Being an online therapist specializing in trauma is both deeply rewarding and uniquely exhausting. It’s a profession that requires me to hold space for some of the most painful human experiences—grief, betrayal, loss, abuse—while also believing, fiercely, in the capacity for healing.

The Space Between the Screens

There’s something intimate about meeting clients online. They are in their own space—sometimes curled up on a couch, sometimes taking a call from a parked car, sometimes in a quiet corner of an office between meetings. The screen creates a buffer, but not a barrier. In some ways, it allows for a kind of rawness that traditional in-person therapy doesn’t always invite. There’s no office door to step through, no waiting room to navigate. Just me, them, and the work.

And yet, there’s a heaviness to it. The stories don’t dissipate when the session ends; they linger in the quiet hum of my computer screen, in the way my body holds tension after logging off. Unlike in an office, where I might have a moment to reset before my next client, in the online space, I sometimes find myself staring at my own reflection between sessions, taking deep breaths, shaking off the energy that clings.

The Unseen Challenges

Online therapy comes with its own set of challenges. There’s the heartbreak of frozen screens and lagging audio when a client is sharing something profoundly vulnerable. There’s the frustration of technological glitches when the work demands presence and attunement. And there’s the reality that sometimes, I have to sit with my own helplessness—when a client is in crisis and I’m not physically there to hand them a tissue, offer a grounding touch, or ensure their immediate safety beyond the words I can speak.

There’s also the paradox of being so deeply connected to clients yet physically alone. In a traditional therapy office, colleagues might be down the hall, a quiet reminder that I’m not holding all of this by myself. In online work, the space between sessions can feel isolating, the echoes of difficult stories left bouncing around in my own home.

The Beauty in the Breakthroughs

And yet, there’s profound beauty in this work. I get to witness resilience unfold in real-time. I see people take tentative steps toward healing, set boundaries for the first time, reclaim their voices. I hear the shift in their tone when they start to believe they deserve more. I see the tears of relief when they realize that their pain is not too much, that they are not broken, that healing is possible.

Being an online trauma therapist means trusting in the power of presence, even through a screen. It means learning how to transmit safety and warmth with only my voice, my eyes, and the small ways I adjust my posture. It means bearing witness to both the worst and the best of humanity—the way trauma wounds, but also the way people rise.

Holding the Work and Holding Myself

To do this work well, I have to care for myself with the same compassion I offer my clients. It’s a lesson I’ve learned the hard way. I have to step away from screens, let silence fill the spaces where words once poured out. I have to remind myself that I am not responsible for fixing, only for walking alongside. I have to remember that healing is a process, and that I am simply one stop along the way.

Some days, I carry this work lightly. Other days, I feel its full weight. But always, I hold it with reverence. Because to sit with someone in their pain, to witness their return to themselves—that is sacred work. And I am honored to do it, one session at a time.