Often clients prefer text-based therapy because people are so comfortable with their technology, and they really like how online therapy fits with how they spend their time. Live emailing uses the same skills as journaling, which has been a tool of therapists since the beginning of counselling. Writing your thoughts and feelings down provides a relief of the stress, supported by an empathetic listener promotes healing. Live text is great because you can ensure immediate responses to your problems, and you can schedule it at your convenience. Chat does give you time to word your thoughts, compared to video or face to face where you may feel more on the spot, and silence can be used as a tool for reflection. You have a copy of your notes to look back on and reflect on between sessions, and your therapist can also reflect on the exact words you use, because you likely express yourself better in writing. When you use text chat you may be more open than in face to face interactions because the therapist can’t see you, so therapy may move along more quickly and deeper issues can be explored.

Therapist-delivered Internet psychotherapy for depression in primary care: a randomised controlled trial

The Lancet

Prevention of Eating Disorders in At-risk College Women

National Library of Medicine

A Preliminary Study of Talk space’s Text-Based Psychotherapy

Columbia University