E-Therapy Online Counseling (Teletherapy / Telehealth)
Online Counseling can include a broader array of services to offer a variety of options to meet individual needs and individual budgets. Some Online Counseling services are delivered via a delayed response text-based feature (similar to email) where a therapist responds on a predetermined basis… often as frequently as several times each day.
Perhaps that best option is a hybrid approach combining in-person and online services to provide a more comprehensive counseling approach to more fully meet each client’s individual needs. This might include in-person individual counseling every other week, weekly group counseling, twice-weekly chat sessions, and ongoing text message therapy that provides continuous support to clients as aftercare to inpatient treatment or as an early recovery approach for substance abuse treatment.
E-Therapy or Online Counseling has been found to be AT LEAST as effective as in-person therapy. Below is a sample of studies for your review:
The effects of online psychotherapy outlasted the results of face-to-face counseling…
"A University of Zurich study divided a group of 62 patients in half and found that depression was eased in 53 percent of those given online therapy, compared to 50 percent who had in-person counseling. Three months after completing the study, 57 percent of online patients showed no signs of depression compared to 42 percent with conventional therapy." Journal of Affective Disorders, 2013 (http://dx.doi.org/10.1016/j.jad.2013.06.032)
Online therapy significantly lowered the number of hospital visits among veterans…
"In a four-year Johns Hopkins study that included close to 100,000 veterans, the number of days that patients were hospitalized dropped by 25 percent if they chose online counseling. This is slightly higher than the number of hospital visits experienced by patients who used face-to-face counseling." Psychiatric Services, April 2012 (http://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201100206)
A Canadian study shows that online therapy delivers the same satisfaction at slightly less the cost…
"Patients in Ontario, Canada were assigned to face-to-face or live video counseling and experienced statistically the same clinical outcome and level of patient satisfaction. The only difference was that the cost of providing the online service was 10% less per patient." American Psychiatric Association, 2007
Online therapy may be an efficient way to provide PTSD treatment to a large group of people.
"A pilot study compared the effectiveness of online cognitive behavioral therapy and in-person supportive therapy in 45 Defense service members suffering from post traumatic stress disorder (PTSD) after the September 11th attack. After eight weeks those receiving online therapy showed greater improvement. Six months after their first meeting those who had received online therapy continued to show improvement, in direct contrast to the in-person group." American Journal of Psychiatry, November 2007
Internet-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial
"The analysis yielded no significant between-group difference (online vs. face-to-face group) for any of the pre- to post-treatment measurements. At post-treatment both treatment conditions revealed significant symptom changes compared to before the intervention. Within group effect sizes for depression in the online group and the face–to-face group can be considered large. At 3-month follow-up, results in the online group remained stable whereas participants in the face-to-face group showed significantly worsened depressive symptoms after termination of treatment." Journal of Affective Disorders, 2014 (http://dx.doi.org/10.1016/j.jad.2013.06.032)
E-Therapy Online Counseling provides efficient, effective, and accessible online therapy from a Licensed Therapist. This modality not only broadens the accessibility of services but also provides an evidence-based approach with a wider variety of cost-effective options for those with more limited resources.
Most insurance companies will now pay for "telehealth" and "teletherapy" services provided the E-Therapy Services are delivered via a live, interactive format that allows for real-time interactions between the client and therapist. Live sessions delivered via a live interactive format are very similar to face-to-face sessions, except without the time, expense, and inconvenience of travel.