Rethinking Quality Care: The Truth About Online Couples Therapy
Recently, a fellow therapist casually remarked that therapists who work entirely online are “not real therapists.” He didn’t realize at the time that I run a fully virtual private practice. While his comment initially caught me off guard, it gave me space to reflect: Is online therapy somehow “less than”?
As someone who has both received and provided online couples therapy, I can confidently say: No—it’s not less. It’s just different.
The assumption that good therapy only happens in person overlooks the realities of modern life, accessibility, and individual preferences. I grew up in rural West Texas, where even getting to a grocery store was a one-hour drive. Therapy wasn’t even on the radar—there likely wasn’t a therapist in the entire county. For communities like the one I was raised in, online couples therapy isn’t just a convenience—it’s a lifeline.
Why Online Couples Therapy Matters:
Access: Clients in rural or underserved areas can now receive expert support.
Flexibility: Couples with busy jobs, kids, or travel schedules don’t have to miss appointments.
Comfort: Meeting from home often creates a safer emotional environment to open up.
Consistency: Fewer barriers = better follow-through and long-term progress.
But Is It As Effective?
Absolutely. Research shows that online therapy, including for couples, can be just as effective as in-person care—especially when clients feel safe and connected to their therapist.
What matters most isn’t the physical setting—it’s the quality of the relationship, the therapist’s skill, and the couple’s commitment to doing the work. Many of my clients have told me their virtual sessions have been life-changing.
The Bigger Picture
Instead of debating whether in-person or online is better, let’s ask: How do we expand options for more people to access help?
Whether you're on your couch in a small town or on a work trip across the country, online couples therapy brings support within reach.