A calm home corner set up for a video therapy session, with an open laptop, headphones, and a warm cup of tea by a sunlit window, an image of online therapy across New York.
Online across NY State · In-person in NYC · Cluster: Individual therapy · Anxiety · Depression
Online therapy · across New York State

Online Therapy New York: Weekly Video Sessions With One Clinician

The commute, the waiting room, the hour off work. The therapy can come to you instead.

Online therapy in New York at Therapy24x7 is weekly, HIPAA-secure video work with the same licensed clinician each week. We are an NYC group psychotherapy practice, and our clinicians are licensed across New York State, so you can be seen from home anywhere in New York: the city, Westchester, Long Island, the Hudson Valley, Albany, Rochester, or Buffalo. Our approach is psychodynamic and insight-oriented, the same depth work we do in the room, delivered over the screen. We treat anxiety, depression, grief, and life transitions, in the format of our individual therapy in NYC. Prefer to come in sometimes? We also have offices in Midtown Manhattan, Brooklyn Heights, and the Upper West Side. In-network with Aetna and Cigna.

• In-network with Aetna and Cigna · Most clients start within 7 days
Reviewed by Efrat Gotlib, LCSW · Founder & Clinical Director · NPI 1720225683 · Last updated July 31, 2026 · 11 min read
Most clients start within 7 days · Online statewide
Free · 15 min · No card
Start here: the short version
  • Weekly online therapy, at our NYC offices and online across New York State.
  • In-network with Cigna and Aetna. Superbills for out-of-network plans.
  • The same clinician every week, working at depth, not six-session bursts.
  • Same-week openings. The first step is a free 15-minute matching call, no card.
Book a free 15-min matching call →

Speak with our care team.

A 15-minute call with our central care team (not a therapist). We match you with the clinician on our team best suited to what you are working on.

Book a free 15-min matching call
Free15 minNo card
Prefer a call? (917) 780-2171

Quick answer: Online therapy in New York at Therapy24x7 is weekly, one-hour psychotherapy over HIPAA-secure video with the same licensed clinician each week. Our clinicians are licensed across New York State, so you can be seen from home anywhere in New York. Therapy is psychodynamic, the same depth work we do in person, and you can switch to one of our NYC offices anytime. In-network with Aetna and Cigna; out-of-network superbills on request.

How online therapy works at this practice

How online therapy in New York works here.

Online therapy, also called teletherapy or virtual therapy, is not a lighter version of the real thing. It is the same weekly, insight-oriented work, delivered over secure video. You keep the same clinician, the same hour, and the same depth. Our writing on the weekly individual therapy we do explains the approach, and it carries over the screen more fully than most people expect.

Same clinician, same hour

You are matched with one clinician on our team and stay with them. No rotating therapists, no starting over. The relationship is what the work runs on. It holds over video.

Depth, not a chat app

This is live, face-to-face video for a full weekly hour, working on what is underneath. It is not messaging, worksheets, or a new therapist every few weeks.

Anywhere in New York State

Our clinicians are licensed in New York, so you can be seen from home statewide, from the city to the suburbs to upstate. You just need to be in New York during the session.

HIPAA-secure video

Sessions run on a secure, private video link, not a consumer app. Your notes stay confidential, and we help you find a private-enough setup if home is full.

✓ In-network: Cigna
✓ In-network: Aetna
Out-of-network superbills upon request
Acuity scheduling 24/7
Who online therapy fits

Find the reason online therapy fits your life.

Six situations where seeing us online across New York makes the difference between starting therapy and putting it off again.

Anxiety, depression, grief

The concerns we treat most, anxiety, depression, and grief, respond as well online as in person. Start on the hub closest to yours. We take it from there.

Anxiety page →

You want the option of in person

Do most sessions online and come into a NYC office when you want to. Same clinician, either way. See our Midtown office.

Midtown office →

Not sure if online is right for you?

Book a free 15-min matching call →

Skip the online therapist directory. We match you on our team.

Searching a directory and picking the right stranger takes real effort. We do that part for you.

A central care team member (not a therapist) takes the 15-minute call. We ask what is bringing you in, and share what to ask your insurance to confirm coverage. Then we match you with the clinician on our team whose work fits, and set up your first video session. You start with someone we have already vetted. You skip the search.

Book a free 15-min matching call
A therapy app vs weekly online therapy with one clinician

A therapy app vs weekly online therapy with one clinician.

Both live on your phone or laptop. What you get is very different. Here is the honest comparison.

A subscription therapy app

What it doesMatches you fast, often within a day, and is easy to start. Good for low-cost support and light-touch check-ins.
What it does not always doTherapists can rotate, sessions may be short or message-based, and the depth and continuity that change long-standing patterns are harder to build.
RhythmFlexible, often text or brief video, sometimes a different clinician between sessions.
Best forWanting quick, affordable, low-commitment support.

→ A real option for some people.

Weekly online therapy with us

What it doesA full weekly hour of live video with the same licensed New York clinician, working psychodynamically on what is underneath, so the pattern changes, not just the week.
What it does not doIt is not instant or bargain-priced. It is real, continuing therapy. That takes a weekly commitment over months.
RhythmWeekly, same clinician, same time, open-ended, in-network with Aetna and Cigna.
Best forWanting depth, continuity, and a real relationship, from home anywhere in New York.

→ What we do at Therapy24x7.

The reasons people hesitate

The reasons people hesitate about online, and what each is about.

Four worries we hear most about doing therapy over video. Each has an honest answer.

“Is it really as good as being in the room?”

For most adults, yes. The research puts video therapy on par with in-person care for anxiety and depression. What carries the work is the fit and the weekly rhythm, and both come through the screen. If your situation needs more, we say so.

“I will be distracted, or it will feel awkward.”

The first session or two can feel a little strange, then it settles fast. Most people are surprised how quickly it feels like a real conversation. We help you set up a spot. Somewhere you will not be interrupted.

“My home is not private enough.”

Common, and workable. Clients take the session from a closed room, a parked car, or with headphones while someone else is home. Privacy is about the audio, and we will problem-solve it with you.

“Will my insurance cover video?”

In New York, in-network video sessions are generally covered the same as in-person. We are in-network with Aetna and Cigna, and on the match call we give you the exact questions to ask your plan.

From a recent client
“I kept meaning to find someone for two years. There was no one good near me and no time to drive an hour. Doing it from my kitchen table is the only reason I actually started.”
Composite vignette · Hudson Valley, late 30s · Shared with permission and lightly edited for privacy
What changes when

Convenience gets you in the door. The weekly work is what changes things.

Online removes the practical barriers that keep people out of therapy. Once you are in, the work is the same depth-oriented process we do in person. Here is how it moves.

The first sessions

You meet your clinician over video and start putting words to what brought you in. Nothing is rushed. The early work is building the relationship and getting a clear view of the pattern underneath.

The middle months

The pattern starts to show up between you and your clinician, and that is the material you work with. Over weeks, what has been driving the anxiety, the low mood, or the loss becomes visible enough to shift.

The longer arc

The change is in how you live, not just how each week feels. Because it is from home, it is easier to keep going, and continuity over months is exactly what makes the deeper change hold.

Wherever you are in New York, the first step is the same.

Book a free 15-min matching call →
Online therapy, up close

What people ask once they are curious

Six practical things about doing real therapy over video across New York.

What the session actually looks like

You click a secure link at your appointment time and meet your clinician face to face on video, for the full weekly hour. It looks and feels like a normal session, just from wherever you are in New York.

Finding a private hour at home

Not everyone has a quiet room. Clients take the session from a parked car, a closed bedroom, or with headphones while family is around. What matters is that the audio is private, and we help you find a setup that works.

The tech is simpler than it sounds

You need a phone or laptop and a normal internet connection. There is no app to master and no account to build. If the connection drops, we pick up by phone and carry on.

Switching between online and in person

You are not locked in. Do most weeks online and come into a NYC office when you want the room, or start in person and move online when life gets busy. The clinician stays the same.

When online is not the right level of care

Online outpatient therapy is not built for acute crisis, active addiction, or situations that need in-person or higher-level care. If that is where things are, we will tell you honestly and help you find the right setting.

Being physically in New York

Because our clinicians are licensed in New York, you need to be in the state during the session. Home anywhere in New York works. If you move out of state, we help you transition to a clinician licensed where you are.

Three composite stories

Three New Yorkers, seen from home.

Three composite vignettes drawn from patterns our clinicians see often. Shared with permission and lightly edited for privacy. None is one specific client.

Westchester · Parent, early 40s

Two kids and a full-time job left no room to drive to a therapist. She books the weekly hour during the school day, from her home office. A year in, the anxiety that ran her mornings has loosened. She has not missed a week.

Upstate · Retiree, late 60s

The nearest grief specialist was over an hour away. After losing his wife, he could not face the drive. Weekly video sessions gave the grief somewhere to go without leaving the house he had shared with her.

Manhattan · Consultant, early 30s

She travels for work most weeks. Online meant the same clinician and the same hour, whether she was in her apartment or a hotel room in New York. Continuity was the thing that finally made therapy stick.

Operational

Here is what happens between booking and your first video session.

The 7-day path from booking the 15-minute matching call to your first weekly session. Insurance billing is set up in the background. Our central care team handles it for you.

What the central care team does for you

  • Day 0 · You book the 15-minute matching call. Acuity is open 24/7. Pick a slot that works. No card, no commitment.
  • Day 0 to 2 · The matching call. 15 minutes with the care team (not a therapist). We ask what is bringing you in, share what to ask your insurance about your plan, and match you with a clinician on our team whose work fits.
  • Day 1 to 3 · Intake paperwork. Standard intake forms arrive by secure portal. We confirm the in-network or out-of-network billing path. You sign and return.
  • Day 3 to 7 · First video session. Most adult clients are in a first session within seven days. You get a secure video link, join from anywhere in New York State, and begin the weekly work.
  • Week 2 onward · Weekly rhythm. Same clinician, same hour, open-ended. The change comes from the sustained weekly work, which is easier to keep up from home.
  • Six-week fit check. If the match is not landing after six weeks, our care team coordinates an internal re-match with a different clinician on our team. You do not go back to a directory.

Therapy24x7 offers weekly outpatient therapy, not crisis or emergency care. If you are in crisis or having thoughts of suicide, call or text 988, the free national Suicide & Crisis Lifeline, available 24/7, or call 911 if someone is in immediate danger.

Schedule a free 15-minute call.

Talk with our care team, no card, no commitment. We share what to ask your insurance about your plan, match you with a clinician, and set up your first video session, anywhere in New York.

Book a free 15-min matching call
What people ask

What people ask before they book

The questions our care team hears most often about online therapy in New York.

Is online therapy as effective as in person?

For most adults, yes. Peer-reviewed research finds video therapy works as well as in-person sessions for common concerns like anxiety and depression, with the same working relationship over time. What matters most is the fit with your clinician and the weekly rhythm, both of which carry over the screen. If your situation needs a higher level of care, we will tell you and help you find it.

Do I have to be in New York State for online sessions?

Yes. Our clinicians are licensed in New York, so you need to be physically located in New York State during your session. That covers your home anywhere in the state, from New York City to Westchester, Long Island, the Hudson Valley, Albany, Rochester, or Buffalo. It is fine to travel and switch between online and, if you are in the city, in person at one of our offices.

How is this different from an app like BetterHelp or Talkspace?

Those platforms match you quickly and often rotate therapists or lean on messaging. We are a New York group practice: you get the same licensed clinician each week for a full weekly hour of live video, working psychodynamically on what is underneath, not just this week’s stress. We are in-network with Aetna and Cigna. It is real, continuous therapy delivered online, not a subscription to a chat.

How much does online therapy cost?

Cost depends on your individual insurance plan. For in-network Aetna or Cigna, you pay your plan copay or deductible. For out-of-network, we provide superbills upon request that you can submit to your insurer for reimbursement. On the matching call we share the questions to ask your insurance about your benefits.

Is it private and secure?

Yes. Sessions run over HIPAA-secure video, not a consumer app. Notes are confidential. Insurance sees the date of service and a diagnostic code, never session content. Many clients take the session from a parked car or a closed room when home is not private enough, and we can help you find a setup that works.

Do you prescribe medication?

No. We do not prescribe. Medication is your prescriber’s domain, your primary care doctor or a psychiatrist. We do the therapy, and we coordinate with whoever manages medication if that is part of your care.

Can I switch between online and in-person?

Yes. We have offices in Midtown Manhattan, the Flatiron area, Brooklyn Heights, and the Upper West Side. Many clients do most sessions online and come in occasionally, or start in person and move online when life gets busy. You keep the same clinician either way.

Sources and further reading

References

External sources that ground the clinical and operational claims on this page, so you can check what you are reading against primary references.

Other entry points

Other reasons people choose online sessions

Online is the how. Start with the what, and we deliver it over video anywhere in New York.

Therapy in your language

We work with clients in nine languages.

Some things only arrive in a first language, and you should be able to say the hard part in the language you feel it in. Therapy24x7 is an NYC group practice, and our clinicians work with clients in the languages below, in person across our Manhattan and Brooklyn offices or by secure video statewide across New York. You tell us the language on the free matching call, and we place you with the clinician on our team who works in it.

EnglishEnglish
SpanishEspanol
Hebrewעברית
FrenchFrancais
Yiddishיידיש
Haitian CreoleKreyol ayisyen
DutchNederlands
FlemishVlaams
AfrikaansAfrikaans
Do you have therapists who speak my language in NYC?

Our clinicians work with clients in English, Spanish, Hebrew, French, Yiddish, Haitian Creole, Dutch, Flemish, and Afrikaans. Sessions are in person across our NYC offices or by secure video statewide across New York. On the free 15-minute matching call, tell us the language you want to work in and we place you with a clinician on our team who works in it.

How does the matching work?

You book a free 15-minute call with our central care team, not a therapist. You tell us the language you want, what you are looking for, your schedule, and your insurance, and we match you with the clinician on our team best suited to your situation.

Is therapy in another language covered by insurance?

It depends on the therapist you are matched with, and whether that particular clinician accepts your insurance. Some of our clinicians are in-network with Aetna and Cigna; others are out-of-network and provide superbills you submit for reimbursement. On the free matching call we tell you whether the clinician we recommend takes your plan before you book.

Can I do it online if I am not near an office?

Yes. We offer HIPAA-secure online video therapy in every language we work in, statewide across New York, so you can start even if you are not next to one of our offices.

Book a free 15-min matching call →