Online Therapy and Online Psychology Services 2022

Updated November 16, 2022 by BetterHelp Editorial Team

What To Know About Online Psychological Care

Below we discuss what you can expect from online therapy visits and psychological services, and address some common concerns regarding these services and treatment. As virtual therapy and counseling are becoming more popular, you may be wondering: is online therapy effective, and are these therapists real people? This article will outline what you can expect from online therapy and answer common questions you may have. It'll also help you weigh the pros and cons of online therapy.

Get Started - Find The Right Online Therapist For You

Is online therapy a legitimate option? The short answer to this question is: yes. Virtual psychologists are real humans who went to graduate school. Therapeutic professionals that you find virtually are often some of the same professionals that you may encounter offline. Offline mental health professionals and psychologists are also using the power of technology to take their practices virtually, become internet-based, and stay just as effective. Options include live chat, over the phone therapy, and video sessions for their appointments. Virtual mental health professionals and psychologists have the same credentials as offline practitioners. 

Online mental health practitioners are passionate about helping people like you with your life challenges. Maybe you’re living with mental illness like bipolar disorder, anxiety, or depression, and you need to see a therapist, psychiatrist, or psychologist. You want to talk to a real person and feel like they empathize with your feelings. When in the company of an online therapist, they care and want to help you with whatever your life struggles are, and they’re a real person who cares about their clients. Some online psychiatrists can even prescribe medication to support your journey. Just keep in mind that if you want medication as a treatment option, you can only get it prescribed by a psychiatrist, as they are the only mental health professionals that are also medical doctors.

The following types of therapy are available virtually:

couples therapy and marriage counseling
cognitive therapy
play therapy
sex therapy
dialectical behavioral therapy

According to a study noted by The National Institutes of Health, patients noted a significant benefit from online therapy. The benefits of online therapy emerge for several reasons, one being the expertise of online mental health professionals.

Why Should I See A Therapist?

Digital psychologists can do the same things that traditional face-to-face psychologists can do, just in an online environment. People have solved many problems using online counseling to heal relationship issues or overcome behavioral health challenges and have found real results. If you’re skeptical about online therapy, know that many people like you have benefited from online therapy, whether they’re living with anxiety, depression, or going through a life challenge, such as a divorce or a death in the family. Many of today’s online therapy clients are taking advantage of using popular therapy modalities like cognitive-behavioral therapy (CBT) to change negative thinking into positive outcomes. Online therapy like cognitive therapy and (CBT) genuinely helps people with their problems and has a track record of success. In a study conducted by the University of Pittsburgh Medical Center, patients noted a significant improvement in their symptoms from their disorders relating to anxiety and depression after using an online therapy program. An online therapy service is a viable way to deal with your problems whether they are individual concerns related to your behavioral health — or more complex relationship issues or ones that affect specific groups of people, such as the LGBTQ community.

For some people, any interaction on the internet, from ordering a pair of shoes to booking a vacation, is a little more suspect than doing the same thing in real life. It’s good to be cautious when online, especially where less than respectable websites are involved. It’s crucial to question the credibility of websites advertising online therapists‘ services.

There are many reasons someone in need of a little help and perspective might prefer to seek a therapist online, from the convenience to the affordability of services to enjoying the company of your therapist from your own home. Your health matters, whether mental or physical. Unfortunately, although the qualification and licensing requirements for calling yourself a mental health counselor or psychologist are rigorous in the United States, it may be difficult to verify someone’s mental health credentials in the online world.

Finding A Qualified And Licensed Therapist Online

There are a few red flags to know of when looking for a therapist online. A poorly written or designed website may or may not be legitimate, but it only costs a mouse click to avoid this risk. A website that only accepts a non-secured, untraceable payment method, doesn’t list contact information such as a phone number and physical address, or offers suspiciously low rates probably is not viable for mental health treatment. If you’re skeptical of a site, an online service such as ScamGuard can help you.

Not all online therapy services are a scam. Several reputable sites offer online counseling. Some websites offer affordable online therapy by qualified mental health providers, typically not employing psychologists themselves but acting as a kind of clearinghouse that connects licensed therapists and patients. One aspect that makes these legitimate sites stand out is a clear and comprehensive privacy policy, which will be of particular importance to anyone looking for anonymous online therapy. Major insurance providers like Blue Cross, Blue Shield, and other major insurance carriers that provide mental health services as a part of your health plan can point you in the right direction to find a reputable online provider.

Benefits Of This Therapy Option

If your job doesn’t permit you to take an hour off for unspecified reasons whenever you want to, you can take advantage of shorter online counseling sessions during breaks or lunches. Being able to resolve painful relationship issues or to take part in cognitive therapy from anywhere you are in the United States offers a significant advantage over therapy in a traditional setting. Even for people who have more control over their schedule, the lower costs online therapy offers can be significant. The pricing model, lower price per session, and subscription services that a number of online therapy providers offer can make a big difference for those who can't afford in-person therapy.

Finally, since the stigma attached to mental health conditions remains to some extent, online therapy options allow people who would otherwise be hesitant to seek help from their smartphones or tablets. This is especially true for survivors of domestic violence or sexual abuse from their partners with limited therapy options. With many people suffering from mental afflictions in their lives at some point, it’s difficult to understate this factor’s effect.

If you are facing or witnessing abuse of any kind, the National Domestic Violence Hotline is available. Call 1-800-799-SAFE (7233) or Text "START" to 88788. You can also use the online chat.

What to Expect from Online Therapy

Online therapy is much like traditional therapy in many ways. When you see a counselor in their office, you will spend a set amount of time engaging with them about the events that go on in your daily life; this is the case with an online therapist as well. You are free to discuss any problems or challenges you’re having. You speak openly with your therapist about a wide range of topics ranging from relationship issues to career challenges, to weight loss concerns. Your therapist is there to guide you through life transitions help you examine your thoughts and behaviors and learn how to improve your mental health.

A reputable online therapist will use sound psychological methods and positive psychology practices like cognitive behavioral therapy, dialectical behavior therapy, solution-focused therapy, and any of the many therapy modalities recognized as beneficial by the mental health professional community. When you choose a therapist online from a reputable site, they are committed to keeping your information private and secure. Sessions between you and your therapist are always private, so you never have to worry about someone finding out about your relationship issues. Although you may remain anonymous, during your therapy sessions, it’s important to note that you will need to provide general information. You’ll need to provide your email address for communication with your therapist regarding your health treatment plan.

Some insurance providers like Blue Cross Blue Shield pay for (or reimburse) online therapy sessions under your behavioral health plan. If you want to use your health plan to cover the cost of your sessions, you’ll need to provide your health plan information. Contact your health plan provider to find out if your health plan has behavioral health benefits like those offered by Blue Cross Blue Shield. You can confidently know what you reveal in therapy sessions will never be divulged to others in any way.

Therapist Qualifications

Online therapists and psychologists who work through reputable online therapy sites have qualifications you would expect from a traditional therapist. They should list their certifications and experience on their profile, which you can view before you choose your counselor. You can choose your therapist based on the type of therapy they provide. For example, if you think you’d like to learn more about cognitive-behavioral therapy or rational emotive behavior therapy — choose a licensed therapist that specializes in these fields. Psychologists practice a wide variety of modalities that include forensic psychology, rational emotive behavior, support for women’s issues, and even assistance for everyday common issues. These therapists hold themselves to the same strict standards as therapists do for in-person counseling. Most online therapists also have a local practice where they see patients in their offices. That the therapy takes place online does not diminish the therapist’s ability to understand your issues and help you move through them successfully.

What Are Therapy Sessions Like?

During the first session, you’re getting to know your therapist. They will probably ask you questions about yourself and your current situation to get a better idea of how they can help you. As you work through multiple sessions, you will have time to explore your feelings about the situation, identify your healthy and unhealthy behaviors relating to it, and decide how you want to respond.

The therapist typically asks you questions to guide you to deeper insights into the problems you are facing. They might teach you techniques for recognizing and responding to your emotions, and help you understand how to choose the behaviors that will benefit you throughout your daily life. Sessions often end with an assignment, which might be a behavior to notice in yourself or others or a technique to try in everyday situations.

Other Services and Perks

Online therapy often comes with extra perks you don’t get when you see a counselor in person. These perks are available to all therapy subscribers even if they don’t have insurance like Blue Cross Blue Shield. Therapy platforms like BetterHelp provide you with a 24-hour mental health net. For example, your therapist will give you a private chat room where you can go to leave messages for your therapist at any time. This service is especially helpful when you want to describe your thoughts and feelings at the moment they are happening. Your mental health net includes always-on chat with your therapist about personal issues and relationship issues as they are happening. Couples who get therapy together can talk directly to the therapist about their relationship issues. The counselor checks the chat room periodically and can leave brief replies or other messages. Your counselor will directly address your concerns with relationship issues, family issues, and personal issues via your secure chat room. Another benefit to online therapy is when you have your next session with them, they can see notes from when you last visited with them.

Also, you may schedule additional sessions during a crisis. This depends on the therapist’s workload and schedule. You can bring your therapist along with you on vacation, while you’re away on family business, or when you move to a different home. Imagine how much easier the readjustment process can be when you don’t have to find and get to know a new therapist after you move!

The Best Online Therapy Services Include:

Mobile App Communication

There is always an app for that, and therapy online tends to use a mobile app to communicate. A therapist online uses an encrypted mobile app, so all of your precious information is kept safe. The mobile app can also have other resources, such as ways to cope with depression, anxiety, and other problems that you may have.

Licensed Therapist

There have been many studies proving the effectiveness of online health care, and this is because it’s a licensed therapist, and not someone calling themselves one. A licensed therapist or licensed psychologist has years of experience. These years of experience show that the therapist will use all their years of experience to help you.

Text Therapy

Another form of communication is text therapy. This uses mobile phones, smartphones, tablets, or any other device capable of messaging. Texting a therapist on your mobile phone allows you to communicate with them anywhere. Often, your text on a mobile phone during a commute or in a place where you’re quiet. You have a mobile phone all the time; why not use it for therapy? While not a complete substitute for face-to-face therapy, texting can still be a worthy way of communicating.

Get Started - Find The Right Online Therapist For You

Health insurance plans can differ in providing services for little money. Some insurance companies have caught on to the effectiveness of online therapy and will cover the treatment, while others still haven’t accepted its usefulness or are uncertain if it’s just as effective as in-person therapy, despite emerging research that shows the effectiveness of online therapy. Blue Cross Blue Shield offers mental health plans for getting therapy online. If you’re a Blue Cross Blue Shield subscriber and you have questions about online therapy insurance coverage — contact Blue Cross Blue Shield for more details about behavioral health options. If you have different insurance, contact your provider to ask if therapy is covered. Do Health Insurance Plans Accept This Therapy?

Luckily, many online therapists and psychologists offer affordable services. With no therapy office, many online therapists and psychologists work at home and offer home psychology for much less. Communicating through mobile apps means you will be charged less, changing people’s lives for the better.

Video Chat

Online psychotherapy works, but many prefer the face-to-face therapy a therapist or psychologist has to offer, and don’t like the idea of communicating through a site or app. Besides a site or app, online therapists or online therapists also offer live video conferencing, which can give you an authentic way of communication.

Filtering By What You Need

Another reason why online therapy is so nice is that you can find a therapist who can help you with your needs. Have something specific on your mind? You must find an online psychologist who specializes in what you need help for. Finding a substance abuse psychologist online, for example, increases your likelihood of recovery from the effects of drugs and alcohol.

Some sites and apps will offer different needs. Some offer support for eating disorders, while some offer support groups where entire groups of clients can gather and talk about their problems while forming relationships with those in similar positions. Support groups may include family therapy or couples therapy as well. Almost all of these sites will provide content as well to help you match with the right therapist for you.

Less Worry

Another reason why online therapy is so nice is that it’s less of a hassle to commute. When you have a stress disorder, anxiety disorder, or bipolar disorder, it can feel like a chore to commute to a health center. If you’re dealing with the loss of a loved one, making it to a mental health center seems like an impossible task when all you want is to sleep.

By offering ways to cope, online therapy hopes to get you outside. You may be able to seek the help of treatment centers and primary care physicians in addition to online therapy.

Changing Therapists

Once you’ve found a licensed therapist, whether at your local mental health clinic or online, you have just begun the process of bettering your mental health. Seeing their qualifications, experience and other information about them is a good starting point. However, you can’t know whether you and the therapist will work together to solve your issues until you start therapy.

After therapy begins, you might decide that you would like to try another counselor. There’s nothing at all wrong with that. If you feel strongly that your personalities don’t mesh well or their availability doesn't match yours, you can always look for another counselor. If you’re looking locally, this could be a long process. Find a therapist who doesn’t have a full schedule already and who deals with your types of issues. Then, meet them and go through the process of trying them out.

This process is much simpler online. You can see which therapists and psychologists are taking new patients. You can learn about them from their profile and set up an appointment relatively quickly. It makes sense to give them a chance to get to know you, but you don’t have to feel committed to long-term therapy before you even know them and how they work.

BetterHelp Want to Support You

The online therapists and psychologists at BetterHelp want to support you in getting the best possible care for your mental health. They are real people who have studied psychology and human behavior. They’ve encountered all kinds of clients, some of whom are skeptical about online therapy. If you’re unsure of whether online therapy is going to work for you, it’s okay to test it out and talk to your counselor about this and get their perspective, and maybe you can decide on the pros and cons of online therapy for yourself. The only way you’re going to know is if you give it a try. Let the online therapists at BetterHelp help you and provide the emotional support that you need. Read below or in our other articles for some reviews of BetterHelp counselors.

Therapist Reviews

Leah Mullins


“I was skeptical about this type of counseling but Leah made me feel confident from the beginning with her straightforward profile, thoughtful questions, and rapid responses. I feel that she truly sympathizes with my situation but also holds me accountable for finding solutions.”

Juan Carlos Navarro


“Carlos was a blessing during the several months of therapy. I am beyond grateful that he was kind and understanding. We followed a structured plan to help me cope with my complex PTSD and anxiety. I now have new strategies that I can use every day. I would highly recommend Carlos to any person who wants a reliable and kind therapist.”

Final Thoughts

Online therapy is for real. If your family and friends deny its effectiveness, level with them and show them the evidence. Online therapy offers many types of therapy, like cognitive behavioral therapy, which has been proven to work, and there are different methods that you can take advantage of, such as live chat, unlimited messaging, and video sessions. Besides the types of therapy, another feature is they are licensed. They are qualified by the Mental Health Association in the United States and may serve community mental health needs. They are published in the Journal of Psychiatry, and other reputable journals. They are just as real as any other therapist and their services are just as effective as in-person ones. They pay attention to you and your needs, lending a helping hand when you need it. So tell your family and friends and your other family that there is no shame in seeking online therapy and finding emotional support today.

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