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yes well it’s a huge concern to begin with sure well let me just just reassociate about that a bit I’ve been doing therapy for a very long time of all the numerous 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 process meaning what’s happening between is there isn’t a is the most essential issue so I focus very much on taking a look at what’s going on in between the patients and me attempting to provide very intimate so I would be the person who would most likely be least interested in a context treatment format and and I have been for many years I mean one so my associates do telephone terapy for example I know an analyst who relocated to California would capital for New york city analysis and would do her analysis of the phone I felt really important that you’re missing all these visual cues how can you do that but whatever changed 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 place where she was but 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 six hundred miles of her and asking whether I would just do some Skype work with her given that there was no other alternative I I agreed to do that she could not see anyone else and she needed treatment so I began working with her and I ended up having a very good experience with her in fact she had moved to that location to get away from everyone and there is no chance that she would have wanted to consult with me in a space in person there was no other alternative in a sense therefore it wound up it was remarkably well I was extremely amazed with that and ever since I’ve had a genuine had a genuine modification of concentrate on that and one of the things that has actually been most intriguing to me about talks face is the fact that of a it’s just it’s counterintuitive I would have thought the major problem with talk area is that they would not be focusing on the here and now what was taking place in 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 associated with the nature a minimum of the method it’s carried out in this outfit it’s they’re far 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 entirely migrated I was likewise surprised to see how much intimacy you can get back at by composing sometimes even a few of the clients are more able to expose themselves that is a bit confidential that that’s been extremely crucial finding for me too I have actually been working with Nicole Eames and monitoring rather routinely now in the last number of years and that’s that is among the things that I really found in my deal with her as she discussed her client they expose things what has shocked me is a number of times I have actually heard her say the clients have actually said that they reveal things to her they never ever revealed to their to their in person therapist which’s quite exceptional among the things is naturally the anonymity that that we don’t quite find however here they deal with face to face therapist for a year or two and never ever revealed particular of these things that were that were extremely outrageous there’s another thing too which is that a patient can have an anxiety attack in the middle of the night and instantly text the therapist. Betterhelp Hsa