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How to Start Online Therapy: A Complete Guide

Everything you need to know about beginning your online therapy journey

Last updated: January 2025 | Medically reviewed

Is Online Therapy Right for You?

Online therapy (also called teletherapy or e-therapy) is a great fit for many people. It's particularly well-suited if you have a busy schedule, live in a rural area, have mobility challenges, or simply prefer the comfort of home.

However, online therapy may not be ideal for severe mental health crises, active suicidal ideation, or conditions requiring intensive in-person treatment.

Choosing a Platform

Consider these factors when choosing: your budget, whether you have insurance, what type of therapy you need, and your preferred communication style (video, phone, messaging).

Our top recommendation for beginners is BetterHelp due to its large therapist network and flexible communication options.

What to Expect

Most platforms start with an intake questionnaire to understand your needs and match you with appropriate therapists. The matching process typically takes 24-48 hours.

Your first session will usually involve getting to know your therapist and discussing your goals for therapy.

Making the Most of It

Be honest and open with your therapist. Prepare for sessions by thinking about what you want to discuss. Do any homework or exercises your therapist suggests between sessions.