What is online therapy?

Unlike traditional therapy, which typically happens in person, online therapy refers to the practice of delivering mental health services over the internet — usually through video calls. 

Just like how traditional therapy usually covers a range of services and needs, online therapy can be varied, too, including:

• Individual therapy: One-on-one therapy between a client and a therapist, which is the most common form of online therapy and I offer at Mind Over Matter.
• Couples therapy: Online couples therapy involves both partners participating in sessions with a therapist.
• Group therapy: Group therapy involves a therapist leading a session with multiple participants who share similar concerns or goals. Group sessions are conducted through video calls, allowing participants to interact with one another and the therapist.

Does online therapy work?

Many people who are new to mental health support wonder: Does virtual therapy work?

For those who are used to in-person, more traditional support, it’s hard to fathom that online therapy — through a screen — is just as effective. But, in truth, it is.

In fact,  studies have shown that online therapy, delivered via video, can be as effective as in-person therapy for a variety of mental health conditions. For example, research shows that online Cognitive Behavioural Therapy (CBT) can significantly reduce symptoms of anxiety and depression and provide effective treatment for conditions such as PTSD, OCD, and stress.

The accessibility and convenience of online therapy often play a role in its success, too. Think of it this way: When there are fewer barriers to receiving care, it is more likely that the care will be successful.

Things to be aware of before beginning online therapy sessions

Starting online therapy can be an adjustment — especially if you’re used to in-person therapy, or starting your therapy journey altogether.

That’s why it’s important that you consider a few things before getting started, so that you have the best experience possible.

1. Technology requirements

While probably not surprising, online therapy depends on technology. So, when starting your digital counselling journey, you’ll want to make sure you have the right tools and setup, like the right:

• Internet connection: A poor connection can lead to interruptions, lagging, or dropped calls, which can disrupt the therapeutic process. Ensure your internet speed is sufficient to support video calls, especially if you’re using platforms like Zoom or Google Meet.
• Device: Ensure that your device has a functioning camera, microphone, and speakers. Using a device with a larger screen, like a computer or tablet, can enhance the experience by providing better visibility during video calls, too.
• Software: Before your first session, check that your device is compatible with the software or app I use. Download and test the required app or software (like Zoom, Microsoft Teams, or a specific therapy platform) to ensure everything works smoothly. 

2. Setting expectations

Online therapy often comes with an adjustment period, especially for people who are used to in-person therapy. While much of the core content is the same, there are some differences to be aware of. 

Unlike in-person therapy, online therapy often requires a bit more intentionality around:

• Participation: Online therapy requires active participation. Be prepared to engage fully in your sessions, whether through verbal communication, completing assignments between sessions, or practicing new coping strategies.
• Building a relationship: In traditional settings, a therapist can read body language and cues, and a connection might happen more easily. With online therapy and communicating through video, however, it might take a few more sessions or some time for you to build a relationship with your therapist. 

3. Emergency protocols

Like with in-person therapy, online therapists usually have emergency protocols as well, which help both the provider and client prepare for potential crisis situations.

Typically, the process includes:

• Planning: At the start of therapy, the therapist will typically gather essential information, including emergency contacts, the client’s location during sessions, and details about local emergency services. The therapist may also ask about any history of crises or suicidal thoughts to assess the client’s risk level.
• Protocols: Usually, the therapist will discuss specific emergency procedures with the client during the first session. This may include instructions on what to do if the client feels they are in crisis during or between sessions.
• Evaluation: If a client expresses suicidal thoughts or severe distress during a session, the therapist will assess the level of risk. This includes asking direct questions about the client’s safety, current state of mind, and any plans or means they might have for self-harm.
• Action: Based on the assessment, the therapist may guide the client to contact emergency services themselves or, if the client is unable, the therapist might do so on their behalf using the information provided at the start of therapy.