Telehealth Therapy: Everything You Need to Know Before Your First Session

Telehealth therapy (also called online therapy or virtual therapy) is therapy conducted via secure video call. It is identical to in-person therapy in terms of content, structure, and effectiveness — the only difference is that you and your therapist are in different physical locations.

Research consistently shows that telehealth therapy is as effective as in-person therapy for most conditions, including anxiety, depression, PTSD, and relationship issues.

Here's what to expect:

1. Book a session: Schedule online through your therapist's booking system (Marilu uses Headway).
2. Receive a link: You'll receive a secure video link via email before your session.
3. Join from any device: Click the link on your phone, tablet, or computer — no app download required for most platforms.
4. Attend your session: Your session runs exactly like an in-person session — 50 minutes of focused, confidential therapy.
5. Insurance billing: Your therapist submits claims to your insurer just like an in-person session.

A few simple steps will help you get the most out of your first session:

• Find a private space: Choose a room where you won't be interrupted or overheard. A car works well if privacy at home is difficult.
• Use headphones: Headphones improve audio quality and add a layer of privacy.
• Test your technology: Check your internet connection, camera, and microphone before the session.
• Have water nearby: Therapy can be emotionally intense. Having water available is a simple act of self-care.
• Give yourself transition time: Don't schedule a meeting immediately after therapy. Give yourself 15–30 minutes to decompress.

Yes — most major insurance plans cover telehealth therapy at the same rate as in-person therapy. The COVID-19 pandemic accelerated telehealth parity laws, and most states now require insurers to cover telehealth at the same rate as in-person care.

Marilu Navarro, LMFT is in-network with Aetna, BlueCross BlueShield TX, Cigna, Cigna EAP, Lyra EAP, and Evernorth. Her billing team will verify your benefits before your first session.

Telehealth is a great fit if you:

• Have a busy schedule and limited time to commute
• Live in a rural area with limited access to therapists
• Have a disability or health condition that makes travel difficult
• Travel frequently for work
• Prefer the comfort and privacy of your own space
• Want access to a specialist who isn't available locally

Telehealth may not be the best fit for people in active crisis, those who need in-person support, or those with severe dissociative disorders. Your therapist will discuss the best format for your specific needs.