I would like to share my experiences as a therapist who provides distance services with phone and Skype. First of all, as a therapist, I need to make sure that this is an appropriate medium for the client. If he or she is suicidal or homicidal, distance services are not an option. I also need to make sure phone or Skype will enhance the experience, instead of detract from it. Often, clients will benefit from the flexibility of appointments (getting in during a no-show, or providing a quick session on the weekend, or the client having a session when out of town).
Source: http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=45022&cn=91
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