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Page Contents: Traveling a long distance for psychotherapy.                    

 

I have been seeing a therapist for three years and really disclosed a lot to her and I trusted her. She bought a home in another part of the state (500 miles away) and moved there. I asked her if I could continue to see her once a month (I would go there to meet with her); however, she said that she wanted me to see someone here in town because this was unethical on her part to continue to see me if she wasn’t living here locally. Is there a law that governs this (that therapists can not see clients that live hundreds of miles away)? I mean I hear of online therapy so why wouldn’t I be able to continue my therapy once a month long distance?

 
There is nothing illegal about a client traveling a long distance for psychotherapy. Nevertheless, there are many things in life that are unethical even if they aren’t illegal. From the way you describe things, it sounds as if your psychotherapist is referring to the fact that long-distance psychotherapy cannot really provide all the immediate support and regular monitoring that good psychotherapy should provide. Thus, to see you only once a month could, in her eyes, be unethical.

Your psychotherapist ethically owes you a clear and honest explanation of her reasons for not wanting to continue your treatment long-distance. She could have good clinical reasons for refusing your request, or it could be that she just wants to get rid of you, so she is being vague in the hope that you will let the issue drop. Therefore, if she is really as concerned about ethical conduct as she claims, she will give you an explanation. On the other hand, if her mention of ethics is just a screen to hide less than admirable motives, then her failure to give you an honest answer will reveal her true nature.

In good psychotherapy everything should be discussed up-front and you shouldn’t be left wondering what is going on. But some bad psychotherapists are as afraid of their own emotional lives as they are of their clients’ emotions.

 


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