Online Therapy, Real Results: Why Virtual Support Isn’t Second Best
- Dr. Emma Hormoz
- Mar 23
- 4 min read
“The curious paradox is that when I accept myself just as I am, then I can change.” – Carl Rogers

Online therapy was once a fallback — something you’d consider if you were too busy, too remote, or mid-pandemic. But today, it’s no longer Plan B. For many people, virtual therapy is now the first, best, and most practical choice.
At Arcadian Clinic, we offer therapy exclusively online — not because we have to, but because it works. From Cognitive Behaviour Therapy (CBT) to EMDR, Narrative Exposure Therapy to CAT, we’ve seen powerful change happen over video calls. Here’s why online therapy is every bit as valid — and in some cases more beneficial — than traditional in-person sessions.
1. What the Research Says
You don’t need a couch and a softly ticking clock to do good work. The British Association for Behavioural and Cognitive Psychotherapies (BABCP) has long supported online therapy, stating in its guidelines that CBT delivered via secure video platforms is as effective as in-person therapy for many conditions — including anxiety, depression, and PTSD.
Multiple peer-reviewed studies confirm this:
• A 2018 review in Journal of Anxiety Disorders found no significant difference in effectiveness between online and face-to-face therapy.
• A 2020 study published in The Lancet concluded that online CBT was just as effective in reducing symptoms of depression and anxiety.
• NICE (UK’s National Institute for Health and Care Excellence) guidelines support digitally-delivered interventions as part of stepped-care models.
In short: if the work is done with care, safety, and clinical grounding — the screen doesn’t get in the way.
2. Accessibility, Flexibility, and Comfort
Let’s be honest — therapy is emotional work. So the easier it is to show up, the better.
Online therapy:
• Removes travel time, childcare stress, and commuting fatigue.
• Accommodates clients with mobility issues, chronic health conditions, or caring responsibilities.
• Makes therapy more accessible for people living in rural areas or underserved communities.
Many clients feel more comfortable talking from a familiar environment — their home, a private room at work, even their car. That comfort often leads to deeper openness, faster.
Client Story: Joel, a 38-year-old engineer, struggled with social anxiety and had cancelled multiple in-person therapy appointments in the past. “Online therapy made it easier to turn up. I didn’t have to perform. I could just… be.”
3. Digital Fatigue is Real — But It’s Manageable
We get it — another Zoom call? But online therapy is not just another screen meeting.
Your therapist is trained to make the space feel different: calm, attuned, focused. It’s not about tech — it’s about presence.
Tips for reducing digital fatigue:
• Log in a few minutes early and centre yourself before the session.
• Use headphones for a more intimate, focused sound environment.
• Choose a space that feels comfortable and private.
• Set a small ritual before and after (e.g., a walk, cup of tea, journaling).
4. Security and Privacy
We use encrypted, GDPR-compliant platforms to ensure your information is safe and confidential. No sessions are recorded. We also recommend clients use a private Wi-Fi connection and wear headphones for additional privacy.
5. Which Therapies Work Well Online?
At Arcadian Clinic, all of our therapy models are available online:
• CBT (Cognitive Behaviour Therapy): Structured, goal-focused, and highly adaptable to virtual delivery.
• EMDR (Eye Movement Desensitisation and Reprocessing): Adapted successfully for online sessions using video-based bilateral stimulation tools.
• CAT (Cognitive Analytic Therapy): Uses shared screens, diagrams, and process mapping effectively via video.
• NET (Narrative Exposure Therapy): Trauma-focused but works powerfully online when the client is grounded and supported.
• Nightmare Rescripting: Easily facilitated over video with gentle guidance and paced delivery.
Did you know? EMDR has been used successfully online with refugees and trauma survivors across the globe — even with interpreters — demonstrating the adaptability of virtual care.
6. But What About the Human Connection?
This is the heart of it, right?
We often imagine therapy as the quiet presence of someone sitting across from us, nodding. But connection is about attunement, not proximity. A skilled therapist can hold space, respond with empathy, and create a powerful alliance — even from miles away.
Client Story: Priya, 31, had been in in-person therapy for years before switching to online with Arcadian Clinic. “I was surprised by how warm and connected I felt. Sometimes more so — I didn’t have to manage eye contact or physical presence. I could just focus on the work.”
In Normal People, Connell seeks therapy over video while struggling with depression at university. The therapist’s gentle presence — despite the screen — becomes a lifeline. Their conversation unfolds slowly, honestly, across a laptop. The medium changes, but the healing doesn’t.
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Conclusion
Online therapy isn’t a compromise — it’s a clinically proven, accessible, and human-centred way to receive support. With the right therapist and the right setting, you can do deep, transformative work without leaving your home.
The world has changed. Therapy has too. And it’s working.
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