How do virtual therapy sessions work? The client only needs to have some sort of device that connects with the internet: computer, tablet or phone. Once a session is scheduled, the client will receive a link via email or text that they will click on at the time of their appointment. After downloading the free software (Zoom), the person will be asked to "enter the waiting room," at which time the therapist will be able to connect via video with the client.
Who is appropriate for internet therapy? Web therapy works for a wide variety of problems: depression, anxiety, workplace stress, relationship issues, mild to moderate eating and substance abuse disorders, and difficulties with parenting. It is not recommended for the most severe disorders such as untreated chronic mood disorders, psychotic disorders, or issues that are potentially life-threatening (imminent suicidal behavior; severe substance use disorders). Like all therapy, successful results are a matter of the patient's commitment to the process in conjunction with a good therapist-client fit.
Does internet therapy work as well as in-person treatment in the therapist's office? Telehealth is still a relatively new mode of providing medical and psychological services, so most of the studies lack long term outcome data. However, current studies strongly suggest that it is equally effective for clients who choose this modality.
For instance, the findings of a study at the University of Zurich in 2013 reported: "Does psychotherapy via the Internet work? Clinical researchers have studied whether online psychotherapy and conventional face-to-face therapy are equally effective in experiments. Based on earlier studies, researchers assumed that the two forms of therapy were on a par. Not only was their theory confirmed, the results for online therapy even exceeded their expectations."
An article discussing online therapy from Psychology Today stated, "More recent research has even compared the quality of the therapeutic alliance and empathy across platforms (video conferencing, phone, and face-to-face) and found that there was no significant difference (Reese, 2016). Clients continue to feel connected with their therapist even when in online settings—but this appears to be particularly true if their therapist is comfortable working online (Frueh et al. 2007)."
What are the necessary criteria for online therapy to proceed? As stated above, the potential client needs to have a good connection with the internet, needs to be reasonably comfortable with technology, and must have the privacy (either at work or home) to engage openly in the therapeutic process. For persons who are uncertain about using the technology, a short preview session can be arranged to make sure all of the component parts are working properly.
Does insurance cover online therapy? Most insurance companies currently cover internet therapy and this is certain to increase in the near future as working from home (WFH) becomes more standard for professionals in a variety of fields.
If you have additional questions about online treatment, please contact me by phone or email.