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Is Online Therapy Effective? What Research Shows

Evidence-based analysis of online therapy outcomes

Last updated: January 2025 | Medically reviewed

What the Research Says

Multiple studies have found online therapy to be as effective as in-person therapy for many conditions, including depression, anxiety, and PTSD.

A 2021 meta-analysis published in the Journal of Affective Disorders found no significant difference in outcomes between online and face-to-face therapy for depression.

Conditions That Respond Well

Online therapy has shown strong results for: depression, generalized anxiety disorder, social anxiety, panic disorder, OCD (especially with ERP), and PTSD.

Limitations

Online therapy may be less effective for: severe mental illness requiring intensive treatment, active substance abuse crises, situations requiring immediate intervention.

Platform Outcomes

BetterHelp reports that 98% of users made significant progress, while Brightside reports 86% of members achieve clinically significant improvement.