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BetterHelp Top pick
Best overall fit for most people
Talkspace
Good for messaging-first support
Online-Therapy.com
Structured tools + sessions
Meet Dr. Aimee Kotrba, a clinical psychologist specializing in the psychological assessment and treatment of children and adolescents. Dr. Kotrba is the owner of Thriving Minds, a psychology clinic with locations in Brighton and Chelsea Michigan. She earned her Masters and Doctorate degrees in Clinical Psychology at Wayne State University, and received additional training in assessment and treatment at the Children’s Hospital of Michigan and William Beaumont Hospital’s Center for Human Development. Dr. Kotrba is an adjunct faculty member at Michigan State University’s graduate program in educational psychology and directs the Neonatal Developmental Clinic at St. Joes Hospital. Her interventions include individual Cognitive Behavioral Therapy (CBT) for mood and anxiety disorders, parent training for disruptive behavior disorders, and psychological assessments for learning issues, Autism Spectrum Disorders, and Attention-Deficit/Hyperactivity Disorder. She is a nationally-known expert and speaker on the identification and treatment of Selective Mutism, and has authored two books on the subject. Dr. Kotrba is actively speaking at community events on a variety of psychological topics.
Not sure whether to see a therapist in person or online? This comparison highlights why online therapy is often the more flexible and accessible option.
| Aspect | In-Person Therapy | Online Therapy (often more flexible) |
|---|---|---|
| Convenience & Time | ✖️ Requires travel, scheduling time off, and a fixed location. | ✔️ No travel; join from home, office, or car when it suits you. |
| Scheduling Flexibility | ✖️ Mostly office hours; fewer last-minute or out-of-hours options. | ✔️ Early morning, evening, and lunchtime sessions are easier to find. |
| Comfort & Privacy | ✖️ Waiting rooms, chance of meeting someone you know, commuting when feeling low. | ✔️ Talk from your safest private space at home or elsewhere; no waiting room. |
| Therapist Availability | ✖️ Limited to providers within driving distance and local specialties. | ✔️ Access a much wider pool of therapists, including niche expertise. |
| Cost & Extra Time | ✖️ Parking, travel expenses, and extra commuting time around each session. | ✔️ No travel or parking costs; time is spent on the session, not the journey. |
| Accessibility | ✖️ Harder for rural areas, busy parents, chronic illness or mobility issues. | ✔️ Accessible from anywhere with internet; ideal for busy or remote lifestyles. |
| Consistency | ✖️ Travel, moving, or bad weather can interrupt or cancel sessions. | ✔️ Continue therapy even while travelling or during bad weather days. |
| Best For | ✖️ Situations where physical presence or hands-on support is essential. | ✔️ Most stress, anxiety, depression, relationship issues and life transitions. |
| Limitations | ✖️ Less flexible; easier to miss sessions due to travel or schedule conflicts. | ✔️ Requires internet and a private space; not suitable for emergency situations. |
Bottom line: For most people, online therapy offers the best mix of convenience, comfort, and therapist choice—while still providing high-quality support.
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Online Therapist is a directory and does not provide crisis intervention or emergency services.
If you are in crisis, feeling unsafe, or experiencing thoughts of self-harm, call 911 or your local emergency number immediately.
In the United States, you can also contact the 988 Suicide & Crisis Lifeline by calling or texting 988.