For one, there may be licensing issues if the therapist lives and is licensed out of state from the patient. Yet, there are negatives to Skype psychotherapy. Patient and therapist can see one another’s faces, facial expressions and hear one another’s tone of voice with its various intonations and expressions. On Skype, face to face communication is present very much as it is in the office. Many patients who use video cam psychotherapy find it very helpful, useful and equally effective as in the office therapy. Supportive psychotherapy, based more on the psychodynamic model than CBT, is fully available online. Practices such as the use of cognitive behavior therapy are fully available via working on Skype. In most respects, therapists and patients can continue to do the same therapeutic activities online just as in the office. This gives the benefit of continuing therapy with the same therapist uninterrupted. There is also the problem that, when therapists move away from where they were practicing, patients have the option to continue therapy via Skype if they wish to. In addition, people who prefer to see a certain therapist who lives far away can do so via Skype if the therapist is willing. On the pro side of the argument over video psychotherapy is that people who live in remote areas, far from psychotherapists, can reap the benefits of getting psychological help for their problems. In other words, the patient sits at home, at the computer and has a therapy session without ever leaving their home. Modern technology has made possible the fact that people can see their psychotherapist using Skype or video cam psychotherapy. He is a Licensed Clinical Social Worker in the states. was in private practice for more than thirty years.
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