Disadvantages of Online Counseling: Where the Format Reaches Its Limits

Online Counseling reaches its limits when more is needed than just a good connection. The setting matters: If you have to worry that someone is eavesdropping or constantly watching your video feed, you’ll speak differently. If your own image is distracting, the phone is more helpful than the camera; if others are listening in, the only solution is a private place or a different time. Even the video window itself can become a barrier: Anyone who easily cuts off difficult conversations can close it with a click—easier than closing a door. For video therapy, the Federal Chamber of Psychotherapists cites precisely this pattern as the reason to weigh the merits of the format on a case-by-case basis; the same consideration applies to counseling.

If the connection is lost

The connection will eventually drop at some point—it’s bound to happen. It’s a good idea to plan ahead: use the phone as a backup, and clearly agree on who will call back. In my experience, the physical presence of another person in the room provides more information and more support than any video connection, and those who are feeling particularly unstable right now benefit most from having someone there in person. I describe this in more detail in response to the question, whether online psychotherapy is a good idea.

Crises and Emergencies

In acute crises, in cases of self-harm or when close monitoring is required mental health care If professional help is needed, online counseling is not enough. In the event of immediate danger to you or others, dial 112 in Germany; abroad, dial local emergency number. If you’d like to speak with someone in confidence, the telephone counseling service is available at 0800 1110111, 0800 1110222, or 116 123, day and night, free of charge and anonymously. In Germany, the 116117 hotline connects you with medical help outside of regular office hours. This is not an overreaction.