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In many ways, online sessions are not so different from meeting a therapist in person; the same care, attention, and therapeutic relationship are present. That said, there are real differences worth considering when deciding whether working online is right for you.

 

Online therapy tends to suit people who are not in severe emotional distress, but who want professional support to reflect on their difficulties, interrupt unhelpful patterns, and move toward change. If you're unsure whether it's appropriate for you, I assess suitability as part of every initial session and if I feel your situation would be better served by in-person work, I'll tell you honestly.

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Practicalities

Sessions take place via Zoom, though I'm equally happy to use FaceTime, Teams, or any platform you prefer. You'll need a reliable internet connection; HD video calls require upload and download speeds of at least 1.2 Mbps and a quiet, private space where you can sit comfortably and won't be interrupted for the hour. It's worth thinking in advance about whether sound carries through walls or doors, and having whatever you might need nearby: water, tissues, and a comfortable seat that won't distract you halfway through.

 

For couples sessions, sitting side by side on a sofa or two chairs works best, so that you're both visible on camera at the same time.

 

One important limitation

When we meet via video, I may not have full sight of your body language and non-verbal signals and occasionally that means I might miss something significant. In practice, this rarely becomes a serious obstacle; we can usually fill those gaps through dialogue and checking in with each other. But it's worth being aware of, and worth naming if you feel something isn't being picked up.