Breakthrough Offers Therapy Via Video, Phone, Email or Chat

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The jury is still out, in my own little opinion, on the effectiveness of "teletherapy" vs. face-to-face therapy. Can someone get as much recovery out of a therapeutic relationship with someone over the phone or via computer as they can with someone right there in front of them? I just don't know. There's research saying it works, but I'm always reticent about things I don't know a whole lot about. Still,what I do know is that some people just don't have access topsychiatric care where they live, so if teletherapy can get them help they can't get otherwise, it's an interesting proposition.

I just happened upon a company called Breakthrough. I don't know them personally and haven't used their services, so I'm not endorsing them at all. But I think they offer an interesting service. (I would like to see moremedical professionalslisted on their team page. Seems overly weighted on the technical side.)

With Breakthrough, you can find a counselor and talk to them through phone, secure video, email or chat. If you'd like to learn more, here's their overview and here are answers to their most frequently asked questions.

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About Katherine Stone

is the founder & editor of Postpartum Progress. She was named one of the ten most influential mom bloggers of 2011, a WebMD Health Hero and one of the top 25 parent bloggers using social media for social good. She also writes the Fierce Blog, and a parenting column for Disney's Babble.com.

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  1. As someone who has a LOT of trouble actually talking about what’s really going on in person, e-counselling has been great for me. I find it more effective than in person myself.

  2. Mark Goldenson says:

    Hi Katherine,
    Thanks for mentioning Breakthrough. I can understand your reticence around phone and online counseling. I think for patients with the time, money, ability, and will, in-person care is generally optimal. Of course as you say, the challenge is that many people don't have all of these. Telehealth is especially helpful in reducing the stigma around mental health.
    If you are interested in more research on the effectiveness of online or phone counseling, a sample of independent studies is here:
    http://www.breakthrough.com/effectiveness
    I agree with you that we should mention more of the medical professionals that are working with us. We will be updating our team page soon to highlight them.
    If you have any questions, feel free to email me at mark at breakthrough.com.
    All the best,
    Mark Goldenson
    CEO, Breakthrough

  3. Thanks for sharing a useful information. This form of e-counseling can help the people to clarify their doubts based on their problems. This will create better satisfaction of mind than reading any blog post or hearing from someone else.
    Thanks for the mention.

  4. Katherine Stone/Post says:

    That is great to hear!
    I'm really glad actually that there are a variety of ways for people to reach out to help, since everyone is so different. What works for one person won't necessarily work for another.

  5. Katherine Stone/Post says:

    Thanks for sharing that Mark. I do know that some studies have come out recently on online therapy/teletherapy. I've written about them here: .
    And thanks for taking the advice on adding more about the medical side of your business. I think it will help people who are considering your service to see that there are psychiatric experts ensuring that it's done right.

  6. Sandy Wolkoff says:

    Katherine,
    I am glad you brought up the practice of electronic communication between therapists and clients,especially in the treatment of perinatal mood disorders. There are still some issues of concern and they include protection of confidentiality, skill of professional and range of knowledge on these mood disorders. I don't know that I like them in the absence of an initial face to face consultation and assessment, but I think different modalities of engagement has been a life saver, and life line, to those already involved in treatment. Five minutes on the phone can stave off an afternoon of panic. A brief conversation with an anxious spouse can get some one to the emergency room if they need.
    I run a perinatal mood disorder program and initial phone calls for appointments are already the beginning of intervention, and that has been true in community mental health services for decades. We have referred families to higher levels of care (hospitalization) or closer resourcs, or contacted their current providers, and spoken to key family members, just from an initial phone contact and client consent.
    So the question is really, how seriously do we perinatal mood disorders? It is our clinical thinking that should inform our practice, and in good practice, it always helps to have access to many modalities and interventions. Any modality, used poorly, will hurt our clients.
    Sandra R. Wolkoff, LCSW
    Director, Diane Goldberg Maternal Depresson Program

  7. Sandy Wolkoff says:

    too fast thinking, too slow hands," how seriously do we take perinatal mood disorders?"