Today NPR posted an article about online psychotherapy. It's an interesting read. I suggest you check it out.
Online psychotherapy has a few benefits. Like what if you move but loved your therapist. Through Skype you'd still be able to keep your same therapist and have continuity of care.
However, I don't think I'd like to Skype with my therapist. We have had phone conferences if I couldn't make it into the office or if I was having a crisis. But for the most part I prefer in-person sessions.
There's a lot your therapist can tell about you in person: have you gained weight from the medicine, what is your affect and disposition, are you making eye contact?
Ultimately, the decision rests with the patient. I say go with whatever type of therapy suits you best. At the end of the day what matters is that you are getting the help you need. I can't recommend therapy enough.
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