It’s time to abandon the couch in your therapist’s office—at least for the time being.
Still, teletherapy has its idiosyncrasies. As Torous explained, mental health professionals have to learn what they sometimes call a “web-side manner” : When you’re conducting sessions through a screen, you have to discern how to “establish a therapeutic alliance, therapeutic rapport, [and] a professional setting and demeanor,” Torous said. Retaining that professionalism—even from what may be a home environment—is key.
Importantly, said Torous, therapists have to connect with the patient, retain cultural awareness, and be attuned to nonverbal cues—all of which can still be done via teletherapy, but may require an additional level of awareness and consideration. One potential problem with teletherapy is the same thing that plagues any activity that relies on a strong internet connection. “I think across all the literature,” said Torous, “the one thing that makes patients upset or kind of destroys the alliance or outcome of video visits, is poor internet quality.” Just as it’s hard to follow a show that’s pixelated, or that skips and sputters, the quality of a therapeutic session deteriorates without solid audio and video.
The most serious concern with teletherapy today pertains not to data security or efficacy, but to insurance. Thirty-seven states have
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