Online Therapy: Does It Work? Pros and Cons from a Psychologist

Online therapy has become increasingly popular — especially after the pandemic, but many people still wonder:

“Is it really as effective as in-person therapy?”“Can I build real trust through a screen?”“Will it feel the same?”

As a clinical psychologist who offers both in-person and online sessions, I hear these questions often. The short answer? Yes, online therapy works — and for many people, it works exceptionally well.But it’s not for everyone, and there are important factors to consider.

Pros of Online Therapy

1. Accessibility and flexibility

You can connect from anywhere — whether you’re traveling, at home with children, or living abroad. This is especially helpful for expats, frequent movers, or people in rural areas.

2. Comfort and safety

Being in your own space can make it easier to open up. For some clients, it reduces anxiety and makes emotional topics feel more manageable.

3. Time and energy saving

No commuting, no parking stress. Online sessions are easier to fit into a busy schedule — especially during lunch breaks or between meetings.

4. Wider choice of therapists

You’re not limited to professionals in your immediate area. This is crucial if you’re looking for a therapist who speaks your native language or understands your cultural background.

5. Continuity of care

If you move cities or countries, you can keep the same therapist and maintain your therapeutic progress.

Possible Challenges of Online Therapy

1. Technical issues

Poor internet connection, sound problems, or distractions at home can interfere with the session flow.Tip: Using headphones and a quiet, private space can make a big difference.

2. Reduced nonverbal communication

Therapists can still pick up many cues — but some subtle body language may be harder to observe through a screen.Still, therapists trained in online work adapt their approach accordingly.

3. Not ideal for all clinical needs

For clients in acute crisis (e.g., severe suicidal ideation, active psychosis), in-person support or emergency services may be more appropriate.

4. Boundaries can blur

When therapy happens at home, it may be harder to emotionally “step out” of the session. Creating a short ritual before and after (e.g., a walk, journaling) can help transition in and out of the therapy space.

What the research says

Multiple studies have shown that online therapy is as effective as in-person therapy for treating anxiety, depression, PTSD, relationship issues, and more — as long as the client and therapist are both comfortable with the format.

So... is online therapy right for you?

Online therapy might be a good fit if you:

• Travel often or live abroad

• Have limited access to therapists in your language

• Feel more relaxed in your own environment

• Prefer flexibility in scheduling

• Are comfortable using technology

On the other hand, if you crave face-to-face interaction, struggle with digital fatigue, or have limited privacy at home, in-person sessions might serve you better — or a hybrid approach.

My approach

I work with international clients both online and in-person. In both settings, my focus remains the same: building a strong therapeutic relationship, creating a safe space, and helping you move toward real, sustainable change.

Whether we meet in a room or on a screen, therapy is still a human connection — and healing happens when you feel seen, understood, and supported.

Curious about trying online therapy?Let’s find the format that works best for your life — and your needs.