When distance brings us closer: leveraging tele-psychotherapy to build deeper connection

In this paper, the authors describe how patients and therapists may, paradoxically, perceive a greater sense of closeness as a result of the physical distance inherent in conducting psychotherapy over synchronous video telehealth. Case material is used to illustrate ways in which tele-psychotherapy facilitated engagement, strengthened the alliance, and created unique therapeutic opportunities that may not be possible when therapy is conducted in person. This paper aims to challenge preconceived notions about the ability to develop a strong therapeutic relationship with patients and implement lasting change through tele-psychotherapy. Implications for future clinical work are discussed, with particular consideration of the recent COVID-19 outbreak's influence on psychotherapy.