Many people wonder whether online therapy is as helpful as meeting in an office. The question is a reasonable one, particularly for people who are choosing video sessions for convenience and want to be sure they are not accepting something lesser.

What research suggests

Across a large body of outcome studies, therapy delivered by video has generally shown effectiveness comparable to in-person therapy for many common concerns, including anxiety and depression. The therapeutic relationship, which is among the strongest predictors of outcome in therapy, tends to form just as reliably over video for most clients.

What matters most

Fit with the therapist, attending consistently, and whether the approach suits what you are working on tend to predict outcomes more than whether you are in the same room. A well-matched therapist over video will often be more helpful than a poorly matched one in person.

Emotionally Focused Individual Therapy on video

EFIT relies on attunement, slow pacing, and attention to what you feel in your body and in the moment, and these can all be done well over video. Many clients find that they are more comfortable in their own space than in an unfamiliar office, which can make it easier to feel safe and to be honest early on.

When telehealth may not be the best fit

Clients in active crisis, or those who need more immediate in-person support, may be better served by a different level of care. Telehealth also requires a private space and a stable internet connection, and Florida law requires that you are located in the state at the time of the session. You can find more details on the telehealth page.

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Related Reading

What to Expect in a First Therapy Session →

Signs You May Benefit From Therapy →

Consistency in Therapy →