Does online therapy work?
One of the biggest concerns about online therapy is that therapists don't have an opportunity to observe the patient—something that is usually integral to an assessment and diagnosis. The tone of voice, body language, and overall demeanor provide insight into an individual's well-being.
A major component of effective therapy involves the relationship between the therapist and the patient. As online therapy is impersonal (often, it's completely anonymous), many people have raised concerns about whether digital communication can provide skills, tools, and healing power to individuals staring at a screen.
Despite the concerns, research consistently shows that online treatment can be very effective for many mental health issues. Here are the results of a few studies:
A 2014 study published in the Journal of Affective Disorders found that online treatment was just as effective as face-to-face treatment for depression.
A 2018 study published in the Journal of Psychological Disorders found that online cognitive behavioral therapy is, "effective, acceptable, and practical health care." The study found the online cognitive behavioral therapy was equally as effective as face-to-face treatment for major depression, panic disorder, social anxiety disorder, and generalized anxiety disorder.
A 2014 study published in Behaviour Research and Therapy found that online cognitive behavioral therapy was effective in treating anxiety disorders. Treatment was cost-effective and the positive improvements were sustained at the one-year follow-up.
The Potential Benefits of Online Treatment
Online therapy offers some benefits over traditional face-to-face treatment:
People in rural areas or those with transportation difficulties may have easier access.
Many online therapy sites allow users to sign up with "nicknames" which can entice people who are embarrassed about getting services under their real names.
Most online therapy services cost less than face-to-face treatment.
Scheduling is more convenient for many people.
Studies show online therapy requires 7.8 times less of a therapist's time than face-to-face treatment—meaning therapists can often treat more people online than they can in-person.
Clients don't have to worry about seeing people they know in the waiting room.
It can be easier for some people to reveal private information when they're sharing it online.
Individuals with anxiety, especially social anxiety, are more likely to reach out to an online therapist.
The Potential Drawbacks
Online therapy isn't for everyone. Here are some potential risks and drawbacks:
Online therapy isn't meant for people with certain problems or conditions (such as suicidal intent or psychosis).
Without being able to interact face-to-face, therapists miss out on body language and other cues that can help them arrive at an appropriate diagnosis.
Technological issues can become a barrier. Dropped calls, frozen videos, and trouble accessing chats aren't conducive to treatment.
Some people who advertise themselves as online therapists might not be licensed mental health treatment providers.
Sites that aren't reputable may not keep client information safe.
It can be difficult to form a therapeutic alliance with someone when meetings aren't face-to-face.
It can be difficult for therapists to intervene in the event of a crisis.
How to Find an Online Therapist
If you are interested in online therapy, there are many options to choose from. Think about what type of services you want most—phone therapy, video chats, live chats, audio messaging, or text messaging.
You may find a local therapist who offers online services, or you might find you prefer a large organization that offers a substantial directory of therapists to choose from.
But do your homework and shop around for the service and price plan that best suits your needs.
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If you're looking for a therapist who provides online sessions, I invite you to contact me to schedule your free phone consultation today! Contact Me Here
Recovering from a Natural Disaster
The Woolsey Fire, The Hill Fire, and The Griffith Park Fire all hit Los Angeles and Ventura County at once. Over 150,000 people were forced to evacuate from their homes in Thousand Oaks, Malibu, Oak Park, Westlake Village, Simi Valley, Calabasas and more.
Natural disasters like brushfires, floods, hurricanes and other traumatic ‘natural’ events are extremely challenging for the people directly affected. The stress caused following a natural disaster can lead to ‘burnout’ and physical, mental and emotional exhaustion. Some people will be able to manage the stress but for others it may be difficult to cope. Most people eventually heal and recover and go on to rebuild their lives.
Impacts of Natural Disasters
Feeling stressed, anxious, exhausted or confused
Feeling sad, overwhelmed or angry
Shock, feeling ‘numb’
Uncertainty about the future
Feeling lonely, isolated or withdrawn
Feeling unwell – headaches, difficulty sleeping, eating, weight loss/gain
Resentment or blaming others
Increased substance use
Thoughts of suicide or self-harm
Strategies to Help you Cope with a Natural Disaster
Recovery takes time. It is important to allow yourself time to process your circumstances and regain a sense of normalcy. There are things you can do to heal and rebuild.
Recognize when it’s getting too much - watch out for signs of stress and get extra support when things become overwhelming. Allow yourself extra time to get things done.
Talk - release your emotions and tension by talking to someone you trust or a therapist. This can help put things into perspective. It’s likely others in your community are experiencing similar feelings so this gives everyone an opportunity to release negative feelings and discuss practical ways to deal with the situation.
Develop an action plan - decide who’s going to do what and when. Summarize your financial situation and discuss your options with your bank to alleviate stress of any financial concerns. Having a plan will help you feel you are making progress.
Take care of yourself - eat well, exercise and sleep. Try to get back to your normal routine when you feel ready. Wherever possible, schedule extra time for things you enjoy or that you find relaxing.
Get help - lean on family and friends. Strong support networks can provide emotional or practical support. Explain your needs and tell them exactly how they can help. Make a list of places to go to for help e.g. financial assistance, emotional support, your GP a helpline Like Lifeline.
Consider professional help - If you don’t feel some return to normal after four weeks, seek professional help (earlier if needed).
If you were affected by the fires in the Los Angeles/Westlake Village area and are in need of extra support and a safe space to process the recent natural disasters, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!