Therapy & treatment

Online Therapy

Online therapy lets you meet with a licensed therapist by video, phone or messaging. Learn how it works, who it suits, what the research says and what to check before signing up.

What is online therapy?

Online therapy — also called teletherapy or virtual therapy — is psychotherapy delivered remotely. You connect with a licensed mental health professional through:

  • Video sessions, which are closest to in-person therapy
  • Phone sessions
  • Live chat
  • Asynchronous messaging, where you and your therapist exchange messages over time

Some people see a local therapist who offers video sessions; others use dedicated online therapy platforms that match clients with therapists.

Does online therapy work?

Research on video-based therapy for common mental health conditions is generally encouraging, with many studies finding outcomes similar to in-person care for conditions such as depression and anxiety. Evidence varies by format — messaging-only therapy has been studied less than video therapy — and by condition.

Benefits

  • Access: helpful if you live far from providers or have mobility, transport or scheduling barriers.
  • Choice: a wider pool of therapists, including specialists.
  • Comfort: some people find it easier to open up from home.
  • Flexibility: evening, weekend or messaging options may be available.

Limitations

  • Not appropriate for emergencies or crises. If you are in danger, call your local emergency number or see Get Help Now.
  • May not suit people with severe symptoms who need closer monitoring or more intensive care.
  • Requires a private space and a reliable internet connection.
  • Therapists must usually be licensed in the state or country where you are located.

What to check before you sign up

  • Licensing: is your therapist licensed where you live? Can you verify their credentials?
  • Privacy: how is your data stored and shared? Is the platform used for advertising?
  • Cost and billing: what is the total monthly cost, and how easy is it to cancel?
  • Insurance: is the service in-network, or can you get a superbill for reimbursement?
  • Fit: can you choose or switch therapists easily?
  • Crisis policy: what happens if you need urgent help?

See our comparison of online therapy services and our guide to online therapy without insurance.

Find care

Find the right support

Compare types of care — from online therapy to psychiatry — and learn what to consider before choosing a provider.

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When to seek professional help

Consider talking with a doctor or licensed mental health professional if symptomslast for more than two weeks, keep coming back, or make it harder to manage work, school, relationships or daily tasks. You don’t need to wait until things feel severe — getting support early often makes things easier.

If you’re thinking about harming yourself or are in immediate danger, call your local emergency number. In the US, call or text 988 (Suicide & Crisis Lifeline).Crisis resources in other countries.

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Frequently asked questions

Is online therapy as effective as in-person therapy?
For many common concerns — especially mild to moderate anxiety and depression — studies suggest therapist-delivered video therapy can produce outcomes similar to in-person therapy. Evidence for messaging-only formats is more limited.
Can an online therapist prescribe medication?
Therapists (such as counselors, social workers and psychologists in most US states) generally cannot prescribe medication. Online psychiatry services use psychiatrists or other licensed prescribers. Learn about online psychiatry.
Does insurance cover online therapy?
Many insurance plans cover telehealth therapy, but coverage depends on your plan and whether the provider is in-network. Some online services accept insurance; others are self-pay only.

References

We rely on government health agencies, professional medical organizations, peer-reviewed research and academic institutions. Read our sourcing standards.

  1. What You Need to Know About Telehealth(opens in a new tab)

    National Institute of Mental Health (NIMH)Government health agency

  2. Guidelines for the practice of telepsychology(opens in a new tab)

    American Psychological Association, 2013Professional organization

About this article

Written by

ExploreMentalHealth Editorial Team

Our editors research and write every article using government health agencies, professional medical organizations and peer-reviewed research, following our published editorial standards.

First published
September 7, 2026
Last updated
September 22, 2026
Last medically reviewed
Review pending