Can therapy ever work remotely? Well perhaps for talking therapies but so much communication is non verbal that some has to be missed with the best will in the world. This must have a detrimental effect on the quality and effectiveness of the therapy.
Where I do have a bucket full of doubt is regarding what traditionally would be considered physical therapies. There are some out there in the world of the internet who claim to treat you through the internet by the power of their mind and thought. I have seen some post their successes on Facebook. I struggle to understand how anyone can or does believe they can do this. It is perhaps inevitable that, as the NHS struggles to meet rising demand, online therapy has proliferated
Besides our concern about the potential breaches of confidentiality essential to all therapeutic work, this can only be a pale version of the therapeutic encounter that takes place face to face where the therapist and patient benefit from being in the same room. In person, a therapist is able to build a deeper and more rounded understanding, taking body language and silences – as well as what is said – into consideration.
The call for equality of treatment of patients with physical and mental health issues has received much support in recent years. Providing a full range of suitable therapeutic interventions for all patients would be one way to address this.