Manchester Counselling Therapy Team
INTRODUCTION
THE EVIDENCE FOR ONLINE THERAPY
Multiple studies over the past decade have found that online therapy—also known as teletherapy or virtual counselling—is just as effective as face-to-face therapy for many mental health concerns.
A 2020 meta-analysis published in the Journal of Anxiety Disorders found that online cognitive behavioural therapy (CBT) was equally effective as in-person CBT for treating depression and anxiety. Participants showed significant improvement in symptoms, and the gains were sustained over time.
Similarly, a report by the NHS following the rapid rollout of digital talking therapies during the COVID-19 pandemic concluded that online services increased access while maintaining clinical effectiveness.
Therapists in these studies also reported that client engagement and rapport were not compromised by the virtual format.
BENEFITS UNIQUE TO ONLINE THERAPY
Online therapy offers a number of benefits that go beyond convenience:
Accessibility: Ideal for people in rural areas, or those with mobility, childcare, or time constraints.
Flexibility: Sessions can be arranged around your schedule, with more options for evening or weekend availability.
Privacy: You don’t have to walk into a public clinic or worry about being seen.
Comfort: Being in your own space can make it easier to open up, especially for those new to therapy.
These features can reduce some of the barriers that prevent people from starting or staying with therapy—particularly those who may feel overwhelmed or anxious about reaching out.
COMMON CONCERNS AND LIMITATIONS
Despite its advantages, online therapy isn’t a perfect fit for everyone or every situation. Here are a few considerations:
Technical challenges: Poor internet connection or unfamiliarity with video platforms can be disruptive.
Privacy at home: Some clients struggle to find a quiet or confidential space, especially in shared living arrangements.
Complex mental health needs: In-person therapy may be preferable for those experiencing severe mental health issues, crises, or trauma-related disorders.
That said, many therapists now adapt their techniques to suit the digital format, using tools like secure messaging, screen sharing, and structured worksheets to enhance engagement.
HOW TO KNOW IF IT’S RIGHT FOR YOU
There’s no one-size-fits-all answer when it comes to therapy. But you might find online therapy helpful if:
You’re time-poor or balancing work, parenting, or care responsibilities
You live in an area with limited mental health services
You feel safer or more relaxed opening up from home
You value flexibility and discretion
If you're unsure, trying one session can help you gauge the experience. Many clients who start virtually are surprised by how natural and connected it feels.
At Manchester Counselling, we offer both online and in-person therapy options to suit your lifestyle, comfort, and clinical needs. If you're curious about starting therapy but feel unsure where to begin, our matching service can help you find a therapist who fits your preferences.
Online therapy may be a modern approach, but its heart remains the same: meaningful connection, compassionate support, and space to grow.
Andrews et al. (2020). Online CBT for depression and anxiety: a meta-analysis.
NHS England. (2021). What we learned from the rapid rollout of digital talking therapies.
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