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Online Therapy for Anxiety

Written By Dr Elaine Ryan.

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Dr Ryan is a psychologist with over 20 years of experience. She specialises in OCD and anxiety-related conditions and worked in the NHS in the UK before setting up a private practice in Dublin. Dr Ryan obtained her PsychD from The University of Surrey and is a Member of The British Psychological Society, The UK Society for Behavioural Medicine and EuroPsy registered.

I once worked with a client who felt paralyzsed by anxiety, she couldn’t even step outside her home without an overwhelming sense of panic. And the thought of sitting in a therapist’s office? That was just as terrifying. Unfortunately, this is the reality for many people living with anxiety. Research from Aware1 found that 74% of adults in Ireland experience anxiety, with 48% experiencing it “frequently”.

Online therapy is changing that. By providing effective, convenient treatment from the comfort of your home, it’s breaking down barriers that stop people from getting the support they need. If anxiety has been holding you back, this could be a game-changer. In this article, we’ll walk you through how online therapy works for anxiety, what to expect during sessions, and how you can make the most of it.

What is Online Therapy for Anxiety?

Online therapy (also called e-therapy or teletherapy) connects you with a licensed therapist through digital platforms. “It’s about meeting clients where they are,” explains Dr. Ryan. Whether it’s through video calls, messaging, or phone sessions, online therapy offers the same level of care as in-person sessions—without the added stress of leaving home.

Anxiety Disorders Treated Online

Online therapy can effectively treat a range of anxiety disorders, including:

  • Generalized Anxiety Disorder (GAD)
  • Social Anxiety Disorder
  • Panic Disorder
  • Phobias
  • Obsessive-Compulsive Disorder (OCD)
  • Post-Traumatic Stress Disorder (PTSD)

How Online Therapy Works

Online therapy relies on evidence-based treatments designed to address anxiety symptoms. Therapists use approaches like:

  • Cognitive Behavioural Therapy (CBT): Helps you identify and reframe negative thought patterns that fuel anxiety.
  • Exposure Therapy: Gently exposes you to feared situations, reducing avoidance and building confidence.
  • Mindfulness-Based Therapy: Teaches you to focus on the present moment and let go of worry or rumination.
  • Acceptance and Commitment Therapy (ACT): Encourages accepting anxious feelings and staying committed to your goals and values.

Why Online Therapy is a Game-Changer

Here’s what makes online therapy so appealing for those with anxiety:

  • Accessible Anywhere: No need to travel or rearrange your day—log in from the comfort of your home.
  • Budget-Friendly Options: Many platforms are more affordable than traditional therapy, and some accept insurance or offer sliding scale fees.
  • Comfort and Privacy: For those with social anxiety, being in a familiar environment makes it easier to open up.
  • More Therapist Options: You’re not limited to local therapists—you can choose from specialists across the country.

Finding the Right Online Therapist

Here’s how to choose a therapist who’s the right fit for you:

  1. Ask Around: Recommendations from friends, family, or trusted sources can be a great starting point.
  2. Check Credentials: Make sure your therapist is licensed and experienced in treating anxiety.
  3. Trust Your Gut: After an initial consultation, ask yourself if you feel comfortable and understood.
  4. Pick the Right Platform: Use a secure, user-friendly platform that protects your privacy.

What to Expect in Online Therapy

Understanding what happens in therapy can ease some of the anxiety about starting.

  1. Initial Consultation: The first session (about 60–90 minutes) is focused on understanding your needs. You’ll discuss your symptoms, medical history, and goals for therapy.
  2. Ongoing Sessions: Each session (45–60 minutes) will start with a check-in, focus on exercises or discussions, and wrap up with key takeaways and “homework.”
  3. Frequency: Most clients begin with weekly sessions, which may become less frequent as you progress.

Your Role as a Client

Therapy works best when you’re actively engaged. Here’s what’s expected of you:

  • Be Honest: Share your thoughts and feelings openly.
  • Follow Through: Practice what you’ve learned between sessions to build confidence and skills.
  • Speak Up: Let your therapist know what’s working—or not—so adjustments can be made.

Is Online Therapy Right for You?

Online therapy is a fantastic option for many, but it’s not for everyone. Consider these factors:

  • Severity of Symptoms: If your symptoms are severe, in-person therapy or more intensive treatment might be necessary.
  • Technology Access: You’ll need a stable internet connection and a private space for sessions.
  • Personal Preference: Some people simply feel more comfortable meeting face-to-face.

Conclusion

Online therapy is opening doors for people who might otherwise struggle to get help. “I’ve seen incredible transformations,” Dr. Ryan says. “When clients realize they can take control of their anxiety, it’s empowering in ways they didn’t think possible.”

If anxiety has been holding you back, consider taking the first step today. A more peaceful, fulfilling life could be just one session away.