I am open to conducting psychotherapy sessions via Skype in certain cases. For example, with people who travel frequently or are relocating outside of Cape Town. I would prefer to begin our therapeutic relationship face-to-face, so that we have a chance to discuss various aspects of switching to a Skype-based relationship.
The exact content of a therapy session depends largely on the needs of the client, the treatment plan, and the stage of the process. Generally, a conversation transpires between therapist and client, with reflection on the content and dynamic of the conversation. In all cases, what takes place is confidential.
The first session is a chance for the basics of an initial contract to be jointly agreed to. This generally relates to fees, confidentiality, meeting place and time, session regularity and length, and expected treatment outcomes and goals. This is also the chance for therapist and client to consider their ‘fit’, and to decide whether or not it makes sense to work together.
The length of treatment varies greatly, and is difficult to predict before a proper assessment has been undertaken. An assessment usually takes 2-5 sessions, depending on a number of factors. Following assessment, the therapist should discuss a treatment plan, which will suggest a course of treatment.