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yes well it’s a big question to begin with sure well let me just simply reassociate about that a bit I have actually been doing treatment 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 meaning what’s happening between is there isn’t a is the most important concern so I focus quite on looking at what’s going on between the clients and me attempting to offer very intimate so I would be the individual who would probably be least thinking about a context treatment format and and I have actually been for several years I indicate one so my coworkers do telephone terapy for example I understand an analyst who relocated to California would capital for New York 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 however 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 location 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 simply do some Skype deal with her considering that 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 wound up having a great experience with her in fact she had moved to that place to get away from everyone and there is no other way that she would have wanted to meet me in a space face-to-face there was no other alternative in a sense and so it wound up it was remarkably well I was extremely satisfied with that and ever since I have actually had a genuine had a genuine change of focus on that and one of the things that has been most interesting to me about talks face is the reality that of a it’s just it’s counterintuitive I would have thought the major problem with talk space is that they would not be concentrating on the here and now what was taking place between therapist and client and yet compared to a lot of the new movements in psychiatric therapy with cognitive behavior modification they’re far more involved in the nature a minimum of the method it’s performed in this clothing 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 heart for me completely migrated I was likewise amazed to see how much intimacy you can get even by writing in some cases even some of the clients are more able to expose themselves that is a bit confidential that that’s been really crucial finding for me as well I have actually been working with Nicole Eames and monitoring rather frequently now in the last couple of years and that’s that is among the important things that I really found in my work with her as she talked about her client they reveal things what has astounded me is several times I have actually heard her say the clients have stated that they reveal things to her they never ever revealed to their to their in person therapist and that’s quite remarkable one of the important things is of course the privacy that that we don’t quite find however here they deal with face to face therapist for a year or 2 and never revealed certain of these things that were that were really shameful 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. How Did Betterhelp Affect Philip Defranco