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
Michelle Westengaard is the Director of Occupational Therapy at the University of Nebraska Medical Center’s Munroe-Meyer Institute (MMI). With 21 years of experience working in a pediatric setting, Chelli specializes in feeding and swallowing, binocular and cortical visual impairments, sensory processing, and autism spectrum disorders. She has a wealth of experience in multiple settings, including outpatient, inpatient, NICU, multidisciplinary clinics and the school system, and has served in a variety of roles, from director to mentor to leader in occupational therapy, physical therapy, and speech and language pathology teams. Chelli is a sought-after guest lecturer and presenter at conferences, webinars, schools, and parent groups both locally and nationally.
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.
