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Flexible Therapy Wherever Virginia Clients Connect

Teletherapy is psychotherapy delivered through secure electronic communication rather than an in-person office visit. Sessions generally involve the same clinical activities as appropriate in-person therapy, including assessment, discussion of symptoms and circumstances, skill development, treatment planning, and progress review. For Virginia clients, teletherapy must still be provided in accordance with applicable professional standards and licensing requirements, regardless of the technology used to deliver the service.

Who May Benefit From Teletherapy

Teletherapy can be a practical option for clients whose circumstances make regular office visits difficult or who prefer receiving therapy from a familiar private setting. Before beginning, the clinician determines whether virtual treatment is clinically appropriate and whether the necessary privacy, technology, and safety arrangements are available.

Adults with demanding schedules may find virtual appointments easier to incorporate around work, caregiving, or other responsibilities.

Clients with transportation barriers may benefit from attending sessions without traveling to an office.

Clients who prefer a familiar environment may feel more comfortable discussing personal concerns from an appropriately private space.

People receiving ongoing psychotherapy may use teletherapy for regular follow-up sessions when virtual care remains clinically appropriate.

Clients who need continuity during changing circumstances may find virtual sessions useful when an in-person appointment becomes impractical.

What Teletherapy Sessions Can Include

Virtual therapy is still structured clinical care rather than an informal video conversation. Depending on the treatment plan, sessions can include assessment, psychotherapy, skills practice, progress monitoring, and discussion of between-session goals.

Initial clinical assessment: The first sessions may focus on symptoms, history, current concerns, goals, and whether teletherapy is an appropriate treatment format.

Individual psychotherapy: Clients can work one-on-one with a mental health professional on identified concerns and treatment goals.

Cognitive and behavioral strategies: Therapy may include structured exercises for changing unhelpful thinking patterns and behaviors.

Skills and coping practice: Sessions may focus on emotional regulation, stress management, communication, relaxation, or other clinically relevant skills.

Progress and treatment planning: The clinician can review changes over time and adjust the treatment approach when clinically indicated.

When Virtual Therapy May Not Be the Right Fit

Teletherapy may be less appropriate when a client cannot reliably maintain privacy, lacks adequate technology, or requires a level of assessment or intervention that cannot be safely provided virtually. The clinician should also discuss what to do if a crisis develops during a virtual appointment and confirm the client’s location as required for safe care. Virginia’s professional standards apply to psychology practice delivered through technology, and practitioners are expected to provide only services and techniques for which they are appropriately qualified.

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