Psychology at a Distance: Examining the Efficacy of Online Therapy

Online therapy presents both potential benefits, and possible hazards, when compared with traditional face-to-face (FTF) therapy. Questions of clinical efficacy are of primary interest to mental health workers and researchers. In this literature review, I break the concept of efficacy into a tripartite investigation of outcome, process, and self-report evidence. The outcome evidence indicates that teletherapy patients experience similar results compared with control groups. The process studies indicated that working alliance was unaffected by the medium of communication. Finally, the survey studies reported that clients were predominantly satisfied with online therapy. Therapists, however, had misgivings about the online therapy environment. These findings appear to suggest that online therapy is clinically efficacious and is roughly equivalent to traditional therapy