Teletherapy vs In-Person Therapy: When to Choose One vs the Other

Audience: adult

Teletherapy and in-person therapy are both effective ways to get mental health support. Teletherapy uses video calls, phone, or messaging to connect with a therapist remotely. In-person therapy means meeting face-to-face in a clinic or office. Choosing between them depends on your needs, comfort, and access. Teletherapy offers convenience and can be easier to fit into a busy schedule or for those with mobility or travel challenges. In-person therapy may be better for those who prefer direct personal interaction or have complex mental health needs. Both methods provide confidential, professional care. It’s important to consider your symptoms and preferences, and discuss options with a healthcare provider. If you experience severe symptoms like thoughts of self-harm, sudden mood changes, or inability to function, seek immediate in-person care or emergency help.

Red flags — go in person / ER

• Thoughts of harming yourself or others — seek emergency care immediately.
• Sudden severe mood changes or confusion — contact emergency services or go to the nearest hospital.
• Inability to perform daily activities or care for yourself — arrange urgent in-person evaluation.

What telemedicine can do

• Mild to moderate anxiety or depression.
• Stress management and coping skills.
• Follow-up therapy sessions.
• Psychoeducation and counseling.
• Support for chronic mental health conditions.

What telemedicine cannot do

• Severe mental health crises or emergencies.
• Active suicidal or homicidal thoughts requiring immediate intervention.
• Complex psychiatric conditions needing physical examination.
• Medication management requiring close monitoring.
• Situations needing in-person physical or neurological assessments.

What Is Teletherapy?

Teletherapy is mental health care delivered through technology such as video calls, phone calls, or messaging. It allows you to speak with a licensed therapist without traveling to an office. Many people find teletherapy convenient and private. It can help with stress, anxiety, depression, and other common concerns.

What Is In-Person Therapy?

In-person therapy involves meeting a therapist face-to-face in a clinic, office, or other setting. This traditional approach allows for direct personal connection and may include nonverbal communication that can be helpful in therapy. It is often preferred for complex or severe mental health conditions.

When to Choose Teletherapy

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When to Choose In-Person Therapy

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Safety and Red Flags

Teletherapy is not suitable for emergencies or severe crises. If you experience thoughts of self-harm, sudden mood changes, or inability to care for yourself, seek immediate in-person care or emergency services. Always inform your therapist if your situation changes.

How to prepare for your tele-visit

• Find a quiet, private space for your teletherapy session.
• Ensure your device (computer, tablet, or phone) is charged and connected to a stable internet connection.
• Test your camera and microphone before the session.
• Have a list of your symptoms or concerns ready to discuss.
• Make sure you know how to contact your therapist if technical issues arise.

After your tele-visit

• Reflect on the session and note any important points or homework.
• Follow any recommendations or exercises provided by your therapist.
• Schedule your next appointment if needed.
• Contact your therapist promptly if your symptoms worsen.
• Seek in-person care if you experience any red flag symptoms.

FAQs

Is teletherapy as effective as in-person therapy?

Research shows that teletherapy can be as effective as in-person therapy for many mental health conditions, especially mild to moderate anxiety and depression. However, individual preferences and situations vary.

What if I don’t have a private place at home for teletherapy?

Try to find a quiet spot where you feel comfortable and won’t be interrupted. Some people use their car, a private room at work, or a friend’s home. Privacy is important to feel safe during sessions.

Can I switch between teletherapy and in-person therapy?

Yes, many people use a combination depending on their needs, schedule, and comfort. Discuss your preferences with your therapist to find the best approach.

What technology do I need for teletherapy?

Typically, a smartphone, tablet, or computer with a camera, microphone, and internet access is needed. Your therapist will guide you on which platforms they use and how to connect.

Is teletherapy confidential?

Yes, licensed therapists use secure platforms to protect your privacy. It’s important to use a private space and secure internet connection to maintain confidentiality.

Sources

1. Mental Health and Telehealth — MedlinePlus, U.S. National Library of Medicine.
2. Telehealth: Delivering Care Safely During COVID-19 — Centers for Disease Control and Prevention (CDC).
3. Teletherapy and Telepsychiatry — Mayo Clinic.
4. Telemedicine and Telepsychiatry — National Library of Medicine.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or therapy options. In emergencies, call emergency services or go to the nearest emergency room.