Does Online Therapy Really Work?
Online therapy has quickly become a lifeline for many, offering convenience, flexibility, and access to mental health support from home. But with its growing popularity, you may wonder: Does it really work? Can virtual sessions match the effectiveness of in-person therapy, especially for young people? In this post, we’ll explore whether online therapy delivers the same benefits as traditional face-to-face counselling, along with its pros, cons, and key factors that make it a favoured option for many.
Edward Holloway
11/17/20254 min read
The Appeal of Online Therapy: Convenience and Flexibility
The very nature of online therapy brings several distinct advantages, the most obvious being convenience and flexibility. Life is busy, and for parents and young people, carving out time for therapy can sometimes feel like another task on an ever-growing to-do list. With online therapy, many people find it easier to fit therapy into their schedules. Here are a few reasons why:
Accessibility: With just a stable internet connection, online therapy makes it easier to access licensed therapists for you child or teen, no matter where you are located. This can be especially important for individuals in rural or remote areas where in-person therapy options may be limited.
Comfort and Privacy: Some young people feel more at ease opening up from the comfort of their own home. The private setting can allow for a deeper sense of security and emotional safety, which can lead to more open and productive sessions.
Time-Saving: Online therapy eliminates the need for commuting to a therapist’s office, which can be especially valuable for those with busy schedules, parents, or those juggling work and school commitments.
Global Reach: Virtual therapy provides access to therapists across geographic boundaries, meaning you aren’t limited to only those in your immediate area. This can be especially helpful for finding a therapist who specialises in particular issues or who aligns with your preferred therapeutic approach.
Does Online Therapy Work as Well as In-Person Therapy?
When it comes to the core question - does online therapy work? - the short answer is: Yes, it can. But, as with anything in mental health, it depends on several factors. Many studies and clinical trials have been conducted to evaluate the effectiveness of online therapy, and the results are promising.
Research Shows Positive Outcomes
Research has shown that online therapy is just as effective as traditional in-person therapy for a variety of mental health issues, including anxiety, depression, stress, and relationship challenges. For example:
A 2018 study published in the Journal of Anxiety Disorders found that online therapy was equally effective in treating anxiety and depression as face-to-face therapy.
Another study conducted by BMC psychology in 2022 found that online counselling was similarly as effective as face-to-face counselling for students seeking help with general mental health issues.
Therapeutic Alliance Still Matters
The therapeutic alliance, or the relationship between the therapist and client, remains a significant factor in the success of therapy—whether online or in person. A strong, trusting relationship helps young people feel comfortable enough to explore their emotions and work through difficult topics. Fortunately, studies have shown that this alliance can still be built and maintained in an online setting.
Even through a screen, therapists can effectively show empathy, understanding, and active listening, which helps clients feel supported. This connection—whether in person or virtually—is what drives the progress in therapy.
Benefits of Online Therapy
In addition to convenience, there are several other benefits to online therapy that can make it a viable, even preferable, option for many individuals:
1. Reduced Stigma and Anxiety
For some people, the idea of walking into a therapist’s office can feel intimidating, or they might feel self-conscious about being seen entering a mental health environment. Online therapy can provide a level of anonymity that reduces stigma and helps clients feel more comfortable.
For individuals with social anxiety, online therapy can feel less overwhelming too, making it easier to open up and engage in the process.
2. Increased Accessibility for Diverse Populations
Online therapy has made mental health care more accessible to a wider range of people, especially those with mobility challenges, chronic health conditions, or time constraints.
Additionally, online therapy can be more inclusive for individuals in marginalised communities who might face discrimination or bias in attending traditional therapy settings.
3. Flexibility in Communication Style
Online therapy often offers multiple modes of communication, such as video calls, phone calls, or even text-based sessions (such as messaging or email). This flexibility can be a game-changer for individuals who prefer one method over another, or to integrate different approaches. For example, some people may benefit from using text or chat functions during online therapy when disclosing difficult material.
4. Continuity of Care
Online therapy offers more continuity of care, especially during situations that might disrupt in-person visits, such as travel, illness, or even a global pandemic. Having the ability to continue therapy from anywhere at any time helps clients stay on track with their progress.
Challenges of Online Therapy: Things to Consider
While online therapy has its advantages, there are a few factors to keep in mind:
Technology Issues: A stable internet connection is key, as occasional glitches or delays can disrupt the flow of sessions.
Non-Verbal Cues: The absence of in-person body language can sometimes make it harder to gauge emotions.
Privacy Concerns: Ensuring the platform is secure and maintaining a private space at home is essential for confidentiality and creating an appropriate therapeutic environment.
Therapy Techniques: Some hands-on approaches may be more challenging to implement virtually, but most therapists have adapted their methods for online settings using virtual art tools and adapting resources for online settings.
Is Online Therapy Right for You?
If you’re wondering whether online therapy is the right choice for you or your loved one, it’s important to think about your needs and preferences. Here are some questions to ask yourself:
Do you feel more comfortable expressing yourself from home, or are you more comfortable in person?
Are you comfortable using technology?
Are you looking for flexibility in terms of scheduling and communication style?
Are you seeking specialised care that might be available through online platforms but not locally?
If you’re still unsure, it’s worth discussing the option with your therapist or an expert.
The Takeaway: Virtual Therapy Is More Than Just a Convenience
So, does online therapy really work? The answer is a resounding yes. While it comes with its unique challenges, online therapy has proven to be just as effective as in-person therapy for many individuals. The therapeutic alliance, which is the cornerstone of any successful therapy, can still thrive in a virtual setting. And for many, the convenience, comfort, and accessibility that online therapy offers makes it a fantastic option for ongoing mental health care.
Please note that Still Ocean Therapy is not a suitable service for emergencies or crises.
If you are in a crisis or any other person may be in danger - don't use this site, these resources can provide you with immediate help.




