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yes well it’s a big concern to begin with sure well let me simply simply reassociate about that a bit I’ve been doing treatment for a very long time of all the different schools of treatment 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 procedure suggesting what’s occurring between is there isn’t a is the most crucial issue so I focus very much on taking a look at what’s going on in between the clients and me trying to offer very intimate so I would be the individual who would most likely be least thinking about a context therapy format and and I have been for several years I suggest one so my coworkers do telephone terapy for instance I know an expert who relocated to California would capital for New york city analysis and would do her analysis of the phone I felt really critical that you’re missing all these visual cues how can you do that but everything 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 location where she was however she was on another continent where it was absolutely cold in the northern hemisphere and there wasn’t another therapist or MD within five or 6 hundred miles of her and asking whether I would just do some Skype work with her given that there was no other option I I agreed to do that she could not see anybody else and she needed therapy 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 avoid everybody and there is no other way that she would have wanted to meet me in a room in person there was no other option in a sense and so it ended up it was remarkably well I was extremely amazed with that and ever since I’ve had a genuine had a genuine modification of focus on that and among the things that has been most interesting to me about talks face is the truth that of a it’s just it’s counterintuitive I would have thought the significant issue with talk space is that they would not be concentrating on the here and now what was happening between therapist and patient and yet compared to much of the new movements in psychiatric therapy with cognitive behavioral therapy they’re much more involved in the nature at least the way it’s done in this clothing it’s they’re even more interested and nurturing of the here and now and with client relationship so that’s.
that’s been a change of mind for me entirely moved I was likewise shocked to see how much intimacy you can get even by writing often even some of the clients are more able to expose themselves that is a little bit confidential that that’s been really important finding for me as well I have actually been working with Nicole Eames and supervising rather routinely now in the last couple of years which’s that is among the important things that I truly discovered in my deal with her as she spoke about her patient they expose things what has surprised me is a number of times I have actually heard her state the clients have stated that they reveal things to her they never ever revealed to their to their in person therapist and that’s quite remarkable among the things is naturally the privacy that that we don’t quite locate however here they work with face to face therapist for a year or 2 and never exposed certain of these things that were that were very 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 Jobs Pay