Messaging-first + scheduled sessions
Side-by-side highlights with clear “Visit” buttons (swap URLs anytime).
BetterHelp Top pick
Best overall fit for most people
Talkspace
Good for messaging-first support
Online-Therapy.com
Structured tools + sessions
Dr. Michael Santa Maria, Ph.D., ABPP-CN, is a native of Western New York who earned his Ph.D. in clinical psychology at Louisiana State University (LSU). He completed a postdoctoral fellowship in clinical neuropsychology through the Department of Neurology, SUNY at Buffalo and was the recipient of the Nelson Butters Award from the International Neuropsychological Society (INS) in 2002 for best research by a postdoctoral fellow. As the founding president of the New York State Association of Neuropsychology (NYSAN), Dr. Santa Maria has published multiple peer-reviewed research articles and book chapters. He is board-certified in clinical neuropsychology through the American Board of Professional Psychology/American Board of Clinical Neuropsychology (ABPP-CN) and is an active member of professional organizations such as the American Academy of Clinical Neuropsychology (AACN), International Neuropsychological Society (INS), National Academy of Neuropsychology (NAN), and New York State Association of Neuropsychology (NYSAN).
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.
👉 Prefer a flexible option? View trusted online therapy providers
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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.
