What is online therapy using Zoom?

Moving your sessions online

Thinking of trying out therapy online?
Online therapy, e-therapy, distance therapy, webtherapy, teletherapy

Online psychotherapy (otherwise known as online therapy, e-therapy, distance therapy, web therapy or tele-therapy) describes the form of psychotherapy that is conducted over video conferencing platforms such as Zoom.

During the online session you will experience the same therapeutic setting, techniques, and process that you would have in an office.

However, because online therapy uses the virtual medium of the internet, there are some aspects that make it a slightly different experience than what you would have in a traditional office-based session.

Who is online psychotherapy for?

Who benefits from an online therapy process?
Almost everyone who needs this kind of flexibility.

Online therapy works with clients who are:

- limiting face-to-face interactions during the COVID-19 pandemic

- experiencing extreme cases of anxiety or other mental disorders that make it difficult to leave the house

- managing an extremely busy schedule

- identified as digital nomads

- frequent travellers

- living in a city/country where psychotherapy services are not easily available

Seeing a mental health professional in-person at a hospital or clinic is recommended in some situations.

Online therapy is not an appropriate medium if you:  

- are seriously depressed or experiencing psychotic symptoms

- have serious substance dependence

- are experiencing intense suicidal or homicidal thoughts

Consenting to an online session

Due to the utilisation of technology, online therapy requires its own consent form prior to the session in which you acknowledge that you’ve now ventured into digital territory.

Using this medium, having a stable internet connection on a trustworthy device are imperative. The default camera and microphone you have on your computer or a tablet are usually good enough.

The actual session

A digital world with a virtual waiting room and office

Usually, when you go to a physical office you would be there a few minutes before your scheduled time, and the therapist would invite you in for your session. With online therapy, you as a client login to the virtual meeting room and at the scheduled time your therapist comes in to welcome you.

The most noticeable difference in moving online is the session itself. In an office you get to see each other in person - the whole person. In an online meeting, usually the waist-up frame is only seen. You need a stable connection to be able to have a high-quality audio and video image.

With this, your mannerisms,the moments of silence, tears or sighs can be noticed, interpreted and understood better by your therapist.  

Is psychotherapy online effective?

Motivation and Commitment

Research shows that the most important aspect of therapy and its effectiveness is the client’s motivation and the therapeutic relationship between the client and the therapist.

Taking that into account, whether you see each other in person or on the screen, the rapport between you and your therapist is the most impactful factor. It is a matter of personal preference more than it is a matter of effectiveness.

Here are some links if you feel you want to read more about the effectiveness of online psychotherapy:

https://www.inc.com/amy-morin/does-online-therapy-work-heres-what-science-says.html

https://www.goodtherapy.org/blog/two-studies-explore-effectiveness-of-online-therapy-1106152

https://psychotherapy-on-line.com/files/2011/05/On-line-psychotherapy-MetaAnalysisInterventionsBarak1.pdf

Hopefully this helps to get you thinking more about online therapy. Say hi@thinkelevate.co.za if you've got any questions!
@thinkelevate