As therapy becomes more accessible than ever, many people are wondering: Should I do therapy online or in person? With both virtual and in-person therapy available, understanding the differences can help you make the best decision for your mental health journey. In this post, we’ll break down the pros and cons of each—and explain how mental health professionals decide which format works best for you.
What Is Virtual Therapy and How Does It Work?
Virtual therapy—also known as online therapy or teletherapy—is conducted through secure video platforms or phone calls. It has become increasingly popular thanks to its flexibility and convenience.
Benefits of Virtual Therapy
- Attend sessions from anywhere: Home, work, or on the go.
- More accessible: Ideal for those with limited mobility or who live in remote areas.
- Flexible scheduling: Easier to fit into a busy day.
- Reduces missed appointments: Fewer cancellations due to illness or transportation issues.
Drawbacks of Virtual Therapy
- Technology dependence: Requires a strong internet connection and basic tech know-how.
- Privacy concerns: Finding a quiet, private space at home can be difficult.
- Less body language: Some nonverbal cues may be missed through a screen.
- Not for all clinical needs: May not be appropriate for crisis situations or severe mental health conditions.
What Is In-Person Therapy and Why Is It Still Valuable?
In-person therapy takes place in a physical office or clinic, offering face-to-face interaction between the therapist and client. It remains a preferred option for many due to the richness of the therapeutic experience.
Benefits of In-Person Therapy
- Stronger connection: Easier to observe and respond to body language and emotional cues. This can also be critical with our neurodivergent patients.
- Safe and structured setting: A private, neutral space can encourage deeper emotional work.
- Ideal for certain therapies: Some methods—like EMDR, play therapy, or art therapy—are best delivered in person.
- Better for crisis support: Easier to de-escalate intense emotions in a physical setting.
Challenges of In-Person Therapy
- Commute required: Travel time and logistics may be a barrier.
- Less flexibility: Scheduling is often more rigid.
- Limited provider access: Finding the right therapist nearby isn’t always possible.
How Do Therapists Decide Between Virtual and In-Person Therapy?
At practices like Triad Psych, therapists consider several important factors before recommending virtual or in-person sessions. Here’s how they make that decision:
- Clinical Needs and Diagnosis
- Certain mental health concerns—like active suicidality, severe trauma, or psychosis—often require the safety and structure of in-person therapy.
- Conditions like mild anxiety or depression may be well-supported online.
- Environment and Privacy
- Does the client have a quiet, private place to talk openly online?
- If not, in-person therapy may be the better choice.
- Therapy Method Used
- Some therapeutic approaches (e.g., CBT) adapt well to virtual settings.
- Others, like somatic or movement-based therapies, may require physical proximity.
- Client Preferences and Comfort
- Therapy works best when clients feel safe and engaged.
- Clinicians work with clients to honor their preferences, whether that means starting virtually, in person, or using a combination of both.
- Accessibility and Practical Considerations
- Factors like transportation, caregiving duties, health status, or even weather can affect whether virtual or in-person sessions are more practical.
Is a Hybrid Therapy Model Right for You?
More and more clients are exploring hybrid therapy, combining virtual and in-person sessions for maximum flexibility. This model allows clients to maintain continuity of care while adapting to life’s changes—like travel, illness, or seasonal schedules.
Conclusion: Finding the Best Therapy Format for Your Needs
Choosing between virtual and in-person therapy is a collaborative process. At Triad Psych, our clinicians are committed to helping you find the format that supports your goals, clinical needs, and lifestyle. Ultimately, we will inform you if we feel a certain type of therapy is appropriate for you or if you can benefit from changing to a different model of service delivery.
Ready to Start Therapy?
Whether you’re new to therapy or considering a switch in format, we’re here to help. Key questions to ask yourself include: Do I spend too much time interacting virtually? How important is it to me that all of the non verbal communication is visible? Do I have the ability to form a genuine connection online? In what format does the therapist excell? Contact Triad Psych to explore this and learn more about your options and begin your journey toward healing—virtually or in person. We will always put achieving your goals first and foremost.