Especially following the COVID-19 pandemic, many services, including therapy, shifted to online formats. While some returned to in-person, other businesses continued to offer an online option. Virtual therapy is pretty popular today, allowing counsellors to help more individuals. So does it really work as well as in-person?
This is a nuanced question. There could be pros and cons, depending on the person. Some advantages are convenience, comfort, and more accessibility. On the other hand, some individuals may have difficulty focusing or staying consistent when participating in virtual counselling. Recent research indicates that online sessions can even be more effective than traditional face-to-face. Let’s dive into the specifics.
Convenience
Going to therapy (or any appointment) can be challenging, especially for an individual who struggles with executive functioning. This can affect the ability to plan and initiate tasks. By having an online session, the number of steps, planning, and time required for an appointment is reduced. Rather than waking up extra early, figuring out transportation and finding the location, one can just walk to their computer. The easier sessions feel to accomplish, the more consistent a patient will be; maintaining a regular schedule (within reason) is a vital aspect of seeing results.
Comfortability
Talking about trauma, feelings, and participating in therapeutic techniques such as inner child work are often stressful (but rewarding) experiences. Fully engaging in the process can increase the effectiveness of a session. Many individuals feel more at ease in their home, whether it’s for therapy or otherwise. The more relaxed you are, the better you can engage and get the most out of the experience.
Accessibility
Online formats for any business allow greater accessibility. Individuals who have difficulty leaving the house due to physical or mental disabilities can access services they couldn’t have otherwise. Ensuring mental health care is accessible to all is vitally important.
What Does Science Say?
One study conducted by Lippke and colleagues actually found improved results in patients who received online therapy compared to face-to-face. Clients were significantly less likely to drop the program altogether and were more likely to stick to assigned therapeutic homework. They also reported higher levels of satisfaction following online sessions.
Similarly, a meta-analysis revealed that virtual therapy was just as effective as in-person for individuals partaking in Cognitive Behavioural Therapy. These results were consistent in treating different disorders as well, including depression, anxiety, eating disorders and insomnia.
What’s the Conclusion?
While there may be some variation amongst individuals who find it easier to be consistent and focused with in-person therapy, the benefits of online therapy are extensive. Providing the option increases a therapist’s ability to help, and makes services more accessible. Research indicates that virtual sessions are just as effective, if not more so, as in-person.
In summary, do what works best for you! Whatever keeps you motivated and consistent is the best option.
To learn more about what we can offer as an online clinic, please click here to schedule a consultation.

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