Virtual Therapy Overview

Virtual psychotherapy allows clients to have a much greater choice of therapists. It also allows for greater convenience in scheduling and locations. In addition, virtual therapy also tends to be less expensive since my overhead is lower. This page reviews virtual counseling and therapy, and I also have pages about its effectiveness in my Blog

About Virtual Therapy

Virtual therapy has become a popular and accessible option for mental health support. It involves connecting with licensed therapists or counselors via video calls, phone calls, or text-based communication through secure platforms. This approach is especially beneficial for people who:

  • Prefer the comfort and privacy of their home. Virtual psychotherapy avoids waiting rooms, for example.  
  • Are looking for the perfect match in a therapist and want to go beyond your immediate geography.
  • Have a busy life and want to cut out travel time.
  • Live in remote areas with limited access to in-person.
  • Need flexible scheduling to fit therapy into their routine.
  • Want to save a little money on out-of-pocket care
  • Face barriers such as transportation or mobility issues.
  • Want to attend with others who may not be in the same place.
  • Want virtual psychotherapy in different states at different times due to work or personal travel.
  • Are a college or graduate student who wants virtual psychotherapy where you go to school and at home. 

Benefits of Virtual Therapy:

  1. Accessibility: Reach therapists regardless of your location.
  2. Affordability: Online services often have lower costs compared to in-person sessions.
  3. Convenience: Schedule sessions at times that work for you and cut out driving time.
  4. Diverse Options: Access a wide variety of therapists, allowing you to find one who fits your needs.
  5. Geography: Allows you to be seen even if you travel for work, school or other reasons.

Tips for Success in Virtual Therapy:

  • Prepare Your Space: Choose a private, quiet area free from distractions, and make sure you will not be disturbed.
  • Stable Connection: Ensure a reliable internet connection and a charged device.
  • Use Headphones: For privacy and better audio quality for virtual psychotherapy.
  • Be Open: Make sure that you share as openly as you would in-person.

When Not to Use Virtual Therapy:

  • When methods require in-person: Some clinical techniques require in-person administration. 
  • If Confidentiality Will be Hard: If you cannot get a quiet, private space. 
  • When it’s Just Not Comfortable: Some find that in-person just feels better. 
  • For Children: Many children find it harder to connect and focus online.

Types of Virtual Psychotherapy I use

CBT focuses on identifying and changing negative thought patterns and behaviors.

  • Adaptations: Therapists may use shared screens, interactive tools, or secure apps to guide exercises like thought tracking or exposure hierarchies.
  • Common Uses: Anxiety, depression, OCD, and phobias.

Incorporates mindfulness techniques to reduce stress and promote mental well-being.

  • Adaptations: Guided meditations, breathing exercises, or grounding techniques via video or audio.
  • Common Uses: Anxiety, stress, and chronic pain.

ACT helps clients accept challenging emotions and commit to personal values-driven actions.

  • Adaptations: Worksheets and metaphors shared digitally; mindfulness practices guided online.
  • Common Uses: Depression, anxiety, and chronic health issues.

MI is used to enhance motivation for change by resolving ambivalence.

  • Adaptations: Conversations are guided through secure video or phone calls, often supplemented by online goal-tracking tools.
  • Common Uses: Addiction, health behavior changes, and ambivalence about treatment.

Psychoeducational Services

I provide education about mental health conditions and coping strategies.

  • Adaptations: Online resources, presentations, and interactive discussions.
  • Common Uses: All conditions, including ADHD, autism, and mood disorders.

History of Virtual Counseling and Therapy

The history of virtual counseling reflects the evolution of technology and its integration into mental health care. Here’s an overview of its development:


Early Beginnings (1980s-1990s):

  • 1986: First known instance of virtual counseling was conducted using videoconferencing between two psychiatric facilities in Nebraska, marking the start of telemedicine in mental health.
  • 1990s: The rise of the internet allowed therapists and clients to connect via email, online forums, and early virtual counseling chat platforms.
    • Limitations due to the technology of the time included concerns over virtual counseling confidentiality, weak internet, and technological accessibility.

Growth of Virtual Counseling (2000s):

  • Early 2000s: Dedicated platforms for virtual counseling emerged, offering email-based and real-time chat services. These were primarily text-based due to limited bandwidth and technology.
  • 2005-2010: Video conferencing technology (e.g., Skype) improved accessibility and made virtual counseling more feasible.

Modern Virtual Therapy Era (2010s):

  • 2010s: Secure, HIPAA-compliant platforms like were launched, providing virtual counseling via video, chat, and messaging.
  • Cognitive Behavioral Therapy (CBT) Online: Several programs gained popularity, offering self-guided CBT modules.

Pandemic-Driven Expansion (2020s):

  • COVID-19 Pandemic (2020): The global pandemic accelerated the adoption of virtual psychotherapy as lockdowns and social distancing made in-person care difficult.
    • Therapists quickly transitioned to telehealth platforms.
    • Insurance companies expanded coverage for remote care, making it widely accessible.

Present and Future Directions (2020s-2024):

  • Advancements in Technology: AI-driven virtual psychotherapy tools, apps, and VR are being developed to enhance the therapeutic experience.
  • Global Reach: Virtual psychotherapy has become essential for reaching underserved populations in rural and remote areas.
  • Increased Acceptance: Research confirms the effectiveness of virtual therapy for many conditions, making it a mainstream option.

Final thoughts

Virtual Therapy Effectiveness

Virtual therapy, or virtual counseling, refers to providing mental health services through digital platforms. I frequently use this form of treatment through a secure and high-quality videoconferencing platform. Is virtual psychotherapy right for you? Here are some key aspects of this approach that can help you decide and choose the right therapist. We can talk it through as well if you schedule a consultation. If in-person is a better fit, I can refer you to someone in your area.

First, here is some information about virtual vs. in-person therapy that provides the background you need before that consultation. You can also find additional information in my blog, such as how long therapy usually takes

Benefits of Virtual Therapy

There are several important benefits to virtual psychotherapy.

Accessibility to Different Methods

Virtual therapy eliminates geographical barriers, making mental health services more accessible. It can be much easier for you to find a provider who offers the therapeutic approach you are looking for if they can search outside of driving distance. This is particularly helpful for people who live in remote areas. Virtual therapy also allows individuals with physical disabilities or mobility issues to access sessions more easily.

I offer very specific specialty services, and an online approach has allowed people to access these services that may not be available closer to them. It also allows me to refer people to a specialty provider who may not be close by but whom the client could benefit from seeing. This is also a good possibility for group treatment, which tends to be specific. I offer fear of flying groups and public speaking anxiety groups that people can join nationwide.

Convenience and Virtual Psychotherapy

Clients can engage in virtual therapy from the comfort of their own homes, reducing the need for travel and making it more convenient for those with busy schedules or young children. This is also helpful when the weather is poor. Many college students, for example, can now schedule sessions between classes, and working adults can attend on their lunch break.

Virtual psychotherapy may be more cost-effective for both clients and therapists. It eliminates expenses associated with office space and travel, potentially making mental health services more affordable. You may find my rates lower than some equally qualified therapists who see people in person only.

Privacy and Security in Virtual Therapy

I use a highly secure and fully encrypted platform to ensure privacy and confidentiality. This platform complies with healthcare privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA Law) in the United States. Clients do not have to go to an office where they could run into someone they know.

Emergency Response Through Virtual Therapy

In situations requiring immediate intervention or emergency response, virtual psychotherapy may allow for face-to-face meetings off hours and outside of scheduled times. This is much harder to arrange for in-person sessions. This is also the case for situations that may not technically be an emergency but are still best handled with urgency, such as before someone with a fear of flying has to get on a plane or someone with a trauma has to face something that reminds them of the traumatic situation.

Cultural Sensitivity

Virtual therapy provides a much wider choice of therapists than finding one near enough to home to allow for face-to-face therapy. This can allow clients to seek a therapist who fully understands cultural nuances and preferences, which can positively affect treatment for some individuals.

Using Virtual Therapy

I got significant training in this approach to ensure I followed best practices to impact my clients positively. Using virtual psychotherapy allows me to:

Provide Diverse Therapeutic Approaches

Virtual therapy can accommodate various therapeutic approaches, including cognitive-behavioral therapy (CBT), psychodynamic therapy, positive psychology, and all of the therapies I routinely do. For most clients, virtual counseling does not lessen the impact of these approaches.

Virtual Psychotherapy and Crisis Intervention

Given the flexibility and convenience of virtual therapy, Many providers like me can offer urgent intervention and support, allowing individuals to access help in many situations. I cannot guarantee that I can be available off-hours or outside of our sessions, but this approach has made that much more likely.

Virtual Therapy Planning

When we first speak, we can discuss how virtual therapy will work for you, what approaches I will use, and the pros and cons of using those techniques. I will answer any questions you have and provide information about the security and effectiveness of this approach.

Limitations of Virtual Therapy

While virtual therapy has many advantages, it’s essential to acknowledge potential limitations. Technical issues, lack of a physical presence, and the need for a reliable internet connection can be challenges. Not everyone may feel comfortable with or benefit, so we’ll discuss your preferences and needs. Here is more detail about the limitations:

Virtual Therapy Technical Issues

Issues with the internet connection can disrupt the flow of sessions, leading to interruptions and potential loss of important information. I have a backup Wi-Fi connection to minimize interruptions, but they can still happen. For this approach to be effective, we both need to be comfortable using technology. Some individuals may struggle with the technical aspects, hindering the accessibility of online treatment for certain populations.

Lack of Non-Verbal Cues

Online platforms may not capture subtle nonverbal cues such as body language and facial expressions as effectively as face-to-face interactions. I can sometimes miss important visual cues, impacting my ability to fully understand my client’s emotions. I have learned to ask a few more questions when doing virtual therapy to compensate for this.

Privacy and Security Concerns in Virtual Therapy

While I use a very private space and a highly secure, specifically designed platform, you need to be sure you are in a secure and private location for your sessions to protect sensitive information. You also have to consider safety – I will not see someone driving, for example!

Technology-Dependent Interactions

While most people find virtual therapy works as well as in-person, some find it difficult to establish a strong therapeutic relationship when communication is mediated through a screen. The lack of in-person connection can make sessions feel less personal for some clients. Again, if you start to feel that that is the case, I can refer you to someone who will see you in person, but my experience is that very few people end up doing that.

Limited Therapeutic Modalities

Hands-On Therapies: Certain therapies, such as Eye movement desensitization, may not be as effective using virtual therapy. Some psychological testing is also not possible. The most common therapies, such as psychodynamic. humanistic, and cognitive-behavioral, can all be done this way.

Despite these limitations, online therapy has proven to be a valuable and convenient option for many individuals, providing access to mental health support when in-person sessions are not feasible. We can discuss that if you or I feel an in-person therapist would be a better fit.

Virtual Counseling Studies

Virtual counseling has gained significant traction in recent years due to technological advancements and the disruption caused by the pandemic. Given that, there have been studies about the effectiveness of virtual psychotherapy, with many positive results. Studies have explored the effectiveness and feasibility of virtual counseling across various populations and mental health concerns. Here are some key findings from research in this area:

Effectiveness of Virtual Counseling

Studies have consistently found virtual counseling to be as effective as traditional face-to-face counseling for a wide range of mental health issues, including depression, anxiety, PTSD, and relationship problems. For instance, a meta-analysis published in the Journal of Telemedicine and Telecare in 2018 concluded that teletherapy is generally as effective as in-person therapy across different clinical populations. My approaches, such as cognitive behavioral therapy and humanistic treatment are particularly amenable to virtual counseling.

Accessibility of Virtual Psychotherapy

Virtual counseling has improved access to mental health services, especially for individuals who face barriers to seeking in-person, such as geographical distance, mobility issues, or stigma. Research suggests that online counseling can reach individuals with scarce mental health resources in rural or remote areas. Other research has shown that even in busier areas, finding a better match with a therapist because you are not bound to a certain geography can be important.

Adaptability of Virtual Counseling

Virtual counseling can be adapted to suit different communication styles and preferences. Some clients prefer text-based therapy via messaging apps, while others prefer video or phone sessions. This adaptability can enhance engagement and satisfaction with the counseling process, a topic currently being studied.

Overall, the body of research on virtual counseling suggests that it is a viable and effective option for delivering mental health support, particularly in situations where traditional face-to-face therapy may not be feasible or accessible. I look forward to even more research that will give ideas on how to optimize the delivery of virtual counseling to meet the diverse needs of my clients.

Conclusions and My Work

I serve clients in 43 states, so most of my work is done online. I offer traditional individual therapy, couples counseling, and treatment of families with older children virtually, and I also provide My clinical specialties this way. We can discuss whether virtual therapy will work for you when we first talk. My experience suggests that the benefits outweigh the challenges, often by a lot. Teletherapy allows me to serve people nationwide and gives clients a much greater choice of therapists. This approach is not for everyone, and you must consider your comfort in meeting online. Some approaches are hard to deliver online, such as EMDR, play therapy, and some Gestalt techniques.

Please feel free to contact me anytime to discuss virtual therapy and whether my services are the right fit for you.

Contact Me About My Approach to Virtual Therapy

Thank you for visiting, and I hope you might decide to call. In your initial call, I can answer any questions you have about the virtual psychotherapy. With virtual psychotherapy, as with any service I offer, there is never any obligation to continue after that initial visit. Thus, if an online approach is not a good fit for you, I can help you find a good match of a clinician in your area.

7 + 6 =

dralanjacobson@yahoo.com

(617)_680-5488

 

Addresses:

In person: Westwood, MA & Lee, NH

Online: Serving 40 states