If you're new to counselling, you might be wondering whether online sessions can really be as effective as sitting in the same room as your therapist.
It's one of the most common questions I'm asked.
The short answer, at least for me?
Yes.
People have their preferences, yet for me I don't see one better than the other. They're simply different.
Online counselling has become much more than simply an alternative to face-to-face therapy. For many clients, it's the option that actually makes getting support possible.
Whether you're juggling work, family life, living somewhere remotely or need access to the ideal counsellor who is simply too far to travel to, online counselling offers a safe, confidential space where meaningful therapeutic work happens.
It's all pretty straightforward.
If we decide that we're a good fit after your introductory call, we'll arrange a day and time to meet.
Our sessions usually take place over Zoom and last for 50 minutes, just like face-to-face counselling.
You'll receive a secure meeting link beforehand which you click a few minutes before your appointment time.
All you need is a device with a reliable internet connection and somewhere private where you won't be interrupted. That's it.
Once the session begins, we talk exactly as we would if we were sitting together in the therapy room.
There's no script. No pressure to know where to start.
You bring whatever is on your mind, and we'll explore it together.
For many people, yes.
Research over the past several years has consistently found that online counselling can be just as effective as face-to-face therapy for many common mental health difficulties, including anxiety, depression and stress. More recent systematic reviews continue to support these findings, showing that people can build strong therapeutic relationships and achieve meaningful, lasting improvements through video-based therapy.
But beyond the research, here's what I've noticed in practice.
People often settle into therapy more quickly because they're already somewhere familiar.
They're not worrying about parking.
They're not sitting in a waiting room wondering if someone they know might walk in.
They're not rushing across town after work.
They're simply at home.
That sense of comfort can make it easier to relax, speak honestly and focus on what really matters.
Life is busy. Between work, commuting, responsibilities and everything else life throws at us, finding another hour or more to travel to appointments isn't always realistic.
Online therapy removes that barrier.
Many of my clients will finish work, get themselves home if they weren't working from there already, make themselves a cuppa and log-in a few minutes later.
It simply makes therapy easier to access.
This is probably the biggest advantage.
If you were only looking locally, your choice of therapist might be quite limited.
Working online means you can choose someone who genuinely feels like the right fit, wherever they are in the UK.
The relationship between therapist and client is one of the biggest predictors of successful therapy, so finding someone you feel comfortable with matters far more than their postcode.
Some people find it much easier to talk about difficult experiences from somewhere that already feels safe.
Being in your own environment can reduce anxiety and make opening up feel that little bit easier.
You also have your own comforts around you afterwards, whether that's making a coffee, taking the dog for a walk or simply sitting quietly before getting on with your day.
This one can depend on your what's going on for you at home when you have your session, yet in general, online counselling can feel more discreet.
There's no travelling to a counselling practice, no waiting room, no worrying about bumping into somebody you know.
For many people, that feels like a huge relief.
Online counselling isn't perfect for everyone.
If your internet connection is unreliable, you struggle to find a private space or you simply know you feel more comfortable meeting someone face-to-face, then in-person therapy may be a better option.
Occasionally technology misbehaves too. The internet drops. Zoom freezes. We deal with it when it happens, but it does happen. We simply reconnect and carry on or continue over the telephone.
The therapeutic relationship is far more important than a momentary technical hiccup.
Tips for getting the most from online therapy
There are a few simple things that can make your sessions feel even more productive.
Choose a private space
Somewhere you won't be overheard or interrupted if possible.
That might be a spare bedroom, your home office or even your parked car if that's genuinely the quietest place available.
Use headphones
Headphones improve sound quality and help maintain your privacy.
Give yourself a few minutes before and after
Rather than jumping straight into work or another meeting, try giving yourself five or ten minutes either side of your session.
Therapy often brings up important thoughts and emotions, and having a little breathing space afterwards can really help.
Keep distractions to a minimum
Silence your phone and put your devices into Do Not Disturb mode.
Close other tabs on your computer.
Let the time belong to you.
You deserve that.
Only you can answer that.
Some people still prefer face-to-face counselling, and that's absolutely okay.
If you've been putting off therapy because you thought travelling would be difficult, your schedule is too busy or there aren't therapists nearby who feel like the right fit, online counselling could be exactly what you're looking for.
I've worked online with clients from all over the UK, supporting people through stress, burnout, anxiety, self-worth, people-pleasing, relationship difficulties, identity and life's inevitable ups and downs.
What matters isn't whether we're in the same room, it's whether you feel heard and understood. Whether you finally have a space where you don't have to keep holding everything together on your own.
If that sounds like what you've been looking for, I'd love to hear from you.
Book a free 20-minute introductory call and we'll chat about what's been going on for you, how I work and whether it feels like we'd be a good fit. There's no pressure and no obligation to continue if it doesn't feel right.
Level 4 Diploma in Therapeutic Counselling
Level 3 Certificate in Counselling Studies
Level 2 Certificate in Counselling Skills
Working inclusively with the LGBTQIA+ community
Defining GSRD therapy (currently studying)
The psychology of fetish and kink
Working with young people
Working with guilt
Certificate in Online & Telephone Counselling
Counselling clients in substance misuse
Introducing Autism-Informed Practice
Counselling clients with Autism
Counselling clients with ADHD
Counselling clients with grief
Accredited Registrant of NCPS
Fully insured & DBS checked