Video Therapy: Advancing Our Skills By Using What We Know
Online Course Materials: Articles Audios Articles Videos
Developed by Marty Klein, Ph.D.
This course is also offered as part of a TeleMental Health & Digital Ethics Certificate of 24 CE Credit Hours.
Course materials include videos, with audio versions and transcripts.
General Course Description
Many therapists and clients are finding remote interactions a convenient and effective way to engage in therapy. Nonetheless, many therapists report this clinical mode is less satisfying than in-office sessions, and they continue to search for ways to regain many of the advantages face-to-face therapy provides.
This intermediate-level course is based on 2 one-hour videos, also presented as audio and transcripts/texts. Dr. Klein guides therapists beyond the basics and discusses more in-depth strategies for providing excellent telemental health. Although some of his discussion applies specifically to couples counseling, most of his recommendations and rationale apply equally to couples and individual therapy alike. In the first hour, Dr. Klein presents practical guidelines for improving the quality of remote interactions. During the second half of the course, a fascinating interview with Glenn Marks, Ph.D. focuses on the clinical reasoning behind specific approaches, and how some common clinical ideas can undermine the therapy. This will help therapists develop their own policies and guidelines that match their therapy style and their clients’ needs.
- This course will teach the participant to
- Identify specific strategies to enhance the quality of remote video therapy
- Utilize skills in a way that is more appropriate for online treatment
- Revise existing clinical and logistical policies as applied to remote therapy to overcome some of the limitations inherent in moving from in-office to online sessions.
- Augusterfer, E.F., Mollica, R.F. & Lavelle, J. (2018). Leveraging Technology in Post-Disaster Settings: the Role of Digital Health/Telemental Health. Curr Psychiatry Rep 20, 88. https://doi.org/10.1007/s11920-018-0953-4
- Fletcher, T.L., Hogan, J.B., Keegan, F. et al. (2018). Recent Advances in Delivering Mental Health Treatment via Video to Home. Curr Psychiatry Rep 20, 56. https://doi.org/10.1007/s11920-018-0922-y
- Suddeath, E.G., Kerwin, A.K., Suzanne M. Dugger, S.M. (2017). Narrative Family Therapy: Practical Techniques for More Effective Work with Couples and Families. Journal of Mental Health Counseling; 39(2): 116–131. doi: https://doi.org/10.17744/mehc.39.2.03
- Communication challenges in online therapy
- Difficulty controlling the room
- Loss of “sacred space” that the office provides
- Challenges with online therapy
- Distractions in client’s lives
- Squeezing sessions between activities
- No transition time for clients
- Limited visual context leads to loss of data from body language
- Difficulty hearing full content
- Considerations for online therapy with couples
- Ecology of setting
- Facilitating communication
- Minimizing disruptions
- Power differentials
- Other considerations
- Enhancing satisfaction of online therapy: Physical settings
- How we present ourselves
- Encouraging better communication with therapist
- Importance of therapists in thinking clearly about their rationale for arrangement of online therapy
- Working with clients to create “sacred space” as part of the therapy
- Balance between dictating rules and creating collaboration
- Managing Power Dynamics
- Clients lack of follow-through
- Balancing acceptance and accountability
- Using clients’ reactions to policies as part of the therapy
- Enhancing satisfaction of online therapy
- Changing rhythms of therapy
- Unique situations
- Obtaining collateral information [unless I misunderstood this point]
- Recording of sessions
- Rationale for encouraging clients to do so