How online therapy works, step by step
Online therapy is a private video conversation with a qualified professional. Here is exactly what happens, from the first search to the end of your first session.
Finding the right person
You start by looking at professionals who match what you need: the language you want to speak, the problem you want help with, and a time that suits you. Each profile shows their qualifications, the areas they help with, the languages they speak and their fee for a 50-minute session.
Take your time here. Read a few profiles. Many people choose someone whose background feels familiar, someone who will not need cousin marriages, joint families or Ramadan explained to them.
Messaging before you book
If you are unsure, you can send a short message first. You might ask whether they work with your problem or how they usually structure sessions. Phone numbers and email addresses are removed from messages automatically, which keeps both sides safe and keeps everything on a record you can come back to.
Booking and paying
When you pick a time, you see it in your own time zone, alongside the professional's local time. You pay securely by card when you book. If something comes up, you can cancel free of charge up to 24 hours before the session.
The session itself
About fifteen minutes before your session, the private video room opens. You join from your account; there is nothing to install. The call is encrypted and it is not recorded.
Find a quiet space where you will not be interrupted. Some people sit in a parked car or go for a walk with headphones in if home is crowded. That is completely normal.
What the first session covers
The first session is mostly about understanding you. Expect questions about what brought you here, how long it has been going on, your sleep, work, family and health, and what you would like to be different. Your professional will also explain confidentiality and its limits. There is more about this in what happens in your first session.
After the session
You can book the next session straight away or think about it first. Many people settle into a weekly or fortnightly rhythm for a few months. You can message your professional between sessions about practical matters, but messages are not a replacement for urgent help.
When online therapy is not the right fit
Online sessions are not suitable if you are in immediate danger, are experiencing a severe crisis or need hospital care. In those situations, call your local emergency number or a crisis line straight away.
Questions people ask
Do I need to download an app for online therapy?
No. The video room opens in your web browser on a phone, tablet or computer. You join from your Therapy O'Clock account when the room opens.
Is the video call recorded?
No. Sessions are encrypted and are not recorded by Therapy O'Clock. Your professional may keep brief written notes, as any therapist would.
How early can I join the video room?
The room opens about fifteen minutes before your session starts. That gives you time to check your camera and sound.
What happens if my internet drops during a session?
Rejoin from the same link; the room stays open. If the connection keeps failing, your professional can agree with you how to make up the lost time.
Can I have my camera off?
Most professionals prefer to see you, especially in the first session, because so much is communicated by face. If being on camera is hard for you, say so and they can talk it through with you.
Can I message my therapist between sessions?
Yes, for practical things like rescheduling. Messages are not monitored around the clock, so they are not the place for urgent help.
What time zone are bookings shown in?
Times are shown in your own time zone, with the professional's local time beside it, so a booking from Dubai, Toronto or Dublin is never confusing.
How do I pay for a session?
By card when you book, through Stripe's secure checkout. You pay per session; there is no subscription.
Can I cancel a booked session?
Yes. Cancelling up to 24 hours before the session gives a full refund. Closer to the time, message your professional.
Is online therapy suitable for children?
Some professionals work with children and teenagers online, usually with a parent involved. Check the profile for child and family work.
Where should I sit for an online session?
Somewhere private where you will not be overheard. Headphones help. Plenty of people use a parked car, a bedroom with music playing outside, or a quiet office room.