The Research
Multiple studies show that online therapy is equally effective as in-person therapy for most conditions, including anxiety, depression, and PTSD. The therapeutic relationship can form just as well through a screen.
Comparison
| Factor | Online | In-Person |
|---|---|---|
| Convenience | High (no commute) | Lower (travel required) |
| Scheduling | Often more flexible | Office hours |
| Cost | Often lower | Higher average |
| Privacy | Depends on home setup | Guaranteed private space |
| Connection | Works for most | Some prefer physical presence |
| Technical issues | Possible disruptions | None |
Online Therapy Works Best When
- You have reliable internet and private space
- Commuting is difficult (distance, disability, anxiety)
- You need flexible scheduling
- You're comfortable with technology
- Your condition is mild-to-moderate
- You prefer the comfort of home
In-Person May Be Better When
- You're in crisis or need intensive support
- You lack private space at home
- You prefer physical presence for connection
- Your condition requires in-person assessment
- You need specialized treatment not available online
- Technology frustrates you
Hybrid Approach
Some people do both—in-person when possible, online when convenient. Many therapists now offer this flexibility. The key is consistency: regular sessions matter more than the format.
The Bottom Line
For most people and most conditions, online therapy is a legitimate, effective option. The best format is the one you'll actually use consistently. If online means you'll stick with therapy, that's the right choice.