Psychotherapy Online Therapy Working With a Therapist Guide Working With a Therapist Guide Overview Getting Started Pros and Cons Will My Insurance Cover It? Is Online Therapy Secure? Common Uses Depression Anxiety Stress Addiction Relationships Online Addiction Counseling By Kendra Cherry Kendra Cherry Facebook Twitter Kendra Cherry, MS, is the author of the "Everything Psychology Book (2nd Edition)" and has written thousands of articles on diverse psychology topics. Kendra holds a Master of Science degree in education from Boise State University with a primary research interest in educational psychology and a Bachelor of Science in psychology from Idaho State University with additional coursework in substance use and case management. Learn about our editorial process Updated on November 07, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Table of Contents View All Table of Contents Techniques Benefits Effectiveness Potential Drawbacks Tips and Strategies What to Expect Getting Started Next in Working With a Therapist Guide Pros and Cons of Online Couples Therapy Substance and behavioral addictions can have a physical, emotional, social, and financial impact on a person’s life. Fortunately, effective treatments are available—including online options. Online therapy can be a viable option for people who are dealing with addictions. Research has found that people who have online therapy for the treatment of substance use disorders show improvement over those who do not receive any treatment. What Is Teletherapy? Techniques Some evidence-based therapeutic approaches are easier to adapt to an online format than others, such as: Cognitive behavioral therapy (CBT): CBT is used most often and focuses on helping people recognize and avoid negative thoughts and actions. This method may be used to help people learn how to recognize triggers that lead to cravings and then learn how to avoid them. Motivational interviewing: Motivational interviewing is another approach that can work in an online format. In this therapy technique, therapists lead structured conversations that help people learn how to recognize how their lives could be different and better if they stop their substance use. Potential Benefits Here are some of the benefits online therapy for addiction has over traditional face-to-face therapy. Enhanced Privacy Unfortunately, social stigmas still surround addiction treatment. This can cause you to worry about being recognized when arriving or leaving an addiction treatment center. As a result, you may not feel comfortable seeking help. Being able to access your treatment from anywhere—including the privacy of your own home—can more effectively control who knows about your treatment. It can take some of the fear of treatment away. More Accessible An estimated 10% to 12% of people with a substance use disorder don't receive treatment. One reason people don't seek help is their inability to physically access treatment. The availability of online therapy may help improve access to mental health services and make it more likely for people to get treatment. Online therapy can help people who may not be able to physically attend individual treatments or group meetings get the help that they need. Online options are also available anytime. Whenever you are feeling an urge or craving, you can reach out to your therapist, work on a self-help module, find educational materials, or connect with a friend who is there to offer support. More Options Online therapy can sometimes serve as an important first step toward more intensive interventions. In some cases, people who try online therapy first may be more likely to seek out traditional, face-to-face treatment services in the future. Studies have shown that people may also be more likely to stick with face-to-face therapy when it is supplemented with online treatment. Effectiveness Traditional addiction treatments tend to be underutilized and have a high dropout rate. This suggests that these traditional options may not be completely meeting people’s needs. Online therapy may help fill this gap for people who are not seeking out or sticking with traditional treatment approaches. According to a review of studies, online therapy may help you cut back on your substance use immediately after treatment and in long-term follow-up. However, the authors of the review suggest that further research is needed, particularly to explore and compare the effectiveness of different online options. Some research has indicated that online therapy may actually outperform traditional therapy in a few ways. Findings reported in the American Journal of Psychiatry found that participants in a web-based treatment had higher success rates and were less likely to drop out of treatment than those who were treated with individual or group counseling. Potential Drawbacks Online therapy can be affordable and convenient, but that doesn’t mean that it’s right for everyone or every situation. Potential drawbacks might include: It's harder to read body language. Therapists may find it more difficult to read body language when working with people online, particularly if they are not using video conferencing.Sessions might feel less intimate. Since you’re communicating with a therapist through a screen, sessions can feel less personal, which can make it harder to open up and be vulnerable.You may face technical issues. Depending on your location, your internet connection may be insufficient. There can also be occasional disruptions due to bad weather. These technology glitches and related obstacles can sometimes complicate the process. If you are experiencing thoughts of suicide or self-harm or experiencing psychosis, online therapy may not be appropriate. However, online hotlines, chat lines, and text resources can put you in touch with professionals who are trained and prepared to help. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. Tips and Strategies There are some ways to help get more out of your online therapy experience: Build a rapport with your therapist. It's important to feel that your therapist is genuine and empathetic so that you feel comfortable, safe, and respected. Talk to your therapist about what you can do to build this rapport in an online format. If you are transitioning from face-to-face therapy to online treatment, talk to your therapist about how the process will work and how you will deal with any issues that arise. If you are transitioning from a traditional support group to an online group, spend some time researching what’s available to determine what might be right for you and your needs. How will the group meet? How many people are in the group? What level of participation is required? All of these factors might play a role in determining what you get out of the group, so focus on finding something that you know you will be comfortable with. What to Expect Online addiction treatment relies on technology to deliver or enhance psychotherapy. There are a number of different online therapy options available for addiction treatment. These include: Therapist-led online therapy: Therapists can use online video, phone calls, emails, and chat to meet with clients virtually. Therapy sessions might occur much as they would in a regular office setting, but using online tools. FaceTime and Skype are not HIPAA compliant and once COVID-related allowances are removed, a therapist or doctor will have to have a HIPAA compliant platform such as VSee, Doxy.me, or Zoom.Computer-assisted therapy: People can also follow interactive, online curricula that guide them through a treatment process with little to no interaction with a therapist. You might watch instructional content, take computerized assessments, follow tutorials, and complete homework assignments as you work through a predefined set of lessons.Web-assisted therapy: This approach may utilize mobile apps or online therapy websites to guide people through sessions or activities.Technology-supplemented therapy: This process may combine traditional face-to-face therapy with technology such as text messaging, phone calls, video chats, or mobile apps. The approach that works best for you depends on a variety of factors. The severity of your symptoms may dictate the intensity of the treatment you need. If you require hospitalization, long-term residential treatment, or supervised detox, for example, then online therapy would not be an appropriate choice. Your access and comfort with technology can also play a role in which option will work best for you. Your therapist’s comfort with technology can also determine how the treatment is delivered. One important thing to remember is that you don’t necessarily need to choose just one type of delivery. In many cases, you might end up with a combination of therapist-led, computer-assisted, and web-assisted therapy. Best Online Text Therapy Companies How to Get Started For anyone looking to receive treatment for addiction, reaching out to a qualified professional is usually the first step. You can search an online directory for individual therapists, ask your primary care provider for a referral, or research online therapy providers. Just as with face-to-face therapy, it's important to find a qualified therapist with whom you feel comfortable. While the process of finding someone you think you can connect with may seem a little daunting, it’s well worth the effort. How to Find a Therapist A Word From Verywell Online therapy for addiction is not the exact same as traditional treatments, but that doesn’t mean that it is inferior. It can be an essential and effective tool in your treatment arsenal. Talk to a doctor or therapist about whether this approach to treatment is appropriate for your needs. What Does a Substance Abuse Counselor Do? 7 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ho C, Severn M. E-therapy interventions for the treatments of substance use disorders and other addictions: A review of clinical effectiveness. Canadian Agency for Drugs and Technologies in Health; 2018. Winerman L. Breaking free from addiction. Monitor on Psychology. 2013;44(6):30. Hammarlund R, Crapanzano KA, Luce L, Mulligan L, Ward KM. Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders. Subst Abuse Rehabil. 2018;9:115–136. doi:10.2147/SAR.S183256 Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2017 National Survey on Drug Use and Health. Campbell AN, Nunes EV, Matthews AG, et al. Internet-delivered treatment for substance abuse: A multisite randomized controlled trial. Am J Psychiatry. 2014;171(6):683-90. doi:10.1176/appi.ajp.2014.13081055 Gainsbury S, Blaszczynski A. A systematic review of Internet-based therapy for the treatment of addictions. Clin Psychol Rev. 2011;31(3):490–498. doi:10.1016/j.cpr.2010.11.007 Kiluk BD, Nich C, Buck MB, et al. Randomized clinical trial of computerized and clinician-delivered CBT in comparison with standard outpatient treatment for substance use disorders: Primary within-treatment and follow-up outcomes. Am J Psychiatry. 2018;175(9):853-863. doi:10.1176/appi.ajp.2018.17090978 By Kendra Cherry Kendra Cherry, MS, is the author of the "Everything Psychology Book (2nd Edition)" and has written thousands of articles on diverse psychology topics. Kendra holds a Master of Science degree in education from Boise State University with a primary research interest in educational psychology and a Bachelor of Science in psychology from Idaho State University with additional coursework in substance use and case management. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.