Online vs In-Office Counseling: Pros, Cons, & What to Consider

The way people access mental health care has changed quickly. Most therapy practices now offer both online and in-office sessions.

Pros of In-Office Counseling

Sitting in the same physical room as your counselor changes the texture of the conversation. In-office therapy also tends to feel better for trauma processing with modalities like EMDR or somatic work.

Cons of In-Office Counseling

In-office therapy asks more of your schedule and logistics (commute, childcare, time off work).

Pros of Online Counseling

Research has found that outcomes for virtual sessions are comparable to in-person for anxiety, depression, and trauma. You can attend from home, during your lunch break, or while traveling.

Cons of Online Counseling

Technology fails sometimes. Privacy can be a challenge if you share a living space.

What to Consider Before Choosing

  • What is your life actually like right now?
  • What are you working through?
  • Do you have a private space at home?

Many practices, including Artisan Counseling in Newport News and Suffolk, Virginia, have moved toward a model where most counselors can see clients either in person or virtually.