Ways to Access Therapy: Online or In Person, Which Method is Right for You?

The therapy landscape has undergone significant changes due to the impact of the Covid-19 pandemic. One of the notable changes has been the rising popularity of remote therapy sessions. This shift towards increased remote therapy was driven by the need for social distancing measures and since has remained a highly popular and convenient way to access mental health support.

Research has demonstrated that virtual sessions are equally effective as in-person sessions, both in terms of content and structure. Whilst remote therapy offers added convenience and accessibility for many individuals, it is important to acknowledge that this option may not be suitable for everyone. When considering different ways to access therapy, and choosing between online or in person therapy it is essential to weigh the advantages and disadvantages of each option. By doing so you can make a well-informed decision that aligns with your preferences and needs.

In person sessions

Although face-to-face meetings allow for the observation of both non-verbal and verbal communication, they can be limited in flexibility due to the need to book physical space in advance. If you are dealing with trauma, it is crucial to have a secure and steady foundation, which a therapy room can offer if you lack it at home or elsewhere. An environment that is constantly changing, reminiscent of negative experiences, susceptible to interruptions from others, or unfamiliar may not be the best setting to start the healing process.

Commuting to therapy sessions can extend the time commitment, and for certain individuals, attending an office setting may pose challenges. Nonetheless, the travel time to and from sessions can offer valuable moments for reflection.

Telephone Call Sessions

Meeting in this way can be suitable for those who find face-to-face sessions a challenge, as it allows for an extra sense of privacy. Whilst the absence of non-verbal cues may allow for complete focus on what is being said, if this method appeals to you it may be important to consider whether you can express your feelings effectively in the absence of visual cues. It will also be of benefit to consider whether you have access to a safe space where you are able to speak freely without interruption for your sessions. If you experience frequent panic attacks or dissociative episodes it can sometimes be helpful to have a visual focal point, which the therapist or the therapist's room could provide. In crisis situations, support via telephone may feel limited.

Video Call sessions

Meeting online via video call allows for face to face communication. It can allow greater accessibility for those who find it difficult to find time to attend therapy in person. It also means that as a client you are not restricted by location when choosing a therapist. Those who choose to meet in this way may benefit from the increased comfort of being able to be in their own home during the session. With online sessions however, there is always the possibility of being disrupted by technical issues.

Live Messenger Sessions

Live messenger sessions allow for synchronous and discreet communication. It can work well for those who are familiar and comfortable with back-and-forth contact in text-format. Some may find that it is easier to open up this way and prefer the instant response of live messenger to an email.

Email sessions

Email sessions can be very convenient and ideal for those who find it easier to write down their thoughts and feelings. However, as it is asynchronous communication it does not allow for an immediate response. Sessions via email allow for you to review what you write and edit it as many times as you like before sending it. Although, there is the possibility that you may feel that your situation is too complex to discuss via email.

Making a Decision

Feeling comfortable and secure in the environment you choose for your therapy sessions is crucial for your overall well-being. By prioritising your comfort, you are setting the stage for a more productive and beneficial therapeutic experience.

When considering the setting for your sessions, it is important to keep safety in mind. Opting for a location where you can fully concentrate on the session without any external disturbances is recommended. Avoiding scenarios like driving or being in a public setting during therapy sessions is advisable to ensure your safety and the effectiveness of the session.

Some therapists might offer specific methods of meeting, such as online-only, in-person only, or a combination of both. If you're unsure about the best approach for you, discuss this with your therapist during your first meeting. Depending on your needs, in certain situations, it may be deemed safer to have in-person sessions, which can be adjusted accordingly.

Having undergone comprehensive additional training tailored for online Psychotherapy and Counselling, I am competent to practice in this way. Working online differs from in-person sessions, and selecting a therapist experienced in online therapy is advantageous, especially during crisis situations when knowing how to respond is crucial.

Each modality offers unique advantages, and it's essential to choose the option that resonates most with your needs and preferences. By seeking the support that aligns best with your individual needs, you are taking a proactive step towards caring for your mental health.

Disclaimer: Information and opinions in this blog do not constitute as therapy or personalised professional advice. If you feel that you would like personalised support from a qualified Psychotherapist you are welcome to book a free introductory call with me or search for a therapist on online directories such as the Counselling Directory or Psychology Today .

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