Phone or Zoom: your choice
Some people like to see each other on video; others find it easier to talk without a camera. Both work. You can choose, and you can switch from one session to the next.
- Zoom: I use a HIPAA-compliant Zoom account, set up for health care. I send you a link before each session. You don't need an account of your own; you can join from a computer, tablet or phone. The free Zoom app makes it smoother.
- Phone: I call you at the agreed time. Any phone works.
Where you need to be
Therapists are licensed state by state, and the law looks at where you are during the session, not where you live. I'm licensed in Florida, Colorado and Arizona, so you need to be in one of those states every time we meet. If you'll be traveling, tell me ahead of time and we'll plan around it.
Making space for your session
- Find a private place where no one can overhear you: a room with the door closed, or your parked car.
- Use headphones if other people are at home.
- Charge your device and check your internet connection beforehand.
- Turn off notifications, and give yourself a few quiet minutes before and after.
- Keep a glass of water and some tissues nearby.
Is online therapy as good as meeting in person?
For many people, yes. Studies comparing therapy by video with therapy in person have found similar results for many common concerns, including depression and anxiety. Many clients also find it easier to open up from their own space, and easier to keep appointments when there is no travel.
Online therapy isn't right for every situation. If you are in crisis or need daily support, a more intensive level of care may be needed first, and I'll help you think about the options.
Privacy
Sessions are never recorded. Video sessions run on a HIPAA-compliant Zoom account, the US standard for protecting health information, and I join from a private room where no one can overhear us. What you share is confidential, within the limits set by law, which I explain before we begin. For couples and families joining from different places, each person should make sure they can't be overheard either.
If the connection drops
Technology sometimes fails. If a video call drops and doesn't come back within a minute or two, I'll call you by phone so we can continue.
Safety
At the start of therapy we note where you usually are during sessions and who to contact in an emergency. This is standard practice in online therapy and is only used if your safety is at serious risk.
Not for emergencies. If you are in danger, call 911. For a mental health crisis, call or text 988, the Suicide & Crisis Lifeline, any time of day or night.