Free guide · Starting therapy

    How online therapy works

    What the research says about phone and video therapy, how Medicare covers it, and how to set yourself up for a good session.

    PDF · 6 pages · No sign-up · Reviewed by , registered psychologist and founder of MeHelp · Updated October 2026

    Cover of the free MeHelp guide How online therapy works

    The short answer

    How online therapy works

    Online therapy is a session with a psychologist by video or phone. A large 2021 meta-analysis of 103 studies found no meaningful difference in outcomes between video and face-to-face therapy. Medicare pays the same rebate for telehealth psychology sessions anywhere in Australia, with a valid plan and referral. All MeHelp sessions are online, by phone or video, Australia-wide, including evenings and weekends.

    103studies in a 2021 meta-analysis comparing video and in-person therapy
    SameMedicare rebate for phone, video or in-person

    A look inside

    From the guide

    The evidence

    Does online therapy work?

    For many common concerns, research has found phone and video therapy to be comparable to face-to-face sessions.

    2021 meta-analysis

    Video and in-person compared

    Fernandez and colleagues pooled 103 studies and found no meaningful difference between video and face-to-face therapy. Results were strongest for CBT for depression, anxiety and PTSD.

    2022 review

    Less common conditions

    An Australian review of 12 trials found no significant difference in symptoms, working relationship or satisfaction, while noting more research is needed.

    Why people choose it

    • No travel, parking or waiting rooms
    • Access from regional and remote areas
    • Easier to fit around work and family
    • Choice of psychologists beyond your local area
    • Some people find it easier to open up from home

    Common questions

    What people ask

    Is online therapy covered by Medicare?

    Yes. Psychology sessions by video or phone attract the same Medicare rebate as face-to-face sessions, anywhere in Australia.

    Is a video session secure?

    Use the link your psychologist sends, which should be a secure telehealth platform. Join from a private space and avoid public Wi-Fi if you can.

    Can I have online therapy from work?

    Yes, if you can find a private room. Many people use a meeting room, their car or a quiet outdoor space.

    Is online therapy suitable for everyone?

    It suits many people and concerns. Your psychologist will tell you if they think face-to-face care would suit you better.

    Evidence

    Sources we checked

    1. Fernandez et al. (2021), Clinical Psychology & Psychotherapy, doi:10.1002/cpp.2594
    2. Greenwood et al. (2022), JMIR Mental Health, doi:10.2196/31780
    3. Better Access telehealth FAQs (Nov 2025)

    Last reviewed 21 October 2026 by , registered psychologist and founder of MeHelp. This page is general information, not individual advice.

    Prefer to speak to a psychologist?

    Phone or video sessions with an Ahpra-registered psychologist, Australia-wide. Bulk billed with a valid Mental Health Treatment Plan and referral.

    How MeHelp works

    MeHelp is not a crisis service. In an emergency call 000. For 24-hour support call Lifeline on 13 11 14 or Beyond Blue on 1300 22 4636.

    Our guides are general information about the Australian health system, reviewed by a registered psychologist. They aren't individual advice. Information current at October 2026.