Online or In-Person Counseling: Which Fits Your Needs?

What does the research show?

A 2024 systematic review and meta-analysis compared therapist-guided remote and in-person cognitive behavioral therapy in 54 randomized trials involving adults. It found moderate-certainty evidence of little or no difference in effectiveness on the primary outcomes studied.

The finding concerns therapist-guided CBT in the populations and conditions included in those trials. It does not establish that every online program, every therapy approach, or counseling for every child is interchangeable with office care. An individual assessment still matters.

Sources: [1]

Consider where you can speak privately

An office can provide a separate setting away from household activity. Telehealth removes the trip, but you still need an appropriate place to talk. Think about who may overhear, interruptions, and whether you can focus for a full session.

For video care, ask how to connect, check your device and internet connection, and agree on what to do if the call drops. If you cannot find a private place, discuss that with the counselor before the appointment.

Sources: [2]

Compare your practical needs

There is no need to choose based on what you think you should prefer. Bring your questions to the initial call.

• Would traveling to an office create a scheduling difficulty?
• Can I speak freely at home or another private location?
• Am I comfortable communicating by video?
• Does my plan cover this clinician and service in my location?
• If care is for a child or couple, who needs to be present?

Options at Mathews Family Counseling

Physical offices are in Kinsman and Cortland, Ohio. Eligible clients may request secure telehealth while physically located in Ohio, Indiana, or Minnesota. Carl Mathews Jr. holds an Ohio LPCC license and Counseling Compact privileges in Indiana and Minnesota; those privileges are not separate state-issued licenses.

Standard sessions are 50 minutes. Coverage depends on your plan, service, and location. Tell the practice if you expect to travel to another state before an appointment so eligibility can be checked. Call 440-201-4841 to discuss fit, payment, and availability; the website does not automatically book an appointment.