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yes well it’s a huge question to begin with sure well let me just just reassociate about that a bit I have actually been doing treatment for a 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 work on the procedure meaning what’s taking place between is there isn’t a is the most essential concern so I focus quite on looking at what’s going on in between the patients and me trying to give very intimate so I would be the individual who would probably be least thinking about a context treatment format and and I have actually been for several years I imply one so my colleagues 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 critical that you’re missing out on all these visual cues how can you do that however whatever changed for me a couple of years ago when I got a call an email from from a patient who I can’t even
mention the the place where she was however she was on another continent where it was absolutely ice-cold in the northern hemisphere and there wasn’t another therapist or MD within 5 or 6 hundred miles of her and asking whether I would simply do some Skype deal with her since there was no other alternative I I agreed to do that she could not see anyone else and she needed therapy so I started working with her and I ended up having a very good experience with her in fact she had moved to that location to escape everybody and there is no way that she would have wanted to consult with me in a room face-to-face there was no other alternative in a sense therefore it wound up it was surprisingly well I was extremely pleased with that and since then I have actually had a real had a real change of concentrate on that and among the things that has actually been most interesting to me about talks deal with is the reality that of a it’s simply it’s counterintuitive I would have thought the major problem with talk space is that they would not be focusing on the here and now what was taking place in between therapist and patient and yet compared with many of the brand-new movements in psychotherapy with cognitive behavior modification they’re far more associated with the nature a minimum of the way it’s done in this clothing it’s they’re much 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 just how much intimacy you can get back at by writing sometimes even some of the patients are more able to expose themselves that is a bit anonymous that that’s been really essential finding for me too I have actually been dealing with Nicole Eames and monitoring rather regularly now in the last number of years and that’s that’s one of the things that I actually discovered in my deal with her as she spoke about her client they expose things what has surprised me is several times I’ve heard her state the patients have said that they reveal things to her they never exposed to their to their face-to-face therapist which’s rather exceptional one of the important things is naturally the anonymity that that we do not quite locate but here they deal with face to face therapist for a year or two and never revealed specific 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 immediately text the therapist. Betterhelp Pause Subscription