What's the difference in working with you versus an app like Talkspace or Betterhelp?

Think of Talkspace and Betterhelp as analagous to Uber and AirBnB. They are technological disrupters who don't see themselves as treating providers - just like AirBnB doesn't see itself as a hotel, therefore ignores rules pertaining to lodging, and Uber who doesn't see itself as a transportation service and ignores relevant laws. These apps charge a subscription fee and advertise themselves as cheaper than traditional therapy. That may be only true if you don't have insurance. At the very least, I would read about them first, and if signing up for their service, read the Terms of Service carefully! The most major problems I have heard of are: 1. paying therapists by the word - more words, more pay and keeping the person engaged (and therefore paying). 2. selling your information - they don't seem to be bound by HIPAA because they are not a medical provider, remember? 3. Sometimes allowing therapists to see patients in states they're not licensed in. When you work with me, you are protected by my licensing board. I don't sell your information, try to keep you in therapy longer than you need or play fast and loose with rules, laws and ethics.

Is my internet connection fast enough?

You can try a speed test to check your connection - for example. Above 10Mbps is needed, and more importantly, latency under 50ms. High latency leads to lags and sync issues between audio and video.

How long is the first appointment?

I typically conduct a trial therapy that is two hours in length.

Do you offer online treatment exclusively?

Yes, I do. We can start and end without ever meeting in person.

Do I have to be in Vermont or Ohio to work with you online?

I am only licensed in Vermont and Ohio, so you must be somewhere within the state's borders at the time of treatment. It doesn't matter whether you are a legal resident of that state, just that you must be physically within the state's borders at the time we meet online. Licensing laws have not evolved with the modern age.

Is teletherapy more or less effective than in-office treatment?

The research is unclear about this issue, given the fact that the psychotherapy community really had to embrace teletherapy only a year ago. I imagine we'll see a lot of research come out in the next few years. Anecdotally, I've not found it to be substantially different, despite my own misgivings about online work. But let's be honest - most of the time teletherapy was/is the only option which is always better than the alternative of having nothing.

Does insurance cover teletherapy?

Yes, they cover it just as if it were in the office. It's always good to call directly and verify this and how your benefits work in general prior to an appointment.

How do I access you online for teletherapy?

Once you've signed informed consent documents, I send you an invite to my patient portal. Create an account, and login at the time of the appointment to start your session through any modern web browser. No additional software or apps are needed.