Frequently Asked Questions
about Online Therapy
You might still have doubts, or questions, about online therapy.
So, here are some common questions people ask about online therapy. And of course, a short answer to each.
How Is Online Therapy Different from Traditional Therapy?
In many ways, it’s the same. You’ll meet regularly with a trained therapist, talk through what’s going on, and work together to find helpful ways forward.The only difference? Instead of sitting in an office, you’re connecting through your phone or computer.
Is online therapy safe and confidential in South Africa?
Yes. Reputable online therapists use secure platforms and follow strict confidentiality guidelines, just like in-person therapy. Your privacy is protected at all times.
Are online therapy sessions recorded?
No. Sessions are private and not recorded unless there’s a very specific reason — and only with your written permission. Confidentiality is a top priority.
What kind of issues can online therapy help with?
Online therapy is effective for many challenges, including:
- Anxiety and panic
- Depression
- Trauma and PTSD
- Grief and loss
- Stress and burnout
- Relationship problems
- Life transitions and identity struggles
- Self-esteem and personal growth
How much does online therapy cost in South Africa?
Prices usually range from R500 to R750 per session, similar to in-person therapy. Payment is typically made upfront, and many therapists allow you to pay per session or in advance for multiple sessions. You’ll usually receive booking and payment confirmation by email.
Is online therapy covered by medical aid in South Africa?
Yes, most major medical aid schemes in South Africa do cover online therapy, as long as the therapist is registered with the Health Professions Council of South Africa (HPCSA). Just check your benefits beforehand to make sure you have available funds
Can I get online therapy without a referral?
Absolutely. You don’t need a doctor’s referral to start online therapy. You can contact a therapist directly and book a session.
Can I switch therapists if I don’t feel a connection?
Of course. A good therapeutic relationship is important. If you don’t feel a connection, it’s okay to try a different therapist until you find the right fit for you.
What happens if I miss or need to cancel a session?
Most therapists have a cancellation policy — usually 24 hours’ notice. If you need to reschedule, just let your therapist know ahead of time and they’ll help you find a new slot.
Can I do online therapy if I live abroad but want a South African therapist?
Definitely. Many South Africans living overseas prefer to work with a therapist from home — whether for cultural, language, or affordability reasons.
How do I book an online therapy session in South Africa?
You can usually book through the therapist’s website, by email, or even WhatsApp. Some practices use online booking systems, while others prefer personal contact to arrange the first session.
Who might not benefit from online therapy?
Online therapy isn’t always the best option — especially in emergencies. You may need immediate face-to-face help if:
- You are feeling suicidal
- You’re experiencing a crisis
- You’re in a situation involving domestic violence
If this sounds like you or someone you know, it’s important to get help right away. You can contact me for a face-to-face session or reach out to services like LifeLine or the Suicide Crisis Line.
Can teenagers use online therapy?
Yes, they can — and many teens actually feel more comfortable chatting online. But if they’re under 18, a parent or guardian needs to give permission first. It’s best if a parent reaches out on their behalf.
What can I expect in an Online Therapy session?
Here’s how it usually works:
- Sessions are 50 minutes long
- We meet once a week (or whatever schedule works for you)
- Most sessions are done via Zoom, Skype, or WhatsApp
- We’ll talk through your background, current challenges, and goals
- If there’s a power cut or tech issue, we’ll switch to a phone call as a backup
- You can attend from anywhere in South Africa — or even abroad
What if I can’t afford online therapy?
If you’re unable to pay for sessions right now, there are still ways to get help. You can search online for free mental health services, support forums, and helplines in South Africa that offer expert guidance at no cost.
How do I prepare for my first online therapy session?
Find a quiet, private space where you feel comfortable. Make sure your device is charged, your internet is stable, and your camera and microphone work. You might also want to have tissues, water, and a notebook nearby.
Do I need special computer software for online therapy?
Not necessarily. Most therapists use platforms like Zoom, Skype, or WhatsApp — apps that are easy to use and widely available. Your therapist will guide you through the setup if needed.
Can I do therapy on my phone or tablet?
Yes! Many clients in South Africa use smartphones or tablets for online therapy. Just make sure your device has a good camera and internet connection.
How do I know if online therapy is working for me?
You might start feeling more clarity, relief, or confidence. Progress can look different for everyone, but regular check-ins with your therapist help track how you’re doing and whether you’re moving forward.
How do I find the best online therapist in South Africa?
Look for someone who is registered with the HPCSA, has experience with your specific issue, and offers an approach that feels right for you. Reading reviews, bios, or even having a short consultation call can help you decide.
Is online therapy suitable for couples counseling?
Yes. Couples therapy works very well online. You and your partner can join the session from the same place or different locations — as long as you both have a stable connection.
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