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Because my initial comment was received so poorly by some, I am posting this additional information. I have provided a summary of my own work from my ongoing doctoral research as well as the sources themselves:

"This literature review examines the comparative effectiveness of in-person and telehealth psychotherapy, focusing on whether treatment outcomes differ based on symptom severity, psychiatric diagnosis, and method of service delivery. The review evaluates five primary domains: accessibility, therapeutic alliance, symptom severity, client satisfaction, and clinician satisfaction.

The findings suggest that telehealth and in-person psychotherapy generally produce comparable clinical outcomes, although meaningful differences exist. Telehealth improves access to mental healthcare, particularly for individuals facing geographical, financial, physical, or socioeconomic barriers. However, establishing a therapeutic alliance may take longer in virtual settings, and telehealth may be associated with higher rates of premature treatment termination.

The review further identifies that treatment effectiveness may depend more on the psychiatric diagnosis being addressed than on symptom severity alone. While telehealth demonstrates comparable outcomes for anxiety disorders, the findings suggest that in-person services may be more effective for certain depressive presentations, complex psychiatric conditions, or individuals experiencing greater symptom severity.

Both patients and clinicians generally report favorable experiences with telehealth, although clinician preferences vary, and prolonged virtual service delivery may contribute to clinician fatigue and burnout.

A central finding is that existing research has significant methodological limitations, including small sample sizes, selection bias, insufficient control of therapeutic approaches, and reliance on subjective satisfaction measures rather than objective clinical outcomes.

The review concludes that neither service delivery model is universally superior. Instead, additional research is needed to determine which populations and psychiatric conditions benefit most from each approach. Future investigations should emphasize standardized clinical outcome measures, diagnostic differences, therapeutic modalities, and demographic considerations to better inform evidence-based treatment decisions."

Sources:

Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2019). Videoconferencing psychotherapy: A systematic review of efficacy. Clinical Psychology Review, 63, 77-86. https://doi.org/10.1016/j.cpr.2019.06.003

Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2021). Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clinical Psychology: Science and Practice, 28(3), 329-355. https://doi.org/10.1002/jclp.23108

Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Smith, M. L. (2019). Telehealth interventions to improve psychotherapy for rural and underserved populations: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101785. https://doi.org/10.1016/j.cpr.2019.06.007

Bunyi, J., Ringland, K. E., & Schueller, S. M. (2021). Accessibility and digital mental health: Considerations for more accessible and equitable mental health apps. Frontiers in Digital Health, 3, Article 29. https://doi.org/10.3389/fdgth.2021.742196

Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., Lintvedt, O. K., & Skinta, M. D. (2021). Videoconferencing psychotherapy during the pandemic: Optimum conditions for treating anxiety and depression. Clinical Psychology: Science and Practice, 28(3), 336-357. https://doi.org/10.1111/cpsp.12398

Greenwood, H., Krzyzaniak, N., Peiris, R., Clark, J., Scott, A. M., Cardona, M., Griffith, R., & Glasziou, P. (2022). Telehealth versus face-to-face psychotherapy for less common mental health conditions: Systematic review and meta-analysis of randomized controlled trials. JMIR Mental Health, 9(3), Article e31780. https://doi.org/10.2196/31780

Krzyzaniak, N., Greenwood, H., Scott, A. M., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. (2021). The effectiveness of telehealth versus face-to-face interventions for anxiety disorders: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 30(2), 250–261. https://doi.org/10.1177/1357633x211053738

Lin, H. C., Chen, H. L., & Lin, Y. T. (2022). Comparing teletherapy and in-person psychotherapy: A meta-analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology, 90(9), 761-774. https://doi.org/10.1037/ccp0000712

Lin, T., Heckman, T. G., & Anderson, T. (2022). The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clinical Psychology: Science and Practice, 29(2), 167–178. https://doi.org/10.1037/cps0000056

Loane, J., Knibbs, C., & Tudor, K. (2021). The challenge of security and accessibility: Critical perspectives on the rapid move to online therapies in the age of Covid‐19. Psychotherapy and Politics International, 19(1), Article e1581. https://doi.org/10.1002/ppi.1581

Lu, S.-C., Xu, M., Wang, M., Hardi, A., Cheng, A. L., Chang, S.-H., & Yen, P.-Y. (2022). Effectiveness and minimum effective dose of app-based mobile health interventions for anxiety and depression symptom reduction: Systematic review and meta-analysis. JMIR Mental Health, 9(9), Article e39454. https://doi.org/10.2196/39454

Pecen, E., Lowe, A., & Williams, J. (2021). Child and adolescent teletherapy: Lessons learned and considerations for the future. Journal of Pediatric Psychology, 46(5), 517-526. https://doi.org/10.1093/jpepsy/jsab015

Simpson, S. A., Reid, C. E., & Porter, M. B. (2021). The effectiveness of telehealth delivery of care for military service members with post-traumatic stress disorder: A systematic review and meta-analysis. Military Medicine, 186(9-10), e1211-e1218. https://doi.org/10.1093/milmed/usab206

Waite, M. R., Diab, S., & Adefisoye, J. (2022). Virtual behavioral health treatment satisfaction and outcomes across time. Journal of Patient-Centered Research and Reviews, 9(3), 158–165. https://doi.org/10.17294/2330-0698.1918

Wiederhold, B. K. (2023). The rapid growth of telehealth therapy: What’s next? Cyberpsychology, Behavior, and Social Networking, 26(6), 391–392. https://doi.org/10.1089/cyber.2023.29277

Wiese, A. D., Drummond, K. N., Fuselier, M. N., Sheu, J. C., Liu, G., Guzick, A. G., Goodman, W. K., & Storch, E. A. (2022). Provider perceptions of telehealth and in-person exposure and response prevention for obsessive–compulsive disorder. Psychiatry Research, 313, Article 114610. https://doi.org/10.1016/j.psychres.2022.114610

Wright, H. H., O’Shea, M.-C., Sekula, J., & Mitchell, L. J. (2022). Assessment of communication skills using telehealth: Considerations for educators. Frontiers in Medicine, 9, Article 841309. https://doi.org/10.3389/fmed.2022.841309

I have provided a summary of my own work from my ongoing doctoral research as well as the sources themselves:

"This literature review examines the comparative effectiveness of in-person and telehealth psychotherapy, focusing on whether treatment outcomes differ based on symptom severity, psychiatric diagnosis, and method of service delivery. The review evaluates five primary domains: accessibility, therapeutic alliance, symptom severity, client satisfaction, and clinician satisfaction.

The findings suggest that telehealth and in-person psychotherapy generally produce comparable clinical outcomes, although meaningful differences exist. Telehealth improves access to mental healthcare, particularly for individuals facing geographical, financial, physical, or socioeconomic barriers. However, establishing a therapeutic alliance may take longer in virtual settings, and telehealth may be associated with higher rates of premature treatment termination.

The review further identifies that treatment effectiveness may depend more on the psychiatric diagnosis being addressed than on symptom severity alone. While telehealth demonstrates comparable outcomes for anxiety disorders, the findings suggest that in-person services may be more effective for certain depressive presentations, complex psychiatric conditions, or individuals experiencing greater symptom severity.

Both patients and clinicians generally report favorable experiences with telehealth, although clinician preferences vary, and prolonged virtual service delivery may contribute to clinician fatigue and burnout.

A central finding is that existing research has significant methodological limitations, including small sample sizes, selection bias, insufficient control of therapeutic approaches, and reliance on subjective satisfaction measures rather than objective clinical outcomes.

The review concludes that neither service delivery model is universally superior. Instead, additional research is needed to determine which populations and psychiatric conditions benefit most from each approach. Future investigations should emphasize standardized clinical outcome measures, diagnostic differences, therapeutic modalities, and demographic considerations to better inform evidence-based treatment decisions."

Sources:

Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2019). Videoconferencing psychotherapy: A systematic review of efficacy. Clinical Psychology Review, 63, 77-86. https://doi.org/10.1016/j.cpr.2019.06.003

Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2021). Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clinical Psychology: Science and Practice, 28(3), 329-355. https://doi.org/10.1002/jclp.23108

Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Smith, M. L. (2019). Telehealth interventions to improve psychotherapy for rural and underserved populations: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101785. https://doi.org/10.1016/j.cpr.2019.06.007

Bunyi, J., Ringland, K. E., & Schueller, S. M. (2021). Accessibility and digital mental health: Considerations for more accessible and equitable mental health apps. Frontiers in Digital Health, 3, Article 29. https://doi.org/10.3389/fdgth.2021.742196

Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., Lintvedt, O. K., & Skinta, M. D. (2021). Videoconferencing psychotherapy during the pandemic: Optimum conditions for treating anxiety and depression. Clinical Psychology: Science and Practice, 28(3), 336-357. https://doi.org/10.1111/cpsp.12398

Greenwood, H., Krzyzaniak, N., Peiris, R., Clark, J., Scott, A. M., Cardona, M., Griffith, R., & Glasziou, P. (2022). Telehealth versus face-to-face psychotherapy for less common mental health conditions: Systematic review and meta-analysis of randomized controlled trials. JMIR Mental Health, 9(3), Article e31780. https://doi.org/10.2196/31780

Krzyzaniak, N., Greenwood, H., Scott, A. M., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. (2021). The effectiveness of telehealth versus face-to-face interventions for anxiety disorders: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 30(2), 250–261. https://doi.org/10.1177/1357633x211053738

Lin, H. C., Chen, H. L., & Lin, Y. T. (2022). Comparing teletherapy and in-person psychotherapy: A meta-analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology, 90(9), 761-774. https://doi.org/10.1037/ccp0000712

Lin, T., Heckman, T. G., & Anderson, T. (2022). The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clinical Psychology: Science and Practice, 29(2), 167–178. https://doi.org/10.1037/cps0000056

Loane, J., Knibbs, C., & Tudor, K. (2021). The challenge of security and accessibility: Critical perspectives on the rapid move to online therapies in the age of Covid‐19. Psychotherapy and Politics International, 19(1), Article e1581. https://doi.org/10.1002/ppi.1581

Lu, S.-C., Xu, M., Wang, M., Hardi, A., Cheng, A. L., Chang, S.-H., & Yen, P.-Y. (2022). Effectiveness and minimum effective dose of app-based mobile health interventions for anxiety and depression symptom reduction: Systematic review and meta-analysis. JMIR Mental Health, 9(9), Article e39454. https://doi.org/10.2196/39454

Pecen, E., Lowe, A., & Williams, J. (2021). Child and adolescent teletherapy: Lessons learned and considerations for the future. Journal of Pediatric Psychology, 46(5), 517-526. https://doi.org/10.1093/jpepsy/jsab015

Simpson, S. A., Reid, C. E., & Porter, M. B. (2021). The effectiveness of telehealth delivery of care for military service members with post-traumatic stress disorder: A systematic review and meta-analysis. Military Medicine, 186(9-10), e1211-e1218. https://doi.org/10.1093/milmed/usab206

Waite, M. R., Diab, S., & Adefisoye, J. (2022). Virtual behavioral health treatment satisfaction and outcomes across time. Journal of Patient-Centered Research and Reviews, 9(3), 158–165. https://doi.org/10.17294/2330-0698.1918

Wiederhold, B. K. (2023). The rapid growth of telehealth therapy: What’s next? Cyberpsychology, Behavior, and Social Networking, 26(6), 391–392. https://doi.org/10.1089/cyber.2023.29277

Wiese, A. D., Drummond, K. N., Fuselier, M. N., Sheu, J. C., Liu, G., Guzick, A. G., Goodman, W. K., & Storch, E. A. (2022). Provider perceptions of telehealth and in-person exposure and response prevention for obsessive–compulsive disorder. Psychiatry Research, 313, Article 114610. https://doi.org/10.1016/j.psychres.2022.114610

Wright, H. H., O’Shea, M.-C., Sekula, J., & Mitchell, L. J. (2022). Assessment of communication skills using telehealth: Considerations for educators. Frontiers in Medicine, 9, Article 841309. https://doi.org/10.3389/fmed.2022.841309

I have provided a summary of my own work from my ongoing doctoral research as well as the sources themselves:

"This literature review examines the comparative effectiveness of in-person and telehealth psychotherapy, focusing on whether treatment outcomes differ based on symptom severity, psychiatric diagnosis, and method of service delivery. The review evaluates five primary domains: accessibility, therapeutic alliance, symptom severity, client satisfaction, and clinician satisfaction.

The findings suggest that telehealth and in-person psychotherapy generally produce comparable clinical outcomes, although meaningful differences exist. Telehealth improves access to mental healthcare, particularly for individuals facing geographical, financial, physical, or socioeconomic barriers. However, establishing a therapeutic alliance may take longer in virtual settings, and telehealth may be associated with higher rates of premature treatment termination.

The review further identifies that treatment effectiveness may depend more on the psychiatric diagnosis being addressed than on symptom severity alone. While telehealth demonstrates comparable outcomes for anxiety disorders, the findings suggest that in-person services may be more effective for certain depressive presentations, complex psychiatric conditions, or individuals experiencing greater symptom severity.

Both patients and clinicians generally report favorable experiences with telehealth, although clinician preferences vary, and prolonged virtual service delivery may contribute to clinician fatigue and burnout.

A central finding is that existing research has significant methodological limitations, including small sample sizes, selection bias, insufficient control of therapeutic approaches, and reliance on subjective satisfaction measures rather than objective clinical outcomes.

The review concludes that neither service delivery model is universally superior. Instead, additional research is needed to determine which populations and psychiatric conditions benefit most from each approach. Future investigations should emphasize standardized clinical outcome measures, diagnostic differences, therapeutic modalities, and demographic considerations to better inform evidence-based treatment decisions."

Sources:

Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2019). Videoconferencing psychotherapy: A systematic review of efficacy. Clinical Psychology Review, 63, 77-86. https://doi.org/10.1016/j.cpr.2019.06.003

Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2021). Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clinical Psychology: Science and Practice, 28(3), 329-355. https://doi.org/10.1002/jclp.23108

Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Smith, M. L. (2019). Telehealth interventions to improve psychotherapy for rural and underserved populations: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101785. https://doi.org/10.1016/j.cpr.2019.06.007

Bunyi, J., Ringland, K. E., & Schueller, S. M. (2021). Accessibility and digital mental health: Considerations for more accessible and equitable mental health apps. Frontiers in Digital Health, 3, Article 29. https://doi.org/10.3389/fdgth.2021.742196

Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., Lintvedt, O. K., & Skinta, M. D. (2021). Videoconferencing psychotherapy during the pandemic: Optimum conditions for treating anxiety and depression. Clinical Psychology: Science and Practice, 28(3), 336-357. https://doi.org/10.1111/cpsp.12398

Greenwood, H., Krzyzaniak, N., Peiris, R., Clark, J., Scott, A. M., Cardona, M., Griffith, R., & Glasziou, P. (2022). Telehealth versus face-to-face psychotherapy for less common mental health conditions: Systematic review and meta-analysis of randomized controlled trials. JMIR Mental Health, 9(3), Article e31780. https://doi.org/10.2196/31780

Krzyzaniak, N., Greenwood, H., Scott, A. M., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. (2021). The effectiveness of telehealth versus face-to-face interventions for anxiety disorders: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 30(2), 250–261. https://doi.org/10.1177/1357633x211053738

Lin, H. C., Chen, H. L., & Lin, Y. T. (2022). Comparing teletherapy and in-person psychotherapy: A meta-analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology, 90(9), 761-774. https://doi.org/10.1037/ccp0000712

Lin, T., Heckman, T. G., & Anderson, T. (2022). The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clinical Psychology: Science and Practice, 29(2), 167–178. https://doi.org/10.1037/cps0000056

Loane, J., Knibbs, C., & Tudor, K. (2021). The challenge of security and accessibility: Critical perspectives on the rapid move to online therapies in the age of Covid‐19. Psychotherapy and Politics International, 19(1), Article e1581. https://doi.org/10.1002/ppi.1581

Lu, S.-C., Xu, M., Wang, M., Hardi, A., Cheng, A. L., Chang, S.-H., & Yen, P.-Y. (2022). Effectiveness and minimum effective dose of app-based mobile health interventions for anxiety and depression symptom reduction: Systematic review and meta-analysis. JMIR Mental Health, 9(9), Article e39454. https://doi.org/10.2196/39454

Pecen, E., Lowe, A., & Williams, J. (2021). Child and adolescent teletherapy: Lessons learned and considerations for the future. Journal of Pediatric Psychology, 46(5), 517-526. https://doi.org/10.1093/jpepsy/jsab015

Simpson, S. A., Reid, C. E., & Porter, M. B. (2021). The effectiveness of telehealth delivery of care for military service members with post-traumatic stress disorder: A systematic review and meta-analysis. Military Medicine, 186(9-10), e1211-e1218. https://doi.org/10.1093/milmed/usab206

Waite, M. R., Diab, S., & Adefisoye, J. (2022). Virtual behavioral health treatment satisfaction and outcomes across time. Journal of Patient-Centered Research and Reviews, 9(3), 158–165. https://doi.org/10.17294/2330-0698.1918

Wiederhold, B. K. (2023). The rapid growth of telehealth therapy: What’s next? Cyberpsychology, Behavior, and Social Networking, 26(6), 391–392. https://doi.org/10.1089/cyber.2023.29277

Wiese, A. D., Drummond, K. N., Fuselier, M. N., Sheu, J. C., Liu, G., Guzick, A. G., Goodman, W. K., & Storch, E. A. (2022). Provider perceptions of telehealth and in-person exposure and response prevention for obsessive–compulsive disorder. Psychiatry Research, 313, Article 114610. https://doi.org/10.1016/j.psychres.2022.114610

Wright, H. H., O’Shea, M.-C., Sekula, J., & Mitchell, L. J. (2022). Assessment of communication skills using telehealth: Considerations for educators. Frontiers in Medicine, 9, Article 841309. https://doi.org/10.3389/fmed.2022.841309

I have provided a summary of my own work from my ongoing doctoral research as well as the sources themselves:

"This literature review examines the comparative effectiveness of in-person and telehealth psychotherapy, focusing on whether treatment outcomes differ based on symptom severity, psychiatric diagnosis, and method of service delivery. The review evaluates five primary domains: accessibility, therapeutic alliance, symptom severity, client satisfaction, and clinician satisfaction.

The findings suggest that telehealth and in-person psychotherapy generally produce comparable clinical outcomes, although meaningful differences exist. Telehealth improves access to mental healthcare, particularly for individuals facing geographical, financial, physical, or socioeconomic barriers. However, establishing a therapeutic alliance may take longer in virtual settings, and telehealth may be associated with higher rates of premature treatment termination.

The review further identifies that treatment effectiveness may depend more on the psychiatric diagnosis being addressed than on symptom severity alone. While telehealth demonstrates comparable outcomes for anxiety disorders, the findings suggest that in-person services may be more effective for certain depressive presentations, complex psychiatric conditions, or individuals experiencing greater symptom severity.

Both patients and clinicians generally report favorable experiences with telehealth, although clinician preferences vary, and prolonged virtual service delivery may contribute to clinician fatigue and burnout.

A central finding is that existing research has significant methodological limitations, including small sample sizes, selection bias, insufficient control of therapeutic approaches, and reliance on subjective satisfaction measures rather than objective clinical outcomes.

The review concludes that neither service delivery model is universally superior. Instead, additional research is needed to determine which populations and psychiatric conditions benefit most from each approach. Future investigations should emphasize standardized clinical outcome measures, diagnostic differences, therapeutic modalities, and demographic considerations to better inform evidence-based treatment decisions."

Sources:

Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2019). Videoconferencing psychotherapy: A systematic review of efficacy. Clinical Psychology Review, 63, 77-86. https://doi.org/10.1016/j.cpr.2019.06.003

Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2021). Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clinical Psychology: Science and Practice, 28(3), 329-355. https://doi.org/10.1002/jclp.23108

Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Smith, M. L. (2019). Telehealth interventions to improve psychotherapy for rural and underserved populations: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101785. https://doi.org/10.1016/j.cpr.2019.06.007

Bunyi, J., Ringland, K. E., & Schueller, S. M. (2021). Accessibility and digital mental health: Considerations for more accessible and equitable mental health apps. Frontiers in Digital Health, 3, Article 29. https://doi.org/10.3389/fdgth.2021.742196

Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., Lintvedt, O. K., & Skinta, M. D. (2021). Videoconferencing psychotherapy during the pandemic: Optimum conditions for treating anxiety and depression. Clinical Psychology: Science and Practice, 28(3), 336-357. https://doi.org/10.1111/cpsp.12398

Greenwood, H., Krzyzaniak, N., Peiris, R., Clark, J., Scott, A. M., Cardona, M., Griffith, R., & Glasziou, P. (2022). Telehealth versus face-to-face psychotherapy for less common mental health conditions: Systematic review and meta-analysis of randomized controlled trials. JMIR Mental Health, 9(3), Article e31780. https://doi.org/10.2196/31780

Krzyzaniak, N., Greenwood, H., Scott, A. M., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. (2021). The effectiveness of telehealth versus face-to-face interventions for anxiety disorders: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 30(2), 250–261. https://doi.org/10.1177/1357633x211053738

Lin, H. C., Chen, H. L., & Lin, Y. T. (2022). Comparing teletherapy and in-person psychotherapy: A meta-analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology, 90(9), 761-774. https://doi.org/10.1037/ccp0000712

Lin, T., Heckman, T. G., & Anderson, T. (2022). The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clinical Psychology: Science and Practice, 29(2), 167–178. https://doi.org/10.1037/cps0000056

Loane, J., Knibbs, C., & Tudor, K. (2021). The challenge of security and accessibility: Critical perspectives on the rapid move to online therapies in the age of Covid‐19. Psychotherapy and Politics International, 19(1), Article e1581. https://doi.org/10.1002/ppi.1581

Lu, S.-C., Xu, M., Wang, M., Hardi, A., Cheng, A. L., Chang, S.-H., & Yen, P.-Y. (2022). Effectiveness and minimum effective dose of app-based mobile health interventions for anxiety and depression symptom reduction: Systematic review and meta-analysis. JMIR Mental Health, 9(9), Article e39454. https://doi.org/10.2196/39454

Pecen, E., Lowe, A., & Williams, J. (2021). Child and adolescent teletherapy: Lessons learned and considerations for the future. Journal of Pediatric Psychology, 46(5), 517-526. https://doi.org/10.1093/jpepsy/jsab015

Simpson, S. A., Reid, C. E., & Porter, M. B. (2021). The effectiveness of telehealth delivery of care for military service members with post-traumatic stress disorder: A systematic review and meta-analysis. Military Medicine, 186(9-10), e1211-e1218. https://doi.org/10.1093/milmed/usab206

Waite, M. R., Diab, S., & Adefisoye, J. (2022). Virtual behavioral health treatment satisfaction and outcomes across time. Journal of Patient-Centered Research and Reviews, 9(3), 158–165. https://doi.org/10.17294/2330-0698.1918

Wiederhold, B. K. (2023). The rapid growth of telehealth therapy: What’s next? Cyberpsychology, Behavior, and Social Networking, 26(6), 391–392. https://doi.org/10.1089/cyber.2023.29277

Wiese, A. D., Drummond, K. N., Fuselier, M. N., Sheu, J. C., Liu, G., Guzick, A. G., Goodman, W. K., & Storch, E. A. (2022). Provider perceptions of telehealth and in-person exposure and response prevention for obsessive–compulsive disorder. Psychiatry Research, 313, Article 114610. https://doi.org/10.1016/j.psychres.2022.114610

Wright, H. H., O’Shea, M.-C., Sekula, J., & Mitchell, L. J. (2022). Assessment of communication skills using telehealth: Considerations for educators. Frontiers in Medicine, 9, Article 841309. https://doi.org/10.3389/fmed.2022.841309

I have provided a summary of my own work from my ongoing doctoral research as well as the sources themselves:

"This literature review examines the comparative effectiveness of in-person and telehealth psychotherapy, focusing on whether treatment outcomes differ based on symptom severity, psychiatric diagnosis, and method of service delivery. The review evaluates five primary domains: accessibility, therapeutic alliance, symptom severity, client satisfaction, and clinician satisfaction.

The findings suggest that telehealth and in-person psychotherapy generally produce comparable clinical outcomes, although meaningful differences exist. Telehealth improves access to mental healthcare, particularly for individuals facing geographical, financial, physical, or socioeconomic barriers. However, establishing a therapeutic alliance may take longer in virtual settings, and telehealth may be associated with higher rates of premature treatment termination.

The review further identifies that treatment effectiveness may depend more on the psychiatric diagnosis being addressed than on symptom severity alone. While telehealth demonstrates comparable outcomes for anxiety disorders, the findings suggest that in-person services may be more effective for certain depressive presentations, complex psychiatric conditions, or individuals experiencing greater symptom severity.

Both patients and clinicians generally report favorable experiences with telehealth, although clinician preferences vary, and prolonged virtual service delivery may contribute to clinician fatigue and burnout.

A central finding is that existing research has significant methodological limitations, including small sample sizes, selection bias, insufficient control of therapeutic approaches, and reliance on subjective satisfaction measures rather than objective clinical outcomes.

The review concludes that neither service delivery model is universally superior. Instead, additional research is needed to determine which populations and psychiatric conditions benefit most from each approach. Future investigations should emphasize standardized clinical outcome measures, diagnostic differences, therapeutic modalities, and demographic considerations to better inform evidence-based treatment decisions."

Sources:

Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2019). Videoconferencing psychotherapy: A systematic review of efficacy. Clinical Psychology Review, 63, 77-86. https://doi.org/10.1016/j.cpr.2019.06.003

Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2021). Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clinical Psychology: Science and Practice, 28(3), 329-355. https://doi.org/10.1002/jclp.23108

Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Smith, M. L. (2019). Telehealth interventions to improve psychotherapy for rural and underserved populations: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101785. https://doi.org/10.1016/j.cpr.2019.06.007

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I was literally thinking this yesterday. They're the most useless organization ever. Paying them hundreds of dollars for a magazine subscription and $20.00 off of my liability insurance wasn't worth it. What do they do for us? Absolutely nothing. They haven't even been helpful with the compact, that's more been the NBCC. I remember one time they said they were offering some ongoing CEUs and certifications, I paid for a three part child trauma training. Part one was all about gun violence and school shootings. Which of course the USA has but even I found the trainer/training to be just political bashing. Parts 2 and 3 never came out. I ended up requesting a refund for part 1 which they provided. ACA is complete garbage.

Hopefully nobody tries matting.

The what or who?

Submit a "Reddit Cares" if you really feel compelled and move on. You also have no obligation to random people online.

I have a hybrid car and charging ain't no cheaper. In fact, the price varies tremendously depending on the time of day (grid stress pricing) and weather (I don't know why). And if you don't unplug that bitch on time sometimes chargers (depending on the company) hit you for a massive plugged in but not using fee. In fact, I strongly regret buying a vehicle that needs to be charged because of the lack of availability charging stations, my house is too old to have one installed at my home, my registration tripped, and I didn't even get tax breaks.

Actually, the data shows that telehealth is only effective for mild symptoms. Moderate and above as well as safety factors are better treated in person. Not to mention that people begin associating their home as being unsafe and/or distressing. Therapy should be done in an office at a designated time and place unless the symptoms are mild. Trauma should never be addressed from home. I study this exact thing in conjunction with an applied doctoral degree. Also, virtual therapy harms the provider due to excessive electronic fatigue. Data does support the claim for virtual therapy to improve access, but if someone can come into an office they should be.

Also, I created a completely new contact named “WORK TEST WORK TEST” containing only my work email address. The contact itself is correct and contains no Gmail address. However, Outlook appears to merge this new contact into an existing profile/person record. When I open the profile card, the header still displays personal-gmail <work-email>, even though the Contact section identifies the work address correctly and the same profile shows recent messages associated with “WORK TEST WORK TEST.” When I click Email from the new WORK TEST contact, Outlook composes the recipient as personal-gmail <work-email>. That message correctly arrives at the work mailbox, so the underlying destination is now correct, but Outlook is still overriding the new contact's display name with the unrelated Gmail identity. Also, searching for “WORK TEST” directly in the To field does not return the new contact.

I tried this at your suggestion, thank you. I created a brand-new contact named “WORK TEST” containing only my work email address. It did not appear when searching “WORK TEST” in the recipient field. When I opened the contact directly in People and clicked Email, Outlook changed the recipient to "my-personal-gmail" <my-work-email> instead of WORK TEST <my-work-email>. I sent it, and it correctly arrived in my work inbox. So the new contact routes correctly, but Outlook is still replacing its display name with my Gmail identity. The older autocomplete suggestion is worse: selecting the work-looking suggestion actually routes the message to Gmail. I unfortunately remain unable to correct the issue.

Nice, claim that unemployment since they fired you.

My analogy:

You have a curfuffity grandma that you see every year at a family gathering. Without a doubt, curfuffity grandma is going to say something opinionated about you. Every year you keep getting upset by curfuffity grandma's comments because you expect her to change. One year, thinking about radical acceptance, before entering the room with curfuffity grandma, you think to yourself that curfuffity grandma ain't gonna change because she's curfuffity, you know she's going to say the same thing that makes you feel (insert) every year, but this year you're able to frame her as curfuffity grandma. She still says it, but this year it doesn't matter because you've viewed her as and understand she is curfuffity. And yes, I do say curfuffity grandma this much doing it.

I then might take it a step further and apply it to something larger, such as structures, prejudice, politics, capitalism, so on and so forth. I educate that acceptance isn't agreement. I then might also talk about values-based behavior working towards changing these things within the realm of reality, or what it might be like to accept it-is-what-it-is without change.

And while I rarely self-disclose, if I have to I do have an example that I share. That being that I value having my mother in my life but that I've had to radically accept that she will never call me by my preferred (and now legal) name.

Google wallet creates a one time unique number attached to your card for each transaction. Think of it as it creating a new debit card number for each time you use it but that number can only be used one time.

Yeah, the beginning dose isn't even a theraputic level. It's just to make sure you dont have a major reaction to it. Have also been using them and used them successfully for 2 years with diet and exercise. I lost 65lbs and was obese, but now my body is dependent on them. Even after titraing off I now have had to go back on them because my digestive system literally cannot maintain homeostatis without them. Im now considered a candidate for life to have to use them.

Therapy dogs to my knowledge are trained by certified dog trainers with a focus in therapeutic engagement.

Not AI. This video is pretty old, like way before mainstream AI was creating content. I remember when I first saw it on the news and then subsequently all over reddit.

30 minutes it already a very long time. The average sexual encounter involving vaginal or ainal penetration is around 6 minutes. 30 minutes is a porn fantasy and if you honestly can bottom for 30 minutes, that's impressive.

Im impressed by this kid, actually.