"We shape our tools, and afterwards our tools shape us."

- Marshall McLuhan

Telehealth Counseling

The modern age has caught up to even us therapists.  There's no denying the impact technology is having on our lives and the ways in which it can help improve it.  In order to provide greater access to those who seek counseling services I offer individuals the chance to work with me online through telephone, email, and HIPAA compliant video conferencing platforms.

Online counseling isn't a be all end all solution to therapy.  It has some trade-offs compared to engaging in a face to face conversation, but for certain people, the benefits might outweigh the costs. 


Online Counseling May Benefit Individuals Who:

  • Need Accessibility - Often times people live in more remote areas where services are limited or who simply cannot afford or commit to driving long distances on a weekly basis.

  • Need Flexibility - Some individuals have very busy lives and are unable to take time off from work or home life.  

  • Desire Anonymity - Waiting rooms can be uncomfortable places and depending on the size of area someone lives in, the chance to run into an acquaintance can occur.

  • Are uncomfortable with traditional therapeutic settings.  Often times the vulnerability, immediacy, and intimacy can be too overwhelming and prevents people from participating.

  • Require extended periods of time to reflect and process material (insights, questions etc.).

  • Have difficulty expressing themselves and convey more through written word.

Some Downsides to Online Counseling:

  • Miscommunication - There's an absence of verbal and non-verbal cues that facilitate connection, feeling understood, and the counselor's ability to interpret deeper levels of emotion and processes happening for the client.  Deep therapeutic work can be hindered due to this...essentially turning a person or problem that's 3D into a 2D encounter.  

  • Confidentiality - I have an ethical responsibility to protect and maintain client's confidential information at all costs. With online therapy there's always a security risk regarding the client's records and information becoming jeopardized or inappropriately breached given the written nature of the medium.  For instance - your computer gets lost or stolen, a family member gains access to your passwords, and nefarious hackers etc.

  • Inability to accurately diagnose if it is needed.

  • Typing speed can limit the conveyance of information in chat based sessions. Sometimes people say less when writing than they would when speaking; reducing the amount of information available for the therapist to work from.

  • People may find it difficult to put complex thoughts and emotions into written words. 

  • Insurance companies often times do not cover the costs of online counseling.

  • Not able to be used with clients in crisis or at risk of hurting themselves.

  • Technology is particularly good at malfunctioning when you don't want it to.