Research into talking therapy delivered by video has generally found it works about as well as sitting in a room together for common difficulties such as anxiety and low mood. For psychosexual work specifically the research base is smaller, so the honest answer is that it suits many people well, and outcomes still vary depending on the person and the difficulty. Some people also find the small distance of a screen makes the first conversation easier, not harder.
What online does reliably give you:
- Access from anywhere in Ireland, including places with no local psychosexual therapist
- No drive, no car park, no waiting room where you might meet somebody you know
- Sessions from a room you already feel safe in
- Evening and weekend times that fit around work and childcare
You will need a reasonably steady internet connection, a device with a camera and microphone, and somewhere you cannot be overheard. Headphones help a lot with that. Some people take the session in a parked car, and that is fine.
Online is not right for everybody. If there is active risk to your safety, ongoing coercion in the relationship, or a difficulty that needs medical assessment first, your therapist will say so and talk through what would serve you better, including services near you. That conversation happens early, not months in.