Online vs. In-Person Therapy Appointments

Embarking on the journey of therapy is a courageous step towards self-improvement and mental wellness. In today's diverse therapeutic landscape, you have the option to choose between in-person and online therapy sessions. Each mode offers unique benefits and caters to different needs and preferences. This comprehensive guide aims to provide you with insights into both, helping you make an informed decision about which type suits you best.
One research found that online counselling can be as effective as face-to-face counseling, particularly in reducing psychological distress. In another study of over 25,000 patients, online talk therapy proved to be as helpful for anxiety and depression as in-person therapy.
In-Person Therapy
Therapists often work from a variety of locations, including their homes, rented spaces in buildings shared with other therapists, or clinics and hospitals. Regardless of the location, these sessions are conducted in a confidential and private space, ensuring a secure environment for your therapeutic journey.
Benefits of In-Person Therapy
- Non-Verbal Communication: Face-to-face interaction allows therapists to pick up on important non-verbal cues.
- Personal Connection: Some clients find it easier to build rapport and trust in a physical setting.
- Dedicated Space: Some people may not have a quiet room for therapy at home or at the office. Therapy offices are designed to provide a calm and focused environment, free from the distractions of daily life.
- Structured Routine: Traveling to a therapist’s office can create a sense of routine and commitment.
Online Therapy
The COVID-19 pandemic has significantly accelerated the adoption of online therapy. Remote sessions are conducted via video software or phone calls, providing a convenient and flexible alternative to traditional therapy.
Advantages of Online Therapy
- Convenience: You can attend sessions from anywhere, eliminating travel time.
- Broader selection of therapists: Online therapy gives you access to professionals beyond your geographical location.
- Flexibility: Scheduling is often more versatile, accommodating various time zones and lifestyles.
- Comfort: You can make yourself comfortable in your own space, perhaps accompanied by a pet.
- Immediate access: In times of urgent need, remote therapy may be quickly arranged.
Working with a Therapist Outside of Your Province
With the flexibility of online therapy, you might consider a therapist based outside your home province, which may help with finding a therapist with the right fit by widening the search across the country, especially for those living in rural areas.
Here are some factors to keep in mind:
- Insurance coverage: Check if your benefits plan covers therapists with designations outside your province.
- Confirm that the therapist’s professional liability insurance is valid for working with clients in your location.
- Regulatory compliance: Ensure that the therapist is permitted by their professional association to work with out-of-province clients.
- Some therapists might recommend local professionals, especially for specific challenges or issues.
Technology and Privacy in Online Therapy
- Secure platforms: Many video conferencing tools are specifically designed for medical use, ensuring strong security and privacy measures.
- Private communication: Options like FaceTime, Skype, Zoom, or Google Hangouts allow for direct connection with therapists.
It's up to your therapist to ensure the platform’s security. Always feel free to inquire about privacy and online security measures.
Walk-In and Low-Cost Options
Some clinics and hospitals offer walk-in options, catering especially to youth, women, those dealing with addiction, or experiencing homelessness. These services are often available at a low or no cost.
Making the Right Choice
Both in-person and online therapy have their distinct advantages. Your choice should depend on factors such as your personal comfort, the nature of your issues, and logistical considerations. Whether you opt for the traditional route of in-person therapy or embrace the modern approach of online sessions, the most important aspect is finding a therapist who you feel comfortable with and who meets your specific needs. Remember, therapy is a personal journey, and the right setting can make a significant difference in your therapeutic experience.
Ready to start your search? First Session has a network of therapists across Canada, both online and in-person.
Meet therapists who can help

Michelle Ryken
Registered Clinical Counsellor
- Virtual sessions in BC, ON
Michelle Ryken
Registered Clinical Counsellor
- Offers free consultation
- $155/session
- Attachment, Emotional regulation, Identity and Self-Exploration, Anxiety, Boundaries and boundary setting, Building Meaningful Connections, Career Stress, Confidence, Coping Skills, Dating challenges, Depression, Early childhood, Familial and social relationships, General Mental Health, Grief and Loss, Interpersonal dynamics, Life transitions, Low Self-Esteem and Self Worth, Men's issues, Negative body image, Parts Work, Perfectionism, Relationship anxiety, Self Confidence

Mary Stasiuk
Registered Social Worker
- Offers in-person (Nanaimo, BC)
- Virtual sessions in BC, ON
Mary Stasiuk
Registered Social Worker
- She/Her
- Offers free consultation
- $150/session
- Addiction, ADHD, Aging, Anger, Anxiety, Attachment trauma, BIPOC, Boundaries and boundary setting, Brain injury, Burnout, Career guidance, Chronic Illness, Codependency, Conflict resolution, Coping Skills, Disability, Divorce, Emotional Eating, Family Conflict, Intergenerational trauma, Learning disabilities, Neurodiversity, Peri-menopause & Menopause Support, Workplace stress, Trauma

Sanofer Ansari
Registered Psychotherapist (Qualifying)
- Virtual sessions in BC, AB, MB, NU, SK, YT, ON, NL, NT
Sanofer Ansari
Registered Psychotherapist (Qualifying)
- Offers free consultation
- $160/session
- Anxiety and Stress Management Skills, Attention-deficit/hyperactivity disorder (ADHD), Self-esteem, Anger Management, Attachment trauma, Bipolar Disorder, Boundaries and boundary setting, Building Meaningful Connections, Building Self-Care Routines, Bullying, Burnout, Cancer Support, Career guidance, Career Stress, Childhood trauma, Chronic and acute illness, Climate Anxiety, Codependency, Confidence, Dealing with difficult or narcissistic personalities, Emotional regulation, Familial and social relationships, Grief Processing, Personality & Mood Disorders, OCD

Polina Sabanova
Canadian Certified Counsellor
- Virtual sessions in all provinces and territories.
Polina Sabanova
Canadian Certified Counsellor
- She/Her
- Offers free consultation
- $200/session
- Anxiety, Depression, Self Confidence, Attachment, Behavioural Issues, Boundaries and boundary setting, Break-up recovery, Building Meaningful Connections, Building Self-Care Routines, Burnout, Confidence, Cultural Challenges, Dating challenges, Dealing with difficult or narcissistic personalities, Divorce, Dreams, Empowerment, Imposter syndrome, Low Self-Esteem and Self Worth, Mindfulness, People pleasing, Perfectionism, Relationships, Spirituality, Work-Life Balance

Laura Grohovac
Canadian Certified Counsellor
- Virtual sessions in BC, AB, YT, SK, MB
Laura Grohovac
Canadian Certified Counsellor
- she/her
- Offers free consultation
- $155/session
- ADHD, Substance Use, Anxiety and Stress Management Skills, Addiction, Boundaries and boundary setting, Break-up recovery, Career guidance, Chronic and acute illness, Codependency, Coping Skills, Dating challenges, Goal Setting, Habits, Harm Reduction, Highly Sensitive Person, Identity and Self-Exploration, Interpersonal dynamics, Life transitions, Low Self-Esteem and Self Worth, Motivation, Nature-Based Spirituality, Wellness Counselling, Trauma, Neurodiversity, Nervous system regulation

Hao Yen Lim
Canadian Certified Counsellor
- Virtual sessions in all provinces and territories.
Hao Yen Lim
Canadian Certified Counsellor
- He/Him
- Offers free consultation
- $160/session
- Trauma, Mindfulness, Negative body image, Abuse (Sexual/Physical/Verbal), BIPOC, Body Dysmorphia, ADHD, Anger, Anxiety, Blocks in Connecting with Self and Others, Caregivers, Childhood trauma, Children/Teens, Christian counselling, Cultural Challenges, Domestic violence, Eating disorders, Fears and phobia, Existential questions, Intergenerational trauma, Intimacy concerns, Low Self-Esteem and Self Worth, Mind-body connection, Panic attacks, Vulnerability

Samantha Barr
Registered Psychotherapist (Qualifying)
- Virtual sessions in ON
Samantha Barr
Registered Psychotherapist (Qualifying)
- She/Her
- Offers free consultation
- $150/session
- Identity and Self-Exploration, Anxiety, Career Stress, Blocks in Connecting with Self and Others, Decision making, Life transitions, Overwhelm, People pleasing, Perfectionism, Personal Growth, Relationship to self and others, School challenges, Self-Development, Self-esteem, Stress, Transitioning into Adulthood, Workplace stress, Responsibility, Meaning and purpose, Habits, Familial and social relationships, Coping Skills, College or University Coaching, Burnout, Career guidance

Genesis Flores
Canadian Certified Counsellor
- Virtual sessions in AB, SK, MB, NL, NT, YT, NU, BC
Genesis Flores
Canadian Certified Counsellor
- She/her
- Offers free consultation
- $180/session
- Abuse (Sexual/Physical/Verbal), Low Self-Esteem and Self Worth, Childhood trauma, Anxiety and Stress Management Skills, Attachment wounds, Befriending the Nervous System, Betrayal Trauma, BIPOC, Boundaries and boundary setting, Building Meaningful Connections, Burnout, Codependency, Coping Skills, Dealing with difficult or narcissistic personalities, Domestic violence, Emotional regulation, Familial and social relationships, Identity and Self-Exploration, Intergenerational trauma, Mindfulness and stress reduction, Negative thinking and ruminating, Oppressive family dynamics, Parenting, People pleasing, PTSD

Trudy Wilson
Registered Social Service Worker
- Virtual sessions in AB, NT, NU
Trudy Wilson
Registered Social Service Worker
- She/her
- Offers free consultation
- $150/session
- Workplace stress, Grief and Loss, Navigating challenging relationships, Anxiety and Stress Management Skills, Attachment, Boundaries and boundary setting, Break-up recovery, Burnout, Childhood trauma, Confidence, Coping Skills, Dating challenges, Interpersonal dynamics, Life transitions, Negative thinking and ruminating, Separation and divorce, Traumatic Bereveavement, Emotional Eating, Empowerment

Cindy Reid
Therapist in Training
- Virtual sessions in ON
Cindy Reid
Therapist in Training
- She/her
- Offers free consultation
- $90/session
- BIPOC, Self-esteem, Workplace stress, Abuse (Sexual/Physical/Verbal), Boundaries and boundary setting, Burnout, Childhood trauma, Conflict resolution, Coping Skills, Dissociation, Effective communication, Emotional regulation, End of Life Support, General Mental Health, Grief and Loss, Imposter syndrome, LGBTQ2IA+, Non-Violent Communication, Perimenopause mental health support, Personal Growth, PTSD, Relationship to self and others, Self-Development, Sexuality, Trauma

Linda Ward
Canadian Certified Counsellor
- Virtual sessions in AB, BC, ON, SK, NT, YT
Linda Ward
Canadian Certified Counsellor
- Offers free consultation
- $180/session
- Attachment, Childhood trauma, Relationship to self and others, Adoption, Anxiety and Stress Management Skills, Attention-deficit/hyperactivity disorder (ADHD), Autism Spectrum Disorder (ASD), Boundaries and boundary setting, Building Meaningful Connections, Bullying, Children/Teens, Christian counselling, Complex Trauma (CPTSD), Creativity, Decision making, Depression coping skills, Divorce, Early childhood, Familial and social relationships, General Mental Health, Grief and Loss, Low Self-Esteem and Self Worth, Suicidal ideation, Trauma processing

Joyce Musekiwa
Canadian Certified Counsellor
- Virtual sessions in all provinces and territories.
Joyce Musekiwa
Canadian Certified Counsellor
- She/Her/Hers
- Offers free consultation
- $200/session
- Dealing with difficult or narcissistic personalities, Oppressive family dynamics, Trauma, Trauma processing, Attachment trauma, BIPOC, Break-up recovery, Childhood trauma, Career Stress, People pleasing, Parts Work, Somatic Therapy, Understanding & Regulating Emotions, Self-esteem, Navigating challenging relationships


