How online therapy works
Online therapy (also called teletherapy or telehealth therapy) is delivered via a secure, HIPAA-compliant video platform — similar to Zoom or FaceTime, but with encryption and privacy protections required by healthcare law. Sessions are typically 45–55 minutes, scheduled like in-person appointments.
What you need for online therapy
- A smartphone, tablet, or computer with a camera and microphone
- A reliable internet connection (broadband or strong mobile data)
- A private space where you can speak freely
- Your insurance card and any referral (if required by your plan)
How to find a telehealth provider
Search BehavioralHealthGuide.org with the "Telehealth Available" filter to see verified providers who offer video sessions. Check that they're licensed in your state — telehealth providers must be licensed in the state where you, the patient, are located. Filter by insurance accepted to ensure coverage.
First session: what to expect
Your first session via telehealth is similar to an in-person first appointment. Your provider will review your history, discuss your goals, and explain their approach. Many find the reduced formality of video sessions actually makes it easier to open up. Allow yourself a few sessions to get comfortable with the format.