Do unto others...
Over the years, responsibilities in the face-to-face therapeutic alliance have become fairly well defined both by a body of law and by regulatory agencies. The American Psychological Association (APA), for example, maintains a code of ethics designed, among other things, to Book'em Danoprotect client welfare and promote the treatment process. Most states require that therapists be licensed and that they adhere to a code of ethics such as that of the APA. Many states, including Maryland where I work, go further and require that therapists continually develop their skills and knowledge base by participating in professional education programs.

The internet presents a rather different set of circumstances: it remains a virtual frontier, very much in the process of gaining structure and stability. As things are now, it can be a challenge just to know who you are communicating with; it might be a trained therapist, or some alien with a web site. alien? Even if you know you are interacting with a trained therapist, the actual services they offer via the internet will necessarily be different from those offered in face-to-face therapy. Another source of uncertainty: the significant differences between psychotherapy and e-therapy almost require slightly different legal/ethical codes for the two environments. The specific manner in which locally established legal and ethical guidelines for psychotherapy are applicable to non-local, therapeutic internet interactions is yet to be determined.

What does all this mean for you, the potential e-client? First, it suggests you should verify that a provider is who and what they say they are. You might, for example, check out a provider at Metanoia or a similar credential-checking site on the web. Better yet, check out the provider yourself. If the provider claims to be licensed professional, you can contact the licensing agency and verify their license. In addition, you should carefully read how a provider describes the services they are offering. If you are not clear about something that is relevant to your situation, ask before you sign up. Save the response you get. Then, expect a provider to deliver the service they promise.

© 2008 Richard V. Sansbury (letters@headworks.com)