Getting Ready for Online Therapy
Everything you need to know to feel confident and prepared for online therapy
Sometimes referred to as ‘talking therapies’, effective evidence-based psychological methods are available for a range of issues, including work stress and burnout, relationship issues, life transitions, low self-esteem, depression, sleep difficulties, anxiety, grief, and trauma, among others. Psychological treatment can help people make long-lasting changes in their lives to cope better.
An Online Therapy or Telehealth session with a psychologist refers to a videoconference session between you and your psychologist using both a video and audio connection, allowing you to access therapy sessions from the comfort of your home. This is similar to how you connect with family, friends or business contacts using FaceTime, WhatsApp or Zoom. For clients unable to access video-conferencing technology, telephone sessions can be offered instead.
Empirical studies [1] found that the use of videoconferencing technologies to deliver psychotherapy had similar outcomes to traditional face-to-face psychotherapy. Across these studies, online therapy services with a psychologist were delivered using different therapeutic approaches and for diverse client difficulties (e.g. trauma, mood, anxiety). Clients reported high satisfaction with online therapy services. When dissatisfaction was reported, it was primarily related to technical difficulties. However, these didn’t impact overall levels of satisfaction.
You will need access to a private space with no or minimal distractions to receive online therapy services from a psychologist. Choose a room that is quiet, where you can sit comfortably for the entire session, and where the door can be closed. Ensure there is good lighting in the room. Take notice of the background being shown on the screen to protect your privacy. Ensure the background is suitable and appropriate, such as a bookcase and remove any items you wish to keep out of sight. Try to choose a location and time where your session cannot be overheard.
You will need a device such as a smartphone, tablet or laptop to access online therapy services. Where possible, try to choose a laptop or desktop over a smartphone to take full advantage of software features such as whiteboards and file sharing. It also gives your psychologist the option to call you on your mobile while keeping the video and muting the sound on the other device, should there be any issues with the sound. You will also need a reliable broadband internet connection, a camera, a microphone and speakers. We strongly recommend the use of headphones for privacy purposes and clearer communication throughout the online therapy session.
During your online therapy sessions, it is important that you are able to ensure privacy and confidentiality at your end and protect against unauthorised access to your information. This includes practical considerations such as using a private electronic device, e.g. your own computer rather than a shared or work computer and keeping your device’s operating system, internet browser and anti-virus up-to-date to protect your data from malware. Information and education on how to protect privacy online can be found in the Australian Government’s Attorney-General’s Department booklet ‘Protecting yourself online: What everyone needs to know’.
Psychologists in Australia generally use Zoom or Coviu, an Australian video conferencing platform designed for health practitioners. With Coviu, you don’t need to download or install any software. Your psychologist will send you a link to access your online therapy session via your internet browser. Coviu does not store your details, and you don’t need to sign up. Please see Coviu’s Privacy and Security of Data for more information. With Zoom, you do not need to create a Zoom account for online therapy. You can participate in Zoom sessions without signing in and using your web browser if you prefer not to install the app. See Zoom’s Privacy Statement.
Yes, you can by simply clicking the button below. The test process includes checking your camera, microphone, browser and speakers as well as testing connectivity. The results will be presented with recommendations for troubleshooting any potential issues.
Your guide to feeling prepared, connected, and supported in your online sessions.
Sources:
[1] Videoconferencing psychotherapy: A systematic review. Psychological Services, 9(2), 111.
Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013). Behavioural intervention technologies: evidence review and recommendations for future research in mental health. General Hospital Psychiatry, 35(4), 332-338.
Norwood, C., Moghaddam, N., Malins, S., & Sabin-Farrell, R. (2018). Working alliance and outcome effectiveness in videoconferencing psychotherapy: a systematic review and non-inferiority meta-analysis. Clinical Psychology & Psychotherapy.
Simpson, S. G., & Reid, C. L. (2014). Therapeutic alliance in videoconferencing psychotherapy: A review. Australian Journal of Rural Health, 22(6), 280-299.

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