BetterHelp for Couples: How It Actually Works (It's Regain)

Written by counseling-therapy.com Editorial Team. For information only; not a substitute for professional advice. Disclosure: some links below are affiliate links — if you sign up through them, we may earn a commission at no extra cost to you. It never changes what we recommend, and we include options we don’t earn from.

If you’ve been searching for “BetterHelp couples therapy,” there’s something worth knowing up front — and almost no one explains it clearly:

BetterHelp doesn’t offer couples therapy directly. It runs a separate brand for couples, called Regain.

Both are owned by the same company (Teladoc Health), both use licensed therapists, and they work almost identically. But if you sign up at BetterHelp expecting joint sessions with your spouse, you’ll be pointed to Regain instead. Here’s the honest rundown so you know exactly what you’re getting before you spend a dollar.

What is Regain?

Regain is BetterHelp’s dedicated couples therapy platform. It was acquired by BetterHelp’s parent company and operates as a standalone brand. You sign up, get matched with a licensed therapist who specializes in relationships, and meet via video, phone, or messaging.

How Regain works

Both partners create accounts and are matched with one therapist
Unlimited messaging with your therapist at any time
One live session per week (video, phone, or chat)
Either partner can message the therapist independently
Cost: approximately $65–$100/week billed monthly

How BetterHelp works (for individuals)

Individual therapy only — one person per account
Same format: unlimited messaging + one live session/week
Large therapist network with strong matching
Cost: approximately $65–$100/week depending on plan and location

Honest comparison

Best for most couples

Regain BetterHelp's couples brand

Best forCouples wanting flexible, licensed therapy from home — including infidelity, trauma, or deeper issues.

Not ideal ifYou need insurance coverage, or you want the lowest possible price. Note: billed every 4 weeks (13 cycles/yr).

Typical cost~$65–90 / week

FormatVideo, phone & chat + messaging

Visit Regain Affiliate link

BetterHelp Individual therapy

Best forWorking on your marriage on your own — especially when your partner won't join (yet).

Not ideal ifYou specifically need both partners in joint couples sessions (use Regain for that).

Typical cost~$65–100 / week

FormatVideo, phone & chat + messaging

Visit BetterHelp Affiliate link

Talkspace Insurance-friendly

Best forCouples who want to use insurance or an employer (EAP) benefit.

Not ideal ifYou want the lowest cash price without insurance.

Typical costVaries (insurance/EAP)

FormatVideo + messaging

In-person therapy Traditional

Best forSevere crises, or situations where being in the room matters most.

Not ideal ifBusy schedules, tight budgets, or rural areas with few local therapists.

Typical cost~$120–200 / session

FormatIn office

Advertising disclosure: links marked "Affiliate link" may earn us a commission at no cost to you. We include non-affiliate options for honest comparison. Prices are approximate and change — check each provider for current rates.

Who Regain is right for

Couples who want to work together with a therapist but find scheduling or cost of in-person therapy prohibitive
Long-distance couples (each partner can join sessions from different locations)
Couples in the early stages of conflict who want to get ahead of problems
Partners dealing with communication breakdown, trust issues, or life transitions

Who it’s not right for

Situations involving domestic violence (online therapy is not appropriate here — call the National DV Hotline: 1-800-799-7233)
Couples who need very intensive or specialized treatment (e.g., PTSD, addiction)
Anyone who strongly prefers in-person connection

The bottom line

If you were looking for BetterHelp couples therapy, Regain is what you’re actually looking for. If only one of you is ready to try therapy, BetterHelp for individual therapy is the right starting point.

BetterHelp for Couples: How It Actually Works (It’s Regain)