{"id":220,"date":"2020-03-20T17:03:40","date_gmt":"2020-03-20T17:03:40","guid":{"rendered":"https:\/\/chandcounselling.co.uk\/blog\/?p=220"},"modified":"2025-05-15T18:01:15","modified_gmt":"2025-05-15T17:01:15","slug":"online-counselling-some-considerations-for-a-beginner","status":"publish","type":"post","link":"https:\/\/chandcounselling.co.uk\/writings\/online-counselling-some-considerations-for-a-beginner\/","title":{"rendered":"Online therapy: some considerations for a beginner"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"668\" src=\"https:\/\/chandcounselling.co.uk\/blog\/wp-content\/uploads\/2020\/03\/Online-therapy-1-scaled-e1584877774452-1024x668.jpg\" alt=\"\" class=\"wp-image-241\" srcset=\"https:\/\/chandcounselling.co.uk\/writings\/wp-content\/uploads\/2020\/03\/Online-therapy-1-scaled-e1584877774452-1024x668.jpg 1024w, https:\/\/chandcounselling.co.uk\/writings\/wp-content\/uploads\/2020\/03\/Online-therapy-1-scaled-e1584877774452-300x196.jpg 300w, https:\/\/chandcounselling.co.uk\/writings\/wp-content\/uploads\/2020\/03\/Online-therapy-1-scaled-e1584877774452-768x501.jpg 768w, https:\/\/chandcounselling.co.uk\/writings\/wp-content\/uploads\/2020\/03\/Online-therapy-1-scaled-e1584877774452-1536x1002.jpg 1536w, https:\/\/chandcounselling.co.uk\/writings\/wp-content\/uploads\/2020\/03\/Online-therapy-1-scaled-e1584877774452-2048x1336.jpg 2048w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<p>Even five years after certifying as a &#8216;cyber&#8217; therapist, the romantic in me can still relate to scepticism. The thing is, the evidence in my room mounts: online clients tend to get the changes they seek.<!--more--><\/p>\n\n\n\n<p>To be clear, online therapy is an\u00a0<em>additional<\/em>\u00a0way of expressing oneself; it&#8217;s not a substitute for face-to-face therapy. Or indeed vice versa: face-to-face therapy cannot offer some of the benefits of online counselling, such as accessibility and inclusivity. I&#8217;m talking about voice and video sessions here, by the way. And I&#8217;m using the terms &#8216;therapy&#8217; and &#8216;counselling&#8217; interchangeably.<\/p>\n\n\n\n<p>Let&#8217;s return to romanticising a moment. Web-based therapy is not romantic in the original sense of the word. Web-based therapy <em>is<\/em> intimate, though. Laptop or not, I still sometimes shed a tear with my clients, I still share their heartbreak, or delight, fury, or bewilderment.<\/p>\n\n\n\n<p>Yes, working online I&#8217;m able to observe less or sometimes nothing at all if it&#8217;s a voice call. So one sense is diminished, but I find that other senses become sharper. I am even more focussed on sound.  What I know is that clients frequently get what they need &#8211; or if they haven&#8217;t, it is rarely because of the medium.<\/p>\n\n\n\n<p>This glorious outcome is far from serendipitous, though. Both clients and I work at it. Much relies on their capacity &#8211; their readiness &#8211; for the effort and commitment needed for any kind of therapy.  If there are challenges with online working &#8211; just like any other &#8211; my hope is that my clients and I will be able to talk about and review those.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">When online therapy is <em>not<\/em> your bag<\/h1>\n\n\n\n<p>Listening to a gut feeling that online therapy just isn&#8217;t right for you is crucial, and a position I respect entirely.  <\/p>\n\n\n\n<p>Further, if you are feeling particularly unwell or desperate, face-to-face support is certainly preferable. Or in case of emergency, contact your GP or local Accident and Emergency service.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">When online therapy <em>is<\/em> your bag <\/h1>\n\n\n\n<p>Just like with face-to-face therapy, choosing the right online therapist for you is key.  Here are the things I&#8217;d be looking out for &#8211; basically an awareness of the ethics of working in this medium.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Have they had any training in offering online therapy? Are they a member of any professional bodies such as the Association for Counselling and Therapy Online (ACTO)?<\/li>\n\n\n\n<li>Have the nuances around confidentiality been discussed? For example that you need a confidential, soundproof, and interruption-free space to speak from. <\/li>\n\n\n\n<li>Are they using a secure platform like Zoom or Vsee (rather than Skype)?<\/li>\n\n\n\n<li>Have they made clear how a bad connection will be handled, including implications for payment?<\/li>\n\n\n\n<li>Do they review how well the online element is working for you?<\/li>\n<\/ul>\n\n\n\n<p>I can&#8217;t write a whole article about online therapy and not mention it: COVID-19 is quite a lot for our mental health to take. Online therapy is one solid way we might support ourselves; I hope you find your way.<\/p>\n\n\n\n<p> <em>This article is also published on Welldoing.org:&nbsp;<\/em> <a rel=\"noreferrer noopener\" href=\"https:\/\/bit.ly\/2JgSgH1\" target=\"_blank\">https:\/\/bit.ly\/2JgSgH1<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Even five years after certifying as a &#8216;cyber&#8217; therapist, the romantic in me can still relate to scepticism. The thing is, the evidence in my room mounts: online clients tend to get the changes they seek.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[22,18],"class_list":["post-220","post","type-post","status-publish","format-standard","hentry","category-uncategorised","tag-online","tag-therapy"],"_links":{"self":[{"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/posts\/220","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/comments?post=220"}],"version-history":[{"count":29,"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/posts\/220\/revisions"}],"predecessor-version":[{"id":580,"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/posts\/220\/revisions\/580"}],"wp:attachment":[{"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/media?parent=220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/categories?post=220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chandcounselling.co.uk\/writings\/wp-json\/wp\/v2\/tags?post=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}