Psychiatric Times October 5, 2023
Elizabeth A. Varas, MD

Does telepsychiatry lessen the therapeutic alliance?

FROM OUR READERS

I read with interest Gerald Perman, MD, DLFAPA, DLFAAPDPP’s article, “Psychodynamic Telepsychiatry After the Pandemic.”1 It is clear Dr Perman is very comfortable with telepsychiatry and its benefits for patients. But what about the possibility of long-term job dissatisfaction that may accompany telepsychiatry?

During the pandemic, I continued my schedule from my practice office (albeit without my patient’s physical presence) maintaining a division between professional and home life. The long-anticipated return to practice with in office patients separated by masks eased the isolation, but augmented the delicate emotional balance between myself and my patients. I missed the reactivity of their faces. Most, including my older patients, were ready to return to...

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