week based on your location, preferences, and therapist availability. Like its parent company BetterHelp, ReGain uses surge pricing to determine what rate you’ll pay for your therapy subscription. 

Insurance is not accepted, nor are there free consultations or assessments.

Talkspace has dedicated certified sex therapists and actively supports LGBTQIA+ members. Founded in 2012, it is a well-known and established online therapy company. As well as individual and couples therapy, Talkspace offers teen counseling, therapy for veterans, psychiatry, and medication management. Sex therapists specialize in techniques such as cognitive behavioral therapy, dialectical behavior therapy, emotion-focused therapy, somatic sex therapy, and many other therapy types. The platform is easy to use and switching therapists is easy if you decide the one you are matched with is not for you.

Plans vary, with the cheapest starting at $99 per week with a three-month commitment or $109 per week paid monthly. You can access your therapy sessions through a web portal on the website or via the app. It is HIPAA compliant and encrypts user data, but there have been alleged issues regarding its data privacy practices in the past, so you might want to consider how your data is used.  

When we surveyed 105 Talkspace users, 90% said their overall experience with the platform was good, very good, or excellent. Compared to other platforms, Talkspace came out top regarding the ease of navigating the website. Reviews on therapist response times are mixed, but therapist diversity is highly rated, with 90% of users stating it’s good to excellent. Additionally, 97% of surveyed users said they would recommend Talkspace to a friend or someone like them.

Talkspace couples therapy plan cost $396 a month, which includes one 30-minute live therapy session a week and unlimited messaging. Talkspace does take most forms of insurance, as well as FSA/HSA cards. During the sign-up process, there is a step to enter your insurance provider/employer to check for coverage. There are also some free online basic mental health tests.

Founded by licensed clinical psychologist Sarah Schewitz, PsyD, Couples Learn focuses on couples therapy, premarital counseling, and marriage counseling. Various courses are offered throughout the year, such as an online course in codependency. The courses range in price from $50 to $300, but are sometimes discounted down to around $20. There’s also a free, 82-question couples questionnaire on the website designed to be a “fun and easy way to reconnect with your partner.”

Currently, only four therapists are available, but the team is expanding. Unfortunately, this means you don’t get the immediate availability that you do with larger online therapy platforms. However, those therapists specialize in the Gottman Method Couples Therapy, Imago Relationship Therapy, or Emotionally Focused Couples Therapy. Other specializations include Imago therapy, attachment-focused EMDR Therapy, narcissistic abuse recovery, and trauma resilience. Appointments are available online via a secure encrypted video chat, and Couples Learn is HIPAA compliant. Sessions can include all partners, but individual therapy is also available. 

Session range from $175 to $450 each, depending on the chosen therapist and session length. Sarah Schewitz's fees are $300 for 50-minute sessions and $450 for 80-min sessions. The company is not in-network with any insurance providers but may be considered out-of-network, so you’ll want to check with your provider for details on coverage. A free 30-minute consultation can be scheduled before making any commitment.

Thriveworks is designed to be affordable, accessible, and flexible. The company accept hundreds of insurance plans, meaning your sessions may be free. Thriveworks states that on average, most people have a copay around $20 a session, but it ultimately depends on your insurance coverage. If you don’t have insurance, session fees start are $99. There are locations across the country with flexible cancellation policies. 

Thriveworks claims only to hire the top 4% of counselors and psychiatrists and provides access to licensed psychiatrists, counselors, social workers, marriage and family therapists, and sex therapists. Thriveworks offers couples therapy; marriage counseling; pre-marital counseling; depression counseling; family, teen, and children’s therapy; grief counseling; and career counseling. 

When we surveyed 105 Thriveworks users, 90% said their overall experience with the platform was good, very good, or excellent. Seventy-eight percent said they would recommend Thriveworks to friends and loved ones.  

You pay a per-session fee that, depending on your insurance plan, will range from $0 to $130. Most major insurance companies are accepted including Blue Cross, Anthem, Optum, United, Aetna, Cigna, Humana, and many others. Most Thriveworks providers do not accept Medicaid, but a select few at certain locations do. Thriveworks advises you to call them to find out. You can also search for your local office online and view each provider’s insurance information. No free consultations or assessments are available. 

If you are looking for intensive sex therapy, Couples Therapy Inc. is the place to go. Services include couples therapy retreats, sexuality retreats, premarital counseling, affair recovery, discernment counseling, coaching, and hopeful spouse support. The website also offers a few free self-help courses online. 

Couples Therapy Inc. has over 20 therapists on staff. Some are sex therapists certified by the American Association of Sex Educators, Counselors, and Therapists (AASECT). In addition, all Couples Therapy Inc. therapists have training in discernment (divorce) counseling. 

Sex therapy retreats are run by board-certified sex therapists and sexologists who are all licensed psychologists, counselors, or social workers. However, dedicated sex therapists are only available in specific locations (Arizona, California, the District of Columbia, Florida, Hawaii, Maryland, Massachusetts, New Jersey, Pennsylvania, and Virginia.) Marriage and couples retreats are held online and in person in 34 locations across the U.S., including Hawaii, Puerto Rico, and Alaska, as well as in Canada and Australia. 

Eighty-three percent of the users we surveyed that had tried Couples Therapy Inc. said they would recommend the service to others and 87% of respondents felt the service offered by Couples Therapy Inc. was better than other therapy services they have used in the past.

The biggest drawback to Couples Therapy Inc. is the cost. However, if you are looking for intensive couples therapy, this is their specialty. 

Each 50-minute session ranges from $159 to $250, depending on the therapist's qualifications. Two-hour intensives range from $238 to $438. Weekend retreats range from $2,500 to $8,500. No insurance is accepted; however, there is a free 20-minute assessment call with the client support team followed by a no-obligation 15-minute phone call with the therapist of your choice if appropriate. 

The Center for Mental and Sexual Health (CMSH) has a strong emphasis on sex therapy, sexuality, and sexual health. Although the team is small, providers are well-trained and sex-positive. There is a mix of therapists, including licensed clinical professional counselors, some of which specialize in sex therapy and sexual trauma; all are LGBTQIA+ affirming. 

The CMSH states that it welcomes members of the LGBTQIA+ community, and all therapists are kink-friendly. Although only available in Colorado, Washington, and Florida, appointments can be conducted in person or online. However, with a limited number of therapists, availability can be a problem.

Sex therapy is the main focus at the CMSH, so if you are in one of its three states and sex therapy is what you are looking for, it’s an excellent practice to explore. Although sex therapy is the specialty, the CMSH also offers therapy for young adults, anxiety and depression treatment, therapy for domestic violence survivors, marriage counseling, infidelity counseling, and relationship counseling.

Intake appointments are $200 (after a free, 15-minute consultation with a coordinator), and a 50-minute individual session is $155 ($30 per additional 30-minute block). A couples session is $180 for 50 minutes and $210 for 90 minutes. Some insurance plans are accepted in Colorado and Washington, including Aetna, Cigna, Oscar Health, Oxford, and UnitedHealthcare.