Online Marriage Counselling in Australia: How to Choose and Book the Right Counsellor

Last updated: October 2026
If you and your partner have decided that it is time to seek help, online marriage counselling can be a practical way to begin. You can attend from home, avoid travel and, in some circumstances, access a counsellor who would otherwise be outside your local area.
But choosing online marriage counselling involves more than finding an available appointment.
The qualifications and experience of the counsellor, their experience working with couples, the therapeutic approach they use, privacy, technology, cost and the suitability of online sessions for your circumstances can all influence your experience.
Research into specific couples interventions delivered by videoconferencing is encouraging. One Australian randomised study found that couples receiving a behavioural couples intervention by videoconference experienced improvements in relationship satisfaction and mental health, with outcomes that did not differ significantly from the face-to-face group. However, this does not mean that every form of online counselling is automatically equivalent to every form of face-to-face therapy.
This guide explains how to choose and book professional marriage counselling online in Australia, what to look for in a counsellor, how to prepare for your first session, what online counselling costs, how Medicare and private health insurance may apply, and when online counselling may or may not be appropriate.
What Is Online Marriage Counselling?
Online marriage counselling is relationship counselling delivered remotely, usually through a secure video platform.
Depending on the practitioner and the needs of the couple, sessions may focus on issues such as:
repeated arguments
communication difficulties
emotional distance
loss of intimacy or connection
rebuilding trust
disagreements about parenting
financial or lifestyle disagreements
work and family pressures
the impact of an affair or significant breach of trust
uncertainty about the future of the relationship
preparing for major relationship transitions
strengthening an otherwise healthy relationship.
The terminology varies. You may also see services described as online couples counselling, online relationship counselling, marriage counselling online or online couples therapy.
The important consideration is not simply the label. It is whether the practitioner is appropriately trained, experienced in couples work and able to provide a service suited to your circumstances.
Why Choose Online Marriage Counselling?
One of the biggest advantages of online counselling is accessibility.
Rather than travelling to a counselling practice, both partners can potentially attend from a private location that is convenient for them.
This may be particularly useful when:
work schedules make travel difficult
childcare makes appointments complicated
partners live some distance apart
one partner travels regularly
you live outside the counsellor's immediate area
mobility or transport makes travelling difficult
you prefer the familiarity of your own environment.
For some couples, reducing practical barriers makes it easier to attend appointments consistently.
At The Lotus Rooms, online counselling provides another way for individuals, couples and families to access professional support without the need to attend every session in person.
You can also explore our counselling services if you would like to understand the broader counselling options available.
Does Online Marriage Counselling Actually Work?
The evidence is encouraging, but it is important to be precise about what the research shows.
A 2022 randomised study by Kysely and colleagues compared a behavioural couples intervention delivered by videoconference with the same intervention delivered face-to-face. The study included 30 couples, with 15 couples allocated to each condition.
Both groups showed improvements in relationship satisfaction, mental health and other measured outcomes. The researchers found no significant differences between the videoconference and face-to-face conditions, including in therapeutic alliance.
This provides useful evidence that videoconferenced couples interventions can be a viable alternative to face-to-face delivery for some couples.
It does not prove that every online therapy service will produce identical outcomes.
Research findings apply to the intervention, population and circumstances studied. The quality of the practitioner, therapeutic approach, relationship between the counsellor and couple, privacy, technology and willingness to participate can all matter.
The practical conclusion is therefore relatively simple:
Online counselling can be an effective option for many couples, but suitability should be considered on an individual basis.
Before You Book: Decide What You Want From Counselling
You do not need to diagnose your relationship or know which therapeutic approach you need before contacting a counsellor.
That is part of the professional assessment process.
However, spending a little time thinking about what has brought you to counselling can make the first appointment more productive.
Ask yourselves:
What problem are we struggling to resolve?
What arguments or conversations keep repeating?
What has changed in our relationship?
When did we begin feeling disconnected?
What would we like to be different six months from now?
Are we trying to repair a specific problem?
Are we trying to decide whether the relationship can continue?
Do we want to improve communication more generally?
Your answers do not need to be identical.
In fact, differences in how partners understand the problem can provide useful information for the counsellor.
Do Both Partners Need to Want Counselling?
Ideally, both partners should understand why counselling is being considered and have an opportunity to participate in choosing the practitioner.
That does not mean both people have to be equally enthusiastic.
One partner may be nervous, sceptical or uncertain about whether counselling will help.
What matters is having enough willingness to participate honestly and respectfully in the process.
If one partner is completely unwilling to participate, discuss the situation with the practitioner. Individual counselling may sometimes be a more appropriate starting point.
How to Choose an Online Marriage Counsellor in Australia
Finding an available appointment is easy.
Finding an appropriately qualified and experienced professional who is a good fit for your relationship is more important.
1. Look at qualifications
Counselling and psychotherapy are not regulated through Australia's National Registration and Accreditation Scheme in the same way as registered professions such as psychology.
Professional bodies such as the Psychotherapy and Counselling Federation of Australia (PACFA) and the Australian Counselling Association (ACA) provide professional registration frameworks for counsellors and psychotherapists.
PACFA's Registered Clinical pathway currently includes requirements such as having graduated at least two years previously, completing 750 client hours since graduation and completing 75 hours of supervision, with at least half of the minimum supervision requirement undertaken individually.
The ACA also has multiple registration levels. Its current registration categories specify different education, post-qualification experience, supervision and client-contact requirements.
This does not mean that registration with one particular organisation is the only measure of a practitioner's suitability.
It does mean that qualifications, professional registration, supervision and ongoing professional development are worth checking.
2. Look for couples-specific experience
A practitioner who works primarily with individuals may not necessarily have extensive experience working with couples.
Couples counselling involves two people, two perspectives and an interactional pattern between them.
Before booking, consider asking:
How much couples counselling do you provide?
What relationship difficulties do you commonly work with?
What therapeutic approaches do you use?
Do you work with couples experiencing significant conflict?
How do you manage situations where partners have very different perspectives?
Can partners attend from different locations?
Do you ever incorporate individual sessions into couples work?
The goal is not to find a practitioner with the longest list of qualifications.
It is to find someone whose training, experience and therapeutic approach are appropriate for your circumstances.
Step-by-Step: How to Book Online Marriage Counselling
Once you have identified a suitable practitioner, booking should usually be straightforward.
Step 1: Research the counsellor
Read the practitioner's website carefully.
Look for clear information about:
qualifications
professional registration or membership
couples experience
therapeutic approaches
areas of practice
session length
fees
cancellation policies
online counselling arrangements.
If important information is unclear, contact the practice before booking.
Step 2: Confirm that online counselling is available
Ask:
Are sessions conducted entirely online?
Which video platform is used?
Can both partners attend from the same location?
Can partners attend from separate locations?
How long is each session?
What happens if the technology fails?
Is there anything we need to complete before the first session?
These questions are particularly important if one partner will be joining from another city or location.
Step 3: Check the fee and cancellation policy
Before booking, make sure you understand:
the session fee
session length
payment arrangements
cancellation requirements
missed-appointment fees
whether online and face-to-face sessions have different fees.
Do not assume online counselling will automatically be cheaper.
A professional online session involves the counsellor's time, training, supervision, administration and practice costs just as an in-person session does.
Step 4: Complete any intake information
You may be asked to provide basic information about yourself, your partner and the reason you are seeking counselling.
Answer as honestly as possible.
If there are significant issues such as violence, coercive control, threats or serious safety concerns, disclose these to the practitioner before joint counselling begins.
Step 5: Confirm the appointment
Once the appointment is booked, save:
the date
the time
the session link
any instructions provided by the practice
contact information in case you experience technical problems.
Step 6: Prepare a private environment
Choose somewhere where you can speak openly without worrying that someone else can hear you.
This is particularly important when discussing sensitive relationship issues.
If children, housemates or other family members are present, arrange privacy for the duration of the appointment wherever possible.
Step 7: Test your technology
Before the appointment, check:
camera
microphone
speakers or headphones
internet connection
device battery
video link.
A laptop or tablet may provide a more comfortable experience than a phone because the larger screen can make it easier to see the counsellor and your partner.
What Happens During the First Online Marriage Counselling Session?
Many couples feel nervous before their first appointment.
You do not need to prepare a perfect explanation of your relationship.
The first session will generally involve understanding your circumstances, why you have sought counselling and what each partner hopes to achieve.
Depending on the practitioner and your circumstances, you may discuss:
how your relationship began
significant changes in the relationship
current sources of conflict
communication patterns
emotional or physical intimacy
trust
parenting and family pressures
significant life events
previous attempts to resolve problems
what each partner wants from counselling.
A good counselling process should provide a structured and respectful environment in which both partners can be heard.
Don't Turn the First Session Into a Courtroom
Couples sometimes arrive hoping the counsellor will decide who is right.
That is rarely the most productive starting point.
Relationship counselling is generally more useful when the focus moves from:
“Who is to blame?”
towards:
“What is happening between us, and what can we do differently?”
This does not mean serious behaviour should be minimised.
Infidelity, addiction, emotional abuse, financial abuse, coercive control and other significant issues may need to be addressed directly.
The point is that counselling is not normally about appointing a winner and a loser.
It is about understanding what is happening and determining what can change.
When Couples Counselling May Not Be Appropriate
Standard joint couples counselling is not suitable for every relationship.
If there is current domestic or family violence, coercive control, intimidation, threats or an immediate safety concern, tell the practitioner before proceeding with joint counselling.
Depending on the circumstances, the practitioner may recommend individual support, specialist domestic and family violence services or another form of intervention.
If you are in immediate danger, contact emergency services or an appropriate specialist support service.
Safety should take priority over proceeding with a standard couples counselling appointment.
How Much Does Marriage Counselling Cost in Australia?
One of the most common questions couples ask is:
How much does marriage counselling cost in Australia?
There is no single national fee.
Private counselling fees can vary according to:
practitioner qualifications
experience
location
session length
therapeutic service
practice costs
whether the appointment is individual or for a couple.
For this reason, it is better to check the practitioner's current fee schedule than rely on generic online price estimates.
When comparing prices, compare like with like.
A 50-minute session and a 90-minute session should not be treated as equivalent simply because one has a lower advertised price.
Does Medicare Cover Marriage Counselling?
This is one of the areas where online information can be misleading.
Marriage or couples counselling is not automatically Medicare-rebatable simply because a service is provided by a mental health professional.
Under the Better Access initiative, Medicare benefits are available to eligible patients who meet the relevant requirements and receive specified mental health treatment services from eligible practitioners. Services Australia currently identifies eligible practitioners including clinical psychologists, registered psychologists, social workers and occupational therapists, among others.
For eligible patients, Better Access services are subject to specific requirements relating to diagnosis, level of support, referral and the practitioner/service involved.
A Mental Health Treatment Plan therefore should not be treated as a blanket Medicare rebate for relationship counselling.
If Medicare affordability is important to you, ask the practitioner and your GP specifically:
Is the proposed service eligible for a Medicare benefit?
Is the practitioner eligible to provide the relevant Medicare service?
Is the appointment individual or joint?
What would the expected out-of-pocket cost be?
You can also check the current requirements through Services Australia before making financial decisions.
Because Medicare rules can change, always check the current requirements rather than relying on older articles or advertisements.
What About Private Health Insurance?
Private health insurance is separate from Medicare.
Some policies may provide extras benefits for eligible counselling, psychology or allied health services, but coverage varies according to the policy, practitioner and service.
Before booking, contact your health fund and ask:
Is this practitioner recognised by the fund?
Is couples or relationship counselling covered?
Is the benefit available for online consultations?
What is the annual limit?
What is the benefit per appointment?
Is there a waiting period?
Do not assume that because your policy covers psychology it will necessarily cover every form of couples counselling.
Online vs Face-to-Face Marriage Counselling: Which Is Better?
There is no universal answer.
For some couples, online counselling is the most practical option.
For others, face-to-face counselling may provide a better environment.
Advantages of online counselling
Online counselling can offer:
greater convenience
reduced travel time
easier scheduling
access to practitioners outside your immediate area
flexibility for couples living separately
the ability to attend from a familiar environment.
For couples who have repeatedly postponed counselling because of logistics, convenience can be significant.
A service that is easier to attend consistently may be more useful than a service that is theoretically ideal but difficult to access.
Advantages of face-to-face counselling
Face-to-face sessions may be preferable when:
one or both partners dislike video consultations
internet connectivity is unreliable
there is no private space at home
the home environment contains significant distractions
the practitioner believes in-person work would be more appropriate.
Some couples also find that physically leaving home creates a psychological boundary between counselling and everyday household responsibilities.
What Does the Research Say About Online Couples Counselling?
The evidence is encouraging but should be interpreted carefully.
The Australian Kysely et al. randomised study found that a six-session Couple CARE intervention delivered by videoconference produced improvements comparable to the same intervention delivered face-to-face. The study involved 30 couples and found no significant difference between conditions in relationship satisfaction, mental health outcomes or therapeutic alliance.
Other research has also examined web-based relationship interventions. For example, studies of the OurRelationship program have found promising results for online relationship interventions, although different studies have examined different populations, formats and outcomes.
The important qualification is that evidence for a particular online intervention should not automatically be generalised to every online counselling service.
Your circumstances may be different.
The best format is therefore the one that is:
clinically appropriate
private
accessible
technically workable
comfortable enough for meaningful participation
realistic to attend consistently.
How to Make Online Marriage Counselling Work
The environment you create can have a surprisingly large impact on the quality of an online session.
Create privacy
Use a room where you can speak openly without worrying that another person can hear you.
Headphones may provide additional privacy.
Minimise distractions
Turn off notifications and avoid trying to attend counselling while simultaneously:
working
preparing meals
caring for children
completing household tasks.
Give the session your attention.
Use a suitable device
A laptop or tablet generally provides a larger and more useful screen than a phone.
Position the camera so that both partners can be seen clearly.
Check your audio
Poor audio can disrupt an emotionally important conversation.
Test your microphone and speakers before the appointment.
Have a plan if emotions become overwhelming
Couples counselling can involve difficult emotions.
Talk to your counsellor about what you can do if one or both partners become overwhelmed and need a short pause.
Can Couples Attend Online Counselling From Different Locations?
One advantage of online counselling is that partners may sometimes be able to attend from different locations.
For example, one partner may be:
travelling for work
temporarily living in another city
unable to travel to the practice
working away from home.
However, confirm this with the practitioner before booking.
Ask:
Can partners join from separate locations?
Will both people use the same appointment link?
Does each person need to complete separate intake information?
What happens if one person's connection fails?
Can both people guarantee privacy?
If partners are joining from different locations, each person should ideally have a private environment.
Privacy and Confidentiality in Online Counselling
Confidentiality matters whether counselling takes place online or face-to-face.
Before your first appointment, ask the practitioner:
What video platform do you use?
Are sessions recorded?
How is client information stored?
What happens if the connection fails?
What are the limits of confidentiality?
What should we do if another person enters the room?
You should also take reasonable steps to protect your own privacy.
Use a private room, protect your device and avoid discussing sensitive relationship matters where other people can overhear.
If a practitioner proposes recording a session, make sure you understand why it is being recorded, how it will be stored and what consent arrangements apply.
How to Choose the Right Online Marriage Counselling Service
Before making an appointment, consider asking the following questions:
Question | |
Are you specifically experienced in couples counselling? | Couples work involves specialised relationship skills |
What qualifications do you hold? | Helps you assess professional training |
Are you professionally registered or a member of a professional body? | Provides additional information about professional standards |
What therapeutic approaches do you use? | Different approaches may suit different goals |
How much experience do you have with our type of problem? | Relevant experience may be important |
How long is each session? | Allows meaningful fee comparisons |
What does online counselling involve? | Clarifies the practical process |
Can partners attend from separate locations? | Important for couples who are not together |
What is your cancellation policy? | Helps avoid unexpected fees |
Is the service Medicare-rebatable? | Prevents assumptions about rebates |
Do you accept private health insurance? | Helps establish actual out-of-pocket costs |
What happens if online counselling is not appropriate? | Indicates whether appropriate alternatives or referrals can be considered |
Taking a few minutes to ask these questions can save considerable confusion later.
Why Consider The Lotus Rooms for Online Relationship Counselling?
At The Lotus Rooms, online counselling provides an accessible option for individuals, couples and families seeking professional support.
Relationship counselling can provide a structured environment in which couples can explore communication difficulties, recurring conflict, emotional disconnection and other relationship concerns.
The purpose of counselling is not to tell a couple whether they should stay together or separate.
Instead, counselling can provide an opportunity to understand what is happening within the relationship, identify patterns that may be contributing to difficulties and consider constructive ways forward.
If you are unsure whether relationship counselling, marriage counselling or another form of counselling is appropriate, you can discuss your circumstances with a practitioner before deciding on the most suitable approach.
You can learn more about The Lotus Rooms counselling services.
Common Mistakes to Avoid When Booking Online Marriage Counselling
1. Choosing solely on price
The cheapest option is not necessarily the best option.
Consider qualifications, couples experience, therapeutic approach, availability and professional fit alongside cost.
2. Assuming every counsellor is a couples specialist
Working with individuals and working with couples involves overlapping but different skills.
Ask about specific couples experience.
3. Assuming Medicare covers all relationship counselling
Medicare eligibility depends on the relevant Better Access requirements and the practitioner and service involved.
Do not rely on generic claims that “counselling is covered by Medicare.”
4. Booking without considering privacy
An online session from a busy living room may not provide the privacy necessary for meaningful counselling.
5. Expecting one appointment to solve a long-standing problem
The first appointment is generally an opportunity to understand the relationship, establish goals and begin developing a therapeutic direction.
Long-standing patterns usually take time to change.
6. Allowing one partner to dominate the process
Both partners should have an opportunity to explain their perspective.
7. Ignoring safety concerns
If there is violence, coercion, intimidation, threats or an immediate safety concern, tell the practitioner.
Standard joint couples counselling may not be the appropriate intervention.
Taking the First Step Towards Relationship Support
Deciding to seek marriage counselling does not necessarily mean that a relationship has failed.
Some couples seek help after years of conflict or emotional distance.
Others seek counselling proactively because they want to strengthen communication before difficulties become more serious.
Online counselling can make that first step easier by removing some of the practical barriers associated with attending appointments.
The most important consideration, however, is not simply whether counselling takes place online or face-to-face.
It is whether you find a suitably qualified and experienced practitioner, establish a good therapeutic fit, have sufficient privacy and can attend consistently enough for the work to be useful.
If you are considering online marriage counselling, taking the time to choose the right practitioner is an important first step.
Explore The Lotus Rooms' counselling services to learn more about the support available and whether online counselling may be suitable for your circumstances.
Frequently Asked Questions About Online Marriage Counselling
Is online marriage counselling effective?
Research into specific couples interventions delivered by videoconference suggests that online couples therapy can be effective for many couples.
In a randomised study of 30 couples, a behavioural couples intervention delivered by videoconference produced improvements comparable to the same intervention delivered face-to-face.
However, suitability varies. The practitioner, therapeutic approach, privacy, technology and circumstances of the couple all matter.
How should we prepare for online marriage counselling?
Find a private room, test your internet connection, camera and microphone, and make sure both partners can participate without interruption.
It can also help to discuss beforehand what each person hopes to achieve.
Do both partners have to attend?
Not necessarily.
The appropriate arrangement depends on the practitioner, circumstances and goals of counselling.
Some couples counselling involves joint sessions, while individual sessions may sometimes form part of a broader therapeutic process.
Ask the practitioner about their approach before booking.
Can we attend online marriage counselling from different locations?
Some practitioners allow couples to attend from separate locations.
Confirm this before booking and ensure that each person has a private and reliable environment.
Does Medicare cover marriage counselling?
Not automatically.
Medicare benefits under the Better Access initiative are subject to specific eligibility requirements involving the patient, referral, practitioner and mental health service.
Do not assume that a Mental Health Treatment Plan makes every form of couples counselling Medicare-rebatable.
If Medicare affordability is important, confirm eligibility with your GP and the practitioner before booking.
Can private health insurance cover relationship counselling?
Some private health insurance policies may provide extras benefits for eligible counselling, psychology or allied health services.
Coverage varies considerably between policies and practitioners.
Contact your health fund before booking and ask specifically whether the proposed couples or relationship counselling service is covered.
What qualifications should I look for in an online marriage counsellor?
Look for appropriate counselling or mental health qualifications, professional registration or membership where applicable, ongoing professional development, supervision and specific experience working with couples.
PACFA and the ACA both provide professional registration frameworks for counsellors and psychotherapists in Australia.
How long does marriage counselling take?
There is no universal number of sessions.
Some couples seek help for a specific issue and attend for a relatively short period.
Others have long-standing relationship difficulties that require more sustained work.
A responsible practitioner should discuss goals and progress with you rather than promising that a particular number of sessions will solve the relationship.
References and Further Reading
Australian Government — Services Australia
Requirements of a Mental Health Treatment PlanInformation about patient eligibility, practitioner eligibility, referrals and Medicare requirements under Better Access.Services Australia — Mental Health Treatment Plan requirements
Eligibility for a Mental Health Treatment PlanCurrent information about eligibility for Medicare-supported mental health treatment services.Services Australia — Mental Health Treatment Plan eligibility
Allied health referrals for mental health treatment servicesInformation about eligible allied health professionals and referral requirements.Services Australia — Allied health referrals
Professional registration
Psychotherapy and Counselling Federation of Australia (PACFA)PACFA registration requirements and clinical registration information.PACFA — Clinical Registration
Australian Counselling Association (ACA)Information about counsellor registration, qualifications and registration categories.Australian Counselling Association — Registered Counsellors
Research
Kysely A, Bishop B, Kane RT, McDevitt M, De Palma M, Rooney R. (2022).Couples Therapy Delivered Through Videoconferencing: Effects on Relationship Outcomes, Mental Health and the Therapeutic Alliance. Frontiers in Psychology, 12, 773030.doi:10.3389/fpsyg.2021.773030.
Kysely A, Bishop B, Kane R, Cheng M, De Palma M, Rooney R. (2020).Expectations and Experiences of Couples Receiving Therapy Through Videoconferencing: A Qualitative Study. Frontiers in Psychology, 10, 2992.doi:10.3389/fpsyg.2019.02992.
Roddy MK, Rothman K, Doss BD. (2018).A randomized controlled trial of different levels of coach support in an online intervention for relationship distress. Behaviour Research and Therapy, 110, 47–54.doi:10.1016/j.brat.2018.09.002.
A final note about this guide
Information about Medicare, private health insurance, professional registration and counselling services can change.
The information in this article is intended to help you make informed questions and decisions; it is not a substitute for individual clinical, financial or Medicare advice.
For current Medicare eligibility, check the latest information from Services Australia before making financial decisions.






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