For decades, the image of psychotherapy has remained remarkably unchanged: a client on a big couch nearby a therapist in a quiet consulting room, tissues within reach, a bookshelf in the background, and perhaps the iconic therapy couch. For many people—and even many therapists—that image has become synonymous with what "real therapy" looks like. But does effective therapy actually depend on being in the same room? The growing body of research says no. Online therapy, delivere