Online therapy or remote psychology jobs

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Haze18
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Online therapy or remote psychology jobs

Post by Haze18 » Tue Mar 12, 2019 5:02 pm

Hello,

My dream is to be able to use Psychology to eventually work as a digital nomad, and be able to work from anywhere in the world as an online-based psychologist (instead of having a practice in a specific location). I have found a couple psychologists from the US and Germany who provide online video-based counselling and online therapy and they are digital nomads who travel year round. I've completed my undergraduate Psychology degree and am due to start a masters this September, eventually with the goal of completing a Doctorate in Clinical Psychology. Do you think it would be possible to become a fully chartered clinical psychologist, and then provide (private) online therapy?

- do DClinPsy courses offer enough therapy training to provide this?
- does anyone else hope to be able to work remotely with psychology?!

Thank you!

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hawke
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Re: Online therapy & online psychology jobs

Post by hawke » Tue Mar 12, 2019 5:18 pm

Sounds like a lovely and very achievable ambition!

The doctorate, as it stands, would qualify you to do CBT and one other type of therapy (which would depend on the uni). It would also give you lots of other skills in research and leadership. So the short answer is yes.

However if you only want to do online therapy, I would say you are much better off training as CBT therapist, which you could do privately or through NHS IAPT. Or even doing counselling or life coach training. The reason I say that is the doctorate is competitive and hard, and it doesn't sound like you are committed to the NHS or to using the full range of skills the doctorate would teach you. So partly for your own sake and partly for the NHS's sake it might be better to do a different qualification!

While online therapies are taking off, they are limited to specific models at the moment. For example, some universities would have psychodynamic as the second therapy strand on the doctorate. Our teachers don't even like us using laptops to take notes in class because it interferes with the relational experiential learning. I can't see practitioners embracing the Skype therapy sessions! So something less dependent on that face-to-face experience would be better suited to your needs.

hawke
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Re: Online therapy or remote psychology jobs

Post by hawke » Tue Mar 12, 2019 5:22 pm

Also just thinking about time scales - the doctorate would require you to have at least 1 year work experience, if not more realistically 2-3+. Most people are in their mid to late twenties by the time they start. Add on 3 years for the doctorate itself and you are looking at a long journey to achieve your dream.

Haze18
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Re: Online therapy & online psychology jobs

Post by Haze18 » Tue Mar 12, 2019 7:21 pm

hawke wrote:
Tue Mar 12, 2019 5:18 pm
if you only want to do online therapy, I would say you are much better off training as CBT therapist, which you could do privately or through NHS IAPT. Or even doing counselling or life coach training.
Thanks so much for your response! You made a very valid point that's been on my mind a lot. I've looked into CBT, and my worry is that I would later regret not have studied the full breadth of clinical psych, and the variety of work that can be done with it. I also agree coaching could be a great idea and a faster route to being able to work online, and have seen a few MSc applied positive psychology & coaching courses which look interesting.

A Doctorate would allow me to also work in countries such as New Zealand where Clinical Psychologists are (currently) included on the list of jobs for visas, and allows the chance to do research work abroad should I chose to settle in specific countries for a year or two which I intend.

You're right - I'd probably be around 33-35 by the time I'm able to move to online work, I'm really hoping this would set me up for life instead of having the struggle in my mid 30's to chose to do a doctorate after all. Thank you for your perspective!

lakeland
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Re: Online therapy or remote psychology jobs

Post by lakeland » Wed Mar 13, 2019 10:57 am

Remember that clinical psychology isn't just about therapy as well, so if you only want to do therapy, then the breadth of clincial psychology training probably isn't relevant either.

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maven
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Re: Online therapy or remote psychology jobs

Post by maven » Wed Mar 13, 2019 12:43 pm

Bear in mind that online therapy you are competing with counsellors and therapists with much lower qualifications, so the expectations of cost per session from consumers are much lower, and they may not see the advantage of using a CP if the price is higher than the competition. CP training really isn't a time/cost effective route for delivering online therapy, and given training is funded by the NHS one of the variables weighed in who they select is experience in and commitment to the NHS. So I think there are numerous reasons that this isn't the right path to being a digital therapist, personally. But I think we are soon to have an advert from a digital provider, so you might be able to find out more from them.
Maven.

Wise men talk because they have something to say, fools because they have to say something - Plato
The fool thinks himself to be wise, but the wise man knows himself to be a fool - Shakespeare

AnsweringBell
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Re: Online therapy or remote psychology jobs

Post by AnsweringBell » Wed Mar 13, 2019 5:28 pm

Totally agreeing with Lakeland's point there; in the doctorate you cover supervising others, leadership, consultation etc on top of therapeutic work and skills across the lifespan... but if you were wanting to offer private therapy like you're talking about, you likely wouldn't need those same core competencies (i.e. working with children, or within learning disability). Additionally there's the huge research component.

Maybe don't just think about CBT, but there are a range of BACP accredited programmes following a number of different training modalities. You could collect a few and have a range of different therapies you could offer, to have multiple strings to your therapeutic bow.

mr0860
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Re: Online therapy or remote psychology jobs

Post by mr0860 » Sun Apr 28, 2019 5:51 pm

I actually created an account to ask pretty much exactly the same question - interesting to see other people are starting to consider this too! If you don't mind I'll piggyback on your thread to ask one more thing, rather than starting another thread.

I was wondering what anybody thought about a potential future role as a purely instant-messaging based therapist? So, rather than video sessions through Skype or similar, the session would be purely text-based through an instant-messaging platform. Do you think this would be a valuable service at all? I can think of various ways in which it might be less than ideal (i.e. would make the formation of the client-therapist relationship more difficult) but I can also think of some ways in which it could be useful (i.e. for individuals reluctant to engage in 'real' therapy, it could be a useful stepping stone).

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maven
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Re: Online therapy or remote psychology jobs

Post by maven » Sun Apr 28, 2019 10:02 pm

Lots of services are emerging offering this for free, staffed by volunteers. I can't say that it uses the full skills of a therapist, or should be done without specific training for this modality of work. But I can't see it as a way to make money as a qualified CP.
Maven.

Wise men talk because they have something to say, fools because they have to say something - Plato
The fool thinks himself to be wise, but the wise man knows himself to be a fool - Shakespeare

Alex
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Re: Online therapy or remote psychology jobs

Post by Alex » Sun Apr 28, 2019 11:30 pm

Haze18 wrote:
Tue Mar 12, 2019 5:02 pm
Hello,

My dream is to be able to use Psychology to eventually work as a digital nomad, and be able to work from anywhere in the world as an online-based psychologist (instead of having a practice in a specific location). I have found a couple psychologists from the US and Germany who provide online video-based counselling and online therapy and they are digital nomads who travel year round. I've completed my undergraduate Psychology degree and am due to start a masters this September, eventually with the goal of completing a Doctorate in Clinical Psychology. Do you think it would be possible to become a fully chartered clinical psychologist, and then provide (private) online therapy?

- do DClinPsy courses offer enough therapy training to provide this?
- does anyone else hope to be able to work remotely with psychology?!

Thank you!
Would you be paying to complete the doctorate in clinical psychology? If not, this is not an option as you would be expected to work in the NHS not travel about providing on-line therapy after funded training.

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mungle
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Re: Online therapy or remote psychology jobs

Post by mungle » Tue Apr 30, 2019 5:56 pm

I'd echo the posts above and suggest looking at becoming a CBT therapist - you'd get the BABCP accreditation and it seems like there are more places offering this online than other approaches.

GreenOlive
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Re: Online therapy or remote psychology jobs

Post by GreenOlive » Sat May 04, 2019 6:26 am

Being familiar with mental health services in different countries, it doesn‘t seem ethical to to me to offer therapy services as a digital nomad (although the idea is certainly very attractive from a lifestyle perspective). However, I could see how you may be able to offer video therapy within the country you live and are licensed in, since more people are interested in this form of therapy. Alternatively you may be able to offer other services online while travelling - I suspect this will depend on how long you see yourself travelling for.

First, you would also want to consider legal implications. For example, here in the US, therapy licensure is regulated by state and therapists can actually lose their license to practise if they offer therapy to a client outside of the state they are licensed in or abroad.

Things to consider:
- If you were travelling and working with clients with mental health issues from across the globe, would you honestly be able to offer the support the client needs? What type of issues could you focus on? How would you learn about their culture?
- What if the client’s needs become more severe? Past negative experiences in therapy can have a major impact on people‘s willingness to seek support and you may find yourself in a situation where you‘re unable to offer the client the appropriate support.
-Would you be satisfied only working with mild conditions? How would you screen for this?
- if you work with mild conditions, bear in mind that issues such as suicidal ideation, self-harm and Eating issues may still come up. These issues are common but mean that providing effective therapy remotely may be a challenge.
- What if you needed to refer the client to another service or specialist? Being in the community helps with referrals and signposting.
-How would you handle emergency situations? How would you help a client access a psychiatric evaluation in a different country/health care system?

If you‘re interested in working with clients remotely, I would suggest looking into coaching as it doesn‘t focus on mental health but on other common areas that people
want to work on (relationships, career, communication).

My understanding is that there is an International Coaching Certificate that would allow you to work with clients all over the world. In practice, you may still get to work on some common issues that therapists would treat with CBT such as worry, stress etc. but you could be clear that there are limitations to the the type of care you could offer.

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miriam
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Re: Online therapy or remote psychology jobs

Post by miriam » Sat May 04, 2019 11:51 pm

I just wanted to say Greenolive's post above is spot on. There are clearly going to be enormous challenges if any risk issues come up and you are unfamiliar with services in the place the client is living. It is quite enough of an issue for people in the NHS, and a huge challenge if you are independent, let alone if you don't even know the geography, the rules and responses to child protection or vulnerable adults or the way services are funded. There may well also be challenges in keeping up with professional registration, supervision and CPD outside of traditional structures.
Miriam

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