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yes well it’s a huge question to begin with sure well let me simply just reassociate about that a bit I’ve been doing therapy for a long time of all the numerous schools of therapy I would say did one end of the continuum of those who think that the nature of the relationship the intimacy of the relationship the the deal with the process indicating what’s happening in between is there isn’t a is the most important issue so I focus very much on taking a look at what’s going on in between the patients and me attempting to offer very intimate so I would be the person who would most likely be least thinking about a context therapy format and and I have been for many years I imply one so my colleagues do telephone terapy for instance I understand an expert who moved to California would capital for New York 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 however whatever altered for me a few years ago when I got a call an e-mail from from a client who I can’t even
point out 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 simply do some Skype work with her since there was no other option I I agreed to do that she could not see anyone else and she needed treatment so I started dealing with her and I ended up having a great experience with her in fact she had transferred to that location to avoid everyone and there is no other way that she would have wanted to consult with me in a room in person there was no other alternative in a sense therefore it ended up it was remarkably well I was very impressed with that and ever since I’ve had a real had a genuine modification of concentrate on that and among the things that has been most interesting to me about talks face is the fact that of a it’s simply it’s counterproductive I would have believed the major issue with talk space is that they would not be concentrating on the here and now what was taking place between therapist and patient and yet compared with much of the new movements in psychiatric therapy with cognitive behavioral therapy they’re far more associated with the nature a minimum of the method it’s done in this clothing it’s they’re much more interested and nurturing of the here and now and with patient relationship so that’s.
that’s been a change of mind for me entirely migrated I was also surprised to see 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 confidential that that’s been really important finding for me too I’ve been working with Nicole Eames and supervising rather routinely now in the last couple of years and that’s that is among the important things that I actually discovered in my deal with her as she talked about her patient they reveal things what has amazed me is several times I’ve heard her state the clients have actually said that they reveal things to her they never revealed to their to their face-to-face therapist which’s quite exceptional among the important things is naturally the anonymity that that we do not rather locate but here they deal with face to face therapist for a year or two and never ever exposed 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 right away text the therapist. Betterhelp V Talkspace