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What are Benefits of Teletherapy?

The way we do therapy has fundamentally changed. What started as a pandemic necessity has become a preferred choice for many. As a Seattle therapist offering both online and in-person sessions, I've seen how teletherapy can be transformative for the right person in the right circumstances. Let me give you a balanced view of virtual therapy's benefits and considerations to help you decide if it's right for you.

The Benefits of Teletherapy

Accessibility Advantages

Geographic Freedom

  • Live anywhere in Washington State

  • No Seattle traffic struggles

  • Rural areas served

  • Move without switching therapists

  • Travel without missing sessions

Reduced Barriers

  • No transportation needed

  • Mobility challenges accommodated

  • Childcare not required

  • Weather irrelevant

  • Time efficiency maximized

Health Considerations

  • Immune compromised safety

  • Chronic illness accommodation

  • Contagious illness flexibility

  • Reduced exposure anxiety

  • Pandemic-proof consistency

Comfort and Convenience

Your Space, Your Comfort

  • Familiar environment

  • Personal temperature control

  • Your favorite chair

  • Comfort items present

  • Pets can join

Privacy Enhancements

  • No waiting room encounters

  • Complete anonymity

  • Your bathroom available

  • Emotional privacy immediate

  • No "therapy look" afterward

Scheduling Flexibility

  • Lunch hour sessions

  • Early morning possible

  • Evening availability

  • Quick sessions feasible

  • Last-minute easier

Clinical Benefits

Sometimes Therapeutically Better

For Anxiety:

  • Exposure from safe space

  • Gradual challenge building

  • Home environment practice

  • Real-time application

  • Immediate grounding

For Trauma:

  • Safety of distance

  • Control over environment

  • Easy escape if needed

  • Familiar surroundings

  • Comfort objects nearby

For Busy Lives:

  • Consistency maintained

  • Less disruption

  • Integration easier

  • Real-life application

  • Sustainable long-term

Important Considerations

Technical Challenges

Potential Issues:

  • Internet instability

  • Audio/video lag

  • Technology learning curve

  • Equipment needs

  • Power/service outages

Reality Check:

  • Most issues manageable

  • Backup plans help

  • Technology improves constantly

  • Support available

  • Rarely session-ending

Environmental Factors

Space Needs:

  • Private area required

  • Sound privacy crucial

  • Visual background matters

  • Lighting important

  • Distractions minimized

Not Ideal If:

  • No private space

  • Household chaotic

  • Walls paper-thin

  • Others consistently interrupt

  • Workspace only option

Clinical Limitations

May Be Challenging For:

  • Severe dissociation

  • Active substance use

  • High suicide risk

  • Technology phobia

  • Strong preference for presence

Nonverbal Communication:

  • Body language limited

  • Energy reading different

  • Touch not possible

  • Movement restricted

  • Full presence altered

Making Teletherapy Work

Setting Up for Success

Physical Space:

  • Dedicated therapy spot

  • Comfortable seating

  • Good lighting (face visible)

  • Minimal background distraction

  • Door that closes

Technology Setup:

  • Reliable internet (test speed)

  • Quality camera/microphone

  • Backup connection plan

  • Platform familiarity

  • Technical support ready

Psychological Preparation:

  • Same as in-person

  • Ritual to begin/end

  • Transition time built in

  • Support plan after

  • Boundaries communicated

During Your Session

Best Practices:

  • Close other programs

  • Silence notifications

  • Full attention present

  • Notes nearby if needed

  • Water accessible

Communication Adjustments:

  • Speak slightly slower

  • Allow for delays

  • Be more explicit

  • Check understanding

  • Name technical issues

Staying Connected:

  • Make "eye contact" with camera

  • Verbalize more

  • Name what you're experiencing

  • Ask for what you need

  • Trust the process

Specific Populations and Teletherapy

Works Especially Well For:

Busy Professionals

  • Fit therapy into packed schedule

  • No commute time lost

  • Work-from-home integration

  • Travel compatibility

  • Efficiency maximized

Parents

  • No childcare needed

  • Naptime sessions possible

  • School hour availability

  • Emergency flexibility

  • Home base maintained

Social Anxiety

  • Gradual exposure possible

  • Safe space start

  • Control over interaction

  • Reduced performance anxiety

  • Building to in-person

Rural/Distant Clients

  • Access to specialists

  • No long drives

  • Weather independent

  • Consistency possible

  • Quality care available

May Need Extra Consideration:

Teens

  • Privacy from family crucial

  • Technology typically strong

  • Engagement strategies needed

  • Parent boundaries important

  • Screen fatigue real

Older Adults

  • Technology support may help

  • Larger screens better

  • Patience with learning

  • Audio quality crucial

  • Often surprisingly adaptable

Complex Trauma

  • Safety paramount

  • Grounding plan essential

  • Start slow

  • Regular check-ins

  • Flexibility needed

The Hybrid Model

Best of Both Worlds

Many clients find success with:

  • Initial sessions in person

  • Regular sessions online

  • In-person for intensive work

  • Online for maintenance

  • Choice based on needs

When to Switch Modalities

Consider In-Person When:

  • Processing deep trauma

  • Feeling disconnected

  • Craving physical presence

  • Technology frustrating

  • Plateau in progress

Consider Online When:

  • Schedule challenging

  • Travel increasing

  • Health concerns arise

  • Consistency struggling

  • Convenience needed

Making the Decision

Questions to Consider:

Practical:

  • Do I have private space?

  • Is my internet reliable?

  • Can I minimize distractions?

  • Does scheduling work better?

  • Are there transportation barriers?

Clinical:

  • What am I working on?

  • How's my focus online?

  • Do I need physical presence?

  • Am I comfortable with technology?

  • What does my gut say?

Personal:

  • Where do I feel safest?

  • How do I open up best?

  • What supports consistency?

  • What reduces barriers?

  • What feels right?

Trial Period Approach

Consider:

  • Try 3-4 sessions online

  • Evaluate what works/doesn't

  • Adjust as needed

  • Stay flexible

  • Trust your experience

My Teletherapy Practice

What I Offer:

Technical:

  • Secure, HIPAA-compliant platform

  • Tech support guidance

  • Backup communication plans

  • Screen sharing capabilities

  • Resource sharing ease

Clinical:

  • Same quality care

  • All modalities available

  • Full attention present

  • Adapted techniques

  • Consistent availability

Flexibility:

  • Switch modalities anytime

  • Hybrid options

  • Your preference honored

  • Ongoing evaluation

  • Whatever serves you

The Future Is Flexible

Teletherapy isn't replacing in-person therapy—it's expanding options. The future of therapy is:

  • Client choice

  • Flexible modalities

  • Accessibility increased

  • Barriers reduced

  • Whatever works

Your Teletherapy Decision

Whether teletherapy is right for you depends on:

  • Your specific needs

  • Life circumstances

  • Personal preferences

  • Clinical considerations

  • Practical factors

During our consultation, we can explore:

  • Your comfort with technology

  • Space and privacy situation

  • Clinical appropriateness

  • Platform orientation

  • Creating optimal setup

The best therapy is the one you'll actually attend, let's find what works for you.

Dr. Elissa Hurand PhD - Compassionate Seattle Therapist



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