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The model of email therapy that we use is that we exchange relatively long emails over a period of a few days, to allow us both time for reflection. This can be supplemented with  telephone (or Skype) sessions as appropriate. We do not think that email ‘chat’ (or chatroom chat) is easily therapeutic.

There are advantages and disadvantages of working by email:

Disadvantages compared to face-to-face work

-The effectiveness of many psychological interventions has not been definitely established for email use.

-Communications by email do not provide any nonverbal information such as tone of voice, body posture etc., which can help us to understand each other.

-You do not get the comfort and well-being that comes from simply talking about your problems with someone who will listen.

-You get less feeling for the person that you are talking to, which can hinder forming a good working relationship.

Advantages compared to face-to-face work

+Email therapy can be used by people who cannot find a private psychologist within travelling distance.

+Some people find it easier to discuss their problems honestly by email, because it is more detached and less embarrassing.

+Email gives both client and therapist much more time to think and to choose their words carefully, which can mean that interventions work more efficiently.

+Having sessions in writing aids memory and allows the client to review and practice material, which is an important part of psychological therapy.

+You are less distracted by the person you are talking to.

Because our overheads are lower with email sessions, email work is on a sliding scale of £50-£100 per hour (55-110 euros/ $80-160 at current exchange rates). This typically involves two exchanges of email between the client and therapist, over perhaps two weeks.