Opinion: Psychotherapy is now in the digital world. Should it ever go back?

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Another reason is tradition, dating back to Sigmund Freud and other psychoanalysts. We are taught that a significant portion of the work in psychotherapy is in analyzing the relationship between the therapist and the patient. In an interaction with a psychiatrist , there is both transference and countertransference between patient and service provider. Transference is the redirection of the patient’s feelings about a person in their life toward the psychiatrist.

Since the pandemic started, things have changed significantly. In an effort to support physical distancing, the Ontario Health Insurance Plan has responded rapidly. For the first time, physicians across specialties can bill OHIP for services provided online and over the phone. This is a welcome change for everyone. It has been a relatively seamless transition for many of us to set up our Ontario Telemedicine Network accounts.

My views on virtual and phone-based provision of mental-health care have changed significantly during the pandemic. I now see great value in it. Cynics may say that we are venturing too far away from tradition and that it may degrade the quality of psychotherapy over time – but only time will tell. For now, I would point to the evidence: We know that no matter what form psychotherapy takes or how it is provided, it is consistently the therapeutic alliance that matters the most.

GlobeDebate Psychotherapy is necessary because of the digital world.

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