Email sessions can be used for a wide range of issues.  Detailed discussions can be conducted with excellent opportunities to explain issues in detail without any pressure due to time.  The sessions can be conducted without me know the users real identity.  Many people find they can be more open and discuss sensitive issues quicker through email discussions.  For many situations, I find that they work better.  

Email sessions can be used to lay the ground work and share detail information before a telephone session.  This combination of discussion is excellent for more complex situations.  An email session followed by a telephone session has proved to be very effective for you and me.

Telephone sessions can be very effective for situations that may be personally sensitive or that have a lot of emotional content.  Some people feel better talking to a "real" person on the telephone.  These sessions can be held on land line, cell phone or through voice on Skype.  To use Skype you must download it by clicking on the "Get Skype Button" below. 





Video sessions are similar to a face-to-face session.  They work well for people that prefer to learn through visual means.  They promote a closer working relationship and require the highest level of disclosure.  You will need to have Skype on your computer.  I use Skype because all communications are encrypted for your privacy and confidentiality.
 

The effectiveness of email, chat, telephone, and video conference therapy has not been determined scientifically.  There has been some excellent results documented for those in individual and group online helping discussions. The preferred method for therapy is face-to-face therapy. My online services are offered as an means of providing education, instruction, referrals, and helping discussion services to individuals who can't or prefer not to attend face-to-face therapy sessions. These sessions should not be used by individuals suffering from chronic mental illness, individuals that are suicidal or to replace your present therapist and will not be offered if you are seeing a therapist.