Online Addiction Therapy

Online Addiction Therapy

What Does Online Therapy for Addiction Offer?

You likely already know the basics about getting therapy from the Internet.

But did you know how effective therapy online can be for addiction and mental health support?

This is because using secure digital platforms, you can access a range of online therapy services to address various mental health conditions, including addiction therapy.

Over the past few years, more and more people have turned to online therapy as a flexible and accessible alternative to in-person sessions.

At Shanti Recovery & Wellness, whether you need support for alcohol and drug addiction, anxiety, depression, or other mental health concerns, you can find the right care without the barriers of travel or rigid scheduling.

Keep reading to learn more about our industry-leading practices and find out how you can get the help you need to get clean and sober, online, today!

Shanti Recovery Offers Holistic Online Therapy for Addiction

Online addiction therapy means delivering evidence-based behavioral health care for substance use disorders (SUDs) via digital tools: through video conferencing, phone, web portals, and/or app-based platforms.

Its goal is to replicate (and sometimes extend) the depth of in-person therapy but with more flexibility. This often removes geographical, logistical, or stigma-related barriers to entering or continuing recovery, with there’s no need to visit a physical facility, and the convenience of online access. Online addiction therapy can be a substitute for in-person care for many.

In practice, a client in online addiction therapy might engage in individual online counseling, group therapy sessions, behavioral interventions, or medication management through virtual means.

At Shanti, our therapists specialize in addiction treatment and related mental health issues, providing personalized treatment plans to help clients find the right treatment for their unique needs.

Services will be delivered by licensed therapists and physicians: experienced professionals who ensure safe and effective care. The quality and structure are the same as in-person care, but the delivery method is adapted to digital settings. This also gives access to a wider range of specialists than may be available locally.

Why It Matters: What are the Benefits of Telehealth for Addiction Therapy?

When done thoughtfully, online addiction therapy offers many advantages that can make recovery more achievable for many.

For example, online therapy increases accessibility, especially for people with mobility issues who may not be able to visit a facility. Here are the benefits:

Greater Accessibility and Reach

Clients in rural areas, areas with provider shortages, or those with limited transportation options often struggle to access in-person addiction services. Telehealth bridges that gap.

During the COVID-19 era, substance use disorder treatment facilities expanded telehealth availability dramatically (a 143% increase between 2020 and 2021) to maintain continuity of care. (PMC data is located in References at the article conclusion)

Convenience and Lower Barriers to Engagement

Online therapy reduces or eliminates travel time, child-care constraints, and scheduling conflicts. Clients who might miss sessions due to work or family demands find it easier to stay consistent.

Telehealth tends to reduce “no-shows” since clients can more easily log in from home rather than arranging transportation or navigating commutes.

Continuity and Lower Dropout Rates

Some clients find that once they start treatment virtually, it’s easier to stay in care. Telehealth can maintain momentum during life transitions (e.g., moving, relocation, travel).

In general, studies show that telehealth does not produce worse retention or outcomes than in-person traditional therapy for most clients.

Flexibility and Customization

Therapists can combine modalities: video sessions, digital worksheets, asynchronous messaging, phone check-ins, and app-based trackers, to create a customized hybrid plan. This allows for more responsiveness to clients’ changing needs.

Privacy, Comfort, and Reduced Stigma

Attending therapy from a private, comfortable environment may help overcome stigma or reluctance. Some clients feel safer opening up when not sitting face-to-face.

Bridging to Medication-Assisted Treatment (TeleMAT)

Online platforms also support medication-assisted treatment (MAT) via telehealth, often referred to as TeleMAT (or Tele-MOUD).

This allows physicians to manage prescriptions (e.g., buprenorphine) and follow up virtually, which is especially helpful for opioid use disorder care in underserved areas.

Start feeling better today with Shanti Recovery & Wellness.

Start feeling better today with Shanti Recovery & Wellness.

Core Therapy Modalities for Online Delivery

To deliver addiction care virtually, our clinicians and programs at Shanti Recovery adapt traditional interventions to digital formats.

Each session is structured to address specific goals, help clients learn coping strategies, gain insight into their behaviors, and support positive changes in their recovery journey.

Here are some of the most common modalities in online addiction therapy:

Cognitive Behavioral Therapy (CBT) and Variants

CBT is a cornerstone of addiction treatment, helping clients identify and reframe distorted thoughts, develop coping strategies, manage cravings, and prevent relapse. In the online context, CBT can be delivered via videoconference or through guided digital modules.

More recently, digital CBT-based interventions for both alcohol and drug use have shown promising results, sometimes even outperforming in-person care in measures such as reduction of craving and hazardous drinking levels.

Dialectical Behavior Therapy (DBT) for Emotion Regulation

Many people with substance misuse issues struggle with emotional dysregulation, self-harm risk, or co-occurring personality traits.

Online or self-guided DBT (iDBT) modules can teach distress tolerance, mindfulness, emotional regulation, and interpersonal skills.

A recent pilot trial of self-guided iDBT in substance use disorder treatment found it to be feasible, acceptable, and showed preliminary clinical improvements in emotion regulation and substance dependence measures. (again, see References cited at article conclusion)

Motivational Interviewing (MI)

Motivational interviewing techniques, fostering internal motivation for change, translate well to virtual settings. Through structured dialogues, therapists help clients explore ambivalence, set goals, and strengthen commitment to recovery. Elements of MI can also be embedded in digital coaching or chatbot-assisted systems.

Contingency Management (CM) and Digital Reinforcement

Contingency management (offering rewards for meeting behavioral goals) has strong empirical support in addiction care. In an online model, incentives (e.g., digital gift cards, credits) can be disbursed when clients meet adherence milestones (e.g., attendance, negative drug screens).

Digital platforms help automate verification and reward delivery, improving scalability and timeliness.

Mindfulness, Mind-Body Interventions and MORE

Mindfulness-Oriented Recovery Enhancement (MORE) is a therapeutic approach that combines mindfulness training, cognitive reappraisal, and positive psychology. It targets craving, stress, and hedonic reward pathways. MORE has shown efficacy in reducing addictive behaviors and emotional distress.

In an online addiction therapy framework, mindfulness practices (meditations, guided imagery, breathwork) can be delivered via audio, video, or live group sessions.

Peer, Group, and Family Therapy

Group dynamics are central to success in addiction recovery treatment. Virtual group therapy allows clients to connect, share experiences, and support each other. Facilitated groups can follow a structured curriculum or an open sharing format.

Family therapy, couples counseling sessions, and psychoeducation can also be delivered online, helping to repair relationships, set boundaries, and build sustainable support systems.

Relapse Prevention and Aftercare Coaching

Even after the acute phase of therapy, long-term recovery requires maintenance.

Digital relapse prevention modules, mobile alerts, tele-coaching check-ins, and booster sessions help sustain gains.

Cautions and Considerations for Online Therapy

  • Telehealth can’t replace in-person care for every person or situation. Acute medical risks, detoxification needs, or severe psychiatric comorbidity may require on-site care.
  • There is limited long-term evidence comparing telehealth vs. in-person care in large, diverse populations.
  • Technology inequities (poor internet access, digital literacy gaps, unstable housing) can limit reach. In some regions, telehealth may exacerbate disparities. (ScienceDirect)
  • The therapeutic alliance can suffer if clinicians don’t intentionally attend to rapport-building in digital settings.
  • Regulatory, licensure, and reimbursement policies vary. Providers must stay up to date on telehealth regulations in their jurisdiction.

The information provided here is for general informational purposes only and does not constitute professional medical advice. Always consult our qualified healthcare staff for personalized advice on your health concerns.

Image of Therapist conducting an online addiction therapy session
Image of happy woman engaging in an online addiction therapy session from home

Why Shanti Recovery & Wellness Is Poised to Deliver Excellence in Online Addiction Therapy

At Shanti Recovery & Wellness, our vision is to integrate in-person and telehealth modalities with clinical acumen, trauma-informed care, and personalization at the core.

We are committed to finding the best approach for each client, ensuring care is tailored to their unique needs and circumstances.

We believe people struggling deserve access to high-quality evidence-based addiction therapy, no matter where they live or what their schedule demands.

Our approach includes:

  • Video sessions with a therapist.
  • Digital tools and handouts used in online sessions
  • TeleMAT (medication support) when appropriate
  • Aftercare coaching, relapse prevention modules, and hybrid follow-ups
  • Building strong therapeutic relationships even in a virtual setting

Through this relationship, clients gain insight into their recovery journey and understand their emotions, relationships, and lifestyle changes.

We maintain the same level of confidentiality, care, and client-centered practice online as we do in our physical settings. We personalize care to each client’s needs.

Our treatment plans are designed to find the right treatment for each client’s situation. Ongoing support is crucial in our programs for successful long-term recovery.

Contact Shanti for Online Therapy Support Today

At Shanti Recovery & Wellness, our online addiction treatment programs are not a patch or compromise: they are a legitimate, evidence-based way to deliver substance use care. By adapting core therapies like CBT, DBT, MI, contingency management, mindfulness, and group work into virtual formats, clinicians can extend reach, increase convenience, and preserve treatment fidelity.

It won’t replace in-person care entirely – especially for high-acuity cases – but it’s a powerful adjunct and in many cases a worthy standalone option. As technology, research, and telehealth policy evolve, we feel strongly that online therapy will be part of the standard of care.

If you’re wondering if online therapy is right for you or a loved one, or want to know how Shanti Recovery & Wellness can guide you through a telehealth plan, clients can also request a different therapist if they feel their needs are not being met.

Up To 100% of Rehab Costs Covered By Insurance

Up To 100% of Rehab Costs Covered By Insurance

FAQs About Online Therapy as Addiction Treatment

Is online therapy as effective as in-person therapy?

Generally speaking, yes, but not in all cases. Clients with mild to moderate SUDs, a stable living situation, reliable internet, and motivation to engage tend to benefit most from online addiction therapy. Telehealth is especially useful for those with scheduling or mobility constraints.

Clients with high withdrawal risk, acute medical crisis, or unstable housing may require at least partial in-person care, especially in the early phases.

How do therapists build therapeutic relationships online?

Rapport is really crucial here. Therapists intentionally:

  • Use a warm and empathic tone and validation.
  • Ensure video setup is comfortable (eye-level view, good lighting)
  • Start with check-ins and relational opening.
  • Share screen with worksheets and visual tools.
  • Follow up between sessions via messaging or calls.
  • Monitor engagement and address drop-off proactively.
  • Acknowledge the challenge of missing body language cues in virtual sessions and use verbal check-ins and clarifying questions to bridge the gap

What about privacy and security during online addiction therapy?

High-quality online addiction therapy uses HIPAA-compliant video platforms, encrypted messaging, and secure digital records. Clients should consent to telehealth terms and understand privacy considerations.

Programs must have safeguards against unauthorized access, and clients should choose private spaces for sessions.

How are medications handled virtually?

Telehealth supports prescribing and managing medications (e.g., via TeleMAT). Virtual check-ins with prescribing providers allow dose adjustments, monitoring side effects, and integrated counseling support.

But regulations vary by state, so availability depends on state rules, licensure, and provider credentialing.

References

  1. Determinants of preference for telehealth versus in-person treatment. (n.d.). ScienceDirect.
  2. Feasibility, acceptability, and potential efficacy of a self-guided internet-delivered dialectical behavior therapy intervention for substance use disorders: Randomized controlled trial. (2024). JMIR Mental Health.
  3. How well does online CBT stack up with CBT delivered in person? (n.d.). RecoveryAnswers.
  4. Medicaid NCDHHS — Telehealth efficacy in addiction and behavioral health. (n.d.). RTI / Medicaid presentation.
  5. McKay, J. R., et al. (Various). Internet-based interventions facilitate attendance and expand the continuum of care. Journal of Substance Abuse Treatment.
  6. RecoveryAnswers. (n.d.). Online CBT vs in-person CBT.
  7. SAMHSA. (2021). Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. U.S. Department of Health and Human Services.
  8. Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. (n.d.). SAMHSA PEP21-06-02-001.
  9. Telehealth adoption by mental health and substance use disorder treatment facilities (2020–2021). (n.d.). PMC.

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