Counselling online can be an effective and useful way of undertaking counselling so long as you are comfortable using the technology to communicate in this way, have a private space to work in and have the same commitment and motivation to engage in counselling as you would do if you were to come in for face to face counselling.
The counselling exchange is certainly changed by the online medium of communication. However, it is possible to work effectively with problems using this method. Your counsellor is trained to pick up clues in different ways - from the written word, from your speech patterns, etc. – and, of course, this is different from trying to understand someone’s body language. Sometimes, the online medium has benefits, as not seeing the counsellor allows a client to disclose things they might otherwise have felt less able to express in person.