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And pulling back from my own (reasonably subtle) issues for a moment. Neil Leibowitz Betterhelp…could e-counselling be the answer to the mental health problems intensifying among under-30s? With cuts to psychological health services truly starting to bite, digitised treatment could be simply the ticket for young adults who already filter nearly every aspect of their lives– good friends, work, sex, home entertainment– through a screen.

Not everyone is completely encouraged that shifting mental healthcare online is the way forward. “For me, what works in therapy is when you fulfill someone in person, in the very same room,” states London-based psychotherapist Sandra Tapie. “You get to know not just what it’s like to speak to the individual, but how it feels to be in a room with them. Using Skype is the next best thing: it’s ‘good enough’, however it does not create the nearness, the intimacy, that actually gets individuals to open and check out things.”

” I’ve carried out some research study into Skype counselling,” says London-based psychotherapist Dr Aaron Balick, “and it’s not the ‘practical equivalent’ of conventional counselling; it’s simply not quite the same thing. It’s truly essential that individuals who participate in it know that it’s a various experience from being in the room with someone, speaking in person.”

Bbc

” In regards to accessibility, it’s an excellent start and absolutely better than nothing. It’ll ideally lead them to eventually appearing in the room. However, if you’re dealing with relationship problems, attachment problems, or much deeper issues, it’s much better to be in the room with someone. Skype and the web provides a distance from your counsellor that might not be helpful.”

In cases of mild depression, the NHS is now directing some patients towards online programs instead of face-to-face counselling, a phenomenon that concerns Dr Balick.