In terms of the therapeutic process, online therapy does not differ from in-office therapy. The first 1 to 3 consultation meetings serve diagnostic purposes. They allow the therapist to understand the patient’s problems and situation and to propose the best form of help, adapted to the patient’s needs and abilities. During consultation meetings, we discuss therapeutic goals together with the patient. I propose how long the therapy needs to take that will be most beneficial for the patient.
Online psychotherapy is usually addressed to the people for whom in-office psychotherapy is difficult to access. It can be used, for example, by people who – because of their place of residence – cannot receive professional assistance in their mother tongue, have limited mobility or travel frequently, which makes regular psychotherapy sessions impossible. Presently, I conduct some of my therapeutic processes online due to the epidemic status in Poland and worldwide.
Before commencing psychotherapy via instant messaging apps (Zoom, Skype), I make sure that there are no contraindications to this type of therapy. These may include, among others, recurrent suicidal thoughts and self-aggressive behaviour, psychotic states, strong addiction to psychoactive substances or problems with inhibiting aggression.