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Embracing the Digital Waves: A Psychodynamic Counsellor’s Reflection on Online Therapy by Rick Cox

4th April 2024

In the realm of counselling, the digital age has ushered in a wave of change. As a  psychodynamic counsellor with just over 1300 clinical hours experience, I’ve embarked  on a journey that merges the traditional art of therapy with the convenience and  accessibility of online platforms. It’s been a fascinating exploration, one that has not only  challenged my preconceptions but also enriched my practice in unexpected ways. 

Working online has widened the horizons of my therapeutic landscape. Gone are the  limitations of geographical boundaries. Clients from diverse backgrounds now have 

access to the support they seek. I’ve had the privilege of connecting with individuals from  all walks of life. Each session unfolds like a tapestry, woven with threads of unique  experiences and perspectives, enriching both my clients’ lives and my own. 

One of the most striking aspects of online therapy is its inherent flexibility. No longer  bound by the constraints of physical office spaces, sessions can take place anywhere  with a stable internet connection. This newfound freedom has empowered clients to  engage with therapy on their own terms, fostering a sense of autonomy and agency in  their healing journey. Whether it’s a cozy corner of their living room or a quiet retreat  amidst nature, to the car or kitchen table! the ability to choose their environment adds an  extra layer of comfort and security to the therapeutic process. 

However, the transition to online therapy hasn’t been without its challenges. As a  psychodynamic counsellor, I place great emphasis on the nuances of non-verbal  communication. The subtle shifts in body language, the tone of voice, the fleeting  

expressions – these elements contribute to the rich tapestry of human interaction. In the  digital realm, these cues are sometimes obscured by pixelated screens and intermittent  internet connections. Adapting to this new mode of communication has required a  heightened sensitivity to verbal cues and an increased reliance on attunement and  empathy. 

Yet, amidst these challenges, I’ve discovered a profound sense of connection that  transcends physical boundaries. The digital screen may serve as a barrier, but it also acts  as a conduit, channeling emotions and vulnerabilities across vast distances. In the  intimate space of the virtual therapy room, authenticity knows no bounds. Clients have  shared their deepest fears, their darkest secrets, and their most profound moments of  triumph, trusting in the therapeutic alliance we’ve cultivated. 

Reflecting on my practice, I’ve come to appreciate the symbiotic relationship between  technology and therapy. While technology may be the medium through which our  sessions unfold, it’s the human connection that remains at the heart of our work. As a  psychodynamic counsellor, I strive to create a safe and nurturing space where clients can  explore the depths of their psyche, uncovering hidden truths and forging pathways to  healing. 

In the ever-evolving landscape of therapy, one thing remains constant – the resilience of  the human spirit. Whether in the physical realm or the digital domain, the journey towards  wholeness is marked by courage, vulnerability and a willingness to confront the shadows  within. As I continue to navigate the digital waves of online therapy, I’m reminded of the  profound privilege it is to bear witness to the transformative power of human connection,  transcending time and space in pursuit of healing and growth.

Rick Cox, Reg. MBACP 

You can find more about me and how I work at www.therapywithrick.com Unlocking Your Past, Healing Your Present: Empowering You from Historical Abuse and Trauma  



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