What the research actually says
This isn't my opinion. It's what decades of clinical trials have demonstrated:
Online CBT produces equivalent outcomes to face-to-face CBT. A landmark meta-analysis by Carlbring et al. (2018), published in the Journal of Anxiety Disorders, reviewed 20 randomised controlled trials and found no significant difference in treatment outcomes between internet-delivered and face-to-face CBT.
The therapeutic alliance — the quality of the relationship between therapist and client — is maintained online. Research by Simpson & Reid (2014) and others has consistently shown that clients form strong, productive working relationships with their therapists via video, comparable to in-person sessions.
Attendance and completion rates are often higher for online therapy. Fewer cancellations due to travel, weather, childcare, or work conflicts. For professionals with demanding schedules, this translates to more consistent engagement and better outcomes.
NICE guidelines support online delivery of CBT for anxiety disorders, depression, OCD, and PTSD.
The evidence isn't ambiguous. Online CBT works. For many people — particularly those with busy, unpredictable schedules — it works better, simply because they actually attend.