The same quality of work,
from wherever you are
Available in Texas, Maine, Montana, and New Hampshire
If you've never done therapy online before, you probably have questions. This page covers everything you need to know, including what the research says about how well it actually works.
Online therapy is therapy. The screen is just the room.
Online therapy, also called telehealth or virtual therapy, is the same process as in-person therapy conducted over a secure video platform. You and I talk, work through what you're dealing with, and build on that over time. The only difference is you don't have to travel to get there.
"The research is consistent: what makes therapy work is the relationship between client and therapist, the quality of the work, and the fit. Not the room."
At Sagebrush Counseling, all sessions are held via a secure, HIPAA-compliant Zoom link sent directly to you. There is no app to download and no complicated setup. You click a link at your appointment time and your session begins. Sessions are available to clients located anywhere in Texas, Maine, Montana, and New Hampshire.
Three things. That's it.
Online therapy doesn't require anything complicated. If you have these three things, you're ready.
A device with a camera
A smartphone, tablet, or laptop all work. You don't need a dedicated computer or any special equipment. Most people use exactly what they already have.
A stable internet connection
A standard home WiFi connection is fine. You don't need high-speed broadband. If your connection is strong enough for a video call, it's strong enough for a session.
A private space
Somewhere you can speak openly without being overheard. A room at home, your office, your car, or anywhere you feel comfortable. Many clients find this easier to arrange than getting to an office.
From first contact to first session
Getting started is straightforward. No long intake forms before you've spoken to anyone, no waitlist.
Book a 15-minute consultation
A real conversation about what's going on. No forms, no commitment. You share what you're dealing with and we both get a sense of whether this is the right fit.
Receive your intake paperwork
If we move forward, an intake form arrives in your email along with your secure Zoom link and a payment link. Simple and entirely online.
Join your first session
Click your Zoom link at your appointment time. The first session is 50 minutes. We use it to understand what's bringing you in and what you're hoping changes.
Build from there
Sessions are weekly or biweekly. Most clients see meaningful movement in 10 to 20 sessions. Infidelity recovery and longer-term work often run beyond that, and that's expected.
Ready to see what the work actually looks like?
Couples therapy, individual therapy, neurodivergent-affirming work, and intensives. All available via secure telehealth across Texas, Maine, Montana, and New Hampshire.
View All Services →What the evidence says about online therapy
If you're skeptical about whether online therapy actually works, that's a reasonable question. The research on this is consistent and has been building for over two decades.
"Videoconference-based therapy produces outcomes equivalent to face-to-face therapy across a wide range of mental health presentations, including anxiety, relationship distress, and trauma."
"The therapeutic alliance formed in online therapy is comparable in strength to that formed in traditional in-person settings, and is equally predictive of positive outcomes."
"Couples treated via telehealth showed significant improvements in relationship satisfaction and communication, with results maintained at follow-up, comparable to in-person treatment groups."
"Clients report high satisfaction with online therapy, citing convenience, reduced stigma, and greater comfort in their own environment as factors that support engagement and openness."
What people want to know before starting
If you've never done online therapy before, these are the questions most people have.
Licensed across four states
Sagebrush Counseling is licensed to provide telehealth therapy to clients anywhere in Texas, Maine, Montana, and New Hampshire. You don't need to be in a specific city. If you're in the state, you can work with me.
Not in one of the major cities? That's fine. As long as you're located within a licensed state at the time of your session and have a private space and a stable connection, you can work with Sagebrush Counseling.
Ready to get started?
Book a free 15-minute consultation to talk through what's going on and whether this is the right fit. No forms, no commitment before that conversation.