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yes well it’s a huge concern to begin with sure well let me simply just reassociate about that a bit I’ve been doing therapy for a very long time of all the various schools of therapy I would state 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 implying what’s occurring between is there isn’t a is the most important issue so I focus very much on looking at what’s going on in between the patients and me trying to provide very intimate so I would be the individual who would probably be least interested in a context treatment format and and I have actually been for many years I indicate one so my colleagues do telephone terapy for example I understand an analyst who transferred to California would capital for New york city analysis and would do her analysis of the phone I felt very critical that you’re missing all these visual cues how can you do that however whatever changed for me a few years ago when I got a call an email 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 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 deal with her given that there was no other alternative I I agreed to do that she could not see anybody else and she needed therapy so I started dealing with her and I ended up having an excellent experience with her in fact she had actually moved to that location to get away from everybody and there is no other way that she would have been willing to meet with me in a space in person there was no other alternative in a sense therefore it wound up it was surprisingly well I was really amazed with that and since then I’ve had a real had a genuine change of focus on that and among the things that has been most interesting to me about talks deal with is the truth that of a it’s simply it’s counterintuitive I would have thought the major issue with talk space is that they would not be focusing on the here and now what was occurring in between therapist and client and yet compared with many of the new movements in psychiatric therapy with cognitive behavior modification they’re far more associated with the nature at least the way it’s done in this outfit 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 migrated I was likewise surprised to see just how much intimacy you can get even by writing often even a few of the patients are more able to expose themselves that is a little bit anonymous that that’s been extremely crucial finding for me also I have actually been working with Nicole Eames and supervising rather routinely now in the last number of years which’s that is among the things that I really found in my deal with her as she talked about her client they expose things what has shocked me is numerous times I’ve heard her state the patients have actually said that they reveal things to her they never revealed to their to their face-to-face therapist which’s rather remarkable one of the important things is of course the privacy that that we don’t quite find but here they work with face to face therapist for a year or more and never revealed particular of these things that were that were extremely shameful there’s another thing too which is that a patient can have a panic attack in the middle of the night and instantly text the therapist. Rogue Rocket Betterhelp