As remote services become part of the new normal in psychotherapy, what can providers do to ensure that the quality of remote sessions matches the quality of in-person sessions?
Psychologists can ask themselves, their clients, and their institutions how to keep appropriate boundaries.
A mixed methods study published by James and colleagues in 2022 examined how boundaries have shifted due to telehealth options. Themes that emerged from their qualitative work included changes in the formality of sessions, increased self-disclosure by the therapist, and distractions in the client’s environment . Other groups have found that therapists view themselves as less skillful when conducting remote sessions .
With these suggestions in mind, therapists might consider questions they need to ask themselves, their clients, and their institutions before engaging in telehealth services. Below are some suggestions.
James, G., Schröder, T., & De Boos, D. . Changing to remote psychological therapy during COVID‐19: Psychological therapists' experience of the working alliance, therapeutic boundaries and work involvement. Psychology and Psychotherapy: Theory, Research and Practice, 95, 970-989. Lin, T., Stone, S. J., Heckman, T. G., & Anderson, T. . Zoom-in to zone-out: Therapists report less therapeutic skill in telepsychology versus face-to-face therapy during the COVID-19 pandemic. Psychotherapy, 58, 449.Markowitz, J. C., Milrod, B., Heckman, T. G., Bergman, M., Amsalem, D., Zalman, H., ... & Neria, Y. . Psychotherapy at a distance. American Journal of Psychiatry, 178, 240-246.Oesterle, T. S., Kolla, B., Risma, C. J., Breitinger, S. A., Rakocevic, D. B., Loukianova, L. L., .
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