While there can be great debates around the perennial question, “what is therapy?,” there is little doubt that many online clinicians, support communities, and self-help websites are offering “therapeutic” services and experiences. Counseling is available online both as an open-ended process and for a wide range of goal-directed ends, ranging from vocational decision-making to bolstering social confidence, building self-help skills and self-esteem, and fostering a more cohesive sense of self or interpersonal competency. Online mental health practitioners also serve as a bridge to referrals in the f2f community, or to online specialists with expertise in particular presenting issues.