Why Telehealth Therapy and TTRPG Groups
How Individual and Group Therapy Can Work Online With Collaborative Storytelling
Telehealth therapy has expanded what is possible for both individual and group mental health care. For people who benefit from creativity, structure, and connection, trauma-informed tabletop roleplaying game groups can now happen fully online while still prioritizing safety, accessibility, and meaningful engagement.
At Resilience Quest, individual therapy and groups are offered through secure telehealth platforms. This includes one-on-one therapy, traditional therapy groups, and TTRPG-based collaborative storytelling groups designed with trauma-informed principles at the center.
Below are common questions people ask about telehealth therapy and online TTRPG groups, answered clearly to support visibility, understanding, and informed choice.
Can therapy really work through telehealth?
Yes. Research and clinical experience consistently show that telehealth therapy can be effective for many people. Telehealth allows clients to attend therapy from familiar environments, reduces barriers like travel and time, and increases access for people who may not otherwise engage in care.
Telehealth works well for both individual therapy and group therapy when structure, consistency, and clear expectations are in place. Sessions are conducted through secure, HIPAA-compliant video and voice platforms to protect privacy and confidentiality.
What is a TTRPG therapy group?
A TTRPG therapy group uses tabletop roleplaying games as a structured form of collaborative storytelling. Participants create characters, make decisions together, and engage in shared narratives guided by a clinician facilitator.
This is not about playing a game for entertainment alone. The story becomes a container for practicing skills related to connection, regulation, communication, identity, and agency. Distance through character and story allows participants to explore experiences safely without direct exposure.
How do online TTRPG therapy groups work?
Online TTRPG groups combine two main components:
• A secure telehealth platform for video and voice connection
• A virtual tabletop platform for shared gameplay
The group meets on a HIPAA-compliant telehealth platform for real-time interaction, discussion, and reflection. Gameplay takes place on Roll20, a widely used virtual tabletop system that lets everyone see the same game space at the same time.
This setup mirrors the experience of sitting around a table while remaining fully online.
What is Roll20, and why is it used?
Roll20 is a virtual tabletop platform designed for online tabletop roleplaying games. It allows groups to:
• Share maps and visual environments
• Roll digital dice together
• Track turns and character actions
• Use built-in character sheets and tools
One of the biggest benefits is that Roll20 includes a built-in character builder and character sheets. This makes it easy for participants to jump in without needing advanced game knowledge or technical setup. The system reduces barriers and supports accessibility, especially for people new to tabletop roleplaying.
Do I need experience with tabletop games to join?
No. Prior experience with tabletop games is not required.
The groups are facilitated with beginners in mind. Rules are simplified, support is provided throughout the process, and the focus remains on story, choice, and connection rather than mastering game mechanics.
The character builder within Roll20 helps participants create and manage characters step by step, making the process approachable and low-pressure.
How is privacy and safety handled in online groups?
Privacy and safety are central to how telehealth and TTRPG groups are run.
• Video and voice sessions use HIPAA-compliant platforms
• Group agreements are established at the start
• Participants are informed about boundaries and expectations
• Trauma-informed safety tools are integrated into gameplay
• Participation is always voluntary and choice-based
The clinician facilitator is responsible for pacing, emotional safety, and maintaining a contained and respectful group environment.
Can TTRPGs really be used in individual therapy, too?
Yes. Collaborative storytelling and roleplaying can also be adapted for individual therapy.
In individual sessions, the therapist and client may explore a story, character, or metaphor together in greater depth. This can support insight, regulation, and meaning-making while still allowing distance and creative exploration.
Some clients prefer group settings for connection. Others prefer individual work for deeper focus. Telehealth makes both options accessible and flexible.
Who are online TTRPG therapy groups helpful for?
Online TTRPG groups may be helpful for people who:
• Feel disconnected or isolated
• Struggle with traditional talk therapy
• Benefit from creativity and structure
• Want to practice social connection in a supported setting
• Experience anxiety, burnout, or stress
• Enjoy storytelling, imagination, or games
Groups are designed to be inclusive, paced, and responsive to participant needs.
Why offer this through telehealth?
Telehealth removes geographic barriers and enables people to join groups that may not be accessible locally. It also allows for a consistent structure while meeting people where they are.
Using tools like Roll20 alongside secure telehealth platforms creates a shared space that feels engaging, collaborative, and grounded even when participants are not physically together.
Final thoughts
Telehealth therapy is not a lesser version of in-person care. When designed intentionally, it can be creative, relational, and deeply effective.
By combining secure telehealth platforms with collaborative storytelling through Roll20, individual therapy and group-based TTRPG experiences can offer connection, agency, and meaningful growth in an accessible online format.
If you are curious about individual telehealth therapy or trauma-informed TTRPG groups, Resilience Quest offers options designed to support both safety and imagination, meeting you exactly where you are.
