Photo of Serena D Duckrow Fonda, PhD, LCMHC, ATR-BC, ATCS
Serena D Duckrow Fonda
Clinical Mental Health Counselor, PhD, LCMHC, ATR-BC, ATCS
Verified Verified
Pembroke, NH 03275
*** I am currently only taking clients for supervision*** Hello! I believe that therapy is about the relationship that you have with your therapist. Connection and collaboration is what is important in this line of work. I am an expressive arts therapist working with adults who are interested in making positive changes, taking next steps in life, and working on themselves to be the best person they can be. I meet you where you are to go over your strengths and see what you are looking to change. Then we work on your plan with goals for you to meet. I use humor and a laid-back style to help you feel comfortable enough to share.
*** I am currently only taking clients for supervision*** Hello! I believe that therapy is about the relationship that you have with your therapist. Connection and collaboration is what is important in this line of work. I am an expressive arts therapist working with adults who are interested in making positive changes, taking next steps in life, and working on themselves to be the best person they can be. I meet you where you are to go over your strengths and see what you are looking to change. Then we work on your plan with goals for you to meet. I use humor and a laid-back style to help you feel comfortable enough to share.
(603) 780-4025 View (603) 780-4025
Photo of Nancy M Gill, LICSW, Clinical Social Work/Therapist
Nancy M Gill
Clinical Social Work/Therapist, LICSW
Verified Verified
Pembroke, NH 03275
Do you feel stuck? Intention is the first step toward change. We will work together to develop both practical tools and a compassionate perspective to define and achieve your goals. A strengths-based approach underpins our work while incorporating aspects of cognitive-behavioral therapy, psychodynamic understanding, and expressive arts exercises.
Do you feel stuck? Intention is the first step toward change. We will work together to develop both practical tools and a compassionate perspective to define and achieve your goals. A strengths-based approach underpins our work while incorporating aspects of cognitive-behavioral therapy, psychodynamic understanding, and expressive arts exercises.
(603) 605-8166 View (603) 605-8166

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Online Therapists

Is online therapy as effective as in-person?

Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.

What are the advantages and disadvantages of therapy conducted online?

One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialized therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.

Is online therapy suitable for children and adolescents?

Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.

Can I receive prescriptions and medication management with online therapy?

The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.