Online phobia therapy: how it works and who it suits

For a lot of people with a phobia, getting to an appointment is part of the problem. The travel, the waiting room and the idea of sitting in a stranger’s office can all add to the anxiety before you even start. Online sessions remove most of that.

How online sessions work

Most online phobia therapy happens over a video call, usually Zoom. You join from a quiet room at home on a laptop, tablet or phone. The session itself is much like being in the room: you talk, the therapist listens and guides you, and you work on the fear together.

What you need

• a quiet, private space where you will not be interrupted
• a reliable internet connection
• headphones, which help you hear clearly and stay focused
• a comfortable chair

Is it as effective as face to face?

Many specialists, including the people we recommend, find online sessions work just as well as face-to-face ones for most phobias. Being in your own familiar space can even make it easier to relax and focus. If you would still prefer to meet in person, ask, as some therapists offer both. Adam Cox, for example, works mostly online but also sees people in Hertfordshire at the same price.

Who it suits

• people who live far from a specialist, or in another country
• people whose fear makes travel hard, such as a fear of driving or of public transport
• busy people who cannot easily take time off for appointments
• anyone who would rather talk in their own language than settle for whoever is local

Getting help in your own language

One of the biggest advantages of working online is that you can choose a specialist who speaks your language, wherever they are based. Talking about something as personal as a fear is much easier in the language you think in. That is why our intake asks which language you would like your sessions in.

This guide is general information, not medical advice. If your fear comes with panic attacks, low mood or anything that worries you about your health, please speak to your GP or doctor. In the UK you can call NHS 111, and in an emergency call 999.