Clinical Issues in Virtual and Teletherapy

This article by Chanté D. DeLoach discusses the challenges and opportunities of practicing psychotherapy in a virtual environment, particularly during the COVID-19 pandemic. The shift to teletherapy necessitates adaptations in screening, establishing rapport, and managing crises. The article emphasizes the importance of maintaining therapeutic presence and rapport, even when interacting through digital means. It explores considerations such as client appropriateness for teletherapy, therapist competence, and the unique dynamics of working with different populations, including children and adolescents. The text also addresses the ethical and professional boundaries required in virtual therapy, as well as crisis management and emergency protocols that must be adapted to the digital context.

  • Understand the fundamental aspects of maintaining therapeutic rapport and presence in a virtual therapy environment.

  • Identify the specific clinical considerations and screening processes necessary for determining client appropriateness for teletherapy.

  • Explore the ethical and legal obligations of therapists practicing in a digital or out-of-office environment.

  • Examine the unique challenges and benefits of conducting teletherapy with children and adolescents.

  • Develop strategies for crisis management and emergency response in a teletherapy setting.

  • Analyze the implications of teletherapy on professional boundaries and the therapist-client relationship.

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