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When Online Therapy is Better than In-Person Sessions

Exploring the Effectiveness of Online Therapy: When Online Therapy Is Superior To In-Person Therapy

 

When Online Therapy Is Better Than In-Person Therapy

Online therapy, also known as online counselling, has long been established as just as effective as in-person therapy for many mental health conditions. Studies conducted during the COVID-19 pandemic provided substantial evidence supporting the effectiveness of online therapy, as many people had to transition to virtual sessions due to lockdowns and social distancing. This shift led to a surge of research on the outcomes of online therapy, demonstrating its ability to address various mental health challenges successfully.

However, a less often asked and researched question is whether there are certain instances or presenting problems when online therapy is better than in-person therapy or preferred by clients. Based on anecdotal evidence from clients and colleagues in the mental health field, at least three categories stand out where online therapy can be more beneficial.

Social Anxiety and Related Challenges

The first category is social anxiety and related issues, such as extremely low self-esteem and negative body image. Clients with social anxiety often feel more comfortable in their own environments, which can reduce the pressure and anxiety that may arise when meeting someone face-to-face. In such cases, online therapy is better than in-person therapy because it allows clients to engage in treatment without the additional stress of social interaction in unfamiliar settings.

Trauma and the Safety of Virtual Spaces

The second category includes trauma-related cases, where the source of trauma may cause the person to feel unsafe leaving their home, using public transport, or meeting with a therapist in an unfamiliar setting. The virtual nature of online counselling allows these individuals to engage with a professional from a place of safety, which can facilitate better engagement in therapy. For trauma survivors, online therapy is better than in-person therapy when feelings of security are crucial to the healing process.

Medical Conditions and the Convenience of Online Therapy

Finally, individuals with medical conditions that cause immobility, weakness, or weakened immune systems may prefer online therapy to avoid the risks associated with close physical contact, especially during periods of heightened health risks. In these cases, online therapy is better than in-person therapy because it eliminates accessibility barriers and ensures continuity of care.

Conclusion: Flexibility and Accessibility in Online Counselling

In conclusion, while both online and in-person therapy have their unique strengths, there are specific circumstances when online therapy is better than in-person therapy. For those facing barriers to traditional therapy, online counselling can be a transformative resource, providing accessible and effective mental health care.

Online virtual counselling therapy

 

 
 
 

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This is a digital stamp, indicating that my qualifications were verified by the international online therapy directory, Psychology Today.
This is a digital stamp from the Solution Focused Universe University, the world's largest training organisation in the Solution Focused Brief Therapy approach. It shows I have been a member for 8 years.  A link to such a large organisation and continuous training in my approach shows I am a trustworthy professional.

© 2025 by Henning Gericke

PRC 0018643 (Health Professions Council of South Africa)

This is a digital certificate from the Solution Focused Universe University, the world's largest training organisation in the Solution Focused Brief Therapy approach. It shows I have been a member for 8 years.  A link to such a large organisation and continuous training in my approach shows I am a trustworthy professional.
This image includes the logos of 3 different forms of payments I accept: Visa card, Mastercard and paying with a card via an online link provided by Yoco.

PR no. 081 000 0508 764 (Practice number)

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