Virtual Best Practices for Mental Health Therapy: Navigating the Digital Landscape

The shift to virtual therapy has been one of the most significant developments in mental health care in recent years. As technology continues to advance, more and more people are accessing therapy remotely, from the comfort of their own homes or offices. While virtual therapy offers incredible convenience and flexibility, it also comes with its own set of challenges. To ensure that you get the most out of your online therapy sessions, it's important to follow best practices that help maintain the effectiveness of the therapy experience.

In this blog post, we’ll explore key virtual best practices for mental health therapy—whether you're a client or a therapist—to create a productive and supportive environment for both sides.

1. Choose a Private, Quiet Space

One of the most important aspects of virtual therapy is ensuring privacy. It's essential to find a space where you won’t be disturbed during your session. This allows for open communication and helps you feel more comfortable discussing sensitive topics.

• For Clients: Choose a quiet room where you feel safe and relaxed, free from distractions like family members, roommates, or pets. If possible, use headphones to improve sound quality and ensure no one overhears your conversation.

• For Therapists: Ensure your workspace is quiet, private, and free from interruptions. Use a background that is neutral and professional, and ensure good lighting so that clients can clearly see your face and body language.

  
  

2. Test Your Technology Ahead of Time

Technical issues are a common concern with virtual therapy, but many can be avoided with a bit of preparation.

• For Clients: Before your first session, ensure your internet connection is stable, and your device (whether it’s a computer, tablet, or smartphone) has a working microphone and camera. Test the software or platform the therapist uses (Zoom, Doxy.me, etc.) and familiarize yourself with its features.

• For Therapists: Always do a tech check before the session begins. Test your camera, microphone, and internet connection, and ensure any software or apps you use are up to date. Consider having a backup plan in case of technical difficulties (like switching to a phone call if video fails).

  
  

3. Establish Boundaries and Set Expectations

Clear boundaries and expectations ensure that both you and your therapist can engage effectively during virtual therapy.

• For Clients: Be mindful of the time and space you are dedicating to therapy. Treat virtual sessions the same way you would in-person ones—arrive on time, remain present, and eliminate distractions. If you have young children or pets at home, make arrangements for them to be elsewhere during the session.

• For Therapists: Set expectations early on regarding your approach to virtual therapy. Let clients know the protocol if there are technical issues, and ensure they understand the rules of confidentiality in the online space.

  
  

4. Create a Therapeutic Environment

Although virtual therapy happens through a screen, it’s still important to create a setting that supports the therapeutic process.

• For Clients: Create a space that feels safe and comfortable for you. Whether it’s sitting on your favorite chair, using a blanket, or having your journal nearby, your physical comfort plays a role in mental comfort.

• For Therapists: Make your virtual space inviting by ensuring that it’s well-lit, uncluttered, and neutral. A calming backdrop, such as a simple wall or soft lighting, can help clients feel more relaxed and focused.

  
  

5. Engage in Active Communication

The nuances of body language can be harder to read in a virtual setting, so it’s important to communicate more intentionally.

• For Clients: If you feel unsure about something or need clarification, don’t hesitate to speak up. Virtual therapy relies on strong verbal communication, so be open about your emotions, thoughts, and concerns. If you’re having trouble hearing or understanding your therapist, let them know.

• For Therapists: Pay extra attention to both verbal and non-verbal cues. Although body language is harder to read online, make an effort to notice facial expressions and tone of voice. Respond with empathy and ask clarifying questions to ensure you’re understanding the client’s feelings.

  
  

6. Stay Engaged and Present

Therapy is most effective when both parties are fully engaged. While it may be tempting to multitask during virtual sessions, doing so can detract from the therapeutic process.

• For Clients: Give your full attention to the session. Avoid distractions like checking your phone or answering emails. If something in your environment is distracting, pause the session briefly to address it.

• For Therapists: Make a conscious effort to maintain eye contact by looking into the camera, not just the screen. Stay present and show active listening, reinforcing the importance of the client’s thoughts and feelings.

  
  

7. Maintain Confidentiality and Security

Confidentiality is a cornerstone of therapy, and virtual therapy is no exception. It’s important to ensure that both you and your therapist are taking steps to keep your sessions secure.

• For Clients: When engaging in virtual therapy, ensure your internet connection is secure and private (e.g., avoid using public Wi-Fi). Use a password-protected platform to ensure that your sessions are confidential.

• For Therapists: Use encrypted, HIPAA-compliant platforms to conduct virtual sessions. Reassure clients about the safety of their personal information and let them know you are following all privacy guidelines.

  
  

8. Focus on Self-Care Before and After Sessions

The virtual nature of therapy can sometimes feel emotionally taxing, especially if the session involves intense discussions or personal topics. Taking care of yourself around your session can help you process your feelings and stay grounded.

• For Clients: Take time before and after your session to center yourself. Engage in a calming activity such as meditation, journaling, or a walk to help you process what you’ve discussed. If you feel emotionally drained after a session, allow yourself space to rest.

• For Therapists: Self-care is equally important for therapists. The emotional labor of holding space for clients remotely can be exhausting, so make sure to schedule breaks between sessions and engage in activities that help you recharge.

  
  

9. Be Flexible and Adaptable

Virtual therapy is a different experience from in-person sessions, and sometimes things don’t go as planned. Whether it’s a technical glitch or an unexpected interruption, remaining flexible helps you navigate these challenges smoothly.

• For Clients: Be patient if technology fails or if something unexpected arises. If the session is interrupted, communicate calmly with your therapist about the best way to proceed.

• For Therapists: Stay flexible and adaptable. If there are technical difficulties or something prevents the session from continuing smoothly, be ready to pivot to alternative solutions, like rescheduling or switching to a phone session.

  
  

10. Know When to Seek In-Person Therapy

While virtual therapy is a great option for many, it may not always be the best fit for every situation. For clients with severe mental health issues, such as suicidal thoughts or significant emotional distress, in-person therapy might be more appropriate. Be sure to discuss with your therapist if in-person sessions may be necessary at any point.

Conclusion

Virtual therapy is here to stay, offering accessibility, flexibility, and convenience for people seeking mental health support. By following these best practices, both clients and therapists can ensure that the digital therapy experience remains productive, supportive, and effective. Whether you’re engaging in virtual therapy for the first time or have been practicing online therapy for years, creating a space for genuine connection and growth is key to making the most of your sessions.