Online Therapy Sessions

Online Therapy



Online therapy clients can use ONLY online services, such as video, chat and journal based therapy, or online therapy clients can also schedule to be seen in face to face sessions, onsite and with retreat/concierge based services.  Online therapy supplements traditional talk therapy services and with some clients it replaces it!


By: Kurt LaRose MSW LCSW CHT and LICSW


Since opening my practice in 2005 (treating clients in Florida and now also in Washington DC) I have always included digital technology in the services delivery model. In 2012 as the digital technology moved to actual secure platforms - I added the digital server to my practice as a way to enhance client access to services.  My clients get better faster, because they have so many options to access services, as the video above summarizes.


My clients enjoy a 24 hour patient portal where they can, at anytime day or night, share a confidential journal, they can send a secure email asking a question about something that happened related to a recent session, they can review shared files from their sessions and ask to review their records.  My clients benefit from the online therapy platform (even those who are seen in my office use it) because they schedule their own appointments.  Clients do not feel pressured to schedule because I’m not asking them to do so (yes, I make recommendations and I will occasionally follow-up if a client stops scheduling as a matter of patient care).  Self scheduling helps clients attend sessions (whether it is an actual online therapy session or a face to face session) arrive for sessions more motivated; that’s because clients seek care when it is most needed.  Further self scheduling helps my clients manage their costs for care.  If a client is in serious crisis they are able to communicate with me via the secure server.  Sometimes that communication is synchronous or asynchronous—but clients feel more connected just by having a place to go to reach out, privately—anytime day or night. 


If you can an order a product online, you can set up secure, confidential and private online therapy.  It’s easy.  Answer some questions, provide your billing information and schedule!


As the mental health and behavioral health world continues (still) to struggle with the world of digital interactions, more and more clients (young and old alike) are accessing care here.  Why?  I’ve been doing it for years and my clients are just getting better, faster.


Are there limitations to online therapy?  Sure.  Because in an online format there is not the brain to brain physical interactions (that is the emotional brains cannot sense one another as occurs in a face to face model) in some ways it is MORE work on the therapist.   Users can read my article on the topic in a link below as well.  Many clients however, will only access care via a digital platform (due to anxieties, or phobias, limitations in travel and other barriers).  Plus, for those clients who only want to schedule, get text reminders of appointments and be seen face to face—they interact with the server very, very little! 


Licensing can affect online therapy access as well.  Why?  A resident of DC and a licensed DC therapist can do online therapy—really from virtually anywhere there is internet access.  And because state and federal regulators have yet to figure out a national licensing credential—online therapy ONLY clients (those who are not seen in the office or onsite) must work with a professional who is licensed from the same state where the client lives.  Now, a resident from anywhere could come to my DC office and be seen face to face (we’re both sitting in the same jurisdiction where I’m also licensed) or they could be seen face to face in my Florida visits.  In part, this is why I’m licensed in two jurisdictions—I can see DC and FL clients online—no matter where I am or where they are.  So, know that if you’re seeing a therapist online from another state, who is NOT licensed in the state in which you reside, this may not actually be an approved licensing practitioner (you can check with your local licensing boards to be sure this is an option).  So how come some organizations can treat online for all 50 states?  Interestingly, federal and state agencies do not have to follow the same licensing standards as do private practitioners (so the veterans administration, for example can provide online therapy in all 50 states if they want to).  Some private insurance companies will offer online therapy in different states, but generally they are linking a licensed therapist in your state to you).  As time progresses, it is my guess that one day there will be a nationalized licensing standard so that private practitioners can treat clients online—no matter where they both live and work.  Why?  Clients are demanding the services, just like college students are doing for online degrees (and colleges and state regulators in at least 48 states have made THAT possible)! 


Unlike various video based platforms claiming to provide “online therapy” the server I use is encrypted, from client to therapist and therapist to client.  I will not name the other services out there, but unless the platform for online services says “HIPAA Compliant” it is NOT secure for health information sharing.  My digital practice server meets the compliance standard for HIPAA security, ensuring client information is kept confidential.  Plus it allows for electronic management of all records and billing matters (increasingly a requirement in the mental health profession by private and federal contracting standards).   


I have presented as a lead presenter on digital services models and am published on the topic.  The server I use is one that I am so thrilled about, and that my clients really, really like having that I re-sell it to other providers helping them enter the digital age of mental health services.


So—if you want an online therapy platform with 24 hour access to your therapist (synchronous and asynchronous options) either as your only type of therapy (video, chat, journaling, file sharing, self scheduling, records access and text reminders) or as a supplement to your face to face sessions, you’ve come to the right place!


Video:  Online Therapy

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. District of Columbia Licensed Independent Clinical Social Worker . DC License #LC50081569 .

. Florida Licensed Clinical Social Worker, Clinical Hypnotherapist and CSW Qualified Supervisor  . Florida License # SW9297 .

.Member Greater Washington Society for Clinical Social Work . Member National Association of Social Workers  .



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