Online Counselling - How Does It Work & Is It Still Effective?

In recent years, online or Telehealth counselling has become increasingly popular. While COVID-19 accelerated its growth, many clients and counsellors continue to choose online sessions today because of their convenience, accessibility, and effectiveness.

How Does It Work?

Telehealth counselling works much the same way as in-person counselling. The main difference is that sessions take place online rather than in a counselling room. Most often this is done via secure video chat, allowing you and your counsellor to talk face-to-face in real time.

Is It Still Effective?

A common question is whether online counselling is as effective as in-person sessions. The research says yes.

• Connection is still possible online – Video sessions allow counsellors to notice tone of voice, facial expressions, and body language, just as they would in person.

• Rapport can still be built – A counsellor’s role is to create safety and trust, whether online or in-person. The same care is taken to help you feel comfortable.

• Results are comparable – Numerous studies have shown that outcomes from online counselling are just as positive as in-person therapy. In fact, many clients find Telehealth more flexible, allowing them to access support more regularly or from the comfort of home.

What Does the Research Say?

• Online counselling, including online Cognitive Behavioural Therapy (CBT), has been found to reduce symptoms of depression and anxiety as effectively as face-to-face sessions.

• Research also highlights benefits such as improved accessibility (especially for people in regional areas or with mobility challenges) and reduced stigma for those who prefer privacy.

• Many clients report increased satisfaction due to the flexibility of scheduling and the comfort of their own environment.

(Sources: American Psychological Association, Australian Psychological Society, peer-reviewed studies on online CBT and telepsychology)

What’s the Verdict?

Online counselling is proven to be effective, but whether it’s right for you comes down to personal preference. Some people feel more connected in-person, while others value the flexibility and comfort of online sessions.

The most important thing is choosing the format that feels supportive for you. Online counselling can be an excellent option if you:

• have a busy schedule,

• live regionally,

• feel unwell or unable to travel, or

• simply prefer the comfort of your own home.

Whichever option you choose, the level of care, professionalism, and commitment to your wellbeing remains the same.