How to choose between virtual and in person therapy

Many therapists agree that, depending on the patient, teletherapy can be just as effective as traditional in-person therapy. This statement is supported by recent systematic research review and meta-analysis found that therapy conducted online is as effective as in-person treatment and client’s report similar levels of satisfaction and dropout rates.

My professional experience has been congruent. I have been providing telehealth for four years and I have seen little difference in the experience and outcome. Some therapists mention screen fatigue as a drawback of telehealth. Though I would agree that our society does not need any additional screen time, I have not heard reports of significant fatigue from clients.

Despite my positive experiences providing therapy in a virtual format, I do not support the use of telehealth for everyone. I have noticed some instances which I would recommend in person. For example, individuals who are having regular thoughts of self-harm. Another example is a couple with high levels of conflict and are close to divorce.

Simple Therapy provides therapy in both formats. Our team is trained to provide telehealth and in-person.

Some additional pros and cons are highlighted below.

In-Person Therapy

Pros

Nonverbal Communication: In-person sessions allow therapists to read nonverbal cues that support verbal communication. Nonverbal information can help a therapist better understand your needs. Limited Therapist Options: The availability of therapists specializing in specific areas or approaches can be limited based on your location, making it harder to find the right therapist.

Neutral Location: Sessions that take place in a therapist's office can provide a space away from your everyday life. A location that feels neutral can increase your comfort when sharing private information. Convenience: Commuting to therapy sessions can be challenging due to traffic, public transit issues, and time constraints. This is especially difficult for clients with young children, those experiencing poverty, or older adults. Additionally, taking time away from work or other priorities can limit access to in-person therapy.

Intensive Care: Certain mental health needs benefit from direct, in-person support. Therapies like art, music, and play are particularly effective when conducted face-to-face. Scheduling: Long waiting periods and scheduling conflicts can delay the start of therapy sessions with a new therapist.

Cons

Limited Therapist Options: The availability of therapists specializing in specific areas or approaches can be limited based on your location, making it harder to find the right therapist.

Convenience: Commuting to therapy sessions can be challenging due to traffic, public transit issues, and time constraints. This is especially difficult for clients with young children, those experiencing poverty, or older adults. Additionally, taking time away from work or other priorities can limit access to in-person therapy.

Scheduling: Long waiting periods and scheduling conflicts can delay the start of therapy sessions with a new therapist.

Online Therapy

Pros

Convenience: Virtual options like texting and emailing allow you to connect with a therapist from almost anywhere at any time, providing quick and convenient access to therapeutic support.

Easy Access: Online therapy options make it easier for those who have trouble commuting to access support. Additionally, virtual connections can help reduce social anxieties related to in-person sessions.

Therapist Availability: A wider range of therapists are available when clients are open to telehealth. Also, therapists typically have more time slots available for telehealth.

Cons

Technology Conditional: Telehealth relies on a stable internet connection, which can sometimes fail, disrupting sessions. It’s important to discuss with your therapist how to handle potential internet service interruptions.

Limits to Care: Serious mental health conditions may necessitate in-person sessions, limiting the effectiveness of online care. Additionally, therapists who join virtual networks to supplement their income can experience burnout, potentially reducing the quality of care.

Privacy and Confidentiality Concerns: Confidentiality and privacy are major concerns in teletherapy. Cybersecurity threats like breaches, phishing, and malware can jeopardize your protected health information. Additionally, taking virtual sessions at home or in public spaces can risk others overhearing your private conversations.

Communication Restrictions: Text and email communications can inhibit the depth of understanding between you and your therapist. Without body language and nonverbal cues, communication can feel limited.