Teletherapy for Northwest - Houston, TX
![Photo of Janet Varela Colletto, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/899efda9-c16c-42c9-abef-03297e6d90e6/2/320x400.jpeg)
Janet Varela Colletto
Licensed Professional Counselor, MS, LPC
Verified Verified
Northwest, Houston, TX 77018
As we navigate our lives, we are faced with life transitions. These changes can trigger anxiety, depression or other feelings. Often transitions can challenge our existing belief systems, which in turn, cause confusion and feelings of distress. Having someone who can truly listen and understand these challenges often helps us find our way to a more satisfying life. Sorting through the clutter of our lives and zeroing in on our true selves can help us optimize our happiness and contentment. Living a life in which we thrive not merely survive.
As we navigate our lives, we are faced with life transitions. These changes can trigger anxiety, depression or other feelings. Often transitions can challenge our existing belief systems, which in turn, cause confusion and feelings of distress. Having someone who can truly listen and understand these challenges often helps us find our way to a more satisfying life. Sorting through the clutter of our lives and zeroing in on our true selves can help us optimize our happiness and contentment. Living a life in which we thrive not merely survive.
![Photo of Alejandra Cervantes, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/112062f2-245e-4238-9a3a-91406bfdd001/2/320x400.jpeg)
Alejandra Cervantes
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
I am a Licensed MFT who supports adults, couples, parents, and groups of friends invested in personal growth, developing stronger interpersonal relationships, and healing from trauma. I support clients who are very excited by new projects but can’t get their life organized, are hard on themselves and and have a strong inner critic, never feel happy or satisfied with their accomplishments, struggle to say no to others and REALLY dislike conflict, are stuck in cycles of conflict in relationships, spend hours engaging in rituals to try to soothe fears/anxieties, and those who desperately want to parent differently but don't know how.
I am a Licensed MFT who supports adults, couples, parents, and groups of friends invested in personal growth, developing stronger interpersonal relationships, and healing from trauma. I support clients who are very excited by new projects but can’t get their life organized, are hard on themselves and and have a strong inner critic, never feel happy or satisfied with their accomplishments, struggle to say no to others and REALLY dislike conflict, are stuck in cycles of conflict in relationships, spend hours engaging in rituals to try to soothe fears/anxieties, and those who desperately want to parent differently but don't know how.
![Photo of Leroy Scott, LPC, NCC, MS, LMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/76220586-4a65-4cca-83b5-d5b58ffed106/2/320x400.jpeg)
Leroy Scott
Licensed Professional Counselor, LPC, NCC, MS, LMHC
Verified Verified
Northwest, Houston, TX 77092
* Accepting New Clients / All Locations & Virtual - Over 26 years experience in Individual, Marriage & Relationship Counseling. Regardless of how difficult things may be, I can help. My list of clients include Celebrity, Professional, Corporate, Athletes and the like. Initially trained in the USN in Psychiatric Trauma, I have helped thousands of individuals & families. My Corporate Critical Incident experience allows me to quickly assess trauma/problems and develop solution-focused resolutions to the most complex emotional, psychological & relationship problems.
* Accepting New Clients / All Locations & Virtual - Over 26 years experience in Individual, Marriage & Relationship Counseling. Regardless of how difficult things may be, I can help. My list of clients include Celebrity, Professional, Corporate, Athletes and the like. Initially trained in the USN in Psychiatric Trauma, I have helped thousands of individuals & families. My Corporate Critical Incident experience allows me to quickly assess trauma/problems and develop solution-focused resolutions to the most complex emotional, psychological & relationship problems.
![Photo of Cheryl Strain - Cheryl Strain, LMFT, LPC, CIMHP | TherapyforAnyone, LMFT, LPC, CIMHP, Marriage & Family Therapist](https://photos.psychologytoday.com/a681c95f-220a-427a-a13d-3ee74c8d7667/1/320x400.jpeg)
Cheryl Strain, LMFT, LPC, CIMHP | TherapyforAnyone
Marriage & Family Therapist, LMFT, LPC, CIMHP
Verified Verified
Northwest, Houston, TX 77092
Therapyforanyone.com | Cheryl Strain, LMFT, LPC, CIMHP | A Houston therapist in private practice since 2002 with over 30 years of experience. We offer in person sessions and/or virtual sessions for individuals, couples or families, in order to explore the aspects of their lives which are most important to each of them. We are dedicated toward aiding clients in realizing and developing their strengths & potential as well as addressing any areas of concern or current challenges. Houston therapist whose education and training focused strongly on the general scope of psychology and marriage & family therapy. Contact us today.
Therapyforanyone.com | Cheryl Strain, LMFT, LPC, CIMHP | A Houston therapist in private practice since 2002 with over 30 years of experience. We offer in person sessions and/or virtual sessions for individuals, couples or families, in order to explore the aspects of their lives which are most important to each of them. We are dedicated toward aiding clients in realizing and developing their strengths & potential as well as addressing any areas of concern or current challenges. Houston therapist whose education and training focused strongly on the general scope of psychology and marriage & family therapy. Contact us today.
![Photo of Nikis Ellis, SOTP, LCDC-I, Licensed Professional Counselor](https://photos.psychologytoday.com/56979943-4e7f-49a7-b43e-359a9c862163/2/320x400.jpeg)
Nikis Ellis
Licensed Professional Counselor, SOTP, LCDC-I
Verified Verified
1 Endorsed
Northwest, Houston, TX 77022 (Online Only)
Life is ever changing. Seems like when you fix one thing, something else breaks. Family, work, and school can be overwhelming, frustrating, and too much. Need a safe space to air it all out and a possible plan to get through? You are not alone and I encourage you to reach out.
Life is ever changing. Seems like when you fix one thing, something else breaks. Family, work, and school can be overwhelming, frustrating, and too much. Need a safe space to air it all out and a possible plan to get through? You are not alone and I encourage you to reach out.
![Photo of Alejandra Machado, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/70edcc86-bcf9-4cd2-9303-4ed3043869e3/1/320x400.jpeg)
Alejandra Machado
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Northwest, Houston, TX 77092 (Online Only)
On the outside, everyone thinks you've got it all together. You're good at putting on a smile and pushing through. You've been checking the boxes in life but still feel overwhelmed, tired and feel that you're running out of time. You're wondering if things should be this difficult? You've contemplated making some changes in your life, but are worried what others may say, or whether you'd be making a big mistake.
On the outside, everyone thinks you've got it all together. You're good at putting on a smile and pushing through. You've been checking the boxes in life but still feel overwhelmed, tired and feel that you're running out of time. You're wondering if things should be this difficult? You've contemplated making some changes in your life, but are worried what others may say, or whether you'd be making a big mistake.
![Photo of Lauren Weiner - Teens And Young Adults, LPC, CCATP, Licensed Professional Counselor](https://photos.psychologytoday.com/360f96ae-5df5-4c2d-bca4-5687d6f7131a/1/320x400.png)
Lauren Weiner - Teens And Young Adults
Licensed Professional Counselor, LPC, CCATP
Verified Verified
12 Endorsed
Northwest, Houston, TX 77018
You’re technically an adult, but you're not really feeling like one. You strive for success and check a lot of the boxes, but there's a lingering sense of emptiness as you move into the next stage of life. You wonder if it’s normal to feel this burned out and exhausted this young. You deserve to live life without this overwhelming sense of pressure. You deserve a life where confidence, balance, and peace are your norm. I help women be the main characters in their own lives, to be their authentic selves without fear of judgment. If this sounds like the life you’ve been aching to live, step into my office. I have cozy blankets.
You’re technically an adult, but you're not really feeling like one. You strive for success and check a lot of the boxes, but there's a lingering sense of emptiness as you move into the next stage of life. You wonder if it’s normal to feel this burned out and exhausted this young. You deserve to live life without this overwhelming sense of pressure. You deserve a life where confidence, balance, and peace are your norm. I help women be the main characters in their own lives, to be their authentic selves without fear of judgment. If this sounds like the life you’ve been aching to live, step into my office. I have cozy blankets.
![Photo of Molly Neyland, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/d11cfd43-2433-464a-a3d1-df5e9cb8b87d/5/320x400.jpeg)
Molly Neyland
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
Life is complex and unexpected which can be overwhelming, especially if you are someone who wants to have it all "figured out." I work primarily with young adult females who struggle with anxiety, people pleasing behaviors, trauma, family/relationship issues, etc. You may be someone who presents to the world as being “put together,” but on the inside you feel the complete opposite. Therapy can help make a difference in these areas by uncovering the 'why' behind certain thoughts and behaviors. This increase in self-awareness and understanding can help to make the change that you have been wanting.
Life is complex and unexpected which can be overwhelming, especially if you are someone who wants to have it all "figured out." I work primarily with young adult females who struggle with anxiety, people pleasing behaviors, trauma, family/relationship issues, etc. You may be someone who presents to the world as being “put together,” but on the inside you feel the complete opposite. Therapy can help make a difference in these areas by uncovering the 'why' behind certain thoughts and behaviors. This increase in self-awareness and understanding can help to make the change that you have been wanting.
![Photo of Shayra Gonzalez, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/fbf47a8d-f382-4bff-9d9c-f9b0b2691f95/2/320x400.jpeg)
Shayra Gonzalez
Licensed Professional Counselor, MA, LPC
Verified Verified
Northwest, Houston, TX 77018 (Online Only)
I am fully bilingual in Spanish and English. I have 10+ years of experience working with children and adults providing individual and family counseling, including extensive experience providing trauma-informed care with immigrant families and youth involved with the foster care and juvenile justice systems. I will strive to instill hope by empowering clients to discover and build on their own strengths. I believe therapy can help individuals navigate through difficulties so it doesn't feel like we are doing it alone. Come with me to the journey of introspection and we will find healing in the end.
I am fully bilingual in Spanish and English. I have 10+ years of experience working with children and adults providing individual and family counseling, including extensive experience providing trauma-informed care with immigrant families and youth involved with the foster care and juvenile justice systems. I will strive to instill hope by empowering clients to discover and build on their own strengths. I believe therapy can help individuals navigate through difficulties so it doesn't feel like we are doing it alone. Come with me to the journey of introspection and we will find healing in the end.
![Photo of Dani Patrick, LMHCA](https://photos.psychologytoday.com/e0aa1618-8e14-40c0-8feb-54f32f4b4ead/2/320x400.jpeg)
Dani Patrick
Licensed Professional Counselor Associate, LMHCA
Verified Verified
2 Endorsed
Northwest, Houston, TX 77018 (Online Only)
Accepting new clients as of 8/5/24. Whether you’re transgender, non-binary, queer, neurodivergent, kinky or non-monogamous, you deserve a therapist who gets you. Maybe stress or trauma has impacted how you show up to relationships. Maybe creativity plays a big role in your life but you've been feeling disconnected to your creative practice. Maybe despite external success, you struggle to feel good about yourself. As a therapist, I work to support you in bringing curiosity and compassion towards yourself. Together we can unpack your experience, develop deeper self-understanding, and shift patterns that no longer work for you.
Accepting new clients as of 8/5/24. Whether you’re transgender, non-binary, queer, neurodivergent, kinky or non-monogamous, you deserve a therapist who gets you. Maybe stress or trauma has impacted how you show up to relationships. Maybe creativity plays a big role in your life but you've been feeling disconnected to your creative practice. Maybe despite external success, you struggle to feel good about yourself. As a therapist, I work to support you in bringing curiosity and compassion towards yourself. Together we can unpack your experience, develop deeper self-understanding, and shift patterns that no longer work for you.
![Photo of Cynthia B. Nava - Willow & Sage Counseling, MS, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/c1e25826-40a3-4747-8b93-a8ad5163ae52/1/320x400.png)
Willow & Sage Counseling
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Northwest, Houston, TX 77018
Do you ever wake up in the morning and say to yourself, “I don’t think I can make it another day like this”? Maybe you feel like your anxiety is taking over your life and there’s no escape. Maybe you live with shame so crippling that it invades every aspect of your life. Or maybe you find yourself constantly running from your own emotions, memories, and thoughts, only to feel mentally and emotionally exhausted. If this sounds familiar, you’re not alone. Many people feel the exact same way you do, and all they want is to feel normal.
Do you ever wake up in the morning and say to yourself, “I don’t think I can make it another day like this”? Maybe you feel like your anxiety is taking over your life and there’s no escape. Maybe you live with shame so crippling that it invades every aspect of your life. Or maybe you find yourself constantly running from your own emotions, memories, and thoughts, only to feel mentally and emotionally exhausted. If this sounds familiar, you’re not alone. Many people feel the exact same way you do, and all they want is to feel normal.
![Photo of Jummy Akinyode, MA, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/02f9b0aa-0996-4947-a6c9-11a13cae9b57/3/320x400.jpeg)
Jummy Akinyode
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
If you're a busy professional and you've achieved that win but still feel like something's missing, you're in the right place. Balancing work, home, and personal life can leave you overwhelmed, despite your accomplishments. I have a passion for working with professionals, like you, who are navigating the challenges of anxiety, depression, and relational struggles. Together, we'll tackle the unique stressors you face and work toward restoring balance and clarity in your life.
If you're a busy professional and you've achieved that win but still feel like something's missing, you're in the right place. Balancing work, home, and personal life can leave you overwhelmed, despite your accomplishments. I have a passion for working with professionals, like you, who are navigating the challenges of anxiety, depression, and relational struggles. Together, we'll tackle the unique stressors you face and work toward restoring balance and clarity in your life.
![Photo of Bridgette Goddard, MS, LCDC, LMFT-S, Marriage & Family Therapist](https://photos.psychologytoday.com/01c20e32-08c8-46e8-8129-8c76091bf1d1/3/320x400.jpeg)
Bridgette Goddard
Marriage & Family Therapist, MS, LCDC, LMFT-S
Verified Verified
Northwest, Houston, TX 77092
Have you noticed an increase of conflict, confusion, and chaos in your life?Well, peace of mind and a sigh of relief is just a slice of what you will experience at Goddard & Associates Counseling.
Have you noticed an increase of conflict, confusion, and chaos in your life?Well, peace of mind and a sigh of relief is just a slice of what you will experience at Goddard & Associates Counseling.
![Photo of Sarah Lonsdale Bledsoe, MSW, LCSW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e299eb71-b90c-4e6d-a7da-7794fe7d3d63/2/320x400.jpeg)
Sarah Lonsdale Bledsoe
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
2 Endorsed
Northwest, Houston, TX 77018
My priority is creating a safe space for you to express yourself openly and authentically as I believe healing happens through connection. For some people, therapy is an opportunity to problem-solve a current challenge, and for others it is a chance to gain a better understanding of themselves and the experiences that brought them to where they are. As your therapist, I hope to partner with you in meeting your goals.
My priority is creating a safe space for you to express yourself openly and authentically as I believe healing happens through connection. For some people, therapy is an opportunity to problem-solve a current challenge, and for others it is a chance to gain a better understanding of themselves and the experiences that brought them to where they are. As your therapist, I hope to partner with you in meeting your goals.
![Photo of Katerina Vengoechea, MA, Marriage & Family Therapist](https://photos.psychologytoday.com/07d012f4-8206-4170-a47c-84c25ae1e901/1/320x400.jpeg)
Katerina Vengoechea
Marriage & Family Therapist, MA
Verified Verified
1 Endorsed
Northwest, Houston, TX 77022 (Online Only)
You are someone who wants to feel empowered by creating a new relationship with your emotions and how you cope with them. You seek a sense of peace, fulfillment, and balance that has not yet felt easy to attain. You want to build a deeper connection with yourself and others, to understand your past and its impact on the present, and to move forward with confidence and clarity. People choose to work with me because they are looking for a passionate, energetic, and compassionate therapist who will support and guide them in recognizing the power they hold in their lives, ultimately leading to transformative change.
You are someone who wants to feel empowered by creating a new relationship with your emotions and how you cope with them. You seek a sense of peace, fulfillment, and balance that has not yet felt easy to attain. You want to build a deeper connection with yourself and others, to understand your past and its impact on the present, and to move forward with confidence and clarity. People choose to work with me because they are looking for a passionate, energetic, and compassionate therapist who will support and guide them in recognizing the power they hold in their lives, ultimately leading to transformative change.
![Photo of Tashawn D Howard, MEd, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/488ac290-7ce3-436c-a848-1237572976bd/2/320x400.jpeg)
Tashawn D Howard
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
3 Endorsed
Northwest, Houston, TX 77018 (Online Only)
I have been honored to work in the mental health field for 7 years. During my tenure I have worked with individuals suffering from Grief, Bereavement, Depression, Bi-polar disorder, Anxiety, Schizophrenia, you name it, I have most likely seen it. Although working through these illnesses with individuals has been rewarding, the greatest moments have been celebrating the small victories clients make during the process of recovery. I have had the pleasure of witnessing the growth and seeing change through providing person-centered therapy.
I have been honored to work in the mental health field for 7 years. During my tenure I have worked with individuals suffering from Grief, Bereavement, Depression, Bi-polar disorder, Anxiety, Schizophrenia, you name it, I have most likely seen it. Although working through these illnesses with individuals has been rewarding, the greatest moments have been celebrating the small victories clients make during the process of recovery. I have had the pleasure of witnessing the growth and seeing change through providing person-centered therapy.
![Photo of Erika Simon, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f20ae392-7e4b-40c8-9c91-49863a4a61b2/3/320x400.jpeg)
Erika Simon
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Northwest, Houston, TX 77018
I have a passion for working with clients of diverse ethnicity, age, and gender, my clients include children, individuals, couples and families. My therapeutic approach is collaborative, family therapy-based, culturally sensitive, and client-centered. I base my approach on the belief that the client is the expert on his or her life circumstances and that my job as a therapist, is not to dictate treatment, but to shape the process using the values, desires and needs of my clients.
I have a passion for working with clients of diverse ethnicity, age, and gender, my clients include children, individuals, couples and families. My therapeutic approach is collaborative, family therapy-based, culturally sensitive, and client-centered. I base my approach on the belief that the client is the expert on his or her life circumstances and that my job as a therapist, is not to dictate treatment, but to shape the process using the values, desires and needs of my clients.
![Photo of Loren Johnson, MS, LMFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/e7c35eec-32e3-4565-95c9-0423b5f6a0ed/2/320x400.png)
Loren Johnson
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
1 Endorsed
Northwest, Houston, TX 77088 (Online Only)
Hey! I see you! The human being going through life transitions and adjustments, maybe having issues with self-esteem, the way you view yourself, having issues finding healthy coping tools, or processing the negative life experiences that are still impacting you today. Is it time to embrace and explore your inner child so you can discover what you need from your past, for your present, and future you?
Hey! I see you! The human being going through life transitions and adjustments, maybe having issues with self-esteem, the way you view yourself, having issues finding healthy coping tools, or processing the negative life experiences that are still impacting you today. Is it time to embrace and explore your inner child so you can discover what you need from your past, for your present, and future you?
![Photo of Monica Starovic, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/00584497-fc04-4152-b476-20583f570674/2/320x400.jpeg)
Monica Starovic
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
I am a Licensed Professional Counselor in the state of Texas. I am also a Professional School Counselor with 26 years of experience working with children of all ages. In my practice I work with individuals of all ages and I have always made it my goal to create a safe and supportive environment to help individuals through hard times. Congratulations on starting your journey to better mental health and wellness! It is not easy to ask for help. I applaud you. I hope to hear from you soon!
I am a Licensed Professional Counselor in the state of Texas. I am also a Professional School Counselor with 26 years of experience working with children of all ages. In my practice I work with individuals of all ages and I have always made it my goal to create a safe and supportive environment to help individuals through hard times. Congratulations on starting your journey to better mental health and wellness! It is not easy to ask for help. I applaud you. I hope to hear from you soon!
![Photo of Dr. Norma Ngo, PsyD, AASECT, CST, Psychologist](https://photos.psychologytoday.com/505a6ace-575c-471d-bd3c-1398fd410eda/2/320x400.jpeg)
I believe that your decision to seek therapy is a sign of strength, courage, and respect for your personal and relationship well-being. Congratulations on taking the first, and often, hardest step. Identifying a therapist with whom you are comfortable is also a critical step toward facilitating the changes that you desire. I have a collaborative and active style in therapy. I am sensitive to the diverse expressions of sexuality, gender, and lifestyles that my clients may bring. I specialize in sexual and relationship concerns, problematic sexual behaviors, kink/fetish, gender identity, and sexual identity.
I believe that your decision to seek therapy is a sign of strength, courage, and respect for your personal and relationship well-being. Congratulations on taking the first, and often, hardest step. Identifying a therapist with whom you are comfortable is also a critical step toward facilitating the changes that you desire. I have a collaborative and active style in therapy. I am sensitive to the diverse expressions of sexuality, gender, and lifestyles that my clients may bring. I specialize in sexual and relationship concerns, problematic sexual behaviors, kink/fetish, gender identity, and sexual identity.
See more therapy options for Northwest, Houston
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Online Therapists
Is online therapy as effective as in-person?
Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.
What are the advantages and disadvantages of therapy conducted online?
One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialized therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.
Is online therapy suitable for children and adolescents?
Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.
Can I receive prescriptions and medication management with online therapy?
The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.