Critics denounce the idea of sending private thoughts into cyberspace to someone who may not be qualified and who can't see the doubt or tears in a patient's eyes. Beaudoin says that little signals such as a patient's voice tone, foot jiggling and posture can provide vital information to therapists. She uses her own voice and body as well, softening her tone or emphasizing a point while leaning forward. Also, e-therapists usually don't have access to patient histories or medical files. And then there's payment for such services.
Most clients pay by credit card.
He chats online with 10 clients a week, in addition to his office practice. But health insurers don't cover online counseling. You're probably looking at a few years, at least. Legal jurisdiction also could be an issue, because those who are licensed typically have credentials in only one state. Even its staunchest advocates don't claim that the Internet is always the most appropriate place for therapy.