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yes well it’s a huge question to begin with sure well let me just just reassociate about that a bit I have actually been doing treatment for a long time of all the different schools of therapy I would say did one end of the continuum of those who think that the nature of the relationship the intimacy of the relationship the the work on the process meaning what’s occurring in between is there isn’t a is the most important issue so I focus very much on taking a look at what’s going on in between the patients and me attempting to offer very intimate so I would be the individual who would probably be least interested in a context therapy format and and I have actually been for several years I suggest one so my colleagues do telephone terapy for example I know an expert who relocated to California would capital for New york city analysis and would do her analysis of the phone I felt really vital that you’re missing out on all these visual cues how can you do that but whatever altered for me a few years ago when I got a call an e-mail from from a patient who I can’t even

mention the the place where she was however she was on another continent where it was definitely 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 just do some Skype deal with her since there was no other option I I agreed to do that she could not see anybody else and she needed therapy so I began working with her and I ended up having an excellent experience with her in fact she had moved to that place to avoid everyone and there is no chance that she would have been willing to meet with me in a room in person there was no other option in a sense therefore it ended up it was surprisingly well I was very impressed with that and since then I’ve had a genuine had a genuine modification of concentrate on that and one of the important things that has been most fascinating to me about talks deal with is the truth that of a it’s simply it’s counterproductive I would have believed the major issue with talk area is that they would not be concentrating on the here and now what was occurring between therapist and client and yet compared to much of the brand-new movements in psychiatric therapy with cognitive behavioral therapy they’re much more associated with the nature at least the method it’s performed in this outfit it’s they’re far more interested and nurturing of the here and now and with client relationship so that’s.

that’s been a change of heart for me completely moved I was also surprised to see how much intimacy you can get back at by writing often even some of the patients are more able to expose themselves that is a bit anonymous that that’s been really crucial finding for me too I’ve been working with Nicole Eames and supervising rather routinely now in the last couple of years which’s that is among the things that I actually discovered in my work with her as she talked about her patient they reveal things what has shocked me is a number of times I’ve heard her say the patients have stated that they reveal things to her they never exposed to their to their in person therapist and that’s rather amazing among the important things is naturally the anonymity that that we don’t quite find but here they deal with face to face therapist for a year or two and never exposed specific of these things that were that were really outrageous there’s another thing too which is that a client can have a panic attack in the middle of the night and right away text the therapist. Betterhelp Working Conditions