I started doing psychotherapy online with a few patients who wanted to keep working with me but were no longer able to continue seeing me in my office. Honestly, I wondered how effective it would be myself. Having done it for six years, I can tell you honestly that my video patients are among my most rewarding! The work is essentially the same. The facial expressions and other nonverbal behaviors are all there and although those who started out in the office took about 20 minutes to adjust, it has been a resounding success.