Telephone, Skype, I-Chat or other VOIP sessions are chosen by clients who live one block away or 10,000 miles away. These sessions are typically as effective as office sessions and, for many, they are the most effective, logical, convenient and practical choice.
Programs such as Skype, Gmail Video Chat, and Yahoo Messenger allow real-time communication with live video. All of these programs are free and available on the web. All you need is a computer with a built-in camera or a web cam. In addition, Skype is now available for use on iphones. If you have never used these free and readily available technologies before, I would be happy to coach you. Video-conferencing also has the advantage of allowing clients to hear and see their therapist without using up cell phone minutes or accruing long-distance charges.