Following guidance we may need to undertake remote counselling instead of face- to- face counselling in response to coronavirus (COVID-19). Many of our current clients are doing this and are finding it a great source of support, especially through these difficult and isolating times. We are still able to take in new referrals, but are doing assessment, consultation meetings via skype or telephone.
No doubt, like us, you are following news of the spread of the coronavirus Covid-19 closely. We understand this will be of concern for clients in terms of both their health and their continuity of care, and that for some this may be an increasing source of anxiety.
We are advising people who are looking for information about the virus, to visit the NHS website, where you will find the most up-to-date information, including what to do if you are worried you might have symptoms, advice for travellers and common questions. The GOV.UK website also has up-to-date information about the situation in the UK.
We recognise that there may be times over the coming weeks when therapists and clients are unable to meet for therapy in person, because either is in isolation and/or unwell. With both new referrals and existing clients, we can discuss what psychotherapeutic support is likely to be needed and how it can be delivered safely. We consider whether we both have the means and ability to conduct therapy remotely, such as by telephone or online and whether this way of communicating is appropriate.
We are aware that not all clients will want to undertake this different form of counselling. However for some people, being able to talk to a therapist during times of isolation and/or anxiety about what is happening in the world today, will be beneficial for their mental health and wellbeing. Clients can consent to this on an additional consent form to the confidentiality consent form.
Guidelines and considerations:
- Ethical practice is maintained regardless of the external pressures
- Sessions take place at the usual structured times and in a confidential space
Online therapy, also known as e-therapy, e-counseling, teletherapy, or cyber-counseling, involves providing mental health services and support over the internet. This can occur through email, text messaging, video conferencing, online chat, messaging, or internet phone. Online therapy can occur in real-time, such as in phone conversations and text messaging, or in a time-delayed format, such as through email messages.
E-therapy has limitations, but it is quickly becoming an important resource for a growing number of consumers. There are a number of reasons why a person might choose an online therapy option, including the convenience and accessibility that this delivery method provides.
A Good Option for Remote Areas
Online therapy offers access to mental health information to people in rural or remote areas. Those who live in such areas simply might not have access to any other form of mental health treatment because there are limited or no mental health practices in their geographic area.
Accessibility for Those With Physical Limitations
Online therapy provides accessibility to individuals who are disabled or housebound. Mobility can be a big issue when it comes to accessing mental health care.
Individuals who are unable to leave their home for various reasons, such as physical or mental illness, may find online therapy a useful alternative to traditional psychotherapy settings.
Online Therapy Makes Information More Accessible
The Internet makes mental health information more accessible. People may feel comfortable talking to friends and family about health care issues but may not feel the same discussing mental health concerns.
It Can Also Be an Educational Tool
E-therapy can be an important tool to help people learn more about psychological health. Even if you feel like your mental well-being is strong, online therapy can help you become psychologically stronger. You can learn more about health behaviors and coping strategies that will lead to better psychological health.
Concerns About Confidentiality, Privacy, and Unreliable Technology
Keeping your personal information private is a major concern in psychotherapy, but online treatment adds a layer of complexity. Confidentiality is just as important in online therapy as it is in more traditional forms of treatment delivery. Since information is being transmitted online, the situation makes privacy leaks and hacks more of a concern. Technology problems can also make it difficult to access treatment when you really need it.
Online Therapists Cannot Respond to Crisis Situations
Since online therapists are distant from the client, it is difficult to respond quickly and effectively when a crisis happens. If a client is experiencing suicidal thoughts or has suffered a personal tragedy, it can be difficult or even impossible for the therapist to provide direct assistance.
Online Therapy Is Not Appropriate for Those With Serious Psychiatric Illnesses
E-therapy can be useful for a variety of situations, but not when it comes to more serious psychiatric illnesses that require close and direct treatment. It is also not appropriate for people with complicated or detailed problems. The scope of therapy tends to be limited, so it is rarely effective in more complex situations.
Online Therapy Sometimes Lacks Important Information
In many cases, online therapists cannot see facial expressions, vocal signals, or body language. These signals can often be quite telling and give the therapist a clearer picture of your feelings, thoughts, moods, and behaviors. Some delivery methods such as voice-over-Internet technology and video chats can provide a clearer picture of the situation, but they often lack the intimacy and intricacy that real-world interactions possess.
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