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yes well it’s a big concern to begin with sure well let me simply simply reassociate about that a bit I have actually been doing treatment for a very long time of all the different schools of treatment 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 issue so I focus quite on taking a look at what’s going on between the patients and me trying to give very intimate so I would be the person who would most likely be least thinking about a context therapy format and and I have actually been for many years I mean one so my coworkers do telephone terapy for instance I understand an analyst who relocated to California would capital for New York analysis and would do her analysis of the phone I felt very important that you’re missing all these visual hints how can you do that but everything changed for me a few years ago when I got a call an email from from a patient who I can’t even

discuss the the location where she was but she was on another continent where it was absolutely ice-cold in the northern hemisphere and there wasn’t another therapist or MD within five or six hundred miles of her and asking whether I would just do some Skype work with her considering that there was no other alternative I I agreed to do that she couldn’t see anybody else and she needed treatment so I started working with her and I ended up having a very good experience with her in fact she had actually moved to that location to escape everybody and there is no chance that she would have wanted to meet me in a space in person there was no other option in a sense therefore it ended up it was remarkably well I was very pleased with that and ever since I’ve had a genuine had a real change of focus on that and among the important things that has been most fascinating to me about talks face is the truth that of a it’s just it’s counterproductive I would have believed the significant issue with talk space is that they would not be concentrating on the here and now what was occurring in between therapist and patient and yet compared with a number of the new motions in psychiatric therapy with cognitive behavior modification they’re far more involved in the nature at least the way it’s performed in this clothing it’s they’re much more interested and nurturing of the here and now and with patient relationship so that’s.

that’s been a change of heart for me completely migrated I was also surprised to see just how much intimacy you can get back at by composing often even a few of the patients are more able to expose themselves that is a little bit anonymous that that’s been very crucial finding for me too I have actually been working with Nicole Eames and supervising rather routinely now in the last number of years which’s that is among the important things that I really discovered in my work with her as she discussed her client they reveal things what has amazed me is several times I’ve heard her say the patients have said that they expose things to her they never ever exposed to their to their in person therapist and that’s rather impressive one of the important 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 more and never revealed specific of these things that were that were really outrageous there’s another thing too which is that a patient can have a panic attack in the middle of the night and immediately text the therapist. Betterhelp Delete