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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
Dr. Dilip J Karnik MD is a pediatric neurologist with nearly 40 years of experience in the field. He received his medical training from Grant Medical College of the University of Bombay, India and subsequently completed his pediatric residency in the U.S. at Rutgers Medical School, New Jersey. He then went on to complete a fellowship at the State University of New York, Downstate Medical Center and King County Hospital in Brooklyn. In Austin, he was the first physician to practice pediatric neurology and held a position as an adjunct professor at the University of Texas at Austin. Dr. Karnik has also held various positions including director of pediatric neurology at the Starbright Rehabilitation Center, medical director of UTAP, and director of pediatric neurology for Pediatric Specialty Services at Dell Children’s Medical Center. He is the founder and chair of the Karnik Institute in Austin and a nutraceutical company, and has authored books such as Rays of Wisdom, Karnik Dysgraphia Program, and Make Your Child Visually Smart.
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.