Try Online Therapy & Coaching

Save time and avoid traffic. See your therapist online when you want, at your convenience.

What is Online, Virtual or Tele-Therapy, Counseling and Coaching?

Online, Virtual or Tele-Therapy, Counseling and Coaching, also known as tele-health, tele-coaching, tele-therapy, e-therapy or video counseling, is using a device such as your smart phone, laptop or computer to talk to your therapist or coach.

Currently Barb Elgin accepts several insurances for tele-therapy services for Marylanders, including United Health Care, OPTUM EAP, Carefirst, Humana Tricare East, Tricare Military and Cigna.

Barb Elgin also offers affordable coaching plans.

Why E-Therapy, Tele-Counseling and Tele-Coaching?

BOTTOM LINE: Video services respect today's fast pace of life. Tele-services save you time. And often, money too. You and I both waste less time getting to and from our meeting, freeing us up to make the magic happen! Online counseling makes more time for you to take care of you.

Many busy professionals, moms, dads, students, those in rural locations and those with disabilities are utilizing video services with success. Video therapy or coaching can be 'safer' and 'less stressful' in that you avoid having to go in to an office, complete with the frustration of today's traffic jams, distracted drivers and parking prices. And even if there is a snowstorm, you can talk to your therapist or coach.

Does Virtual Therapy and Coaching and Tele-Counseling work as well as going to an office?

Yes, video therapy specifically has been shown in research to be an effective form of therapy.*

Video therapy is effective for many if not most individuals, including those who have difficulty getting general, basic mental health care due to long office waiting lists in the greater Baltimore area. A recent study, for example, showed that Maryland does not have enough mental health professionals to handle the need in our state.

In fact, this is one of my primary motivations in offering virtual therapy to people in Baltimore, Maryland and surrounding areas of Central Maryland at this time.

My coaching services are available nationwide.

Are Your Tele-Therapy Services Private/Confidential?

Yes, I follow HIPAA-standards in engaging with you online, such as an encrypted video conferencing system, a secure patient portal and encryption for email, phone and text communications, etc. In addition, there are steps I will teach you to take to ensure you create a quiet and private place for you to be during your sessions.

Barb Elgin's Video Therapy and Coaching services may be appropriate for you if you...

  • Are comfortable with the technology and preparation needed (or you are willing to learn).
  • Have had video therapy or counseling before and are familiar with how it works.
  • Are ready to experience the advantages of video therapy (convenience, savings of time and money).
  • Have been unable to find the right therapist for you in your area.
  • Struggle to meet face-to-face with a therapist and prefer virtual care.
  • Are struggling to deal with the psychological, behavioral and/or social challenges of making a critical, 'developmental' life transition such as going from adolescence to adulthood, dating and choosing a life partner, traversing the changes of midlife or empty nest, growing your self esteem, dealing with the physical and/or emotional shifts happening as you age in our fast-paced, complex world today, or you want to begin or adjust to semi or full retirement. 
  • Don't have a history of severe mental illness but you are currently facing a loss or other major life change such as not being able to find the right 'fit' in your work, job loss, business failure, death of a loved one, separation or divorce, change in your physical health, living as a self-affirming LGBTQ person (or becoming more accepting and supportive of your LGBTQ loved one), a chronic physical health challenge that is creating mild-moderate levels of emotional and social stress or any other form of stress that is to the point you feel you need support. Examples include obesity concerns such as post-bariatric surgery counseling, weight loss and maintenance and dealing with energy debt due to illnesses such as chronic fatigue syndrome, lyme disease, fibromyalgia, cancer, heart disease, diabetes, autoimmune disorders, immuno-deficiency syndromes, etc.
  • Have 'life purpose' or 'happiness' concerns - you are generally mentally healthy but you want to enhance your life or reach higher potentials, by making a greater impact personally and/or professionally.
  • Want to improve certain relationships in your life, such as with yourself, a parent, sibling, spouse, adult child, etc.
  • Are looking to create greater life balance, slow down and 'do less/be more'.

BOTTOM LINE: Because I provide services virtually and mostly self pay, I am able to focus my time on serving less clients more comprehensively than most therapists who are caught in the grind of 100% face-to-face, fee for service.  These therapists have higher burnout and because they are 'too busy', often their services are experienced as less satisfying.  In addition, I work very closely with all of my clients such that if at anytime during the treatment process it becomes apparent he or she might benefit from care other than video therapy, I help them find the type of care that best fits their needs at that time.

Who is Video Therapy NOT for?

I don't treat more complex issues like schizophrenia/psychosis and severe depressions or severe manic depression/bipolar because video therapy is inappropriate for those issues.  I am not able to virtually treat issues such as mental health crisis (suicidal or homicidal), court-ordered treatment, PTSD, OCD, (severe), sexual disorders, substance addiction (including detox), domestic violence and treatment-resistant depression. Why? Face-to-face treatment available in the community is most effective for these concerns.  There is a wonderful 'continuum' of care in the various counties of Maryland today, including outpatient, intensive outpatient and partial hospitalization. And, many communities have mobile crisis. These are all alternatives to the emergency room and inpatient psychiatric care and are often used to avoid the more disruptive level of care which inpatient often is. Check with your current insurance provider and/or local emergency services for referrals.


Call me 410-967-3848 and we'll set up a complimentary video consult.


*1. Client acceptability and quality of life – telepsychiatry compared to in-person consultation D Urness , M Wass , A Gordon , E Tian , T BulgerFirst Published July 1, 2006 Research Article -

2. World Psychiatry. 2014 Oct;13(3):288-95. doi: 10.1002/wps.20151. Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. Andersson G1, Cuijpers P, Carlbring P, Riper H, Hedman E.

MOST IMPORTANTLY: If you've come to this website and right now your symptoms are severe - meaning you believe you are or might be a danger to yourself or others - you must call 911 or go to your nearest emergency room to receive the care you need right away. Resource: National Suicide Prevention Hotline - 800-273-8255.