Online therapy follows a similar shape to in-person sessions, with a few practical differences worth knowing ahead of time — mostly around technology and setting rather than the actual content of the conversation.
Before the Session: Setting Up
You’ll typically receive a secure video link ahead of time. It’s worth testing your camera and microphone beforehand, and finding a private space where you won’t be interrupted, ideally with headphones if full privacy is a concern.
Intake and Paperwork
Similar to in-person care, most practices handle intake forms electronically beforehand, covering your history, current concerns, and consent to telehealth treatment specifically, which typically includes some additional privacy and technology disclosures.
What the Video Session Itself Involves
Once connected, the session unfolds much like an in-person one — introductions, discussion of what brought you in, and questions from your therapist to understand your situation. Many people report forgetting about the screen entirely within the first few minutes.
Common Questions About the Format
- Is it as effective as in-person therapy? For many concerns, research suggests telehealth therapy can be comparably effective.
- What if my connection drops? Most therapists have a backup plan, like switching to phone, worth confirming in advance.
- Is it private? Sessions are conducted through secure, HIPAA-compliant platforms.
What Happens After
Similar to in-person care, you’ll typically leave the first session with a general sense of next steps and how often you’ll meet going forward, along with any homework or reflection your therapist suggests before the next session.
