It’s 2020 now, and times have certainly changed. In the midst of the COVID-19 pandemic, it hardly ever makes sense to risk infection in the psychotherapy office. Conducting sessions by video, or simply over the phone, is much closer to standard therapy than it is to nothing — close enough that holding out for the real thing is rigid to the point of recklessness. Other things being equal, in-person therapy is still superior to the online variety. However, it isn’t so much better that it’s worth the risk of a potentially fatal disease.