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This chapter proposes the hypothesis that online therapeutic work may be relatively less arousing than face-to-face work. It focuses on a study in which the impact of exchanges of online therapy text exchanges were compared to previously published results in face-to-face therapy using both aggregate benchmarking and mixed effects modeling. Therapists (N= 30) and clients (N= 30) engaged in online therapy were recruited from private practitioner sites, e-clinics, online counseling centers, and mental health related discussion boards. In a naturalistic design, they each visited an online site weekly and completed the Session Evaluation Questionnaire, a standard impact measure, for at least six weeks. Results indicated that the impact of text therapy was similar to or even more positive than that of faceto-face therapy. Of particular interest, online participants gave much lower SEQ Arousal ratings compared to their …