Online Therapy Online Counselling
1) What is online therapy?
Online therapy is the delivery of professional mental health services over the internet. Anonymous psychological support can be provided to individuals who cannot or cannot reach therapy.
Remote psychological support is provided in different ways.
Emergency assistance numbers, suicide prevention phones in bridges.
Video conferencing or online chat environments
Online group therapy or self-help groups.
Art therapy with drawing programs
Virtual therapy rooms
Psychotherapy offices are established in virtual therapy settings. These virtual offices have a waiting room and a psychotherapy room.
The experts who are members of virtual therapy sites use e-therapy by using technical basis. Programs are established with a secure communication objective.
2) Who is online therapy suitable for?
Virtual therapy may be attractive with the desire to remain anonymous.
Clients who wish to benefit from more flexible hours may prefer virtual therapy. Time difference between countries provides convenience in this regard.
Young people who are accustomed to using the Internet may be interested in online therapy.
Online therapy for those who can’t leave home
Web therapy is an alternative and hope for individuals with physical constraints, who have difficulties in finding a vehicle.
E-therapy may be appropriate for patients who have no one to leave their children at home.
E-therapy can be recommended for patients with agoraphobia (field fear). Sometimes psychotherapists offer home visits and psychotherapy. But such services are not very common. Virtual therapy is easier to communicate.
However, the patient, who can be separated from home for psychotherapy with e-therapy at least once a week, will be evacuated from the subject that he / she fears. In face-to-face therapy applications, the patient and the client can take steps on this issue, aiming to be able to come alone for further sessions. For example, exposure therapy (exposure therapy) allows the client to walk up to the door with a close-up of the patient. Increasingly, each week a little more autonomous and the confidence in this issue can be increased.
E-therapy for remote residents
There may not be a psychotherapist in the immediate vicinity of the individual. Or he may be unable to meet the needs of the therapy services available where he lives.
In addition, clients who are moved from their residences may continue to receive online therapy with their therapists.
Native language therapy for migrants
Psychotherapists who speak their own language to immigrants who live away from online therapy countries offer online therapy in their mother tongue.
Ties to their own countries through web therapy. Some clients think therapists living in their own countries are better.
3) Who is not eligible for e-therapy?
Clients who harm him / her
Hallucinations and delusions
Online therapy is not suitable for people with alcohol and drug addiction.
The therapist does not always realize that the counselee is under the influence of alcohol.
Under the influence of alcohol, clients tend to write longer and disconnected.
The question of whether the therapist is under the influence of substance to the client may cause harm to the therapy relationship.
4) Online therapy fees – How much is online therapy?
Online therapy fees are often more appropriate than regular therapy fees, but are usually the same.
Sometimes patients receive online psychological support from psychotherapists in countries where psychotherapy is offered at more affordable rates.
Most online psychological support practices are carried out by e-clinics. Web sites are charged first and then e-therapy services are offered. Individual therapists offering web therapy services often use paypal.
In Europe insurance does not meet online psychological support services. Insurance companies do not have the chance to be checked for web-therapy services and whether they are actually being treated.
5) Advantages of web therapy
Online therapy provides flexibility at the time.
Some clients do not want to be heard to have received psychotherapy. Online therapy for such people creates an anonymous alternative.
Moved clients can continue their individual therapy as web therapy.
Clients who are eager to speak face to face through e-therapy may open up issues that they feel ashamed.
With virtual therapy, people who live far away, have agoraphobia / fear of space or have physical problems can get psychological support.
They can obtain more affordable psychotherapy services from different countries.
It may be attractive for those who live in a country where the mother tongue is not spoken.
In the answers given by e-mail, therapist has the chance to think in a comfortable environment.
Online therapy is an advantage in cultures that avoid eye contact.
Online therapists are both near and far from where the drama in the life of their clients passes.
6) Disadvantages of web therapy
Eye contact, which can be provided in personal therapy, is difficult to achieve face-to-face communication.
A great trust has to be built between the patient and his psychotherapist. One of the parties can record the conversations. Or others can observe therapy without realizing it. For example; therapist thinks that she works alone with the client. However, in a corner of the room may be the wife of the counselor or other relatives. In this way, many parents can intervene in the therapy process of their young children.
It may be difficult for the psychotherapist to work with an anonymous client. In addition, the fact that clients remain anonymous can create problems in terms of ethics and legal aspects.
There isn’t much research done about the new virtual therapy yet. We are in an early period to argue that its effectiveness has been proven.
Especially in the therapies taken from abroad, it becomes difficult to be confident in the training of the psychotherapy received by the specialist. The therapist who has a license in a country can serve in the other country.
In this way, many therapists serving patients living abroad avoid paying taxes.
A psychotherapist with years of experience in face-to-face psychotherapy may have difficulty moving his experience to virtual therapy.
Different skills are expected from the therapist in writing.
Even in countries where psychotherapy is supported by state support, online psychological support services do not cover insurances due to their control difficulties.
Each client may not have the technical knowledge required to communicate over the Internet.
In face-to-face therapy, the therapist may have the opportunity to observe that the client wants to leave the session. However, a client who is uncomfortable with virtual therapy can easily log off.
A consultant who gets out of the house once a week under the pretext of a therapy and who can socialize by participating in group therapies can go home with online therapy.
7) E-Therapy – Ethical Principles
In face-to-face therapy, the patient is informed about the treatment and asked to sign the ‘information sheet Yüz.
In online therapy, these necessary information may be presented and asked to click on the boxes. The scope of online psychological support should be determined.
It should be kept in mind that it can spread easily when e-mail should be written. Therefore, it should be avoided to write details such as credentials in e-mail.
The psychotherapist offering web therapy should review the security of his computer and have a password.
In e-Therapy applications, protection of confidentiality and information in emergencies can be difficult.
Some therapists practice e-therapy with the client, who is only at a reasonable distance. Thus, the parties may request face-to-face meetings in case of emergency.
With Web therapy, some of the experts offer services outside the country of license. However, the rules of ethics and legal regulations vary by country. This should be illuminated at the beginning of the therapy.
8) Online therapy sites
Us and abroad has established many online therapy site. These are the main ones,
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9) Online therapy with different therapy methods
Psychotherapists can take trainings in different therapy methods. These psychotherapy approaches are psychodynamic approach, cognitive behavioral therapy, humanist approach and systemic family therapy. Some of the differences in the application of psychotherapy methods in online therapy are as follows;
Psychodynamic online therapy
Transfer. Since the client and the therapist cannot see each other closely, they can make different animations and reflections in their dreams. These are important for psychoanalysts.
It is evident that fantasies about the psychotherapist can be seen in the client, who can see the psychotherapist with a limited -video way- or only in written communication. The client may have more transmission.
Feedback. In psychodynamic approach, it is in the foreground to make analyzes and give feedback about the client. The online therapy psychotherapist may direct the client to comment that he is not yet ready.
Language bumps / misspellings. Written mistakes in the online therapy are clearly revealed. Expresses the importance of Freud and makes it possible to have an idea about the unconscious.
Projection. The psychoanalyst also considers the reflections of the client to the computer as important. For example; the client may perceive the disconnection of the connection as frustration, ignoring or rejection.
Therapists who work face to face have certain working hours and environments. In online therapy, the therapist can be reached at any time by e-mail and online interview. The feeling of being permanently accessible can cause negative feelings in the psychotherapist. This may be reflected in the client.
Typing therapy. The psychoanalysts think that even if the counselor does not give up his writing, it is a terepeak effect. Yet even if they are not ready to share it with another person, they have expressed what is inside of them.
Cognitive behavioral therapy techniques are considered more suitable for online therapy.
Especially in America, cognitive behavior therapy has been used online for many years. Scientific studies have been carried out in this regard.
Therapy assignments can be given easily via the Internet.
Bibliotherapy, which can be used together, can be combined with psychoeducation and solution-oriented therapy practices.
In humanist approaches, the values that are necessary for the client to realize himself / herself are emphasized. These are unconditional acceptance, the therapist’s coherence and empathy. They can be expressed in body language, gestures or tone while they are together. For example; the therapist may lean toward the client, approaching him, laughing, and listening carefully. In online therapy, promises are given.
In online therapy, traumatic events emerge much earlier than face-to-face therapy. The trust relationship between the psychotherapist and the client may not have been fully established before the client puts forward these issues. The client may not yet feel her acceptance by her psychotherapist.