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yes well it’s a big concern to begin with sure well let me just simply reassociate about that a little bit I’ve been doing therapy for a long time of all the various schools of therapy I would say did one end of the continuum of those who believe that the nature of the relationship the intimacy of the relationship the the deal with the procedure suggesting what’s happening in between is there isn’t a is the most essential problem so I focus quite on taking a look at what’s going on between the clients and me attempting to offer very intimate so I would be the person who would probably be least interested in a context treatment format and and I have actually been for many years I indicate one so my colleagues do telephone terapy for example I understand an analyst who relocated to California would capital for New york city analysis and would do her analysis of the phone I felt extremely critical that you’re missing out on all these visual cues how can you do that however whatever changed for me a few years ago when I got a call an e-mail from from a client who I can’t even

discuss the the location where she was however she was on another continent where it was absolutely cold in the northern hemisphere and there wasn’t another therapist or MD within 5 or 6 hundred miles of her and asking whether I would simply do some Skype deal with her because there was no other option I I agreed to do that she couldn’t see anyone else and she required therapy so I started working with her and I ended up having a very good experience with her in fact she had transferred to that place to avoid everyone and there is no other way that she would have been willing to consult with me in a room in person there was no other alternative in a sense and so it wound up it was surprisingly well I was really impressed with that and since then I’ve had a real had a real modification of focus on that and among the things that has actually been most fascinating to me about talks deal with is the truth that of a it’s simply it’s counterintuitive I would have believed the major problem with talk area is that they would not be concentrating on the here and now what was happening between therapist and patient and yet compared with a lot of the new motions in psychiatric therapy with cognitive behavioral therapy they’re far more involved in the nature a minimum of the way it’s carried out in this outfit it’s they’re even more interested and nurturing of the here and now and with patient relationship so that’s.

that’s been a change of mind for me completely migrated I was also surprised to see how much intimacy you can get back at by composing sometimes even a few of the patients are more able to expose themselves that is a little bit anonymous that that’s been extremely important finding for me too I’ve been working with Nicole Eames and supervising quite regularly now in the last number of years which’s that’s one of the important things that I really found in my work with her as she discussed her client they expose things what has surprised me is several times I have actually heard her say the clients have actually stated that they reveal things to her they never ever revealed to their to their face-to-face therapist and that’s quite amazing among the things is of course the anonymity that that we do not quite find but here they deal with face to face therapist for a year or two and never ever revealed specific of these things that were that were extremely shameful there’s another thing too which is that a patient can have an anxiety attack in the middle of the night and instantly text the therapist. Betterhelp Cancellation Is Until The Day You Are Enrolled