Join thousands of members getting private, convenient therapy. Get started →

Therapy without the wait.

  • Matched with a licensed therapist within 24 hours
  • $0 copay potential with most insurance plans
  • Video, voice, or messaging — your phone, your call
A licensed therapist smiling, ready to start a session
Dr. Imani OkaforPsyD

Most insured members have a $0 copay

Choose your insurer to learn more

CignaAetnaOptumAnthemUnitedHealthcareMedicareTricareAnd more…
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What's included
with Sanctum

  • Match with a licensed therapist in 24 hours or sooner
  • Therapy sessions over video, voice, or live messaging
  • Unlimited in-app messaging with your therapist, every day
  • Switch therapists at any time, no extra cost or paperwork
Four steps · two days

How Sanctum works

From the moment you finish your assessment to your first session, the median is under 48 hours. Here's exactly what happens.

1

Check eligibility

We're in-network with most major plans, and you can check your coverage in minutes. Out-of-pocket pricing is posted too.

2

Get matched

Answer a few questions and we'll match you with a licensed therapist within 24 hours.

3

Start therapy

Meet your therapist over live video, voice, or messaging — your call, every week.

4

Switch any time

If your first therapist isn't a fit, it's two taps to pick a new one. No extra cost.

Sanctum·rise

by Sanctum

Hormonal shifts, evolving identities, and societal expectations can powerfully impact women's mental health. Sanctum·rise quickly connects women with mental-health providers who specialize in their stage of life — perinatal, perimenopause, postpartum, and beyond.

Learn more
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Experts in virtual mental health care

1,200,000
therapy sessions
180,000
members helped
1,800
licensed providers

Comprehensive treatment
with therapy and psychiatry

Combining therapy and medication has been proven to bring the best results for most mental-health conditions.

Explore therapy and
medication combined (18+)

Get started

Get help deciding what's
right for you

Get started

Meet the Sanctum
licensed providers

Our network of therapists and psychiatry providers have specialization in 150+ conditions, treatment approaches, and mental-health needs.

DepressionRelationshipsAnxiety + stressParentingLGBTQIA+Chronic illnessEating disordersOCDAnger managementChildhood abuseMood disordersTrauma + griefLonelinessFamily conflictAnd more...
Get started
Portrait of Dr. Imani Okafor, PsyD
Dr. Imani Okafor, PsyD · Trauma · Anxiety
60,000+ five-star reviews

Real members. Real change.

See all 60,000+ reviews →

Therapy at Sanctum was different. The matching actually worked, and I felt heard from the very first session.

Aliyah, 31 portrait
Aliyah, 31
Member · 2 years

First time in therapy and Sanctum made it less scary than I expected. My therapist understood me from minute one.

Marcus, 38 portrait
Marcus, 38
First-time member

Mira specializes in new parents. She didn't try to make me feel grateful for being a mother — she helped me feel like myself again.

Sofia, 29 portrait
Sofia, 29
Postpartum care

I'd been on three waitlists when I tried Sanctum. Matched within a day with someone who actually got me, and my first session was that Friday.

Carmen, 54 portrait
Carmen, 54
Member · 4 years

Eight sessions in I asked myself why I'd waited so long. The match was accurate from minute one. The app makes it impossible to fall off.

Daniel, 42 portrait
Daniel, 42
Burnout + transitions

My Sanctum therapist helped me notice the spiraling thoughts before they spiraled. It's great to talk to somebody who actually listens.

Tasha, 26 portrait
Tasha, 26
Anxiety + ADHD
Backed by evidence

Care that actually works.

Sanctum partners with peer-reviewed research institutions to validate the quality of our treatment methods. Independent studies of our own member outcomes, run quarterly.

70%

saw improvement of anxiety or depression symptoms within 3 months

80%

reported Sanctum was as or more effective than face-to-face therapy

98%

found Sanctum to be more convenient than face-to-face therapy

Source: Peer-reviewed clinical research, 2024

Any questions?

Find trustworthy answers on all things mental health at Sanctum.

How much is Sanctum online therapy?

Most members pay $0–$50 per session after deductible. Self-pay starts at $69 per week (4 sessions/month) or $89 per individual session. Sliding-scale rates from $35 are available for income-qualifying members.

Does insurance cover online therapy?

Yes, in most cases. We're in-network with Cigna, Aetna, Optum, UnitedHealthcare, Anthem BCBS, Humana, Medicare, and Medicaid in many states. Run your insurance during signup for a real-time eligibility check — usually within 90 seconds.

Is online therapy effective?

Yes. Peer-reviewed research repeatedly shows online therapy is as effective as in-person for most concerns including anxiety, depression, and PTSD. The barrier matters more than the modality — therapy you actually attend works.

What is the difference between therapy and psychiatry?

Therapy is talk-based work with a licensed therapist (psychologist, social worker, or counselor) using approaches like CBT, EMDR, or ACT. Psychiatry is medication-based care with a psychiatrist (MD). Many members do both — they work better together than either alone.

How do I get matched with a therapist?

Three minutes of intake, then we route you to a licensed therapist with same-week availability. Within 24 hours of completing intake, you'll have an introductory message from your matched therapist.

Stay in the loop

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