Online therapy is not for everyone. Several kinds of issues are generally not suitable for this approach to helping people:  If you are experiencing a crisis, online therapy is not for you - seek help from your local ER or crisis center.  If you are struggling with violent impulses (family violence, battering or homicidal thoughts), online therapy is not for you.  If you are struggling with suicidal thoughts or behavior.  If you have a serious psychiatric disorder and are under the care of a psychiatrist, online therapy is not appropriate for you.