Online vs. Face-to-Face Therapy: Making the Right Choice

When I first started working as a therapist, I never imagined that online therapy could feel as connected as in-person sessions. But over time, I’ve discovered that telehealth offers an amazing opportunity for connection, even within the therapeutic relationship. Many people appreciate the convenience: there’s no need to travel to and from the session, no need to make special childcare arrangements, and fewer disruptions to a busy schedule. But for some, the shift to online therapy brings up valid concerns. Here, I’d like to address some of those and explore whether online therapy could be the right fit for you.

Online therapy offers support from the comfort of your own space. No commute, just connection.

Online Therapy vs. Face-to-Face: Which Is Right for You?

Many clients express a preference for face-to-face therapy, feeling that it offers a deeper, more personal connection. In-person sessions allow you to sit in a dedicated space, away from daily distractions, and some clients find it easier to communicate in a shared physical environment. Face-to-face therapy can also be especially helpful when discussing complex emotions, as nonverbal cues and body language add an extra layer of understanding for both client and therapist.

However, in today’s world, face-to-face sessions aren’t always practical. For people with busy schedules, family responsibilities, or long commutes, online therapy can provide the flexibility needed to access support consistently. Online sessions eliminate the need to travel, arrange childcare, or take extended time off work. They also allow for therapy in the comfort of your own surroundings, which many find calming and convenient.

Special Considerations for Clients in Unsafe Relationships

For clients in unsafe relationships, both in-person and online therapy present unique challenges. With online therapy, maintaining privacy can be more difficult if a partner monitors phone or internet usage, which is why it’s critical to have safety protocols in place. I always discuss safety with clients, including options for creating a private, secure space during sessions, even if it means seeking out a trusted location like a friend’s house, car, or another discreet spot. Additionally, I recommend that clients ensure their devices are password-protected and suggest using headphones to limit the risk of being overheard.

In-person sessions may offer a sense of added security and privacy for those in unsafe relationships, as the therapy space is entirely separate from home. However, attending face-to-face sessions may still be complicated, depending on individual circumstances and the partner’s level of control over the client’s movements.

In cases where safety is a primary concern, online therapy remains a viable option as long as privacy measures are carefully observed. Together, we work to find the safest and most effective approach, tailoring each session to ensure that you can receive support in a way that feels secure and accessible.

Addressing Privacy in Online Therapy

One of the most common concerns about online therapy is privacy. It’s natural to worry about finding a quiet, private spot where you can speak freely without interruptions or the fear of being overheard. Creating a comfortable, consistent space can help set the tone for each session. Some clients get creative with this. For instance, one of my clients found a quiet, peaceful spot she felt connected to and took her phone sessions from her car. Others have set up a favorite corner at home with headphones to ensure privacy.

To help protect your privacy, I always use a secure, encrypted platform that I trust. This allows us to focus on what matters in our sessions, knowing that conversations remain private.

Shifting from Home Mode to Therapy Mode

When you’re at home, it’s easy to get caught up in your everyday environment. I recommend creating a “buffer zone” before and after each session to help you transition. Taking 10–15 minutes to mentally shift from home or work mode into “therapy mode” can make a big difference in how focused and present you feel. After the session, spend a few minutes reflecting on what came up for you before jumping back into your day. This small practice can be grounding and allows you to process what happened in the session.

Overcoming Technical Concerns

Technology can feel like a barrier for some clients, but I work closely with each client to make sure they feel confident using the platform we’ll be working on. During our initial session, I guide clients through the software, discuss what to do if there’s a lost connection, and share small tips, like using headphones for better sound quality and immersion. These steps help keep our sessions running smoothly and minimize technical distractions.

Using Zoom for Online Therapy Sessions

For my online therapy sessions, I use Zoom, a secure and user-friendly platform that makes connecting easy. Zoom is designed for video and audio calls, which allows us to communicate face-to-face, almost as if we’re in the same room. Here’s what you can expect when using Zoom for our sessions.

Easy Access. Before each session, I’ll send you a secure link to join our meeting. You don’t need to have a Zoom account or download special software to use it. Just click on the link, and you’ll be able to join the session from your phone, tablet, or computer. It’s helpful to test your device before our first session to ensure your audio and video are working well.

Privacy and Security. Zoom uses encryption to ensure that our sessions are private. This means that our conversations are protected from outside access. Additionally, I take extra steps, such as using meeting passwords and a waiting room feature, so only invited clients can join the session. This keeps our sessions secure, giving you peace of mind about privacy.

Video and Audio Quality. Zoom offers high-quality video and audio, which allows us to communicate clearly. Using headphones can further improve sound quality and make it feel more immersive, helping you stay focused and engaged in the session.

A Comfortable and Familiar Interface. Zoom’s straightforward layout makes it easy to navigate, even if you’re new to video calling. Once you join, you’ll see a clear, simple screen with video and mute buttons, as well as options to adjust your settings if needed.

Support with Zoom

If you’re new to Zoom or have any questions about using it, I’m here to help. Before our first session, feel free to reach out with any questions, and I’ll gladly guide you through the basics. I want you to feel comfortable and prepared so that we can make the most of each session together.

On the day of our session, I’ll wait for up to 15 minutes for you to connect. If you’re having trouble logging in, let me know, and I’ll give you a call to check in. If you’re unable to connect with me and I can’t reach you by phone, I’ll need to charge for the session as a missed appointment. This policy helps maintain a consistent schedule and respect for everyone’s time, including yours.

If you have any concerns about using Zoom or want to test it out before your session, please reach out - I’m here to help make online therapy as easy and effective as possible.

The Flexibility of Online Therapy

From a therapist’s perspective, online counseling has offered wonderful flexibility. I’m able to meet clients wherever they feel most comfortable, and this convenience often makes it easier for people to access support when they need it most. By offering online sessions, I’m able to meet more clients’ needs, whether they’re balancing family, work, or personal commitments.

If you’re considering online therapy and still have questions, I’d be happy to chat with you. Please reach out here, and we can discuss whether this approach might be a good fit for your needs. Remember, your therapeutic journey should feel supportive and accessible, whether online or in person.

If you think you would connect with me, please do not hesitate to contact me here.