Does Online CBT Really Work? What Does The Research Say?

cbtbournemouth
1 day ago
3 min read

Smiling person at sunset, promoting "Online Cognitive Behavioural Therapy." Text includes qualifications and contact info on peach background.

With the rise of digital technology, many people in the UK are turning to online Cognitive Behavioural Therapy (CBT) as a convenient alternative to face-to-face sessions.

But you might be wondering: Does Online CBT really work?

In this blog, we’ll explore what the latest research says about the effectiveness of virtual CBT, the benefits and drawbacks of remote therapy, and how it compares to traditional in-person treatment.

As more people become aware of their mental health and wellbeing and consequently seek support, understanding the effectiveness of online CBT is important to ensure effective treatment and to maximise treatment outcomes.

What Is Online CBT?

Online CBT involves attending CBT therapy sessions remotely via video or telephone. It uses the same core principles and treatment protocols as face-to-face CBT, helping you identify unhelpful thoughts and behaviours and develop coping strategies, but with greater flexibility and accessibility across the UK.

Evaluating The Effectiveness of Online Cognitive Behavioral Therapy:

Numerous studies have examined the effectiveness of online CBT compared to traditional face-to-face therapy. Including a comprehensive meta-analysis published in JAMA Psychiatry (2020) which reviewed 64 studies comparing online CBT to face-to-face therapy for depression and anxiety. The results showed no significant difference in treatment effectiveness between the two formats. Both delivered moderate to large reductions in symptoms, with online CBT showing slightly higher accessibility and patient satisfaction (Andersson et al., 2020).

To summarise, research indicates that:

Online CBT can be as effective as in-person therapy for various mental health conditions, including depression and anxiety disorders.
Clients often report high satisfaction rates with online therapy, citing convenience and accessibility as key benefits.
Meta-analyses suggest that online CBT leads to significant improvements in mental health outcomes.

Benefits of Online CBT:

Accessibility: Online CBT overcomes geographical barriers, providing access to therapy for individuals in remote areas or those with mobility issues. In addition to those who work shifts, unsociable hours or who are unable to get time off work for appointments.
Flexibility: Ability to schedule sessions at your convenience, reducing some potential barriers to treatment but also ensuring you can respond to the demands on your from different areas of your life. For example, the ability to put the kids to bed and jump online for an appointment a few minutes after, no commute to factor in, no additional childcare needed.
Comfort: Many people feel more comfortable discussing personal issues from the privacy of their own homes or any private place where they feel most comfortable.
Convenience: Sessions can be booked and paid for online, scheduled flexibly, often fitting better around work and family commitments.
Privacy: Some clients worry about being seen attending a therapy venue. Sessions from home or a location of your choosing could reduce those concerns if they were to be a barrier. If you feel more comfortable you might then feel able to share more and get more from the CBT Therapy sessions.

Cons of Remote Therapy

Technology Challenges: Clients must have access to reliable internet or strong mobile signal strength and technology, a smart phone, tablet or laptop, which can be a barrier for some.
Reduced Non-Verbal Cues: Some individuals may find it challenging to build rapport with therapists in a virtual setting and that's ok. I also offer in clinic CBT appointment in Bournemouth, Poole and Wimborne in Dorset in addition to offering online CBT across the UK.
Distractions: Home environments may introduce distractions that can hinder the therapeutic process.
Might Not Be Suitable For All Cases: Perhaps home isn't a safe environment or you have a condition making it difficult to hear online or would prefer in clinic appointments. This is completely fine. I offer choice for this reason. I want you to gain the most from your CBT appointments.

Is Online CBT Right for You?

Online CBT is a credible, evidence-based option for many people seeking mental health support in the UK. It's backed by evidence and used commonly within Private Medical Insurers, Employee Assistance Programmes and within the NHS. If you find yourself short on time, value flexibility and convenience, or are not able to or prefer not to attend appointments in-person therapy, online CBT could be a great fit for you.

However, it is important to assess your individual needs with a qualified BABCP accredited CBT Therapist who can recommend the best approach if you have questions or concerns.

Final Thoughts

The growing body of research supports online CBT as a valid, effective, and accessible treatment for anxiety and depression. As digital mental health services continue to evolve, online CBT offers a promising way to make therapy more inclusive and adaptable to modern life.