{"id":27400460,"date":"2025-11-30T10:37:32","date_gmt":"2025-11-30T09:37:32","guid":{"rendered":"https:\/\/mindswiss.ch\/blog\/limitations-of-online-psychotherapy-when-it-is-indicated-and-when-it-is-not\/"},"modified":"2026-04-27T10:48:18","modified_gmt":"2026-04-27T08:48:18","slug":"limitations-of-online-psychotherapy-when-it-is-indicated-and-when-it-is-not","status":"publish","type":"post","link":"https:\/\/mindswiss.ch\/en\/blog\/limitations-of-online-psychotherapy-when-it-is-indicated-and-when-it-is-not\/","title":{"rendered":"Limitations of online psychotherapy: when it is indicated and when it is not"},"content":{"rendered":"<p>It&#8217;s important to state this clearly, especially in a serious and transparent information environment: online psychotherapy is not a panacea for every psychological problem.<\/p>\n<p>In recent years, online therapy has greatly expanded access to care, but it is not a universal solution that applies to all clinical situations, all people, and all stages of life. Presenting it as such would be incorrect, unethical, and misleading. <\/p>\n<p>The right question isn&#8217;t &#8220;Does online therapy work?&#8221; but rather:<br \/>\n&#8220;Is online therapy right for this person, at this stage, for this type of difficulty?&#8221;<\/p>\n<h2>The initial screening interview: figuring out together if online is the right choice<\/h2>\n<p>Precisely for this reason, at MindSwiss we use an initial screening interview.<br \/>\nIt is not a formality or a disguised sale: it is a clinical orientation space.<\/p>\n<p>During this first interview:<\/p>\n<ul>\n<li>let&#8217;s explore the request and the type of suffering;<\/li>\n<li>we evaluate emotional stability and level of urgency;<\/li>\n<li>we understand the living context, available resources and risk factors;<\/li>\n<li>We ask ourselves, together with the person, whether online psychotherapy might actually be suitable in that specific case.<\/li>\n<\/ul>\n<p>Sometimes the answer is yes, and online therapy proves to be an effective, sustainable, and profound resource.<br \/>\nOther times, the answer is more cautious.<\/p>\n<h2>When online psychotherapy may not be suitable<\/h2>\n<p>There are situations in which online psychotherapy may not be the best choice, or at least not as the only tool.<\/p>\n<p>For example:<\/p>\n<ul>\n<li>particularly serious or complex clinical pictures;<\/li>\n<li>states of strong emotional dysregulation;<\/li>\n<li>active suicide risk;<\/li>\n<li>severe dissociative disorders;<\/li>\n<li>situations where close clinical monitoring is necessary;<\/li>\n<li>very unstable living contexts or those lacking even a minimum level of security.<\/li>\n<\/ul>\n<p>In these cases, online therapy may prove insufficient or even unprotecting.<br \/>\nThe clinical responsibility, in these contexts, is to know how to say no or revise the proposal, not to force a method because it&#8217;s more convenient.<\/p>\n<h2>The MindSwiss model: online yes, but not only<\/h2>\n<p>This is why MindSwiss does not work with an exclusively online model, but also provides a hybrid, flexible, and person-centered approach.<\/p>\n<p>When possible \u2013 and when clinically indicated \u2013 interviews can take place:<\/p>\n<ul>\n<li>online;<\/li>\n<li>in person, at the Mendrisio office, in the Canton of Ticino;<\/li>\n<li>or with a combination of the two modes.<\/li>\n<\/ul>\n<p>There&#8217;s no one-size-fits-all formula. It&#8217;s a case-by-case evaluation. <\/p>\n<h2>The value of a face-to-face interview (even just one)<\/h2>\n<p>In some situations it can be very useful:<\/p>\n<ul>\n<li>conduct an initial in-person introductory interview;<\/li>\n<li>create a more solid relational foundation;<\/li>\n<li>better evaluate some clinical aspects that emerge with more difficulty online;<\/li>\n<li>then possibly continue online.<\/li>\n<\/ul>\n<p>In other cases, in-person meetings can be scheduled at specific times during the course, without always having to be done.<\/p>\n<p>Here too, we evaluate together, without rigidity and without dogma.<\/p>\n<h2>Online or in person is not an ideological choice, but a clinical one<\/h2>\n<p>One of the most common mistakes is to turn the modality (online vs. in-person) into a question of principle.<br \/>\nFrom a clinical point of view, however, something else matters:<\/p>\n<ul>\n<li>the quality of the therapeutic relationship;<\/li>\n<li>the adequacy of the setting;<\/li>\n<li>personal safety;<\/li>\n<li>the real possibility of working in depth.<\/li>\n<\/ul>\n<p>Psychotherapy doesn&#8217;t work because it&#8217;s online or in an office.<br \/>\nIt works when it&#8217;s appropriate, thoughtful, and responsible.<\/p>\n<h2>In summary<\/h2>\n<ul>\n<li>Online psychotherapy is a valuable resource and is reimbursed by health insurance.<\/li>\n<li>It is not suitable for all clinical situations<\/li>\n<li>MindSwiss uses an initial screening interview to assess the indication<\/li>\n<li>In the most serious cases, online treatment may not be suitable.<\/li>\n<li>MindSwiss also provides a hybrid model, online + presence<\/li>\n<li>When useful, interviews can also take place in person in Mendrisio (TI)<\/li>\n<li>Even a single face-to-face interview can be significant, if clinically sensible.<\/li>\n<\/ul>\n<p>The real question isn&#8217;t &#8220;can I do online therapy?&#8221;<br \/>\nBut: &#8220;What&#8217;s the best way for me, today, to address what I&#8217;m experiencing?&#8221;<\/p>\n<p>And this answer, at MindSwiss, is never pre-packaged. It&#8217;s built together. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Precisely for this reason, at MindSwiss we use an initial screening interview. It&#8217;s not a formality or a sales pitch: it&#8217;s a clinical orientation space. During this first interview, we explore the client&#8217;s request and the nature of their suffering; we assess their emotional stability&#8230; <\/p>\n","protected":false},"author":2,"featured_media":27400364,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"Limitations of online psychotherapy","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"The right question is not \u201cDoes online therapy work?\u201d, but rather: \u201cIs online therapy right for this person, at this stage, for this type of difficulty?\u201d","_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","Bibliografia":"","_mindswiss_jsonld":"","footnotes":""},"categories":[103,246,86],"tags":[],"dipi_cpt_category":[],"class_list":["post-27400460","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health","category-mind-and-media","category-psychotherapy"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.9 (Yoast SEO v27.6) - 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