How Does it Work?


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Insurance Accepted. Same & Next-Day Sessions Available.

Why choose online counseling?

Rebecca lives in a small community. She doesn’t want anyone to know she’s considering divorce, and the only coach in town is her sister-in-law.

Ken and his spouse work full-time jobs. By the time they’re both available, the local coaching / therapy center is closed.

Sara is an Indian-American who wants to talk with someone who understands her culture. There’s no one like this within 50 miles.

7 Reasons to Try Online Counseling / Coaching

    1. It’s Convenient

    These days, regardless of whether you live in the city, or out in the country, you might spend more time getting to your appointment than in the appointment itself! Online therapy / coaching lets clients save time and forgo the typical weekly or twice-weekly commute.

    2. It’s Comfortable

    Connect with a counselor or coach from the comfort of your work, home, car, or anywhere you have a quiet space and a good internet connection or cell signal.

    3. It’s Tested & Effective

    You might be surprised to hear that distance therapy practices aren't new. In fact, online mental health services are about as old at the internet itself, and other distance therapy methods—like phone counseling—have been around since the Samaritans began a hotline in the early 1950s. There is decades of research on telephone and online services that have shown that distance counseling services can benefit the client, and that clients often prefer them to traditional in person sessions.

    4. It’s Affordable (and insurance might pay for it)

    A growing number of insurance plans now cover online mental health services. If yours doesn’t, don’t worry. We have very affordable rates for anyone paying out of pocket.

    5. It’s Easier to Talk about Difficult Things

    Try as we might to reassure clients that it’s not our place to judge, sometimes new clients still fear the “furrowed brow” of their therapist or coach. We’ve found, and research has found, that such worry seems to be lessened when a client is communicating at a distance.

    6. It’s Fast

    Forget waiting weeks for an appointment. Forget waiting days for a call back! Book online and we’ll get you a session right away--often the same day.

    7. It’s a Trusted Brand

    With Thriveworks online therapy and coaching, you’re getting the best of both worlds. Thriveworks isn't just an online company, there are brick-and-mortar Thriveworks centers across the United States. Why not get started with a brand that’s reputable, experienced, and already trusted by tens of thousands of individuals, couples, and families.

Same Day Appointments

Get an appointment this week. Even same-day appointments are often available.

100+ Counselors and Coaches Available

Experienced, caring providers with a wide range of online counseling and coaching experience

Excellent Providers

We are highly selective and all providers are required to maintain excellent client feedback.

Online Counseling & Therapy Services

What Is Online Counseling?

Online counseling has a long history. Cornell University, as early as 1986, began providing an online therapy service of sorts when they developed a program called “Dear Uncle Ezra.” With Ezra, students could anonymously write to an anonymous therapist, and receive a prompt written reply. While 1986 sounds early, if one extends the definition of “online” therapy to include any electronic or distance therapy, the Samaritans, based out of Great Britain, created their first telephone crisis helpline almost 30 years earlier—in 1953! So, while today we might think of online therapy as HIPAA-complaint videoconference (like we offer), in reality it is a broad category with a rich history, and if you ask five helping professionals for a definition, you might get five somewhat different answers.

In the doctoral dissertation, and then later in The Journal of Professional Counseling, Dr. Anthony Centore, states the following about online services: “Since the beginning, mental health counseling practices have endured many theoretical shifts—from Freudian, to Jungian, to Rogerian, and so on. However, a recent shift concerns not therapeutic theory but the medium through which counseling is provided. While historically counseling relationships have developed through scheduled in-person communications between counselor and client, telephone and online technologies now offer new paths for the formation of those healing relationships.”

Today, on this site, we endeavor to connect clients to skilled and reputable providers for online coaching sessions.

Is Online Counseling Effective? How Can It Help Me?

Online counseling and online coaching are often seen as the “new way” to connect with a caring, qualified mental health professional.

On the contrary, distance counseling services have been around in some form for more than 60 years! The field has a long and rich history thanks to both skilled providers and researchers. Today, ethical codes or statements have been thoroughly developed by professional organizations including the American Counseling Association (ACA), the National Board for Certified Counselors (NBCC), the American Psychological Association (APA), and many others. What’s more, you might be surprised to learn that these ethical guidelines aren’t new—they too have been around for more than a decade.

Thriveworks is a trusted brand of counseling and coaching services with more than 30 “brick and mortar” locations throughout more than 12 states. Now, with Thriveworks Online, clients can connect with a helping professional through either HIPAA compliant videoconference, or simply by telephone.

While connecting online isn’t for everyone, there is decades of research showing that therapy by telephone and over the web can be effective for helping clients with a range of personal life issues.

In fact, online and telephone based services have been especially helpful for clients who find that they (1) have few qualified counselors or coaches in their area, (2) feel uncomfortable meeting with a therapist in person and, (3) prefer to connect with a provider from the comfort of their home (or office).

If you’re seeking an online coach, we hope our service is a fit for you. That said, if you’re seeking a more traditional in-person counseling experience, Thriveworks has many (30+) “brick and mortar” locations, and more opening all the time. To learn more, simply contact us.

What Are My Online Counseling Options? The Basics of Telephone and Video Counseling

You can connect with a professional by either phone or video—your choice. If you select phone, your coach will call you at the time of your appointment. If you choose videoconference, you’ll be provided a simple web-link that you can use to connect with your provider (that’s right, there’s absolutely nothing to download or install) and your provider will also have your phone number as a backup, in case there’s any unforeseen technical problems during the video-meeting.

Our team at Thriveworks has been researching, publishing, and providing online therapy services in some form since 2003. Before we began, we learned this troubling fact: Only 10% of depressed people who are referred by a physician to seek mental health services ever receive those services. We asked ourselves, “Why is this?” Is it because persons don’t want to get well, or are there other factors?

As you might guess, the reasons are many—among them is the problem that acquiring counseling services is too difficult! For instance, for a potential client to connect with a provider in person he/she must: Call a counseling center, leave a message, be available for a return call, schedule an appointment by phone, find their insurance information, wait days or weeks for a first session, drive to that session, arrive in a presentable fashion on time or early…all while perhaps going through a personal hardship or crisis. Frankly, it sounded awful to us. We aspire to make the experience of seeking help, for counselor or coaching, a much (much) improved process.

Is Online Counseling Affordable? Will Insurance Cover My Online Sessions?

A growing number of insurance companies and health plans are paying for counseling services provided at a distance. When services are covered by insurance, the out-of-pocket cost to clients can be as low as one’s normal co-pay to visit a doctor or mental health provider in person. To determine if your specific insurance plan will reimburse for online therapy services, simply call the number of the back of your insurance card. If your plan covers online care, we’ll be happy to get authorization for services, accept your benefits, and schedule your first session right away.

That said, we know that using insurance can be a hassle—and that services are not always covered—so we’ve set our self-pay prices at a level that using insurance benefits might not be necessary for many.


People Love Our Providers!

Overall Rating: 5★★★★★ based on 24
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reviews. See all reviews

Mental health you don’t need to wait months for.

Mental health you don’t need to wait months for.

We absolutely love Colleen! My 11 year old son feels comfortable with her. I would definitely recommend her to anyone!

We absolutely love Colleen! My 11 year old son feels comfortable with her. I would definitely recommend her to...Read more


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Cheryl has been very responsive, accommodating and helpful to my daughter.

Cheryl has been very responsive, accommodating and helpful to my daughter.

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