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Insights on the Significance of Therapy Room Setting vs. Online Sessions?

2024.11.24
Question:

I've often heard that online therapy sessions don't quite compare to in-person ones. I'm curious why this is, particularly regarding both human interaction and the significance of the setting. Any insights would be greatly appreciated!

Answer:

Online therapy sessions indeed offer different experiences compared to in-person ones, primarily due to the absence of non-verbal cues and the limitations of technology. Here are some key factors to consider:

  1. Non-Verbal Cues: In-person sessions allow therapists to pick up on subtle body language, facial expressions, and tone of voice that can provide valuable insights into a client's emotional state. Online sessions, especially those conducted via audio only or with low video quality, may not transmit these cues effectively.

  2. Technological Limitations: Technical difficulties such as poor internet connection, lag, or glitches can disrupt the flow of a session and cause frustration. Additionally, some therapies that involve physical touch (e.g., EMDR) are challenging to replicate online.

  3. Setting: The physical environment where therapy takes place can significantly impact the therapeutic process. A comfortable, private, and safe space helps clients feel at ease and focus on their thoughts and emotions. In contrast, online sessions may require clients to find a quiet, private space within their home, which might not always be possible.

  4. Human Interaction: The lack of physical presence can make it harder for some people to connect emotionally with their therapist. Eye contact, a pat on the shoulder, or even just being in the same room can enhance feelings of connection and support.

However, online therapy also has its advantages:

  1. Accessibility: Online sessions remove geographical barriers, making mental health care more accessible to those living in rural areas or with mobility issues.

  2. Convenience: Clients can attend sessions from the comfort of their own homes, which can be less stressful and more convenient.

  3. Cost-Effective: Online therapy often costs less than in-person sessions, as there's no need for therapists to rent office space.

To make the most out of online therapy:

  1. Ensure a quiet, private space with good internet connection.

  2. Use a device with a decent camera and microphone.

  3. Try to position yourself so that your face is well-lit and visible.

  4. Be open about any technical difficulties or distractions you're experiencing.

  5. Regularly discuss with your therapist how the online format is working for you and if there are ways to improve it.




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