Online Counselling

What is online therapy? How do you find an online therapist? And what are the benefits and disadvantages of starting counselling online?

If you have been suffering from mental ill health, such as anxiety or depression, or are facing difficult changes or decisions in your life that feel overwhelming, you might be considering talking to an online psychotherapist or counsellor to help to transform your life. This post covers the pros and cons of online therapy, the best way to find a counsellor to talk to online and the potential issues you need to look out for.

Online counselling, otherwise known as online therapy, e-therapy, skype counselling or cyber-counselling, has become increasingly popular in the last decade; there were almost 9x more webcam and instant messenger therapy appointments made with the NHS between 2012 and 2016, a drastic increase from 6,000 to 49,000 online counselling sessions. Much like traditional counselling, online therapy involves talking to a licensed therapist or counsellor who provides assistance in managing psychological issues, such as depression, anxiety and relationship problems, more effectively. While this can occur by email, online chat or messaging, the most similar format to traditional therapy is to talk to a therapist in real-time by webcam.

How do I find an online therapist? What should I look for?

It is important when you book any form of therapy for psychological help that you are comfortable with the therapist you are talking to and that they are a trained, qualified mental health professional. All of the online therapists on Harley Therapy are registered members of a UK professional body. This means that they abide by, and are accountable to, the ethical frameworks and guidelines of their associations and they have completed a suitably rigorous training to gain registration.

If you choose to find online therapists from a different online counselling service, be sure to check that they are qualified with a recognised professional counselling association. Unfortunately, there are no laws in the UK that prevent anyone from calling themselves a therapist or counsellor. Therefore, before starting counselling online, it is vital to consider the qualifications and experience of the therapist you are working with. Remember, you are free to ask your therapist about their training and experience in your initial consultation, if you wish. You can find out more about how to prepare for a first session here.

It is also important to consider the type of online therapy you would prefer. There are a number of online services that offer text message, email and other forms of communication. At Harley Therapy, online therapy by Skype has been as popular as face-to-face therapy in 2018.

According to the head of the BACP (British Association for Counselling and Psychotherapy), Kate Anthony, unaccredited therapists are offering therapy online and vulnerable people are being exploited by “unethical” websites, which cost expensive subscription fees. If you are not happy to sign up for a subscription service, you can book one online counselling session at a time through the Harley Therapy platform.

Does online therapy work?

While online therapy is unlikely to replace traditional face-to-face psychotherapy and counselling, many teenagers, adults and couples find talking to a therapist online the best option for them in terms of availability, convenience and affordability. Many psychotherapists, psychologist and counsellors now offer therapy by online video call and have undertaken courses specifically related to providing therapy online. A recent review of studies published by the World Journal of Psychiatry found that patients receiving online counselling by video chat reported ‘high levels of satisfaction’.

Should I get counselling online?

Benefits of online counselling:

  • More choice
Rather than limiting yourself to only therapist within a certain location, there are hundreds of therapists across the UK and globally who you can connect with via Skype for online depression counselling, relationship counselling and more. This means that, if there are not therapists near enough for you to meet in person, you can still access professional help online. The opportuity to talk to a therapist online also means that you may be better able to find a therapist who is specialised in the specific approach you would like or the issue you would like to talk about, instead of being limited to the counsellors and psychologists in your area.

  • Effective
Although many are skeptical about online counselling, there have been studies published that advocate its benefits, including patients reporting ‘high levels of satisfaction’ in a review by The World Journal of Psychiatry and a study published in the Canadian Medical Association Journal, which found that online CBT (cognitive behavioural therapy) effectively reduced symptoms of depression and other mental health issues amongst participants.

  • Convenience and flexibility
Meeting online means that there is zero travel time to and from therapy and sessions can be attended in circumstances that otherwise might not be possible. Whether you travel often for work or suffer from illnesses that make it difficult to leave the house, you can see your therapist provided you have a private, quiet space and an internet connection.

  • Confidentiality
If you live in a small town or neighbourhood, you may be worried that you will run into your therapist outside of your therapy session, or that you may be connected to your therapist through other acquaintances. In this case, scheduling an online counselling session with a therapist who lives in a different location may give you more peace of mind.

  • Dual location relationship counselling
Online relationship counselling might be an option for you and your partner or other family members when you are living in different locations, either temporarily or permanently. In this way, you can engage with group or couple relationship counselling online together, which would not be possible otherwise.

Disadvantages of online counselling:

  • Non-verbal communication
While an online counselling chat by Skype would mean that both therapist and patient can see each other and hear each other, other methods of online counselling such as email and text message rely only on written communication. Subtle cues such as body language, facial expressions and the tone of voice that someone uses can help us to understand the meaning of what someone says in any situation. These elements of communication are lost with words alone. Therefore some argue that online counselling by webcam might be more helpful for both therapists and clients to understand each other. Non-verbal communication can also help therapists to listen more deeply to their patients, helping them to gain further insight into how their patients are feeling and in turn to understand how best to work with them. However, there are ample research studies which find that online counselling is as effective as in person counselling.

  • Security
Depending on the online counselling service used, confidentiality could be jeopardised by security breaches. Most applications, such as Skype, strive to protect confidentiality but it is always important to update the app or software you use for webcam therapy to the latest version in order to prevent the risk of security issues.

  • Technology
Poor internet connections can disrupt therapy sessions and a cut in connection or power at a crucial time can be very distressing. It is always worth checking that your connection is of the right standard before you embark on counselling online and ensuring that the software you must use (for example Skype) works on your device. It might be useful for you and your therapist to have a back-up plan in place in cases where technology affects your session.

  • Therapist qualifications
Some online counselling services may not be transparent about the qualifications or training of their members. It is important that you choose a therapist who you believe has the suitable experience and holds the same level of professional training qualification as a face-to-face therapist, counsellor or psychologist. Online therapists at Harley Therapy are vetted and their memberships are checked before they can join the service, so that users can be assured that any online therapist they choose is licensed to practice in the UK.

How does online counselling by video chat work?

Many of the factors involved in online therapy via webcam are the same as in-person counselling. For example, arriving on time and being honest with yourself and with your therapist. However, there are other provisions that you will need to make when engaging in therapy online:

  • A good internet connection
It is frustrating and disappointing to set up a video call and pay for an online counselling session only to find that your connection does not work. Breaks in sound and issues with video quality will affect your experience of therapy negatively. This may interrupt you being able to make a connection with your therapist both practically and emotionally.

  • A quiet, private place
Confidentiality for counselling requires that both you and your therapist connect from a quiet place that is free from distractions and respects your privacy. This makes crowded public areas or family spaces out of the question. You may want to use headphones, so that only you can hear what your therapist is saying.

  • Access to video conferencing services
You may need to download the software that your online counselling will take place on, such as Skype.

If you'd like to start online counselling, the UK's leading booking platform for counselling and psychotherapy makes it simple to find and book a qualified therapist at the time and cost that suits you, to meet online as soon as tomorrow. See our recommened therapists below, or start your own search here to begin your journey to wellbeing.


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