Teletherapy is Purposefully Limited

Teletherapy is delivered through electronic media, such as video teleconferencing or telephone. I may offer brief interventions or contact by phone or video teleconferencing, as needed. I am currently limiting my practice of full teletherapy sessions in order to focus on local clients who can visit my office. One reason is that offering teletherapy across state lines requires complying with another state’s regulations, which can change, posing liability issues. Also insurers may or may not reimburse for teletherapy, even with local clients. For local clients, with the exception of brief phone interventions or check-ins, therapy usually is done via office visits. Keeping services within the office setting also teaches people to contain their emotional activation to achieve better functioning. In the office we are better able to open up issues, explore them, and reorient before leaving the session for daily life. Also, I ask people to limit communications by email or text messaging to arranging appointments and other logistical tasks, since it can be difficult to ensure confidentiality with electronic media.

To schedule a first appointment please select this link. Although experienced with emergencies, that is not my practice focus. As an outpatient therapist I work with people who can reliably cope, are not at risk or in crisis, do not have thoughts of self-harm, and are seeking to grow. Teletherapy is less suited to such needs if they arise, except where I’m working with someone locally who requires support between sessions or may contact me with an urgent need. As a solo practitioner I am not an emergency resource.