The Pros and Cons of Behavioral Telehealth: Is It Right for You?
Behavioral telehealth, or teletherapy, has become an increasingly popular method for delivering mental health services. With advancements in technology, therapists and clients can now connect remotely through video calls, phone consultations, and online chat-based platforms. While telehealth offers several advantages, it also has limitations that may impact its effectiveness depending on an individual’s needs. This article explores the pros and cons of behavioral telehealth to help you determine whether it is the right choice for you.
The Pros of Behavioral Telehealth
1. Increased Accessibility
One of the biggest advantages of behavioral telehealth is its ability to reach individuals who might otherwise struggle to access therapy. This includes people living in rural or remote areas, those with mobility limitations, and individuals with tight schedules (Hilty et al., 2013).
2. Convenience and Flexibility
Telehealth eliminates the need for travel, allowing clients to attend sessions from the comfort of their homes. This flexibility can be especially beneficial for busy professionals, parents, and those with chronic illnesses (Torous et al., 2020).
3. Reduced Stigma
Some individuals avoid seeking mental health services due to fear of stigma. Telehealth allows for more privacy, as sessions can be conducted in a confidential setting without the need to visit a therapist’s office (Myers & Turvey, 2013).
4. Continuity of Care
For those who relocate frequently or travel often, telehealth ensures that therapy sessions can continue uninterrupted. This is particularly helpful for military families, college students, and frequent travelers (Shore et al., 2014).
5. Cost-Effectiveness
Telehealth can be more affordable than in-person therapy, reducing costs associated with commuting and childcare. Additionally, many insurance companies now cover telehealth services, making mental health care more accessible (Mehrotra et al., 2017).
The Cons of Behavioral Telehealth
1. Technological Barriers
Not everyone has access to reliable internet or a private space for therapy sessions. Technical issues such as poor connectivity or software malfunctions can disrupt sessions and reduce their effectiveness (Yellowlees et al., 2010).
2. Limited Non-Verbal Cues
In traditional therapy, therapists rely on body language, facial expressions, and other non-verbal cues to assess a client’s emotional state. Virtual sessions may limit a clinician’s ability to observe these important cues, potentially affecting the quality of care (Glueckauf et al., 2018).
3. Not Suitable for All Conditions
While telehealth is effective for many mental health conditions, it may not be appropriate for individuals in crisis, those with severe psychiatric disorders, or individuals who require in-person interventions, such as exposure therapy for phobias (Shigekawa et al., 2018).
4. Concerns About Privacy and Security
Online therapy platforms must comply with privacy regulations such as HIPAA (Health Insurance Portability and Accountability Act). However, there is always a risk of data breaches or unauthorized access, which may deter some clients from using telehealth services (Lustgarten & Elhai, 2018).
5. Reduced Therapeutic Relationship
Some clients and therapists feel that online therapy lacks the personal connection of face-to-face interactions. The absence of a physical presence may make it harder for some individuals to open up and build trust (Simpson & Reid, 2014).
Is Behavioral Telehealth Right for You?
Deciding whether behavioral telehealth is the right option depends on several factors:
- Your Needs and Diagnosis: If you have mild to moderate mental health concerns such as anxiety or depression, telehealth may be a convenient option. However, individuals with severe psychiatric conditions may require in-person treatment.
- Access to Technology: Reliable internet and a private space are necessary for effective telehealth sessions.
- Comfort Level with Technology: Those who struggle with technology may find in-person therapy more suitable.
- Insurance Coverage: Check with your insurance provider to determine whether telehealth services are covered.
Behavioral telehealth has transformed mental health care, offering increased accessibility, convenience, and affordability. However, it is not a one-size-fits-all solution. While it works well for many individuals, others may find in-person therapy more beneficial. By weighing the pros and cons, you can determine whether telehealth aligns with your mental health needs and lifestyle.
This article has been written by John S Collier, MSW, LCSW. Mr. Collier has over 25 years’ experience in the social work field. he currently serves as the executive director and outpatient behavioral health therapist for Southeast Kentucky behavioral health based out of London KY., He may be reached by phone at 606-657-0532 extension 101 or by email at John@sekybh.com
References
- Glueckauf, R. L., Maheu, M. M., Drude, K. P., Wells, B. A., Wang, Y., Gustafson, D. J., & Nelson, E.-L. (2018). Survey of psychologists’ telebehavioral health practices: Technology use, ethical issues, and training needs. Professional Psychology: Research and Practice, 49(5-6), 301-313.
- Hilty, D. M., Ferrer, D. C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P. M. (2013). The effectiveness of tele-mental health: A 2013 review. Telemedicine and e-Health, 19(6), 444-454.
- Lustgarten, S. D., & Elhai, J. D. (2018). Technology use in mental health practice and research: Legal and ethical risks. Clinical Psychology: Science and Practice, 25(2), e12234.
- Mehrotra, A., Huskamp, H. A., Souza, J., Uscher-Pines, L., Rose, S., Landon, B. E., & Busch, A. B. (2017). Rapid growth in mental health telemedicine use among rural Medicare beneficiaries, wide variation across states. Health Affairs, 36(5), 909-917.
- Myers, K., & Turvey, C. (2013). Telemental health: Clinical, technical, and administrative lessons learned. Elsevier.
- Shore, J. H., Yellowlees, P., Caudill, R., Johnston, B., Turvey, C., Mishkind, M., Krupinski, E., Myers, K., Shore, P., Kaftarian, E., & Hilty, D. (2014). Best practices in videoconferencing-based telemental health. Telemedicine and e-Health, 20(2), 96-105.
- Shigekawa, E., Fix, M., Corbett, G., Roby, D. H., & Coffman, J. (2018). The current state of telehealth evidence: A rapid review. Health Affairs, 37(12), 1975-1982.
- Simpson, S. G., & Reid, C. L. (2014). Therapeutic alliance in videoconferencing psychotherapy: A review. Australian Journal of Rural Health, 22(6), 280-299.
- Torous, J., Janmohamed, T., Moreno, C., Miller, B., Currie, M., Brown, J., & Keshavan, M. (2020). Digital mental health in the COVID-19 pandemic era: Digital mental health. JMIR Mental Health, 7(8), e21864.
- Yellowlees, P., Shore, J. H., & Roberts, L. (2010). Telepsychiatry and e-mental health. American Psychiatric Publishing.