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Looking for sex therapy options online? These services can deliver the support you need to help overcome sex-related challenges.

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Sex is a natural activity that can be a richly enjoyable and meaningful experience if you choose to make it a part of your life. Like all aspects of human existence, sexuality is personal and encompasses a wide range of needs and preferences.

Sometimes, sexual dysfunction, mental health concerns, interpersonal and psychological factors, or relationship issues can get in the way of having the healthy and fulfilling sex life you desire. If you’re experiencing sexual health challenges, sex therapy can help.

However, obtaining the support you need for your sexual health is sometimes more difficult than acquiring mental health therapy. Access to sex therapy may be limited, or anonymity may be a factor.

Online sex therapy can bridge the gap. It’s a convenient way to get the support you need in the comfort of your home, car, or anywhere you have access to a phone or the internet.

Sex therapy is a form of talk therapy that focuses on sexual health. During a sex therapy session, you can chat with a mental health professional about all aspects of sexuality without judgment.

Online sex therapy is similar to in-person counseling, except it takes place through online chat, video conferencing, or phone conversations.

Although research data on online sex therapy is limited, an opinion statement released by the International Society of Sexual Medicine says online treatment interventions provide effective opportunities for improving sexual health.

We based our choices for the best online sex therapy websites on these important factors:

  • accessibility
  • user reviews
  • attitudes toward sex positivity
  • qualifications of providers

Best overall


Cost: Starting at $260 a month with quarterly and biannual plans available

Whether you seek couples sex therapy, need individual support, or are looking for therapists who understand LGBTQIA+ people, Talkspace encompasses a wide range of needs.

Once you’ve completed a brief intake assessment, you can pick from an extensive list of qualified therapists and begin counseling. Talkspace offers:

  • 24/7 access
  • ongoing support
  • the ability to switch therapists for no extra cost
  • live video sessions

This service also has an app available on iOS and Android for access on the go.

User reviews are positive. Many recommend Talkspace because of its easy accessibility, empathetic and experienced therapists, and ability to find a therapist who understands individual needs.

What we like

  • Users have the flexibility to access therapy on demand.
  • You have choices in a wide range of licensed professionals.
  • You can cancel your subscription at any time.

What to watch out for

  • Because of the number of available therapists, finding one who’s right for you may take some time.
  • Some users have had issues with the Talkspace app functioning properly.
  • Wait times for responses from therapists can sometimes be longer than expected.

Best for couples


Cost: $60–$80 per week

Specifically geared toward couples, ReGain aims to create honest and transparent communication between you and your partner while also offering private one-on-one sessions to discuss personal issues.

To begin sex therapy, you and your intimate partner complete a questionnaire to identify your needs and goals. You’re then matched with a licensed therapist.

You, your partner, and your therapist then have access to a secure and private space within the website, much like a chat room where you can leave messages at any time, day or night.

People who have used this service say the therapists are empathetic to both people in the relationship and help create a better understanding of each partner’s perspective.

What we like

  • Therapists specialize in intimate relationship counseling.
  • The service offers convenient text-based messaging with options for video sessions.
  • You can receive individual counseling alongside couples therapy.

What to look out for

  • Response times from therapists can be longer than expected.
  • Signing up for therapy is automated, with no human interaction involved in the process.
  • The subscription bills monthly.

Best for people without a partner


Cost: $60–$80 per week

One of the largest online sex therapy platforms, BetterHelp is designed for individuals while its sister site, ReGain, is geared toward couples. Counselors are licensed and accredited therapists, and matched to you based on responses to an intake questionnaire.

Therapy is available through messaging, live chat, phone, or video conferencing. Signing up is anonymous using an email and a username.

User reviews are generally positive. Many people report they feel listened to and understood by their therapists.

What we like

  • You can choose from a large pool of qualified therapists.
  • The service is easy to use and convenient.
  • You can interact with your therapist in many ways.

What to look out for

  • The onboarding process can feel impersonal.
  • Response times from therapists can vary.
  • Some users report responses from counselors seemed scripted or generic.

Best for LGBTQIA+ people

Pride Counseling

Cost: $60–$80 per week (billed every 4 weeks)

Pride Counseling matches you with counselors who understand LGBTQIA+ communities.

Though the service doesn’t outright offer sex therapy, some counselors in the network are specialized sex therapists. Plus, for some people, finding a therapist who’s LGBTQIA+ friendly and knowledgeable may be more important than finding a sex therapist specifically.

During signup, Pride Counseling matches you with a therapist based on your answers to an initial questionnaire. You’re then able to interact with and leave messages for your counselor in a private online room. If you feel like this therapist isn’t a good match, you have the option to switch.

Pricing depends on counselor availability and your location. Your membership is billed every 4 weeks. Cancelation is possible at any time for any reason.

Pride Counseling users generally praise the service and consider it flexible, convenient, helpful, and worth the price.

What we like

  • All counselors have experience working with LGBTQIA+ people.
  • If you think the counselor you’re initially matched up with isn’t a good fit, you can switch to find a better match.
  • The service offers video, messaging, live chat, and phone support.
  • It’s available nationwide.

What to look out for

  • Insurance isn’t accepted (though out-of-network claims may be possible).
  • Only a few counselors specialize in sex therapy specifically.
  • Therapists cannot prescribe medication or provide an official diagnosis.

Most budget-friendly

Rethink My Therapy

Cost: $99 per month for individuals or $129 per month for couples

If you’re concerned you may not be able to afford the sex therapy you need, Rethink My Therapy is an option to consider. The service offers a 7-day free trial and therapy via secure messaging, video calls, or phone calls. There’s no limit on how many sessions you do per month, and you can choose from many mental health professionals.

After completing a short screening questionnaire, you can then access a list of therapists who match your needs and goals.

Many users say they have had positive experiences with this platform and especially like its affordability.

What we like

  • Pricing may be more affordable for people on a limited budget.
  • There’s a free trial to decide whether it’s right for you.
  • Couples have separate accounts to access individual support.

What to look out for

  • Therapists are scheduled and not on demand.
  • Insurance does not cover the service.
  • Appointment cancelations may be subject to a fee.

Best for people in polyamorous relationships

Dr. Roger Libby

Cost: Estimated at $200–$250 per session

Finding an online sex therapist who understands polyamory and nonmonogamous relationships can be challenging. One that stands out is Dr. Roger Libby, an AASECT certified sex therapist based in Washington state.

Dr. Libby offers sex-positive counseling for polyamorous individuals or couples online or in person at his two clinic locations. He’s also known as the doctor who coined the term “sex positive” in the sexual health profession.

Scheduling an appointment involves contacting his office to set up a time that’s convenient for you. Sex therapy sessions are video-based using Skype.

People who have used his services say his vast knowledge base and experience offered actionable solutions to improve their sexual health and relationships.

It’s important to note that Dr. Libby is only licensed in Washington state. Mental health professionals cannot practice teletherapy over state lines. They must be registered and licensed in the client’s state to practice. Therefore, Dr. Libby’s services are only accessible to residents of Washington state.

If Dr. Libby is not an option for you, Polyamory-Friendly Professionals Directory may be able to help you find a therapist in your area who offers online support.

What we like

  • Dr. Libby has an extensive background and accreditations.
  • Dr. Libby provides a therapy option tailored for nonmonogamous people.
  • If you live in Washington state, you can access this type of sex-positive therapy even if you live in a rural area.

What to look out for

  • Only one therapist is available for sessions.
  • The service is restricted to residents of Washington state.
  • Therapy can be expensive, and insurance may not cover the cost.
  • Scheduling sessions is limited to set office hours.

Is sex therapy right for me?

If you prefer flexibility, don’t want to or are unable to travel to attend appointments, or are concerned about anonymity, online sex therapy may be a better option than in-person counseling.

However, this type of therapy may not be a good fit if you prefer in-person interaction or are uncomfortable with video chat.

Also, sexual health often intermingles with other health conditions. So, if you think there may be a medical reason for your sex-related issues, consider talking with a healthcare professional before exploring online sex therapy.

Online sex therapy is not the best choice if you feel you’re in a dangerous relationship situation. Instead, it’s advisable to seek help through a healthcare professional. You can also contact the National Domestic Violence Hotline by calling 800-799-7233 or starting a chat online.

How is online sex therapy structured?

Many online services offer a brief assessment to determine your preferences and therapy goals. After you’ve completed the evaluation, you’re matched with a therapist based on your answers.

What online sex therapy looks like for you will depend on whether you choose to communicate through messaging, video conferencing, or phone calls. Messaging generally involves sending messages and waiting for a response, while video chats and phone calls are arranged at a time convenient for you.

What does online sex therapy usually cost?

Our picks for best online sex therapy services run from $60 a week to upward of $250 a session. Still, most online therapy services we found cost less overall than visiting a clinic-based service provider.

Is sex therapy covered by insurance?

The Mental Health Parity and Addiction Equity Act ensures insurance companies cannot discriminate against people with mental health conditions. Because sex therapy is a form of psychotherapy, it may be fully or partially covered by your insurance policy.

However, depending on the service provider, this isn’t always the case. So, it’s advisable to contact the online therapy service you choose to find out whether it can work with your insurance.

Research shows that sexual health and satisfaction are associated with better overall quality of life. That’s why it’s vital to have access to help if you’re experiencing sex-related challenges. Online sex therapy can be an effective and convenient option if you decide it’s something that might work for you.

If you want to learn more, the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and the American College of Sexologists offer lists of clinic or online-based certified sex therapists.

Plus, if you’re looking for a therapist who shares your identity or lived experiences and worry that the services above may not be culturally diverse enough, looking into the tools below may help give you additional resources: