Does online therapy work as well as in person?

What the research says

Large reviews of the research have found that therapy by video produces results largely equivalent to therapy in person. One review pooled 57 studies and found the two largely matched. Another found the strongest results when CBT was used for anxiety, depression and post-traumatic stress.

Why it works for so many people

• It fits your life. No commute, no waiting room, and evening times that work around jobs and families.
• Comfort. Many people open up more easily from a familiar space.
• Access. You can see a therapist who fits, wherever you live in Canada.
• Continuity. Travel, weather, illness or a move don’t have to interrupt your care.
• After a collision, you don’t need to drive or ride anywhere to get help with driving anxiety.

When in person might be better

Online therapy isn’t the best fit for everyone. In-person care may suit you better if you’re in crisis or need more intensive support, if you don’t have a private space to talk, or if technology itself is a big barrier. A good practice will talk this through with you honestly.

Getting the most from a video session

• Find a private spot where you won’t be overheard. Headphones help.
• Use a laptop or tablet if you can, set on something steady, and check your connection beforehand.
• Have water, tissues and a notebook nearby.
• Turn off notifications so you can focus.
• Give yourself a few minutes after the session before jumping back into your day.

How Bethesda works

Our sessions run online by secure video across Canada, weekdays from 11 AM to 11 PM and Saturdays from noon to 6 PM, Alberta Time. In-person sessions are available by request in Edmonton, Alberta. Start with a free 15-minute call.

This article is general information, not medical, legal or insurance advice. For advice about your situation, talk to your health care provider, your insurer or a lawyer.