Peter Strong, PhD - Psychotherapist specializing in Online Mindfulness Therapy for the treatment of Anxiety, Agoraphobia, Depression, PTSD, Stress Management, OCD and Addiction Recovery.

Peter Strong, PhD - Psychotherapist specializing in Online Mindfulness Therapy for the treatment of Anxiety, Agoraphobia, Depression, PTSD, Stress Management, OCD and Addiction Recovery.

Have you been experiencing changes in your life without understanding why? You might dismiss these changes as normal stress or a passing phase, without realising they demand deeper emotional suppor…

Stress rarely sends you a warning. It just creeps in. And you lie awake replaying the day, snap at someone over nothing, or stare at your screen and can’t take anything in. Some mornings you’re tir…

Background: Depression, anxiety, and stress-related difficulties represent a major global health burden. Online psychological therapy has emerged as a promising approach to increasing access to care, yet evidence from routine, real-world clinical settings, particularly for services delivered without standardized treatment protocols, remains limited. Objective: This study aimed to describe symptom change and patient-reported satisfaction associated with routine online psychological therapy delivered within an insurance-based care setting. Methods: A retrospective observational service evaluation was conducted using deidentified routine care data. Clients aged 15 years and older who initiated online psychological therapy and completed baseline and end-of-treatment assessments on all 3 outcome measures were included. Symptoms of depression, anxiety, and perceived stress were measured using the 9-item Patient Health Questionnaire (PHQ-9), 7-item Generalized Anxiety Disorder (GAD-7), and 10-item Perceived Stress Scale (PSS-10), respectively. Changes in symptoms were examined using paired sample t tests, within-sample effect sizes (Cohen d and Cohen dz with 95% CIs), and reliable change indices. Robustness was assessed with therapist-clustered mixed models and attrition sensitivity analyses. A ≥50% reduction in symptom scores was reported as a descriptive response criterion. Patient satisfaction was assessed with single-item ratings at the end-of-treatment assessment. Results: A total of 1221 clients were included. Clients completed a mean of 4.7 (SD 1.67) therapy sessions over an average treatment duration of 62.7 (SD 40.4) days. Significant reductions with large within-sample effect sizes were observed for depression (Cohen d=1.25, 95% CI 1.17-1.32), anxiety (Cohen d=1.49, 95% CI 1.41-1.57), and perceived stress (Cohen d=1.46, 95% CI 1.38-1.54). A ≥50% symptom reduction was observed in 60.7% (741/1220) of clients for depression, 67.5% (824/1221) for anxiety, and 30.8% (376/1221) for perceived stress. At the end-of-treatment assessment, 80.7% (985/1221) scored below the clinical cutoff for depression (PHQ-9

Deliver structured online therapy with therapist-led digital activities, progress monitoring, and home practice support. Request a clinical demo today.

At first glance, stress might not seem like a major issue. In today’s demanding world, with heavy responsibilities and a relentless drive fo...

Shari Harding, DNP associate professor of nursing, wrote an article for The Conversation about how to navigate online mental healthcare, including how to evaluate telehealth options and find the right...

Online treatment can be just as effective as traditional in-person visits, but certain strategies can help ensure the best outcome.

Hi Im Suz , I am a person centred counsellor. I work online via zoom mon,tue,wed and fri and in person on Thursday only. I work mostly but not solely with the LGBTQIA community, bereavement and childl...