Online Counseling

Online Options

I offer online counseling services in a variety of formats:

    • Videoconference
    • Text chat
    • Email

Videoconference and text chat occur as realtime conversations, while email therapy works as back-and-forth, in-depth correspondence. Online sessions are always highly encrypted to protect your confidentiality. I’ve been conducting online sessions for a number of years and can help guide you through the best use of the online medium to make therapy as practical and effective as possible.

I offer a FREE 20-minute consultation, using whatever online medium you choose, so you can see how this means of conducting therapy might work for you. Just email me or call 415/820-1590 to arrange.

If visiting a therapist’s office is difficult for you, online counseling is a great solution. You can participate in therapy in your own home, without transportation or scheduling hassles. Research has shown that online counseling is just as effective as face-to-face counseling for many different types of treatment.

Online counseling may be useful for you if:

    • You have social anxiety
    • You have limited mobility
    • You are deaf or hard of hearing
    • You don’t have reliable transportation
    • You are more comfortable typing than talking

I have been offering online counseling for many years, and can talk with you about the unique aspects of each so that we can decide together how online counseling can best work for you.

Secure and Confidential

For videoconference, email and chat services, I use only HIPAA-compliant platforms with end-to-end high-level encryption, so our communications are confidential, not recordable, and readable by only you and me.

Online Counseling Fees

Videoconference and text chat: $150 per session.

Email: $50 per email exchange. This means one round of back-and-forth. You can expect one email exchange to involve several paragraphs of discussion (about a third of a realtime session’s worth of content).

If this seems out of your reach right now, email me at and we can discuss fee options.

Is Online Counseling Right For You?

I was interviewed by CBS ConsumerWatch about the benefits of online counseling.

Watch the Video:

Online counseling is an option for any legal resident of the state of California.

I offer a FREE 20-minute introductory consultation, which we can do online if you like. If you think that this type of service might be for you, email me and we’ll talk about how I can help.

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Paul Silverman

Paul Silverman, MFT LPCC
San Francisco, CA


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Email me or call 415/820-1590 for a free 20-minute consultation