Telehealth Counselling: Phone or Video?
In today’s world, flexibility and accessibility are becoming essential in how we support mental health. Telehealth counselling—whether by phone or video—offers an alternative to traditional in-person therapy, making it easier for people to access professional support, regardless of location, mobility or time constraints. But when it comes to choosing between phone or video sessions, which is better?
The answer depends on individual preferences, needs, and circumstances. Both phone and video counselling have their unique advantages, and understanding these can help clients make the best choice for themselves.
Phone Counselling: Simplicity and Anonymity
Phone counselling is a straightforward option that appeals to many people due to its simplicity. There's no need for a strong internet connection or camera setup—just a quiet space and a phone. For clients who feel anxious about being seen, the phone can create a sense of privacy and emotional safety. Without the visual component, some people find it easier to open up, express vulnerable feelings, or tackle difficult topics.
It also suits people who may be neurodivergent, highly self-conscious, or easily distracted by visual input. Not having to manage facial expressions or eye contact can free up emotional bandwidth for processing thoughts and emotions.
However, the absence of visual cues means therapists miss out on important non-verbal information, such as body language or facial expressions. This can slightly limit depth of understanding, particularly for new clients or those navigating complex issues.
Video Counselling: Connection and Visual Cues
Video counselling more closely resembles in-person sessions. Seeing each other face-to-face builds a sense of connection, which can strengthen the therapeutic relationship. Visual contact also allows therapists to notice emotional reactions and use body language in their own communication, adding richness to the interaction.
For clients who are comfortable with technology and don’t mind being on screen, video sessions can feel more engaging and personal. This is especially helpful when working with children, couples, or families, where facial expressions and visual feedback are crucial.
Of course, video calls require a stable internet connection and a private space free from distractions. Some clients may find being on camera tiring or feel more self-conscious during video sessions, which can impact their willingness to open up.
So, Which Is Right for You?
There is no one-size-fits-all answer. The right format depends on what helps you feel safe, heard and supported. If privacy, ease and emotional safety matter most, phone counselling may be ideal. If visual cues and a face-to-face connection are important, video might be a better fit.
Some clients even switch between both depending on their mood, needs or location. What’s most important is that therapy is accessible, consistent and tailored to you.
At the end of the day, telehealth counselling—whether by phone or video—is about meeting you where you are, both literally and emotionally. Don’t hesitate to discuss your preferences with your counsellor to find what works best. After all, therapy should be built around your comfort and growth.
