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Last reviewed May 2026 · Editorial standards
TelehealthOnline TherapyVirtualVideo Therapy

The telehealth revolution in mental health

The COVID-19 pandemic accelerated a transformation that was already underway: behavioral health care has moved substantially online. Today, over 60% of outpatient therapy is delivered via telehealth. Research consistently shows that video-based therapy produces outcomes equivalent to in-person care for most conditions.

What telehealth behavioral health includes

  • Individual therapy via secure video call
  • Psychiatry — evaluation and medication management by video
  • Group therapy conducted online
  • Intensive outpatient programs (IOP) delivered virtually
  • Phone-based therapy (less common but available)

Who benefits most from telehealth

Telehealth is particularly valuable for people in rural or underserved areas with few local providers, people with mobility or transportation challenges, people with agoraphobia or severe anxiety that makes leaving home difficult, parents with young children who can't easily leave home, and people with demanding work schedules.

Is online therapy as effective?

For anxiety, depression, PTSD, and substance use disorders, multiple studies have found telehealth therapy produces equivalent outcomes to in-person care. Some conditions — severe psychiatric disorders requiring close observation, certain eating disorders requiring medical monitoring — may still require in-person care. Your provider can help determine what's appropriate for your situation.

Insurance coverage for telehealth

Most major insurance plans now cover telehealth behavioral health services. Coverage rules vary by state and plan. When searching for a provider, you can filter by telehealth availability and insurance accepted to find verified providers who can see you virtually.