Online Therapist

Sandra Jane Bremner-Dexter, MD

  • Updated 2 weeks ago
  • 1620 N Mamer Rd Building B-100, Spokane Valley, WA 99216
  • Psychiatrists
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🔒 Secure checkout 🗓️ Flexible scheduling 🧠 Licensed providers 💬 Multiple ways to message
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Feature
What matters most
BetterHelp
Best overall fit for most people
Top pick
Visit BetterHelp →
Talkspace
Good for messaging-first support
Popular
Visit Talkspace →
Online-Therapy.com
Structured tools + sessions
Value
Visit Online-Therapy.com →
Best for
Who it’s a great match for
Fast matching + broad therapist network
Messaging-first + scheduled sessions
Structured tools + resources
Ways to connect
Message / video / live chat
Messaging + live sessions
Messaging + live sessions
Sessions + guided tools
Scheduling
How flexible it is
Flexible, choose times that fit
Flexible, plan ahead easily
Flexible, plan-based
Insurance
May vary by plan/state
Depends on your setup
Check provider’s site
Depends on your setup
Check provider’s site
Depends on your setup
Check provider’s site
Fast start
Get started quickly
Start in minutes
Start in minutes
Start in minutes
Quick note
Why people choose it
Best all-around if you want simple onboarding and quick matching.
Messaging-friendly option if you like checking in more often.
Structured tools if you prefer guided resources alongside sessions.

BetterHelp Top pick

Best overall fit for most people

⚡ Fast matching 💬 Messaging 📹 Live sessions
Check availability
See key details
Best for: quick onboarding + broad therapist network
Ways to connect: messaging + live sessions
Notes: simple to start, easy to switch if needed

Talkspace

Good for messaging-first support

🧾 Messaging-friendly 🗓️ Scheduled sessions 📱 App experience
Visit Talkspace
See key details
Best for: frequent check-ins via messaging
Ways to connect: messaging + live sessions
Notes: great if you like consistent async support

Online-Therapy.com

Structured tools + sessions

🧩 Guided tools 📘 Worksheets 📹 Sessions
Visit Online-Therapy.com
See key details
Best for: structured programs + resources
Ways to connect: sessions + guided tools
Notes: good if you want a more “program” feel
Top pick: BetterHelp Fast matching • Start in minutes
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About Sandra Jane Bremner-Dexter, MD

Is online therapy a good fit for you?
5 quick questions · ~30 seconds
Answer a few short questions and see which type of online support could work best for you.
1. What is your main reason for seeking support right now?
Stress, worry, anxiety, panic, or feeling on edge
Low mood, loss of interest, feeling stuck or hopeless
Relationship or family issues (including couples)
Life changes, decisions, personal growth, or “not sure yet”
2. How much is this affecting your day-to-day life?
It’s noticeable but I’m coping most of the time
It’s starting to interfere with work, studies, or relationships
It’s hard to manage daily tasks or responsibilities
3. How comfortable do you feel talking to someone online?
I’m comfortable with video / phone or chat and use them often
I’m a bit unsure, but willing to try
I usually prefer in-person conversations
4. Which practical issues apply to you?
My schedule is busy or changes week to week
I live far from providers or have limited transport
I prefer to avoid waiting rooms and keep things discreet
None of these, I just want to talk to someone
5. How soon would you like to start?
As soon as possible (within the next few days)
Within the next 1–2 weeks
I’m just exploring options for now
Question 1 of 5

About Sandra Jane Bremner-Dexter, MD

Sandra Jane Dexter MD is a Psychiatry Specialist in Spokane Valley, WA, providing comprehensive mental health care for individuals of all ages. Our experienced and highly trained team of psychiatrists, psychologists, and mental health counselors are committed to providing personalized, compassionate care to help our patients improve their quality of life. We understand that mental health needs vary from person to person and strive to create individualized treatment plans that address each patient’s unique needs. In addition to traditional office visits, we also offer telehealth appointments for those who prefer to receive care from the comfort of their own home. We are dedicated to helping our patients create healthier, happier lives.

Is online therapy actually effective?
Research shows that for many issues—such as anxiety, depression, stress and relationship difficulties—online therapy can be just as effective as in-person sessions. What often matters most is finding a therapist you connect with and staying consistent over time.
Learn how to start online therapy →
When is online therapy a better fit than in-person?
Online therapy is ideal if you:
  • have a busy or changing schedule,
  • live far from providers or have limited transport,
  • prefer the privacy and comfort of your own space,
  • travel frequently or split time between locations.
For many people, this flexibility is what makes it possible to actually stay in therapy.
Explore flexible online therapy options →
Is online therapy private and secure?
Reputable online therapy platforms use encrypted connections and secure apps that are designed for confidential healthcare communication. Sessions are held in a private space of your choosing, which can feel safer than a public waiting room.
See trusted online therapy platforms →
How do costs compare with in-person therapy?
Online therapy can sometimes be more affordable overall: there are no travel costs, less time away from work or family, and many platforms offer predictable weekly pricing. The value often comes from being able to attend regularly without extra friction.
Check online therapy pricing & plans →

Services

Working hours

Closed

Closed all day

  • Monday

    9:00 am - 6:00 pm

  • Tuesday

    9:00 am - 6:00 pm

  • Wednesday

    9:00 am - 6:00 pm

  • Thursday

    9:00 am - 6:00 pm

  • Friday

    9:00 am - 5:00 pm

  • Saturday

    Closed all day

  • Sunday

    Closed all day

  • Local time

    02/14/2026 3:38 pm

Languages

  • English

Have questions?

Contact Phone number is (509) 863-9779.
https://psychsolutions.com

Common Myths About Online Therapy

Myth: Online therapy is less effective.

Fact: Research shows it can be equally effective for most conditions.

Myth: It’s only for tech-savvy people.

Fact: If you can use Zoom or FaceTime, you can do online therapy.

Learn more about online therapy →

Signs You May Benefit From Online Therapy

  • Your schedule makes in-person sessions difficult
  • You prefer more privacy and no waiting rooms
  • You travel frequently or live in multiple locations
  • You want to start quickly without long waitlists
  • You need more flexible session times
See online therapy options →

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