When Your Therapist Meets Your Screen: Pros & Cons of Remote Mental Health Treatment

The Rise of Virtual Therapy: More Than Just a Pandemic Trend

The telehealth revolution is here to stay:

  • 63% of therapy sessions now occur virtually (APA, 2023)
  • Patients are 2.5x less likely to miss appointments (JAMA Network, 2024)
  • Providers like Procare Behavioral & Mental Health Care PLLC report equal outcomes for most conditions

But is remote treatment a perfect solution? Let’s examine both sides.

The Advantages of Remote Mental Health Treatment

1. Unmatched Accessibility

  • Overcomes geographic barriers for:
    • Rural residents (65% of whom lack local providers)
    • Those with mobility challenges
    • People without reliable transportation

2. Reduced Stigma & Increased Comfort

  • 72% feel more comfortable opening up at home (JMIR, 2023)
  • Eliminates “waiting room anxiety”
  • Particularly beneficial for:
    • Teens
    • High-profile clients
    • Social anxiety sufferers

3. Practical Benefits

  • No commute time
  • Flexible scheduling (evenings/weekends)
  • Often 20-30% more affordable

The Challenges of Virtual Therapy

1. Technology Limitations

  • Connection issues disrupt session flow
  • Audio/video delays affect communication timing
  • Security concerns with non-HIPAA platforms

Solution: Use wired internet connections and approved platforms like Doxy.me

2. Reduced Nonverbal Cues

  • Shoulder shrugs, fidgeting, and posture changes may be missed
  • Camera angles limit full-body observation

Adaptation: Therapists use more verbal check-ins (“How’s your body feeling right now?”)

3. Crisis Management Constraints

  • Harder to assess suicide risk remotely
  • Limited ability to provide hands-on comfort

Protocol: Providers maintain local emergency contacts and safety plans

Who Thrives (and Who Struggles) With Remote Therapy

Best For:

  • Anxiety disorders
  • Depression
  • Mild-moderate cases
  • Maintenance therapy

Less Ideal For:

  • Severe psychosis
  • Complex trauma needing somatic work
  • Clients without private spaces

Making Remote Therapy Work For You

Tech Tips

  • Position camera at eye level
  • Use headphones with microphone
  • Close bandwidth-heavy apps

Environment Tips

  • Create a dedicated “therapy space”
  • Use white noise machines for privacy
  • Inform housemates of session times

Therapeutic Tips

  • Be more verbal about physical sensations
  • Request screen-sharing for worksheets
  • Don’t hesitate to ask for tech pauses

The Future of Remote Mental Health Care

Hybrid models are emerging as the gold standard:

  • Monthly in-person + weekly virtual
  • VR-enhanced exposure therapy
  • Wearable-integrated mood tracking

Should You Go Remote?

Consider trying virtual therapy if you:

  • Live far from providers
  • Have scheduling constraints
  • Feel more comfortable at home

Many practices offer trial sessions—the best choice is what helps you stay consistent with care.