Online, the therapist needs to check with the client often to make sure the client understands what you are saying and that you understand what the client is saying. The experience of the therapist in working with others and his or her superior communication skills are essential in preventing misunderstanding. We are well aware of the potential limitations of online work. Not being able to have the client sitting across from you where you can have a great deal of influence over the client, particularly concerning their safety is causing quite a lot of discomfort in most of us. All ethical therapists are concerned about the lack of control we have providing online therapy sessions.
All programs face the issue of people who seek treatment at their facility but are inappropriate.
Each program has its admission criteria and is equipped to treat a certain type or range of types of clients. An outpatient substance abuse agency can t treat a chronic schizophrenic with no substance abuse history. The limitations of online psychotherapy programs are not unlike limitations of other programs - we can't treat all people. Most online providers state quite clearly the limitations in the provision of therapy online. There is no such thing.