Though therapists are generally trained to keep their personal lives out of the consulting room for the benefit of their clients, the massive availability of information about us on the internet means that this, virtually at least, can no longer happen.
This document acknowledges the complex world of digital media and tries its best to address issues that may impact the therapeutic relationship. The guidelines are based on research and the choices I have made with regard to my online life; I am open to changing my positions on it. In the meantime, I ask all my clients to read through this document so they can be familiar with these positions.
My media activities:
Online resources such as Facebook and Twitter enable me to reach a broad swathe of people to whom I can communicate psychological concepts and applications that can hopefully be useful in their lives. I hold my duty of care and confidentiality to my psychotherapy clients as sacrosanct and consider my media contact to be related to, but completely separate from my clinical work.
My duty of care to my clients and my professional commitment to confidentiality means that I never refer to clinical material in my media activities. As my client you will receive a contract covering my commitment to your confidentiality. On this form you may choose whether or not I use anonymous and thoroughly disguised clinical material in my other professional engagements such as books, articles, or research.
The nature of an online presence can blur interpersonal boundaries, so it is important to be as clear as possible about how boundaries may be challenged in an online environment. As a general rule, I like to keep clinical work in the consultation room as much as possible. However, the nature of the digital world can sometimes stretch these boundaries, so I offer the best clarity I can below.
I am not currently using an e-mail encryption programme, so any emails we send to each other may be vulnerable to viruses or human error. For this reason, it is best to be thoughtful about what you include in emails to me, and which email address you choose to use with me. Often, it is best to rely on email for non-confidential communications like setting up appointment times and things like that. In an effort to keep confidential and psychological material “in the room” it is best avoided in emails unless we discuss it beforehand. I will always request your preferred email address from our first session.
If you choose to communicate with me by email, be aware that all emails are retained in the logs of Internet Service Providers. Furthermore, they can be vulnerable to viruses and unintended forwarding or replication. If you are concerned about the confidentiality of your emails, you may wish to contact my by telephone instead.
Internet banking: I am open to being paid by Internet Bank. If paid this way, I ask that you send one monthly payment in advance at the beginning of each month for the scheduled meetings we have that month.
You may feel free to contact me by text message to alert me if you are running late for a session or for similar reasons. However, because of the lack of context of text messages, it is generally not the best method for communicating with me about more important matters, so please do phone and leave me a message.
Telephone and Skype:
While I do not generally run my practice remotely, there may be times when we have a session by telephone or video conferencing, for example, if either one of us is abroad. Any such sessions will be discussed in advance. I make every effort to choose video conferencing software that is recognised to be adequately encrypted – so this may involve you downloading certain software or logging into a web-based application. When engaging via video conferencing, we both agree not to use any recording devices for remote sessions.
I maintain a Twitter profile as a way of promoting psychological ideas through the media, and to make people aware of workshops, conferences, or other events that I may be taking part in, or that might be of interest to followers. I frequently send across relevant links and sometimes engage in public conversations on these topics.
Despite my online presence, I would prefer that our relationship remain as much as possible between us in the consultation room, therefore I will not knowingly follow any current or former clients on Twitter. Whether you follow me or not is of course to your discretion, though I would suggest for reasons of confidentiality and preserving our therapeutic relationship that you do not.
Facebook and Linked-In:
I, like many others, maintain a private Facebook account for personal reasons, and a Linked-In account for professional ones. I aim to keep my Faceboook as private as possible and it would not be appropriate to be Facebook “friends” with former or current clients. I acknowledge that there can be some overlap across social networks, and that this sometimes comes to light on Facebook. If this were the case, it would be something we would need to discuss in session.
As the above, I have decided that it would not be appropriate to add current or former clients as “connections” on Linked-In.
It is likely that you will have Googled me before you contacted me. While I acknowledge that Googling others is now a generally accepted aspect of daily life, I wish to avoid encountering information about my clients that does not come directly from them. In general practice I do not Google my clients before I meet them. It is of course your right to Google me. However, if
in your search some questions are raised, I would request that you raise them with me at the first opportunity.
The world is changing fast:
Because this world is changing so rapidly, and my own responses to it are in constant development. I will periodically review this policy, and I will continue to update it as I learn more, and would appreciate your honesty and input along the way. Should you have any questions or suggestions, please do let me know.
12th May, 16
Please note that from 12th May 2016 I will be practicing from the Tower Clinic in Cookridge, Leeds. I will…
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