Online Therapy

Online therapy in Massachusetts

Secure video sessions for anxiety and CBT, available to residents anywhere in Massachusetts.

Nicole Sylvia is licensed to provide psychotherapy to residents of Massachusetts, which means sessions can be held by secure video from anywhere in the state. Clients join from Boston, Worcester, Springfield, the North and South Shores, Cape Cod and the western part of the state.

Online sessions are the same treatment delivered in a different format. The structure, the length, and the approach are identical to meeting in person.

Practicalities

How online sessions work

The platform

Sessions are held over a secure, HIPAA-compliant video platform. You receive a link before each appointment. No account or software purchase is required.

What you need

A device with a camera and microphone, a reliable internet connection, and a private space where you will not be interrupted for the full session.

Privacy

Sessions are confidential and are not recorded. Using headphones and a room with a door is recommended, particularly if others are at home.

Suitability

Is online therapy right for anxiety?

For most anxiety presentations, research shows outcomes from video sessions comparable to meeting in person. Cognitive behavioral therapy translates particularly well, because much of the work involves reviewing situations, testing thinking, and planning tasks to carry out between sessions.

There are exceptions. Some exposure work benefits from being in the room together, and certain presentations are better served by in-person care or by a higher level of care than an outpatient practice provides. If that applies to you, it will be raised directly rather than left unsaid.

If you are within reach of Newton, in-person sessions are also available at the Auburndale office. Many clients combine both formats.

What is treated

Treatment available online

This is a private-pay practice that does not bill insurance. Fees and the out-of-network reimbursement process are set out on the fees and insurance page.

Start with a consultation

Complete the contact form to share a little about what brings you here. Sessions are available to anyone residing in Massachusetts.