Online Therapy: Why It Works (and When It Doesn’t)

In recent years, online therapy has become an increasingly common alternative. The possibility of receiving psychological support from the comfort of your home, with just an internet connection, opens a world of opportunities for those who once found in-person therapy difficult or even impossible. But like any resource, it has both advantages and limitations.

Why Does Online Therapy Work?
Online therapy works because it preserves the essential element: the relationship between the patient and the professional. Through video calls, voice calls, or even specialized chats, it’s possible to work on the same processes as in a physical office: managing emotions, improving self-esteem, coping with grief, treating anxiety or depression, among others.

Its main benefits include accessibility and flexibility. For people with busy schedules, those living in remote areas, or those who feel uncomfortable attending a physical office, online therapy becomes an ideal gateway. It also allows for greater continuity, since it’s easier to schedule sessions and maintain consistency.

Scientific research also supports its effectiveness in many cases. Studies show that the results of online therapy can be similar to those of in-person therapy, as long as certain criteria of quality and commitment are met.

The key is that the emotional bond and trust with the therapist can also be built in a digital environment. What matters most is not the setting, but the process itself.

When Is Online Therapy Not Enough?
Although it’s a powerful tool, online therapy is not always the best option. It may be limited in cases where closer and more intensive intervention is needed.

Some signs that online therapy may not be the right choice include:

• Severe mental health crises: suicide attempts, psychotic episodes, or situations requiring immediate supervision.
• Lack of privacy: not having a safe space at home to speak freely.
• Persistent connection issues: unstable internet that disrupts the therapeutic process.
• Need for in-person interventions: in certain cases, combining online and face-to-face therapy can be more effective.
• Discomfort with the digital format: if the person never feels comfortable with video calls, the process loses its flow.

Recognizing these limitations doesn’t mean online therapy doesn’t work—it simply means each case requires an evaluation to choose the most beneficial modality.

Online therapy is a valuable opportunity to make mental health care more accessible. It works, as long as it’s used appropriately and adapted to individual needs. And when it’s not enough, it can be complemented or referred to other forms of support.

If you’ve been thinking about starting your process, but time or distance has held you back, online therapy may be the solution you need. We invite you to book a session with us and take the first step toward your well-being.