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Virtual blues

Sarah Birke

Published 26 June 2008

The online revolution is the most recent step in the development of counselling, an initiative that started with post-war couples looking to save a marriage in crisis

Why try to explain how you are feeling when an emoticon can do it for you? The internet has now become the first port of call for pretty much anything, and these days ever more people are opting for virtual therapy sessions via email or web chat programmes such as MSN and Skype.

The online revolution is the most recent step in the development of counselling, an initiative that started with post-war couples looking to save a marriage in crisis. But the internet version has taken off in a way that telephone counselling never did. So who uses it, and why?

"There is an increasing group of young professionals who can't take the pace," says Kate Anthony, an online counselling pioneer who has done extensive research in the area. "The first place they turn for everything is the internet. And once they have made the decision to seek help, online counselling is the only way they can fit it into their busy schedule."

To respond to the growing number of their members offering online interactions, the British Association of Counselling and Psychotherapy (BACP) has already published the second edition of guidelines for online counselling (2005), the most comprehensive set in the world. Last year, Anthony trained more than 50 counsellors in the art of virtual therapy.

Counsellors suspect that online services are also drawing in people who would not seek face-to-face counselling. "It's a new market," says Phillip Hodson, a fellow of the BACP. "Online work reduces the stigma of counselling for people who simply would not turn up to a session in person."

Hodson has treated not just young people, but "silver surfers" as well as clients from abroad including India - contrary to the stiff upper lip reputation of the British, our counselling services have a reputation for excellence. Anthony's experience further suggests that online counselling is particularly popular with two demographic groups in particular: university students and the LGBT (lesbian, gay, bisexual, and transgender/sexual) community.

Online counselling is changing the nature of therapy itself as well as its clients. Although web chats work in the same real-time conversational manner as traditional counselling sessions, email counselling does not. Usually started by the client's emailing an outline of their problem, at around 500 words, the interactions continue by essay, entailing relatively delayed responses and often lengthier input from the counsellor rather than the intermittent questions and prompts of a personal session.

"It's not for everyone," says Hodson, who currently does no work online. "The inarticulate person simply gets frustrated at not being able to express themselves. Can you imagine John Prescott in online counselling?"

But there are advantages. Some people find writing more conducive to opening up. And literally reading between the lines of an email can tell the therapist a lot; what hasn't been written can be as important as what has.

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5 comments from readers

Sue W
08 July 2008 at 16:24

If the idea of haviing online counselling appeals to you but you don't know how to find a trustworthy counsellor, you need look no further than the Association for Counselling and Therapy Online (ACTO). All our therapists did their original counselling training in the UK and we check out all qualifications before accepting anyone as a member.

We have our own Code of Ethics that all members must adhere to - most also subscribe to the BACP Ethical Framework. We also have our own Professional Conduct Procedure for dealing with complaints.

We have a searchable directory of therapists and also one of supervisors who are willing to offer supervision online.

ACTO always welcomes new members, so if you work online and would like a 'home' where you can find information, contribute to discussions and get to know other online therapists, come and join us!

http://www.acto-uk.org is the place to be!

Sue Whitlock

Chairman

Association for Counselling and Therapy Online

Alison Jenkins
08 July 2008 at 22:30

My experience of working as an online counsellor is that people just like John Prescott come for help online so that they can receive the help they need without people knowing about it. I specialize in eating disorders online and have worked with extremely famous people like actresses who could not be seen attending a counselling session. By using a secure encrypted e mail service everything is kept confidentially. Eating disorders are extremely secretive so online counselling is often the first place that sufferers begin to open up.

I have also worked with dyslexic clients who love the fact that their writing doesn't have to be perfect, but they can get everything they are feeling on paper.

It's ideal for mothers' too who struggle to find childcare, for the insomniac who wants to get help at 3am or the disabled person who can't get to appointments.

My experience is that clients work through things much quicker than a face to face session. They can re-read their sessions many times over and are not reliant on their memory.

ACTO has been an amazing group of pioneers who are really leading the way forward in online counselling. It's easy to find an online counsellor and you know they have been screened for their qualifications. For the online counsellor there is so much support in a profession that can be quite isolating if you work alone.

Alison Jenkins

Director of Changing Lives Online Counselling Service

www.counsellingchangeslives.com

Committee Member ACTO

www.acto-uk.org

DeeAnna Merz Nagel
15 July 2008 at 18:07

Kate Anthony has been training counselors (counsellors) in the UK for years through www.onlinecounsellors.co.uk. We have recently co-founded the Online Therapy institute, designed for clinicians and organizations who wish to enrich their knowledge about online counseling, clinical supervision and the impact of technology on mental health. The Institute is a think tank for all issues related to e-therapy. We have a virtual office in Second Life so please teleport and join in! Our different perspectives from across the pond have resulted in a successful and fun collaboration!

DeeAnna Merz Nagel, LPC

Distance Credentialed Counselor

Approved Clinical Supervisor

www.onlinetherapyinstitute.com

www.deeannamerznagel.com

SueW
16 July 2008 at 14:40

You can also train for online working with Counselling Online Ltd, a British training organisation that has been running for several years.

If offers 3 levels of very comprehensive training and is, I think, the best available.

http://www.onlinetrainingforcounsellors.co.uk

I've done all 3 levels of this - hard work but intensely rewarding.

Sue

Kate Anthony
30 July 2008 at 12:06

An update on this article is that I am in discussion with BACP now for the *3rd* edition of the Guidelines for Online Counselling and Psychotherapy, and these will hopefully now be extended to at least mention the newer types of virtual therapy that are emerging, such as the Second Life work taking place at http://www.onlinetherapyinstitute.com

Kate

http://www.onlinecounsellors.co.uk

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