Online shopping, ordering food through an app, finding a romantic partner (or situationship…) online—in our fast-paced digital world, we can do almost anything online that we can do IRL. In some ways, this provides access, ease, and flexibility; in other ways, it has caused new complications and challenges.
As the mental health and psychological community has embraced technological advancements in online platforms to host and provide counseling services, people have more accessible and convenient options than ever. But what exactly is online marriage counseling, and how does that differ from traditional in-person therapy? Let’s jump into the good, the bad, and the ugly.
Understanding online marriage counseling
Online marriage counseling, also known as teletherapy or telemedicine sessions, is a form of counseling or therapy that utilizes telecommunications and technology to provide access to assessment, diagnosis, intervention, and information across a distance rather than face-to-face. These sessions are predominantly conducted over the phone or video calls but often include other collateral communication via emails, text messages, and instant messaging.
The experience mirrors the experience in person; the same principles, techniques, and guidelines are utilized with a few tweaks to make the process effective over a technological medium. This allows couples to engage in marriage therapy from the comfort of their own homes or another location with internet access.
So, what really happens in online therapy?
Worried about trying online marriage counseling? Here’s a breakdown of what to expect:
Getting started
- Find a Therapist: Choose a therapist specializing in couples therapy and telemedicine. Sources include referrals, insurance, online directories, or specialized counseling platforms.
- Setup: Confirm the therapist uses a secure online platform (like Simple Practice) and book your first session. You may need to create an account.
- Paperwork: Complete any forms required by the therapist beforehand.
Your first online session
- Connect: On the day of your session, log in to the platform and click the link sent to you. You and your partner can join from the same room or separate locations.
- Introduction: The therapist will explain their approach, confidentiality, and what you can expect during the sessions. Expect to give some individual and relationship history.
- Exploring Your Needs: You’ll discuss the reasons you sought therapy and your goals for the process.
What’s similar to in-person therapy
- Same Goals: Online therapy addresses the same issues as in-person sessions: communication, conflict resolution, and growth.
- Tools and Techniques: Therapists use digital tools to replicate in-person techniques (like a “whiteboard”).
The benefits of online marriage counseling
So, what are the benefits of telemed sessions for couples? Well, they include:
- Accessibility: Therapy becomes available to anyone with an internet connection, even those in remote areas or with mobility challenges.
- Flexibility: Session times can fit around busy schedules, minimizing disruptions to work or family life. This is ideal for couples struggling to coordinate in-person appointments.
- Convenience: Save time and effort by eliminating commutes. Perfect for couples with long workdays or childcare needs.
- Privacy: Enjoy therapy from the comfort of your own home, which can feel safer for those hesitant to start therapy.
- Cost-Effective: While session fees remain the same, you may save on transportation, childcare, or missed work hours. Some online platforms offer subscription models, further lowering costs.
- Wider Choice: Geography is no longer a barrier. You can find a therapist with the skills and background that perfectly match your needs, regardless of where they’re located (within licensing restrictions).
As you can see, there are tons of reasons why online marriage counseling can be an excellent fit for your marriage and your life.

Other considerations to think about
Teletherapy offers undeniable benefits, but it’s important to weigh the following factors:
Technology:
- Reliable Internet: A strong connection is crucial for smooth sessions and to safeguard important moments of vulnerability.
- Tech Comfort: Basic familiarity with online platforms helps, but be prepared for the occasional glitch – it happens!
Confidentiality and security:
- Therapist’s Practices: Inquire about your therapist’s teletherapy protocols and comfort level with the technology.
- State Regulations: Understand how your state’s laws govern therapist licensing and online practice.
- Your Environment: Choose a private space for sessions and use headphones if needed to ensure confidentiality.
Distractions:
- Minimize interruptions: Treat online sessions just like in-person ones. Find a quiet space, arrange childcare, and focus on the conversation at hand.
The right fit:
While teletherapy is convenient, it might not be ideal in the following situations:
- Significant Mental Health Concerns: If safety is paramount, in-person sessions might be more appropriate.
- Comfort with Intimacy: If one or both partners find online sharing less conducive to vulnerable conversations.
- Avoiding Difficult Topics: The ease of ending an online session prematurely might be a concern.
- Safety Risks: Teletherapy might not be the best format if there are safety concerns for either partner.
- Commitment: Just like in-person therapy, success in teletherapy requires dedication from both partners. Be prepared to invest time, effort, and emotional energy.
The bottom line on marriage counseling online
Online marriage counseling offers a modern and accessible approach to therapy, allowing couples to receive professional guidance and support for their relationship concerns from the comfort of their own homes. With its numerous benefits, including accessibility, convenience, and privacy, online counseling has become an increasingly popular choice for couples.
However, couples must carefully consider the technology requirements, confidentiality concerns, commitment to the therapeutic process, and personal styles before embarking on online counseling. Weigh the advantages and considerations associated with teletherapy for couples counseling. Either online or in-person, couples therapy is an incredible support to help overcome current challenges or strengthen an already healthy partnership.

Dr. Vivian Oberling is a licensed clinical psychologist with degrees from UCLA, Harvard, and Stanford. In her private telehealth practice, she works with adults navigating anxiety, identity shifts, and relationship dynamics—whether they’re dating, partnered, or parenting. She also provides executive coaching and behavioral health advisory support to tech startups and legal tools reshaping how we think about love, marriage, and psychological safety. Dr. Oberling combines 10+ years of clinical expertise with modern, real-world insight to help people move through uncertainty with clarity and connection.

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