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Will The Future of Mental Health Treatment Be Online?

By , special feature content by Ryan Rivera - Source: Tom's Guide US

In the digital information age, sometimes help is on the Internet.

Mental health problems affect millions of Americans every day. It's estimated that the current number of people suffering from a diagnosable mental health problem is in the realm of 20 percent or more, making mental health one of the greatest threats to living a quality life in today's world.

Unfortunately, the rising cost of healthcare and the cutting of benefits nationwide has left most of those people without any assistance at all, unable to get the help they need. It's possible that the lack of affordable mental health care may even be one of the reasons that alternative therapies with no scientific evidence have been able to thrive – without affordable, qualified mental health care practitioners available, people have had to turn to other unproven means.

Moving Therapy Online

Recently an effort has been made to try to make mental health care affordable. One such effort has involved taking pre-recorded therapeutic practices and trainings, and moving them online. These services, dubbed "eTherapy," take the basics of cognitive behavioral and psychodynamic theory, and put them in an easy to access format. They have several potential benefits for those suffering from mental health problems, including:

·       Instant Access – Even if psychiatric care was affordable, many people are afraid to see a therapist or delay meeting their health care needs. Online therapies can be accessed by anyone from anywhere, so those that need to seek treatment can do so immediately and from the comfort of their own home.

·       Low Cost – The main draw of these services is the potential to save money on overall mental healthcare costs. While the online programs aren't completely inexpensive, they are far lower an overall cost than going to see a therapist regularly.

·       Promotes Honesty – Anyone that's ever read any blog or YouTube video comments knows that people are much more honest/candid thanks to the anonymity of the Internet (for better or worse). Those that don't feel comfortable opening up may find a program to be easier.

Some eTherapy systems also allow you to connect with a counselor on occasion, although those are much less common and increase the price. Still, there are clearly some benefits to these therapy programs, and research continues to try to find new ways to make this style of therapy work.

Weaknesses of eTherapy

Yet despite these benefits, eTherapy has numerous weaknesses that make it not necessarily ideal for modern use. Some of these weaknesses include:

·       No Contact/Bond

The therapist/client relationship is an important one. The therapist provides social support that allows the client to move through their problems and talk about them freely. Without any contact with the therapist, the client may find it more difficult to recover.

·       No Challenging Thoughts

Cognitive behavioral therapists – and to a lesser extent psychodynamic therapists – challenge their clients to help them change any negative thought patterns that may be causing their anxiety or stress or other mental illness. Without the therapist there, those thoughts can't be challenged.

·       No Research

One of the reasons that therapy is such an effective technique for combating mental illness is because decades of research has gone into perfecting each technique. eTherapy and its equivalents have not been around long enough to undergo that level of scrutiny, so while there is some clinical evidence they can be beneficial, there are no long term outlook studies, no follow up research, and not enough data to conclude that this is an effective alternative to traditional treatments.

·       No Accountability for the Patient

In addition, eTherapy doesn't give the patient an incentive to go or use the therapy method. Compare that to traditional therapy, where not only is there a financial reason to go (since patients are billed regardless) – there is also the natural human instinct to respond to expectations. It's probable that numerous eTherapy patients download the program and never use it again, wasting money without seeing any noticeable changes in their mental health.

·       No  Accountability for the Program

Therapists are held to a high standard, and while there are numerous psychologists that are terrible at their jobs, most can be expected to have considerable knowledge of therapeutic techniques and how to use them, otherwise they may lose their licenses. Those that create the programs aren't held to that high standard, and can easily be unqualified individuals simply looking to cash in on someone else's desperation.

Using eTherapy

There are also issues with confusion, since a client cannot clarify something with a computer. There may even be issues with ethics. Digital therapists are not necessarily able to respond should a client be suicidal or sharing illegal desires.

Overall, eTherapy represents hope for modern day mental health. Someday, eTherapy will provide countless individuals suffering from mental health issues the ability to cure or reduce their mental health problems without the high costs of a counselor. But while there may be some worthwhile eTherapy programs out there, that day has likely not yet come. Until ample research can be conducted to show the best possible eTherapy techniques for both the short and long term, digital psychiatric care is still nothing more than a dream.

Ryan Rivera successfully overcame bouts of anxiety through natural anxiety treatment methods. He now lives an anxiety-free life. Check out www.calmclinic.com for more information

(Brain cursor image via Shutterstock.)

There are 17 Comments.
Top Comments
  • 10
    gilbertfh , February 25, 2012 8:30 PM
    ARGHHH!!! All this talk of online mental health treatment is driving me nuts...
Other Comments
  • 10
    gilbertfh , February 25, 2012 8:30 PM
    ARGHHH!!! All this talk of online mental health treatment is driving me nuts...
  • 1
    killerchickens , February 25, 2012 8:34 PM
    I think the only actual therapy you could get online would be over a video chat. Any thing bellow that you can get from a book or free online. If you are willing to do any thing bellow a video chat your problem probable aren't that bad. There are plenty of free supportive forum on the web.
    This idea sounds kind of insulting to psychology.
  • -3
    das_stig , February 25, 2012 8:42 PM
    Hello, I like to read the postings over at TH UK, but keeping hearing these voices to visit Anandtech for unbias reviews. Am I nutz or is the rest of the world? What do the words faster pussy cat, kill, kill have to do with the price of fish and why do I see dead people, oh hang on nope, sorry, they happen to be the highly educated and literate TH editorial staff.
  • 8
    bak0n , February 25, 2012 9:05 PM
    There is no way to judge body language and affect of an individual online with the clarity necessary. There is also no way to know that the location is a "safe" and "peaceful" to promote the environmental factors necessary for accurate therapeutic treatment.

    While it would work for simple "self help" situations, for many, like abuse, or severe depression, its just a bad idea.

    Your Truly, with Degrees in Social Psychology and Human Services Management.
  • 5
    K2N hater , February 25, 2012 9:19 PM
    @Editor

    Will you feel responsible if one commits suicide after trying it?
  • 0
    SoiledBottom , February 25, 2012 9:20 PM
    "Will The Future of Mental Health Treatment Be Online?"

    I just hope I don't hit my data cap before my shrink gives me my diagnose and treatment plan

    Wonder is my health care plan will cover my ISP data cap overage
  • 0
    freggo , February 25, 2012 10:14 PM
    K2N hater@EditorWill you feel responsible if one commits suicide after trying it?


    Yes, of course.
    And the client in this case can request a refund of the last session fee. :-)

    What's next; step by step guidance thru an appendectomy via Instant Messenger ?


  • 2
    memadmax , February 25, 2012 10:40 PM
    I don't think this will work so good...
    Part of being a good shrink is the ability to read body language, tone of voice, etc etc...
    This can be done electronically, but will the extra expense be worth it?
  • 0
    kanoobie , February 26, 2012 12:21 AM
    "Will The Future of Mental Health Treatment Be Online?"

    *Consults Magic 8 Ball for the answer* - "Don't count on it"

    Next question?
  • 0
    JOSHSKORN , February 26, 2012 3:23 AM
    Online help/self help are both a joke. People need people. Not computers, not themselves, but other people!

    Yes there are people on the other side of the computer, but the human touch is what is important. That will never change. If it does, people will never get better and will always have mental health issues.
  • 0
    anonymous@guest , February 26, 2012 3:41 AM
    It's just one option out of several - and so therefore etherapy provides consumers with an additional alternative to f2f and/or medication. Plus all three (or a combination of two) can be used if that is what the consumer chooses to do.

    In terms of an evidence base - web-based programs (with or without therapist-assistance) is quite substantive. Longer term follow-ups also provide evidence for maintenance effects.

    Just as medication and traditional f2f therapy is not for everyone, nor will etherapy be. Providing consumers with good options is the best form of empowerment.
  • 0
    anonymous@guest , February 26, 2012 5:18 AM
    in a way it might be good to get theropy over the web,,,,but the other person was right people do need people some times,,,,so i dont know
  • 0
    drwho1 , February 26, 2012 6:04 AM
    bak0nThere is no way to judge body language and affect of an individual online with the clarity necessary. There is also no way to know that the location is a "safe" and "peaceful" to promote the environmental factors necessary for accurate therapeutic treatment. While it would work for simple "self help" situations, for many, like abuse, or severe depression, its just a bad idea.Your Truly, with Degrees in Social Psychology and Human Services Management.


    Unless they use Kinect....
    /sarcasm
  • 0
    klavis , February 26, 2012 10:23 AM
    No.
  • 0
    anonymous@guest , February 26, 2012 9:27 PM
    If I can shop and have sex online, therapy is just the natural, sick conclusion to an experience of increased alienation and hobbled social skills. And watch some idiot get wealthy off it.
  • 0
    maxwebb , February 26, 2012 9:32 PM
    Quote:
    Yet despite these benefits, eTherapy has numerous weaknesses that make it not necessarily ideal for modern use. Some of these weaknesses include:

    completely forgot about your most intimate deep emotions and secrets being freely available to any competent hacker. in which case, who would ultimately be responsible for the breach in client/patient confidentiality?
  • 0
    anonymous@guest , February 27, 2012 2:07 AM
    Hi. Just thought I would chime and say that we really have moved past the point of anecdotal evidence that online intervention is efficacious. See http://www.onlinetherapyinstitute.com/does-online-therapy-work/ And for information on bonding (telepresence) see Therapy Online: A Practical Guide (Sage, UK & US). I also point you and any of your readers to our quarterly magazine on the topic: http://www.onlinetherapymagazine.com.
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