Can Technology Fix the Mental Health Treatment Gap? Benefits and Drawbacks of Digital Mental Health Care

According to national data, more than one in three U.S. adults with mental illness receives no treatment at all.¹ Access to mental health services is especially thin outside major cities, where shortages of mental health professionals stretch for hours of driving time, if services exist at all.

The aftermath of COVID-19 has reduced this gap to some degree. What started as an emergency workaround is slowly being normalized because people like the flexibility that comes with digital mental health care. 

Still, many people are skeptical about the actual clinical benefits of online care. 

Can therapy delivered through a screen really work? Does digital care genuinely help people the same way as in-person therapy does? This article can help answer questions like these.

Let’s look closely at the good and bad associated with digital mental health care according to research. 

How Technology Is Closing the Mental Health Treatment Gap

The benefits of online mental health treatment have been studied for the last few years. Here are some well-recognized ways it contributes to closing the mental health treatment gap. 

Digital Care Is as Effective as in-Person Care

Digital care is a rigorously tested, clinically respectable alternative to face-to-face treatment. Over the last decade, many clinical trials have established it as non-inferior (meaning, it produces similar outcomes) to visiting a clinic room in person.

A meta-analysis particularly studied guided internet cognitive behavioral therapy (CBT) against face-to-face CBT. It found no meaningful difference in symptom reduction across psychiatric and somatic conditions.²

Similarly, a JAMA Psychiatry clinical trial found that internet-delivered CBT has similar treatment benefits as in-person CBT. It additionally had lower net societal costs.³

It Is Much More Accessible

Technology has helped mental health care in places where we can’t deliver in-person care yet. People living in rural or isolated places or towns with no therapist within an easy drive often find themselves locked out of the very services they need most. 

Digital platforms dissolve these geographical walls so that anyone can access evidence-based care from wherever they have a screen and a connection.

Besides geographical access, there are thousands of people with disabilities, such as mobility impairments or chronic illnesses, for whom leaving the house for an appointment is a difficult task. Sometimes, it’s impossible if they do not have a good support system around.

Digital mental health tools allow them to engage with qualified care from home. Remote care, therefore, is an efficient and reliable alternative to in-person visits for populations that might otherwise be excluded.⁴

It Is More Affordable

We already know that digital therapy performs on par with traditional care. But what really makes it close the mental health treatment gap is the money it saves.

From a patient’s point of view, the cost of attending an in-person treatment session includes transportation, parking, childcare, missing work, or paying someone to help with daily needs while they’re gone. You don’t have to pay any of that while you’re at home.

Further, researchers reviewing telepsychiatry programs have found that the cost per visit is lower for remote care than for in-person alternatives. 

In one cost analysis, telepsychiatry visits came in at $360 compared with higher costs for traveling physicians ($558) and reimbursement-heavy outreach programs ($620).⁵

Another review found that telehealth use was saving over $24,000 in total service costs over several months compared to conventional face-to-face care.⁶

Technology Reduces Stigma Around Seeking Help

Stigma is a structural barrier that stops millions in the U.S. from ever knocking on the door to help. Both public stigma (what others think) and self-stigma (how people view themselves) are documented reasons why people avoid mental health treatment.

Digital solutions allow people to connect with a counselor through text or video without leaving their room. They also come with a whole suite of digital resources that normalize mental-health conversations. It is convenient for people seeking help because they don’t have to sit in a waiting room where someone might see them.

Research shows that when people encounter mental health information, resources, or support mechanisms online in spaces where they are already comfortable, they are more likely to get formal mental health treatment.⁷

Online anti-stigma interventions have also been shown to be successful in cutting down public stigma around mental health.⁸

Technologies Transforming Mental Health Care

Most of us think of online therapy sessions when thinking of technology-enabled mental health care. But there are several other ways tech has improved access to treatment. The following sections cover different ways in which it does so.

Teletherapy 

Teletherapy is defined as any service where a trained mental health professional offers assessment, support, or treatment through electronic means rather than being present in-person. These sessions happen on a secure, encrypted video call.

At its core, teletherapy isn’t fundamentally different from traditional therapy in terms of how it works. It follows the same principles of therapeutic alliance, exploring thoughts and behaviors, developing coping strategies, and so on.

It can include:

• Talk therapy
• Cognitive-behavioral interventions
• Couple or family counseling
• Online psychiatric evaluations

Mental Health Apps

Many smartphone apps have been built on validated psychological frameworks. They are not as effective as individualized therapy plans, but research does show some improvement in mental health symptoms of users compared with controls.⁹

For an app to produce clinically reasonable results, it must be built with psychological science in mind and tested in peer-reviewed studies. 

There are thousands of mental health apps out there, but only a small subset is actually helpful. Some of these are:

• Sleepio, a digital sleep improvement program built with CBT for insomnia
• WhatsMyM3, based on the validated My Mood Monitor (M3) screening tool
• Headspace and Calm apps that have shown well-being outcomes

AI Chatbots

AI chatbots purpose-built for mental health support can reduce symptoms of mental distress. For example, clinical trials of therapeutically oriented AI Woebot produced significant reductions in anxiety and depression measures compared with controls.¹⁰

Wysa is another AI conversational agent built into a larger mental health platform that uses evidence-based techniques to help users. 

However, the generic large-scale AI systems you’ve probably heard about, like ChatGPT or Google’s Gemini, should not be used for mental health conversations. They will likely offer you overly simplistic or even harmful advice because they are not meant to function as mental health treatment adjuncts. 

Wearables and Remote Monitoring

There are many wearable devices that track your physiological signals like heart rate, heart rate variability, sleep patterns, respiratory metrics, and so on. These metrics have been shown to correlate with certain mental health conditions.

For instance, a study shows that sensors measuring heart rate variability (HRV) have been associated with self-reported symptoms of depression and anxiety.¹¹ Likewise, continuous tracking of sleep duration can show the disruptions linked with bipolar depressive episodes.¹²

Some devices also pair physiological tracking with real-time biofeedback features that help users learn to regulate their own states.

Limitations of Virtual Mental Health Treatment

It’s easy to get carried away with all the benefits of online mental health treatment, but the truth is, digital care doesn’t automatically mean equitable care. 

The Digital Divide and Inequity

In the United States, the so-called “digital divide” looms large as a fundamental limitation for virtual mental health treatment. It is the difference between having reliable broadband access, good devices, and the confidence to use them, versus being stuck with a connection that can barely load a video call. 

Digital divide is one of the components of the social determinants of health. If you don’t have access to the internet and digital tools, your chance to use virtual health services is greatly reduced.

A study found that counties with higher percentages of households lacking broadband access also tend to have fewer mental health care providers of all kinds.¹³ In places where internet access is poor, you get reduced baseline access to mental health services overall.

Another study examining telehealth attendance found that patients who were trying to connect using only a smartphone were more likely to miss appointments than those with better hardware.¹⁴ 

Further, telehealth use is significantly associated with household income and other socioeconomic factors. 

Privacy, Security, and Data Concerns

A clinician’s office is guaranteed to be a space regulated with strict confidentiality protections. In contrast, using digital tools means that your data flows between servers, platforms, apps, and sometimes third-party vendors. Every treatment session you attend is potentially part of a data ecosystem that could be vulnerable to breaches.

A surprising number of mental health apps you see online are not compliant with HIPAA privacy and security standards because they are not technically “covered entities.” 

In fact, a consumer report found that some popular apps share user data with third parties and analytics services without making that clear to users.¹⁵ And another study of smartphone apps found that many popular mental health apps transmit data to major tech service providers and third parties.¹⁶

Mental health data is highly sensitive. If a person believes that this data might end up in the hands of analytic engines or poorly secured servers, they will likely never get virtual mental health care. 

Best of Both Worlds: AMFM Integrates Digital Solutions with Traditional Care

The future of mental health care is in the integration of modern tech solutions with conventional mental health care.

A Mission For Michael (AMFM) brings together digital care with the depth, structure, and human connection of traditional treatment. 

We offer evidence-based, holistic counseling services for mood disorders, personality disorders, trauma-related conditions, and dual-diagnosis with over a decade of professional experience.

Virtual outpatient therapy is delivered through secure video platforms with privacy safeguards in place. We use only proven approaches like CBT, DBT, and trauma-informed therapy where appropriate. You can call us today or get started online if you’re ready to hear about the services we offer.

References

1. National Institute of Mental Health. (2024, September). Mental Illness. https://www.nimh.nih.gov/health/statistics/mental-illness
2. Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014). Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry, 13(3), 288–295. https://doi.org/10.1002/wps.20151
3. Axelsson, E., Andersson, E., Ljótsson, B., Björkander, D., Hedman-Lagerlöf, M., & Hedman-Lagerlöf, E. (2020). Effect of Internet vs Face-to-Face Cognitive Behavior Therapy for Health Anxiety. JAMA Psychiatry, 77(9). https://doi.org/10.1001/jamapsychiatry.2020.0940
4. Zhou, L., & Parmanto, B. (2019). Reaching People With Disabilities in Underserved Areas Through Digital Interventions: Systematic Review. Journal of Medical Internet Research, 21(10), e12981. https://doi.org/10.2196/12981
5. Serhal, E., Lazor, T., Kurdyak, P., Crawford, A., de Oliveira, C., Hancock-Howard, R., & Coyte, P. C. (2019). A cost analysis comparing telepsychiatry to in-person psychiatric outreach and patient travel reimbursement in Northern Ontario communities. Journal of Telemedicine and Telecare, 26(10), 607–618. https://doi.org/10.1177/1357633×19853139
6. Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10). https://doi.org/10.2196/17298
7. Johnson, J. A., Sanghvi, P., & Mehrotra, S. (2021). Technology-Based interventions to improve help-seeking for mental health concerns: A systematic review. Indian Journal of Psychological Medicine, 44(4). https://doi.org/10.1177/02537176211034578
8. Williams, L., Bartik, W., & Cosh, S. (2024). Online Anti-Stigma Interventions for Mental Health Help-Seeking in Young people: a Systematic Review. Journal of Affective Disorders Reports, 18, 100841–100841. https://doi.org/10.1016/j.jadr.2024.100841
9. Linardon, J., Torous, J., Firth, J., Cuijpers, P., Messer, M., & Fuller-Tyszkiewicz, M. (2024). Current evidence on the efficacy of mental health smartphone apps for symptoms of depression and anxiety. A meta-analysis of 176 randomized controlled trials. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 23(1), 139–149. https://doi.org/10.1002/wps.21183
10. Shahzadhi Nyakhar, & Wang, H. (2025). Effectiveness of artificial intelligence chatbots on mental health & well-being in college students: a rapid systematic review. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1621768
11. Jo, Y. T., Lee, S. W., Park, S., & Lee, J. (2024). Association between heart rate variability metrics from a smartwatch and self-reported depression and anxiety symptoms: a four-week longitudinal study. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1371946
12. Eto, A., Mochizuki, K., Fukami, T., Sakakibara, W., & Izumi, K. (2025). Wearable-derived heart rate variability and sleep monitoring as predictors of mood episodes in bipolar disorder: a case report. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1695158
13. Kohli, K., Jain, B., Patel, T. A., Eken, H. N., Dee, E. C., & Torous, J. (2024). The digital divide in access to broadband internet and mental healthcare. Nature Mental Health, 2(1), 88–95. https://doi.org/10.1038/s44220-023-00176-z
14. Labadorf, J., Nichols, M., Williams, T., Cunanan, C., & D’Anza, B. (2025). A Smartphone Is Not Enough: Telehealth Attendance and the Digital Divide. Health Care Science, 4(4), 259–268. https://doi.org/10.1002/hcs2.70033
15. Germain, T. (2021, March 2). Mental Health Apps Aren’t All As Private As You May Think. Consumer Reports. https://www.consumerreports.org/health/health-privacy/mental-health-apps-and-user-privacy-a7415198244/
16. Huckvale, K., Torous, J., & Larsen, M. E. (2019). Assessment of the Data Sharing and Privacy Practices of Smartphone Apps for Depression and Smoking Cessation. JAMA Network Open, 2(4), e192542. https://doi.org/10.1001/jamanetworkopen.2019.2542