What is E-Therapy?
E-therapy, also known as e-counseling, tele-therapy, or cyber-counseling, is a relatively new development in mental health in which a therapist or counselor provides psychological advice and support over the Internet. This can occur through e-mail, video conferencing, online chat, or Internet phone. E-therapy can occur in real-time, such as in phone conversations and online chatrooms, or in a time-delayed format, such as through e-mail messages.It is important to note that e-therapy cannot be considered psychotherapy and will never replace traditional therapy. In many ways, e-therapy shares some similarities to “life-coaching.” While e-therapists cannot diagnose or treat mental illness online, they can offer guidance and advice to people experiencing problems in relationships, work, or life. E-therapy has limitations, but it is quickly becoming an important resource for a growing number of consumers. Despite a lack of research on the effectiveness of online treatment, e-therapy offers mental health professionals another way of providing services to clients.
How Does E-Therapy work?
Primary tools for communicating in e-therapy include:- Instant Messaging (IM)
- Real-Time Chat
- Internet Phone
- Videoconferencing
The History of E-Therapy
Distance communication between a therapist and client is not a new concept. Sigmund Freud utilized letters extensively to communicate with his clients. Self-help groups began emerging on the Internet as early as 1982 (Kanini, K. & Regehr, C., 2003). Today, there are numerous sites offering mental health information as well as private e-therapy clinics such as Find-a-Therapist.com and HelpHorizons.com.The growth in online counseling and mental health services has led to the foundation of the International Society for Mental Health Online. This dramatic rise in the availability of online health care has led to a need for information and guidelines for customers interested in receiving mental health services via the Internet.
E-Therapy Today
While e-therapy is viewed with skepticism by a large number of mental health professionals, it has received support from many patients who have utilized online mental health treatments. In a study published by the journal Psychiatric Services, patients receiving mental health treatment through video conferencing reported "high levels of satisfaction" (Frueh, C., et. al., 2000.)Online therapy is not appropriate for everyone, but it has shown effectiveness in some situations. The January 3, 2006 issue of Newsweek reports that recovering addicts may benefit from online therapy, especially for those who feel uncomfortable attending traditional face-to-face support groups. Before you consider e-therapy, you should consider issues such as confidentiality, ethical and legal issues, as well as the qualifications of online therapists.
More About E-Therapy >> Concerns About Privacy and Confidentiality in E-Therapy
Sources:
Frueh BC, Deitsch SE, Santos AB, et al. (2000) Procedural and methodological issues in telepsychiatry research and program development. Psychiatric Services, 51:1522–1527.
Kanani, K., & Regehr, C. (2003). Clinical, ethical, and legal issues in e-therapy. Families in Society, 84, 155-162
Ehrenfeld, Temma. (2006) Virtual Therapy. Newsweek
