Emmet always looked forward to his therapy sessions with Joanne so he was unsure what to think when she suggested they hold sessions online. He wondered: What would they be like? Would it even work?
Going to his therapist’s office always felt like he was taking time out for himself. At her office, he was able to leave the stress of daily life behind and really tune in to the work they were doing together. But online? Over the internet? Really? He was worried it would be impersonal and cold.
Online therapy, also called telepsychology, teletherapy, or telehealth, has been a growing trend around the world for years. With the onset of the Covid-19 pandemic, the use of teletherapy has grown drastically. Mental health professionals have moved their services online to help minimize the risk of infection to their clients and to limit the spread of the virus.
Emmet understood why Joanne suggested online therapy but he had a number of questions and concerns.
How Will Online Therapy Work?
Before Emmet had his first online session, Joanne discussed with him the process, the pros and cons of using an online platform, privacy, confidentiality, and the backup and emergency plans they would use. She wanted to be sure that Emmet could make an informed decision about continuing online. Then she asked him if he wanted to continue with online therapy. Therapists are required to get “informed consent” from their clients to participate in online psychotherapy. Emmet was reassured and curious to give it a try.
Are Online Therapy Sessions Secure?
Emmet was used to being online for work meetings and he Skyped with his family and friends regularly. But he wondered about the privacy of what he would discuss with Joanne during his sessions. Joanne explained that the system she used, which allowed them to see and hear each other over the web, was a secure one that protected privacy at the strict levels required by the regulations that governed her practice.
Will I Be Comfortable Doing Psychotherapy Over the Web?
Joanne had suggested to Emmet that he find a quiet space in his home where he would not be interrupted during the online therapy session. He reserved some time just before and after so he could transition to and from the rest of his day. Emmet found her suggestion not to sit at his desk to be particularly helpful; finding a comfortable chair away from his workspace put him at ease. He also turned off all unnecessary programs and notifications on his computer to eliminate distractions and help him focus. All in all, it took just a few minutes to become familiar with the system and they were soon comfortably talking about his progress.
What About Technical or Other Problems During Online Therapy?
Emmet was happy to learn that he didn’t need any special equipment, just a laptop with a camera and a secure internet connection. Joanne had discussed with Emmet what they would do if their internet connection was interrupted. She suggested that they use their phones for voice and the web-based software for the video. That way they could be sure that even if there were lags in the video their conversation could go ahead smoothly.
Does Online Therapy Actually Work?
Emmet didn’t have to worry about online therapy working or not. Studies have shown that it is as effective as traditional face-to-face treatment for anxiety and depression and many other conditions (Berger, 2014). It has been found to be effective for diagnosis and assessment of adults, children, and the elderly (Hilty et al., 2013).
Same Time Next Week?
Emmet found that a few minutes into his session he had stopped noticing that they were online and was really engaged in his session. Before he knew it, his session was over. With Joanne’s assistance and a little accommodation to the new situation, he found himself looking forward to his next online therapy session.
Things to Remember:
Written by Avi Soudack, M.A.
Reviewed/Edited by Dr. Stacy Lekkos, C. Psych.
References
Berger, T. (2014, October). Internet-based psychotherapy treatments. [Web article]. Retrieved from: https://societyforpsychotherapy.org/internet-based-psychotherapy-treatments
Hilty, D. M., Ferrer, D. C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P. M. (2013). The effectiveness of telemental health: a 2013 review. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 19(6), 444–454. https://doi.org/10.1089/tmj.2013.0075
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