What is Online Therapy?
Online therapy, sometimes called teletherapy or telepsychology, is mental health care delivered through the internet. In these sessions, you meet with a licensed therapist remotely—usually by video, phone, or text—rather than traveling to an office. Online therapy is not automated or AI-based; you are meeting with a trained professional who provides guidance, support, and strategies just like in-person therapy.
You can access online therapy from anywhere with an internet connection. Video sessions are scheduled like traditional therapy and require a secure platform, while text-based sessions usually happen within set time frames. Just like in-person care, consistency and structure are important.
Tele-mental health has grown a lot over the last few decades. In the 1960s and 70s, therapists used phones and closed-circuit TV to reach clients, but technology was limited. In the 1990s and 2000s, internet video platforms made remote therapy more practical, though adoption was slow due to privacy and insurance concerns. The COVID-19 pandemic accelerated teletherapy use, showing it can be effective for many mental health needs. Today, online therapy is common, flexible, and helps people access care they might not otherwise be able to.
Choosing the Right Therapist
Finding a therapist who fits your needs is one of the most important steps for effective therapy. Gonzalez (2023) suggests a few key things to consider:
- Credentials and Training: Not all people calling themselves “therapists” have formal training or accreditation. Look for professionals with recognized credentials or membership in regulatory associations, such as the CRPO (College of Registered Psychotherapists of Ontario).
- Cost and Affordability: Therapy is an investment, but it shouldn’t create financial stress. Many therapists offer sliding scale fees or lower-cost options. Finding a therapist, you can afford allows you to focus on your mental health without added worry.
- Personal Fit and Comfort: Feeling safe and understood is essential in therapy. One of the best ways to gauge your initial comfort with a therapist is to review their profile or website. Look at their skill set, areas of focus, and any personal or cultural factors that are important to you. Many therapists also offer a free consultation, which can give you a sense of whether you connect before committing to regular sessions. Trust grows over time, but starting with a therapist you feel comfortable with makes a big difference.
- Modality and Approach: Therapists may use different therapeutic approaches, such as cognitive-behavioral therapy(CBT), dialectic-behavioural therapy (DBT), psychodynamic therapy, mindfulness-based therapy, or experiential therapies such as Internal Family Systems (IFS) or Emotional Focused Therapy (EFT). Consider what type of therapy might best match your needs or goals, and don’t hesitate to ask the therapist about their approach during the consultation. This can help ensure that their methods align with what you’re looking for.
- Availability: Choose a therapist whose schedule matches yours. Therapy should fit your life, not add stress. Make sure their availability works for the frequency of sessions you want and doesn’t conflict with work, school, or other commitments.
Choosing the right online therapist combines practical considerations like cost and scheduling with emotional factors like trust and comfort. Taking time to find a good fit can help ensure your therapy is effective, supportive, and sustainable.