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Writer's pictureRebecca Escalante, MA LCMHC

In-Person vs. Virtual Therapy: Navigating the Choices


A woman and adolescent having a therapy session and a woman having an online therapy session. The picture is half and half.

The landscape of mental health care has been evolving rapidly over the past few years. One significant shift is the rise of virtual therapy, also known as tele-therapy or online counseling. As a licensed mental health counselor with years of experience, I've had the privilege to offer both in-person and virtual sessions to clients. Each modality has its merits, but also its challenges.


In-Person Therapy: The Traditional Approach

A therapist listening to her client during a counseling session

Pros:

  1. Human Connection: There's something irreplaceable about sitting face-to-face in the same room. The energy, the body language, and the nuances of human interaction are more palpable and immediate.

  2. Dedicated Environment: The therapy office provides a safe, confidential space dedicated to the therapeutic process. This setting can help clients separate from their daily routine and distractions.

  3. Enhanced Modalities: Some therapeutic interventions, especially those that involve tactile or sensory experiences, are best facilitated in person.

Cons:

  1. Logistics: Commuting, finding parking, or juggling schedules can sometimes be a barrier to consistent sessions.

  2. Limited Accessibility: For those in remote areas, finding a therapist with the desired specialty can be challenging.

  3. Potential Discomfort: For some, the idea of sitting in an unfamiliar room can cause initial discomfort or anxiety.

Virtual Therapy: Bridging Distances

A couple having a conversation during an online therapy session

Pros:

  1. Flexibility: Virtual therapy allows for sessions from the comfort of home, during travel, or even on a lunch break.

  2. Increased Access: Those in rural areas, or who have mobility challenges, can access therapy more easily. It also allows clients to connect with specialists regardless of location.

  3. Safety & Convenience: Especially pertinent in times of health crises or inclement weather, virtual sessions ensure continuity of care without physical contact.

Cons:

  1. Technical Challenges: Reliable internet and a suitable device are prerequisites. Connection issues can occasionally disrupt the flow of sessions.

  2. Privacy Concerns: Ensuring a private space for sessions can be challenging, especially for clients who live with others.

  3. Limitations in Connection: While video chats have improved significantly, there can sometimes be a sense of distance. Some therapeutic interventions may also be challenging to adapt to a virtual format.

Which Is Right For You?

Both in-person and virtual therapy offer valuable paths to healing and personal growth. Your choice will hinge on personal preferences, logistical considerations, and the specific challenges you're seeking to address.


It's essential to communicate any concerns or preferences with your therapist. Remember, the goal is a therapeutic relationship that feels safe, effective, and tailored to your needs. Whether that's in a cozy office or through a screen, the journey towards well-being is a shared endeavor.


Your mental health is a priority, and however you choose to embark on this therapeutic journey, remember that the first step is always the most important.


Warmly,

Rebecca Escalante, Owner

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