Integrative Counseling of Oregon

In-Person therapy 

There is much value in the time spent, talking with your therapist one-on-one.  Although I heavily support the use of teleservices to provide care to those who are unable to attend 1-on-1 sessions, I also value the role that in-person therapy plays in providing an effective rapport for therapeutic change. 

Scholarly articles supporting the use of teletherapy:

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Bourgeois, M., Lenius, K., Turkstra, L., & Camp, C. (2007). The effects of cognitive teletherapy on reported everyday memory behaviours of persons with chronic traumatic brain injury. Brain Injury, 21(12): 1245–1257.

Butcher, L. (2015). Telehealth and telemedicine today. Physician Leadership Journal, 2(3), 8-13.

Deslich, S., & Coustasse, A. (2014). Expanding technology in the ICU: the case for the utilization of telemedicine. Telemedicine Journal And E-Health: The Official Journal Of The American Telemedicine Association, 20(5), 485-492. doi:10.1089/tmj.2013.0102

Fortney, J. C., Pyne, J. M., Kimbrell, T. A., Hudson, T. J., Robinson, D. E., Schneider, R., & ... Schnurr, P. P. (2015). Telemedicine-based collaborative care for posttraumatic stress disorder: a randomized clinical trial. JAMA Psychiatry, 72(1), 58-67. doi:10.1001/jamapsychiatry.2014.1575.

Kersting, A., Schlicht, S., & Kroker, K. (2009). [Internet therapy. Opportunities and boundaries]. Der Nervenarzt, 80(7), 797-804. doi:10.1007/s00115-009-2721-5.

LeRouge, C., & Garfield, M. J. (2013). Crossing the telemedicine chasm: have the U.S. barriers to widespread adoption of telemedicine been significantly reduced?.International Journal Of Environmental Research And Public Health, 10(12), 6472-6484. doi:10.3390/ijerph10126472

Molfenter, T., Boyle, M., Holloway, D., & Zwick, J. (2015). Trends in telemedicine use in addiction treatment. Addiction Science & Clinical Practice, 1014. doi:10.1186/s13722-015-0035-4.

Montero-Marín, J., Carrasco, J. M., Roca, M., Serrano-Blanco, A., Gili, M., Mayoral, F., & ... García-Campayo, J. (2013). Expectations, experiences and attitudes of patients and primary care health professionals regarding online psychotherapeutic interventions for depression: protocol for a qualitative study. BMC Psychiatry, 1364. doi:10.1186/1471-244X-13-64.

Moritz, S., Schröder, J., Meyer, B., & Hauschildt, M. (2013). The more it is needed, the less it is wanted: attitudes toward face-to-face intervention among depressed patients undergoing online treatment. Depression And Anxiety, 30(2), 157-167. doi:10.1002/da.21988

Osenbach, J. E., O'Brien, K. M., Mishkind, M., & Smolenski, D. J. (2013). Synchronous telehealth technologies in psychotherapy for depression: a meta-analysis. Depression And Anxiety, 30(11), 1058-1067. doi:10.1002/da.22165

Rozbroj, T., Lyons, A., Pitts, M., Mitchell, A., & Christensen, H. (2015). Improving self-help e-therapy for depression and anxiety among sexual minorities: an analysis of focus groups with lesbians and gay men. Journal Of Medical Internet Research, 17(3), e66. doi:10.2196/jmir.4013

Saeed, S. A. (2015). Telebehavioral health: clinical applications, benefits, technology needs, and setup. North Carolina Medical Journal, 76(1), 25-26.

Wang, F. (2014). Measuring adjusted quality of life in telemedicine. Telemedicine Journal And E-Health: The Official Journal Of The American Telemedicine Association,20(4), 338-341. doi:10.1089/tmj.2013.0159

Zailani, S., Gilani, M. S., Nikbin, D., & Iranmanesh, M. (2014). Determinants of telemedicine acceptance in selected public hospitals in Malaysia: clinical perspective. Journal Of Medical Systems, 38(9), 111. doi:10.1007/s10916-014-0111-4

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What the heck is teletherapy!?!

Teletherapy is the use of technology (phones, computers, tablets, etc.) to connect two people over the internet. Most teletherapy is done with the use of programs such as Google Hangouts, Zoom, Skype, or FaceTime.  

***It is important for all patients to understand the limitations of teletherapy including: the inability to treat some disorders, privacy concerns, and the need for an on-going commitment to a therapeutic treatment plan. Your clinician will discuss the limitations with you and answer any questions you might have, when determining if you would benefit from teletherapy. .

Auzadeh Harvey, LPC, LPCC, MS, NCC