What it is
Online therapy, sometimes called teletherapy or telehealth, is simply therapy conducted remotely. Instead of traveling to an office, you meet your therapist through a video call, a phone session, or sometimes secure text-based messaging. The focus and goals are the same as in-person work — only the setting changes.
Sessions usually happen on a private, encrypted platform designed to protect your confidentiality. All you typically need is a stable internet connection, a device with a camera or microphone, and a quiet, private space where you feel comfortable speaking openly.
Many types of therapists offer online services, including those who use structured, skills-based methods like cognitive behavioral therapy (CBT) and solution-focused approaches. Psychiatrists and psychiatric nurse practitioners may also offer remote appointments, and some assessment and group services are available online as well.
How it’s traditionally been approached
For most of its history, therapy happened face-to-face in an office, and that remains a meaningful option for many people. In-person sessions let therapist and client share the same physical space, which some find grounding and easier for building rapport.
Remote care grew gradually as phone and video technology improved, and it became far more common when many people needed ways to continue care without leaving home. What began as a workaround for some has become a standard, widely offered option.
Today, many therapists offer a mix of in-person and online appointments, and people often choose based on convenience, comfort, privacy, location, and the kind of support they are looking for. Neither format is universally 'better' — the right choice depends on your needs and preferences.
How a therapist may help
A therapist who uses cognitive and behavioral approaches may work just as effectively online as in person for many people. In sessions, you and your therapist generally talk through what is on your mind, notice patterns in your thoughts and behaviors, and explore more flexible or helpful ways of responding to challenges.
CBT and solution-focused therapists often emphasize practical, present-focused conversations and may suggest small things to reflect on or try between sessions. Over video or phone, this can feel much like an in-person meeting — you still have a dedicated time and space to be heard and to work toward your own goals.
Online settings can make it easier to keep a consistent routine, which some people find supports the steady, collaborative nature of these approaches. Your therapist can help you decide whether remote sessions suit your situation or whether in-person work might be a better fit.
Where mind meets body
Our thoughts, emotions, and the body's stress response are deeply connected. Worry or distress can show up as tension, a racing heart, or trouble sleeping, and physical sensations can in turn shape how we think and feel. This is true whether you meet a therapist online or in person.
Because of this mind-body link, some people pair thinking-based therapy with body-based (somatic) practices for a more whole-person approach. If you want to learn more about body-based options, Somatic Experiences is a place to explore them alongside the cognitive and behavioral resources here.
Explore on Somatic Experiences: home →Explore on Somatic Experiences: somatic therapy →Explore on Somatic Experiences: nervous system regulation →
Keep in mind
- Online therapy may not be the right fit for everyone or every situation; a licensed professional can help you decide what kind of care suits you best.
- Decisions about medication are made with a licensed prescriber, such as a psychiatrist or psychiatric nurse practitioner.
- For concerns involving trauma, self-harm, thoughts of suicide, psychosis, eating disorders, or substance use, licensed professionals should guide your care.
- If you are in crisis in the US, you can call or text 988 or call 911 right away.
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Frequently asked questions
Does online therapy actually work?
Many people find online therapy a helpful and convenient way to work with a licensed therapist. For a range of concerns, remote sessions can offer much of what in-person therapy does, including consistent support and a confidential space to talk. The best fit depends on your needs, and a professional can help you decide.
What do I need for online therapy?
You generally need a device with a camera or microphone, a reliable internet connection, and a private, quiet place to talk. Your therapist will typically use a secure platform to protect your confidentiality. It helps to have a comfortable space where you can speak openly without interruptions.
Is online therapy private and secure?
Reputable therapists use encrypted, confidential platforms designed to protect your privacy. On your end, choosing a quiet, private space and using headphones can add an extra layer of comfort. If you have questions about how your information is handled, you can ask a therapist directly before starting.
Can I get medication through online therapy?
Therapy itself does not involve medication, but some psychiatrists and psychiatric nurse practitioners offer remote appointments. Any decisions about medication are made with a licensed prescriber. If medication may be relevant for you, a provider can discuss the options during an appointment.
Is online therapy cheaper than in-person therapy?
Costs vary widely depending on the therapist, your location, and whether services are covered by insurance. Some people find online options more affordable or easier to access, while others do not. It is best to ask individual providers about their fees and any coverage they accept.
How do I find the right online therapist?
Start by considering what you want help with and what approach interests you, such as CBT or solution-focused therapy. You can browse therapist profiles, read how each person describes their work, and reach out to ask whether they offer online sessions. Many therapists offer a brief first conversation to see if it feels like a good fit.
Educational resource. Therapists.plus shares general information and connects people with independent therapists, coaches and groups. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health. In a crisis in the US, call or text 988 or call 911.
