re: Can therapy be done effectively over Zoom?

I'm sure it depends on the person and their approach to therapy.

I did a few sessions years ago and I don't think it would have been a major hindrance, though I'm obviously not an expert. Given I'd signed up for it I was willing to put it all out there without any walls for the counselor to tear down, etc. If someone is viewing it as healthcare and transactional - I'm going to a professional for help and it's in my interest to supply them with everything they need to help me (info, fears, vulnerabilities, whatever) - I don't see it'd be a major issue.

If someone needs to build trust to let their guard down, etc. - Seems like it'd be harder. Whether it would be a hindrance for the therapist seems like a valid, separate issue.