“Being with” patients in the office and online

Is there more “presence” during online therapy, or in the office — even while wearing masks? […]

Retronyms, teletherapy, and implicit bias

What is a retronym?

 Retronyms are adjectival qualifiers, like “acoustic” guitar and “snail” mail, that were previously unneeded — because all guitars were acoustic and all mail was slow.  We only added qualifiers when alternatives arose.  As these two examples illustrate, retronyms can be nearly neutral — the status and popularity of acoustic and […]

Returning to the office

I finally returned to my office after a year and a month. Or more accurately, since I was in my office all along making video calls, it’s some of my patients who returned.

Two weeks ago the CDC issued new guidelines: people vaccinated against COVID-19 can meet safely inside without masks. The guidelines appear […]

HIPAA-compliant email: a review

The problem

In the months since the COVID-19 pandemic forced me to practice by video and phone, I’ve exchanged much more email with patients than I did before. Previously, I discouraged email from patients. For one thing, I knew it was an insecure channel, not “HIPAA-compliant.” It’s also somewhat less personal than a phone […]

COVID-19 risk tolerance and therapy

I’m increasingly asked by patients and potential patients when I plan to see people in the office again. I had been an exclusively “in person” psychiatrist and psychotherapist until mid-March of this year, when the pandemic forced even skeptics like me to convert completely to remote (“virtual”) treatment. Like many of my colleagues, over […]

Online therapy revisited, thanks to COVID-19

It was 2013. Hi-tech entrepreneurs were excitedly “disrupting” industries, bringing goods and services closer to users. Uber replaced cabs, Kickstarter replaced investors, and telehealth companies offered convenient, at-home medical care over smartphone video. Why waste time going to an office or clinic, especially if you’re not feeling well? Why spend so much money? The […]