Is Video Therapy Right for You? Benefits and Considerations

Video therapy delivers evidence-based mental health treatment through secure digital platforms, connecting clients with licensed clinical social workers for effective therapeutic support that matches in-person care while offering greater accessibility, convenience, and flexibility for diverse treatment needs.

Wondering if video therapy can really provide the same meaningful connection and results as sitting across from a therapist in person? You're not alone in questioning whether virtual sessions truly work - let's explore what the research reveals and help you decide if this flexible approach fits your life.

Updated February 12th, 2025 by ReachLink Editorial Team

Medically reviewed by licensed clinical social workers on the ReachLink team

The landscape of mental healthcare has transformed dramatically in recent years. According to the American Psychological Association, online therapy has skyrocketed in popularity, with growing numbers of people discovering the advantages of telehealth counseling. As video-based therapy becomes increasingly mainstream, many wonder whether virtual sessions can provide the same quality of care as traditional in-person appointments.

This article examines the benefits and considerations of video therapy to help you determine whether this approach aligns with your needs and circumstances.

Understanding video-based therapy

Video therapy, also known as telehealth counseling, connects clients with licensed clinical social workers through secure digital platforms. These virtual sessions utilize video conferencing technology to facilitate therapeutic conversations, allowing clients to receive professional mental health support from virtually anywhere with a reliable internet connection.

Many mental health professionals now offer telehealth services either exclusively or alongside traditional office-based appointments. The shift toward virtual care has opened new possibilities for people seeking convenient, accessible mental health support.

What research tells us about telehealth effectiveness

Evidence from clinical trials demonstrates that video-based therapy can be just as effective as in-person care for many mental health concerns. The effectiveness of online therapy has been validated across numerous studies examining treatment for anxiety, depression, stress management, and other common challenges.

Research specifically examining cognitive behavioral therapy delivered via telehealth has shown promising results. These findings are particularly significant given that video therapy has become a primary care delivery method for many people, especially following the widespread healthcare disruptions of recent years.

It’s worth noting that you don’t need a diagnosed mental health condition to benefit from therapy. Many people engage with licensed clinical social workers for general wellness support, life transitions, relationship concerns, or personal growth—all of which can be effectively addressed through video sessions.

Benefits of video therapy: Is telehealth counseling right for you?

Virtual therapy is helping to break down traditional barriers to mental healthcare by making professional support available through internet-connected devices. Research, including a meta-analysis from 2020, found that online cognitive behavioral therapy was at least as effective as traditional in-person sessions for many clients. Let’s explore some specific advantages of video-based counseling.

Greater accessibility to care

Perhaps the most significant benefit of video therapy is improved access to mental healthcare. For people living in rural areas, those with limited transportation options, or individuals with mobility challenges, telehealth eliminates geographical barriers that might otherwise prevent them from receiving support.

Video therapy also expands options for finding the right therapeutic fit. When you’re not limited by driving distance, you can connect with licensed clinical social workers who specialize in your specific areas of concern, even if they’re located across the state.

This expanded access is particularly valuable for marginalized communities. LGBTQIA+ individuals, for example, may have difficulty finding culturally competent therapists in their immediate area. Telehealth broadens the pool of potential providers, increasing the likelihood of finding someone who understands your unique experiences and identity.

Practical convenience and flexibility

Video therapy offers practical advantages that make consistent mental healthcare more feasible for many people. Without the need to commute to appointments, you save both time and money on transportation. For those living in areas with limited public transit or who lack reliable vehicles, this elimination of travel can be transformative.

The time savings extend beyond just the commute. You won’t spend time in waiting rooms, and you can more easily schedule sessions during lunch breaks or between other commitments. This flexibility can be especially valuable for parents, caregivers, or people with demanding work schedules who might otherwise struggle to fit therapy into their routines.

A 2021 study on the cost-effectiveness of online therapy found that telehealth interventions were just as effective as in-person sessions while being more affordable overall. When you factor in saved travel costs, reduced time away from work, and potentially lower session fees due to broader provider options, video therapy can represent significant savings.

Comfort and reduced barriers

Many people find attending therapy from a familiar environment more comfortable than visiting a clinical office. This can be particularly true for individuals managing social anxiety, agoraphobia, or other conditions that make leaving home challenging.

The comfort of your own space can help you feel more relaxed and open during sessions. Some clients report feeling less intimidated by the therapeutic process when they’re in their own environment rather than an unfamiliar office setting.

For people with physical disabilities or chronic health conditions, video therapy eliminates physical barriers associated with navigating office buildings, parking, or sitting in unfamiliar chairs. You can arrange your space to accommodate your specific comfort and accessibility needs.

Additionally, the ability to control your environment—choosing where you sit, what’s around you, and how you’re positioned—can give you a greater sense of agency in the therapeutic process. This sense of control may help some people feel more empowered to engage fully in their treatment.

Continuity and consistency

Research suggests that people may be more likely to maintain consistent attendance with video therapy compared to in-person sessions. When logistical barriers are reduced, it becomes easier to show up for yourself week after week, which is crucial for therapeutic progress.

The reduced friction of attending sessions can also make it easier to return to therapy if you’ve taken a break. Knowing that you can reconnect with your licensed clinical social worker without the added stress of travel and scheduling complications may encourage you to reach out for support when you need it.

Important considerations for video therapy

While video therapy offers numerous benefits, it’s not the ideal solution for everyone. Understanding the limitations and considerations can help you make an informed decision about whether this approach suits your situation.

Technical requirements

Video therapy requires certain basic resources: a reliable internet connection, a device with video capability (computer, tablet, or smartphone), and a private space where you can speak freely without being overheard. If you don’t have consistent access to these resources, video therapy may present challenges.

Privacy can be a significant concern. If you live with others in a small space or lack a room where you can close the door and speak confidentially, maintaining the privacy necessary for effective therapy may be difficult. While some people successfully attend sessions from their cars or other semi-private locations, this isn’t ideal for everyone.

Technical difficulties—frozen video, audio delays, or dropped connections—can occasionally disrupt sessions. While most platforms work smoothly most of the time, these interruptions can be frustrating and may interfere with the flow of deeper therapeutic work.

Therapeutic relationship considerations

The therapeutic relationship between client and counselor is central to effective treatment. While many people develop strong connections with their licensed clinical social workers through video, others find that something feels missing without in-person interaction.

Nonverbal communication—subtle facial expressions, body language, energy in the room—can be harder to read through a screen. Both you and your therapist may miss some of these cues, which can be important for understanding emotions and building rapport.

Some people simply prefer the structure and separation that comes with going to a therapist’s office. The physical act of traveling to an appointment and entering a dedicated therapeutic space can help create psychological boundaries between therapy and the rest of life. For these individuals, video sessions from home may feel less contained or impactful.

Severity and type of concerns

Video therapy through licensed clinical social workers is appropriate for a wide range of mental health concerns, including anxiety, depression, relationship issues, grief, trauma, stress management, and many other challenges. However, certain situations may require in-person care or more intensive interventions.

If you’re experiencing a mental health crisis, having thoughts of harming yourself or others, or dealing with severe symptoms that require immediate intervention, in-person emergency services are more appropriate than video therapy. Licensed clinical social workers can provide valuable ongoing support, but crisis situations often need more immediate, comprehensive care.

It’s important to understand the scope of practice for licensed clinical social workers. ReachLink’s providers are highly qualified therapeutic counselors who can address a broad spectrum of mental health concerns through evidence-based approaches. However, they do not provide psychiatric evaluations, psychological testing, or medication management. If your situation requires these services, you’ll need to connect with a psychiatrist, psychologist, or other medical professional. ReachLink can provide appropriate referrals when services fall outside the scope of clinical social work practice.

Additionally, certain therapeutic approaches require physical presence. If you’re interested in modalities like art therapy with materials, animal-assisted therapy, or group activities that involve physical interaction, these generally cannot be delivered via video.

Personal readiness and commitment

Your level of readiness for therapy matters significantly to its effectiveness. While video therapy offers convenience, that same convenience can make it easier to disengage or cancel sessions when things get difficult. The reduced accountability of ending a video call versus walking out of an office can be both a benefit and a drawback.

Some people find that the lack of structure—not having to physically go somewhere—makes it too easy to deprioritize their mental health. If you know you struggle with follow-through or tend to avoid difficult conversations, you might benefit from the added commitment that comes with in-person appointments.

Conversely, if logistical barriers have prevented you from seeking help, video therapy’s convenience might be exactly what you need to finally access the support you deserve. Consider your own patterns and what type of structure helps you stay committed to your goals.

Finding the right video therapy provider

If you’ve decided that video therapy might be a good fit, choosing the right platform and provider is essential. Working with an established telehealth company that specializes in mental health services ensures you’ll connect with properly credentialed professionals through secure, confidential platforms.

ReachLink’s approach involves matching you with a licensed clinical social worker based on your specific needs, preferences, and therapeutic goals. The intake process typically includes a questionnaire that helps identify what you’re looking for in a therapist and what concerns you’d like to address.

When evaluating any telehealth provider, consider factors like:

• Provider credentials: Are all therapists fully licensed clinical social workers with proper state licensure?
• Specializations: Can you connect with providers who have experience with your specific concerns?
• Platform security: Is the video platform HIPAA-compliant and designed specifically for healthcare?
• Flexibility: Can you switch providers if the initial match isn’t quite right?
• Communication options: Does the platform offer video, phone, and messaging options to suit your preferences?

ReachLink provides secure video sessions with licensed clinical social workers who specialize in various areas of mental health and wellness. The platform is designed specifically for telehealth therapy, with privacy protections and user-friendly features that make attending sessions straightforward.

Making video therapy work for you

If you decide to pursue video therapy, there are steps you can take to maximize its effectiveness:

Create a dedicated space: Even if you’re at home, try to use the same spot for sessions. This helps create psychological boundaries and signals to your brain that it’s time for therapeutic work.

Minimize distractions: Turn off notifications on your device, let household members know you need privacy, and do what you can to create an environment conducive to focus and reflection.

Test your technology: Before your first session, make sure your internet connection is stable, your camera and microphone work properly, and you’re comfortable with the platform interface.

Be patient with the adjustment: If you’re accustomed to in-person therapy, video sessions may feel different at first. Give yourself a few sessions to adjust before deciding whether it’s working for you.

Communicate with your therapist: If something about the video format isn’t working—whether it’s technical issues or something about the experience itself—talk to your licensed clinical social worker about it. They may have suggestions for making sessions more effective.

The evidence supporting video therapy

Research continues to demonstrate the effectiveness of telehealth mental health services. A literature review from 2017 found that online cognitive behavioral therapy can be an effective treatment for various mental health conditions including anxiety, depression, phobias, and obsessive-compulsive disorder.

Additional studies have shown that mental health treatment via phone or video chat can be highly effective for diverse groups of clients with various therapeutic goals. The body of evidence supporting telehealth continues to grow, with outcomes often matching or exceeding those of traditional in-person care.

This research is encouraging for anyone considering video therapy. While individual experiences vary, the overall evidence suggests that working with licensed clinical social workers via secure video platforms can produce meaningful improvements in mental health and wellbeing.

Moving forward with your mental health

Video therapy represents a significant shift in how mental healthcare is delivered, offering new possibilities for people who might otherwise face barriers to accessing support. The convenience, affordability, and expanded options that telehealth provides have made professional mental health services available to many who previously couldn’t access them.

At the same time, video therapy isn’t a universal solution. Some people and situations are better served by in-person care, and it’s important to honestly assess your own needs, preferences, and circumstances when deciding which approach is right for you.

If you’re considering video therapy, ReachLink offers secure, confidential telehealth sessions with licensed clinical social workers who can support you through a wide range of life challenges and mental health concerns. The platform’s matching process helps connect you with a provider whose expertise aligns with your needs, and you can always request a different therapist if the initial pairing isn’t quite right.

Whether you’re dealing with anxiety, depression, relationship challenges, grief, life transitions, or simply seeking support for personal growth, working with a licensed clinical social worker through video therapy can be an effective path forward. The key is finding an approach that fits your life and supports your commitment to your mental health.

Taking the first step toward therapy—whether in-person or via video—is often the hardest part. If telehealth’s convenience and accessibility make that first step easier for you, it may be exactly the right choice.

Frequently asked questions

Can I use video therapy just to talk through life challenges?

Absolutely. You don’t need to be in crisis or have a diagnosed mental health condition to benefit from working with a licensed clinical social worker. Many people engage in therapy for general support, life transitions, stress management, relationship concerns, or personal growth. Video therapy is well-suited for these conversations and can provide valuable perspective and coping strategies.

How do I know if the video platform is secure?

When choosing a telehealth provider, look for platforms specifically designed for mental healthcare that comply with HIPAA regulations. General video conferencing tools like Skype or Zoom may not offer the same level of privacy protection. ReachLink uses secure, HIPAA-compliant technology designed specifically for confidential therapeutic conversations, with end-to-end encryption protecting your information.

What if video therapy isn’t working for me?

If you try video therapy and find it’s not meeting your needs, you have options. You might switch to a different licensed clinical social worker on the platform, try phone sessions instead of video, or explore in-person therapy if that’s accessible to you. It’s also worth discussing your concerns with your current therapist—they may have suggestions for making the virtual format work better, or they can help you transition to a different type of care if needed.

Can licensed clinical social workers diagnose mental health conditions?

Licensed clinical social workers are qualified to assess and treat a wide range of mental health concerns using evidence-based therapeutic approaches. While diagnostic capabilities vary by state licensing regulations, LCSWs can provide comprehensive treatment plans and therapeutic interventions for conditions like anxiety, depression, trauma, and relationship issues. If you need psychiatric evaluation or medication management, your LCSW can provide appropriate referrals.

Will my insurance cover video therapy?

Insurance coverage for telehealth mental health services varies by provider and plan. Many insurance companies have expanded coverage for video therapy in recent years, though policies differ. ReachLink works with numerous insurance providers, and many clients find that even if insurance doesn’t cover services, subscription-based pricing makes video therapy affordable as an out-of-pocket expense. Contact ReachLink directly to discuss insurance options and pricing.

What happens if I need medication?

Licensed clinical social workers do not prescribe medication. If during your work together it becomes clear that medication might be beneficial, your therapist can provide referrals to psychiatrists, psychiatric nurse practitioners, or your primary care physician—professionals who are qualified to prescribe and manage psychiatric medications. Many people benefit from a combination of therapy with an LCSW and medication management with a prescribing provider.

Can I message my therapist between video sessions?

Policies on between-session communication vary by provider and platform. Some telehealth services, including ReachLink, offer messaging features that allow you to communicate with your licensed clinical social worker between scheduled sessions. However, this is typically for non-urgent matters, and response times vary. For crisis situations, you should always contact emergency services rather than waiting for a message response.

Is video therapy appropriate for couples or family counseling?

Yes, many licensed clinical social workers provide couples therapy and family therapy via video sessions. ReachLink offers specialized services for both couples and families. Video therapy can actually make it easier for all parties to attend sessions together, especially when coordinating schedules or when family members live in different locations. The key is ensuring everyone can be present in a private space where they feel comfortable speaking openly.

What if my internet connection drops during a session?

Technical difficulties occasionally happen with any video platform. Most therapists are accustomed to this and will simply reconnect with you when the connection is restored. If you experience frequent connectivity issues, you might discuss with your therapist whether phone sessions would be more reliable for your situation, or whether there are steps you can take to improve your internet stability during session times.

How do I prepare for my first video therapy session?

Before your first session, test your technology to ensure your camera, microphone, and internet connection are working properly. Find a private, quiet space where you won’t be interrupted. Have water nearby and perhaps something to take notes with if that’s helpful for you. Approach the session as you would an in-person appointment—give yourself time to settle in, and be prepared to discuss what brings you to therapy and what you hope to achieve.

Disclaimer: The information provided in this article is for educational purposes and is not a substitute for professional mental health advice, diagnosis, or treatment. If you’re experiencing a mental health crisis, please contact emergency services or a crisis hotline immediately. For personalized guidance about whether video therapy is appropriate for your specific situation, consult with a licensed mental health professional.

FAQ

• Is video therapy as effective as in-person therapy?

  Research shows that video therapy can be just as effective as in-person sessions for many mental health conditions. Studies indicate that therapeutic approaches like cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and talk therapy work well through secure video platforms. The key factors for success remain the same: a strong therapeutic relationship, consistent attendance, and active participation in the process.

• What types of therapy work best through video sessions?

  Many evidence-based therapeutic approaches adapt well to video format, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), mindfulness-based interventions, and individual talk therapy. Family therapy and couples counseling can also be conducted effectively via video. Therapists often use the same techniques and interventions as in-person sessions, adapting them for the digital environment.

• What do I need to set up for a video therapy session?

  You'll need a reliable internet connection, a device with a camera and microphone (smartphone, tablet, or computer), and a private, quiet space where you won't be interrupted. Most platforms work through web browsers without requiring special software downloads. It's helpful to test your technology beforehand and have a backup plan, such as a phone number, in case of technical difficulties.

• How is privacy and confidentiality maintained in video therapy?

  Licensed therapists use HIPAA-compliant, encrypted video platforms specifically designed for healthcare. These secure systems protect your personal information and session content. Therapists are bound by the same confidentiality standards as in-person therapy. To maintain privacy on your end, choose a private location for sessions and ensure others can't overhear your conversation.

• Who might benefit most from video therapy?

  Video therapy can be particularly beneficial for people with busy schedules, transportation challenges, mobility limitations, or those living in areas with limited access to mental health providers. It's also helpful for individuals who feel more comfortable in their own environment or those dealing with social anxiety. Many people find the convenience of video therapy helps them maintain consistent attendance and engagement in their therapeutic process.