Communications in Humanities Research ISSN: 2753-7072
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Research Article

Dropout and Adherence in Distance Versus In-person Therapy

Weiyi ZhongThe University of British Columbia*

* Corresponding author: [email protected]

Abstract

Psychotherapy is traditionally performed in person. However, since the COVID-19 epidemic, distance therapy has become increasingly popular as a more practical option. This article aims to review and compare the characteristics and differences between distance and in-person psychotherapy in terms of dropout and adherence rates, through a literature review and cross-study comparisons. The main finding from this study is that a sense of responsibility, regular habits and therapeutic alliances all play essential roles in the continuous participation of clients in both modes. The difference lies in the fact that distance therapy is flexible and accessible, but it is more prone to early interruption or insufficient interaction. In-person therapy relies on fixed times and places, as well as non-verbal communication and immediate feedback to promote adherence. This paper aims to deepen the understanding of the psychotherapy process through a thorough analysis of dropout and adherence in the two counselling models. This study also provides therapists and institutions with insight regarding improvement strategies to reduce dropout and enhance the long-term engagement of clients.

Keywords: dropout; adherence; distance therapy; in-person therapy; counselling
Published: November 5, 2025
DOI: 10.54254/2753-7064/2025.HT29048
Volume: CHR Vol.93
pp. 126-134
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