A Teletherapy Startup Removes Barriers To Mental Health Care

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A Teletherapy Startup Removes Barriers To Mental Health Care

Posted by timothy on Thursday October 10, 2013 @07:37AM from the more-than-a-nickel-though dept.

waderoush writes "Is the digital age sending the old therapist's couch the way of the reference librarian, the CD, and the travel agent? Could be: several recent studies have found that therapy via the Internet is just as effective as face-to-face treatment. But it's taken online therapy startup Breakthrough about four years to convince venture investors and insurance companies that online therapy can remove many of the road blocks to mental health care, including the high cost, the social stigma, and the difficulty of access. So far, Breakthrough has partnered with 100 licensed psychiatrists and psychologists in Texas, California, Virginia, and Maryland; every provider on the site has a profile and a welcome video that allows potential clients to evaluate them before they even talk online. 'Now we have greater research supporting telemedicine, and people are more comfortable digitally,' says co-founder and CEO Mark Goldenson. 'I think the market is ready for it.'"

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I'm surprised this didn't catch on sooner. by Forbo · 2013-10-10 07:40 · Score: 4, Insightful

Seriously, why the hell hasn't this already been a thing? I regularly engage in therapy, 99% of it is just discussion. Very little, if any, would be unable to be reproduced digitally.
1. Re:I'm surprised this didn't catch on sooner. by i+kan+reed · 2013-10-10 07:41 · Score: 1
  
  Sometimes you don't want your family to hear what you have to say to an objective third party for your mental health, I guess?
2. Re:I'm surprised this didn't catch on sooner. by TheRealMindChild · 2013-10-10 07:42 · Score: 1
  
  Because a lot of the benefit of therapy is making you leave the house and actually interact with the outside world. This just reenforces those with problems doing so to stay agoraphobic and not develop skills to deal with externalities
  
  --
  
  "When life gives you lemons, don't make lemonade. Make life take the lemons back!" -- Cave Johnson
3. Re:I'm surprised this didn't catch on sooner. by Russ1642 · 2013-10-10 07:45 · Score: 3, Insightful
  
  And a lot of the people that would get help don't because getting therapy involves talking to their doctor about it, then booking an appointment, then leaving their house and interacting with the outside world.
4. Re:I'm surprised this didn't catch on sooner. by Forbo · 2013-10-10 07:48 · Score: 1
  
  Not everyone has problems with social skills. My therapy experience is to help me overcome substance abuse.
5. Re:I'm surprised this didn't catch on sooner. by K.+S.+Kyosuke · 2013-10-10 08:00 · Score: 1
  
  Because a lot of the benefit of therapy is making you leave the house and actually interact with the outside world. This just reenforces those with problems doing so to stay agoraphobic and not develop skills to deal with externalities
  But it's also the perfect solution for us schizoids!
  
  --
  Ezekiel 23:20
6. Re:I'm surprised this didn't catch on sooner. by HornWumpus · 2013-10-10 08:01 · Score: 4, Funny
  
  Bartenders are the best therapists.
  
  --
  John McAfee 'It was like that time I hired that Bangkok prostitute; to do my taxes, while I fucked my accountant'
7. Re:I'm surprised this didn't catch on sooner. by funwithBSD · 2013-10-10 08:12 · Score: 1
  
  They are technically psychologists, as they can administer the medication themselves. =)
  
  --
  Never answer an anonymous letter. - Yogi Berra
8. Re:I'm surprised this didn't catch on sooner. by Anonymous Coward · 2013-10-10 08:18 · Score: 1
  
  It already is a thing in places like Canada and has been for a while. I've done a number of setups for telehealth; the doc sits in a normal little office a couple days a week and sees clients up in the more remote parts of the province where getting around means plane or helicopter.
  They do simple stuff too, like "Man, why is my nose bleeding so much?" You just call a nurse and chat for a bit, get a feel for if you should do something simple, or head off to the emergency room at 3am.
9. Re:I'm surprised this didn't catch on sooner. by segmond · 2013-10-10 08:32 · Score: 1
  
  NSA has your theraphy sessions. It's true that face to face your therapist might hide a tape recorder, but online? No matter what, there will be that feeling it's being logged. Most chat/instant messengers allow for a logging option. NSA will certainly be logging these.
  
  --
  ------ Curiosity killed the cat. {satisfaction brought it back | it didn't die ignorant | lack of it is killing mankind
10. Re:I'm surprised this didn't catch on sooner. by ThisIsSaei2561 · 2013-10-10 08:33 · Score: 5, Insightful
  
  Forcing people with social anxiety into uncomfortable situations is a piss-poor strategy. Mental disorders are not a "lack of skills", and it's beyond offensive that you would simplify it like that -- it's part of the reason we need remote care in the first place.
11. Re:I'm surprised this didn't catch on sooner. by Anonymous Coward · 2013-10-10 08:44 · Score: 1
  
  Psychiatrists prescribe medicine, not psychologists.
12. Re:I'm surprised this didn't catch on sooner. by Russ1642 · 2013-10-10 09:12 · Score: 2
  
  I read that as "the only job you can get with a psychology degree is bartending"
13. Re:I'm surprised this didn't catch on sooner. by Princeofcups · 2013-10-10 09:25 · Score: 1
  
  Seriously, why the hell hasn't this already been a thing? I regularly engage in therapy, 99% of it is just discussion. Very little, if any, would be unable to be reproduced digitally.
  Then you are going to a worthless therapist. Most therapy is what you what you do the rest of the time. The time with the doctor is to diagnose and come up with things to work on, such as strategies to avoid triggers, introspection about relationships, changing attitudes and reactions, etc. You have to work at it. The doctor does not make you better. Only you can do that. I wish there were some screws in the back of my head that could be adjusted, but it doesn't work like that.
  
  --
  The only thing worse than a Democrat is a Republican.
14. Re:I'm surprised this didn't catch on sooner. by Lithdren · 2013-10-10 09:30 · Score: 1
  
  This has been going on for years, just not 'liscenced' like this is. My mother for example, after my father died, joined an IRC channel for support of people who have lost loved ones to Cancer. She ended up becoming a major person to the group and helped many people through what she had to deal with, while getting help herself for her own issues from the loss of my father
15. Re:I'm surprised this didn't catch on sooner. by anybody_out_there · 2013-10-10 09:45 · Score: 2
  
  There's a huge difference between seeing the doctor (psychiatrist) and therapy (with a psychologist or LISW). The doctor does the drug prescribing thing, the therapist helps work through other issues by helping develop 'coping skills' and the like, perhaps suggesting exercises to reinforce the process. It used to be that the doctors also did talk therapy, but that hasn't really been true for some time. Some good doctors will take the time to talk, but they still won't try to address 'therapy issues'. For example, I've got issues and stress (who doesn't?). Doctor says, if you didn't have the stress, would you still have mood swings? If yes, that's where the the medication (tries to) come in. As for dealing with the issues and stressors, doctor doesn't care, talk to the therapist. Now, don't get me started on the meds...... I do agree that a large part of therapy is what you do OUTSIDE the office.
16. Re:I'm surprised this didn't catch on sooner. by cayenne8 · 2013-10-10 10:18 · Score: 1
  
  Yep..you think it is bad having your CC's number hacked....wait till your mental health records get out...and everyone knows those "deep dark" secrets you keep that only your therapist knew till then...
  Talk about information ripe for blackmail.
  
  --
  Light travels faster than sound. This is why some people appear bright until you hear them speak.........
17. Re:I'm surprised this didn't catch on sooner. by TheRealMindChild · 2013-10-10 10:19 · Score: 1
  
  But is IS a lack of skills. Coping skills. These are the very things you go to a therapist to learn, is it not?
  
  --
  
  "When life gives you lemons, don't make lemonade. Make life take the lemons back!" -- Cave Johnson
18. Re:I'm surprised this didn't catch on sooner. by Forbo · 2013-10-10 11:26 · Score: 1
  
  I think you misunderstood what I meant. 99% of the interaction with the therapist can be reproduced digitally. Of course it still comes down to it being a matter of somebody wanting to change, but that doesn't have anything to do with what means they use to interact with their therapist.
19. Re:I'm surprised this didn't catch on sooner. by xystren · 2013-10-10 14:06 · Score: 2
  
  There can be a problems with this, especially with tele/web-based/distance therapy. The resources to intervene within a crisis environment do not exist. For example, if someone is suicidal or homicidal, how does one intervene appropriately? What if a patient/client in a tough situation (ie divorice) and their coping skills are less than adequate, and they just terminate the session after stating "they hate their spouse. There is no way to ensure that the patient is safe. Even a 911 call to the police for a wellness check, the 10-12 minute response time is not immediate enough for crisis intervention. This could potentially setup any therapist using this type of session to have there A$$ sued off, even more than they already are.
  Certain patients/clients would be appropriate for this type of delivery for therapy - Any of the various paranoid flavored diagnoses would likely not work well (after all, we all used to be called paranoid when we thought the NSA was tracking our internet usage eh?). Border-line personality disorder are extremely difficult to work with in the first place... they can go from I love you, to I hate you in seconds - try and deal with that over the web, when their first instinct will be to disconnect the session. Leaves the therapist in an extremely vulnerable situation.
  The other issue is, as a therapist, you don't have control over the environment. What about the phone ringing during a session, or the young child that constantly wants to see mommie or daddy or the or the interruptions from the over-caffeinated teenager? Often people in therapy are lacking in coping skills and/or boundaries. That is where the office visit will be superior, because those boundaries are more clearly defined.
  The security/confidentiality/privacy of sessions would be extremely difficult to keep under control. Most relevant code of ethics have specific rules (and not to mention federal and state regulations) regarding this. If you are cross-state, which laws apply? Those of the therapist, those of the patient, or a blending of the two? In this regard, the duty/responsibility generally falls onto the therapist - talk about a liability nightmare.
  I'm not saying this method of delivery is not completely without value... there are circumstance that make it necessary or even desirable. Long distance, and/or limited access to mental health services, those that are constantly traveling for work, etc. would be some examples. In my own practice, this method of delivery would only be used in limited and very specific circumstances.
20. Re:I'm surprised this didn't catch on sooner. by boristdog · 2013-10-11 01:20 · Score: 1
  
  Psychiatrists prescribe medicine, not psychologists.
  I guess you've never played "Hi Bob!" then.
21. Re:I'm surprised this didn't catch on sooner. by cellocgw · 2013-10-11 04:21 · Score: 1
  
  Psychiatrists prescribe medicine, not psychologists.
  Well, that's good. I can't see going to CVS and saying, "I've got a scrip here for one psychologist. Is it ready for pickup yet?"
  This post brought to you by the Missing Comma Corporation. "Let's eat [,] Grandpa."
  
  --
  https://app.box.com/WitthoftResume Code: https://github.com/cellocgw
22. Re: I'm surprised this didn't catch on sooner. by DarkEnd13 · 2013-10-15 16:57 · Score: 1
  
  So you want people to leave their house, to get help with their inability to leave their house. How is that supposed to be helpful?
Tell me about... by msauve · 2013-10-10 07:43 · Score: 2

Eliza, is that you?

--
"National Security is the chief cause of national insecurity." - Celine's First Law
1. Re:Tell me about... by Forbo · 2013-10-10 07:47 · Score: 3, Funny
  
  More like Dr. Sbaitso.
  
  xD
2. Re:Tell me about... by Russ1642 · 2013-10-10 07:52 · Score: 1
  
  That takes me back. There was a talking parrot that went along with this.
3. Re:Tell me about... by flimflammer · 2013-10-10 13:00 · Score: 1
  
  Oh man, that brings back memories.
4. Re:Tell me about... by antdude · 2013-10-10 21:50 · Score: 1
  
  Is there an IRC version?
  
  --
  Ant(Dude) @ Quality Foraged Links (AQFL.net) & The Ant Farm (antfarm.ma.cx / antfarm.home.dhs.org).
Anyone else... by barlevg · 2013-10-10 07:47 · Score: 5, Funny

Did anyone else at first misread that first word as "Telepathy?" Because a Telepathy-based start-up for addressing mental health issues... now THAT would be cool.
1. Re:Anyone else... by Russ1642 · 2013-10-10 07:54 · Score: 2
  
  That would be cool. I could sit with Deanna Troy all day.
2. Re:Anyone else... by HornWumpus · 2013-10-10 08:02 · Score: 1
  
  Shed smack me.
  
  --
  John McAfee 'It was like that time I hired that Bangkok prostitute; to do my taxes, while I fucked my accountant'
3. Re:Anyone else... by funwithBSD · 2013-10-10 08:13 · Score: 2
  
  That's Commander Cameltoe to you!
  
  --
  Never answer an anonymous letter. - Yogi Berra
4. Re:Anyone else... by Russ1642 · 2013-10-10 08:29 · Score: 1
  
  Always called her Miss Perky.
5. Re:Anyone else... by Quasimodem · 2013-10-10 08:52 · Score: 1
  
  "...a Telepathy-based start-up for addressing mental health issues..."
  I see Lucy sitting at her booth with her "The Doctor Is [IN] Your Head" sign, and begin to hyperventilate.
6. Re:Anyone else... by steelfood · 2013-10-10 08:55 · Score: 1
  
  Yes. And at the same time, I was wondering how they got the government and insurance companies to take them seriously as medical doctors.
  In retrospect, the answer would have been blatantly obvious,
  
  --
  "If a nation expects to be ignorant and free in a state of civilization, it expects what never was and never will be."
7. Re:Anyone else... by PolygamousRanchKid+ · 2013-10-10 10:14 · Score: 1
  
  . . . but she didn't rack up compared to Voyager's "38-of-D" . . .
  
  --
  Schroedinger's Brexit: The UK is both in and out of the EU at the same time!
8. Re:Anyone else... by Lawrence_Bird · 2013-10-10 11:41 · Score: 1
  
  yes :)
9. Re:Anyone else... by iggymanz · 2013-10-10 13:20 · Score: 1
  
  I'd picture her picking up on our horny thoughts and leaving a puddle in her chair
Incoming Snark! by girlintraining · 2013-10-10 07:47 · Score: 4, Funny

Yay! Now I won't have to leave the basement to get my prescription for my social anxiety! Thank you internet!

--
#fuckbeta #iamslashdot #dicemustdie
1. Re:Incoming Snark! by Russ1642 · 2013-10-10 08:05 · Score: 2
  
  Historically, the flying machine has just been a stupid pipe dream. We shouldn't even try building one.
2. Re:Incoming Snark! by girlintraining · 2013-10-10 08:07 · Score: 1
  
  Historically, the flying machine has just been a stupid pipe dream. We shouldn't even try building one.
  You sir, are awarded the Internet for today. That was a concise and utterly brilliant response. Alas, all I have to offer you are my congratulations.
  
  --
  #fuckbeta #iamslashdot #dicemustdie
3. Re:Incoming Snark! by khallow · 2013-10-10 08:26 · Score: 1
  
  So what's the airplane equivalent of electroshock therapy or phrenology?
4. Re:Incoming Snark! by ThisIsSaei2561 · 2013-10-10 08:35 · Score: 1
  
  Crashing?
5. Re:Incoming Snark! by Sarten-X · 2013-10-10 08:50 · Score: 2
  
  For electroshock, a stunt plane. It's built for one specific rare job, which it does pretty decently, but it's absolutely the wrong tool for every other job. In fact, treating it as the solution to everything will have disastrous, if not lethal, results.
  For phrenology, the Spruce Goose. It made it big, but was utterly unsuccessful, and existed solely on the hope that it would work.
  
  --
  You do not have a moral or legal right to do absolutely anything you want.
6. Re:Incoming Snark! by kamapuaa · 2013-10-10 10:48 · Score: 2
  
  Therapists can't prescribe drugs, you have to go to a psychiatrist for that. Psychiatrists center around diagnosing mental problems and prescribing appropriate care, therapists are about talking problems out.
  
  --
  Slashdot: providing anti-social weirdos a soapbox, since 1997.
To quote Steve Wozniak. . . by smooth+wombat · 2013-10-10 07:53 · Score: 1

Oh, hey. Nice virtual presence device.

--
We will bankrupt ourselves in the vain search for absolute security. -- Dwight D. Eisenhower
Re:in other words by Forbo · 2013-10-10 07:54 · Score: 1

several recent studies have found that therapy via the Internet is just as effective as face-to-face treatment.
In other words, not generally effective at all?
[citation needed]
Wowzers... by kiriath · 2013-10-10 07:58 · Score: 1

I totally read that as "Telepathy Startup".
Confidentiality by Blue+Stone · 2013-10-10 08:14 · Score: 5, Insightful

Unfortunately no therapy transacted over the internet or the telephone system can, these days, be said to abide by the confidentiality agreement the therapist is supposed to abide by.

--
Corporation, n. An ingenious device for obtaining individual profit without individual responsibility. - Ambrose Bierce
1. Re:Confidentiality by fa2k · 2013-10-10 23:44 · Score: 2
  
  I love the comment, great to bring it up, but it's slightly hyperbolic. NSA haven't broken encryption (that we know of).
  - They have access to all communicated data, but only the ciphertext if it's encrypted. This means that they can know when you "went to" the psychiatrist on line. The authorities could already learn this from security cameras and cops. It would be easier, though, to search for people with mental problems and to answer whether a given suspect has had therapy.
  - SSL security may be circumvented by the NSA having private keys for some big certification authorities. Blind use of SSL could be subject to man in the middle attacks, but the startup could write their own certificate validation code which only accepted their own certificate (if it's not a web app). Or not use SSL, but it's easy to get things wrong if re-implementing a SSL system
  - The NSA could do traffic analysis to learn more about the content of the communication. For example, if people are moving or talking on video chat, the bandwidth goes up. Same with text chat, but due to the low overall bandwidth, the application could just transmit padding at a fixed rate for text chat (and maybe audio too)
  - The NSA could replace the installer with a back-door'ed one. The startup could implement some DRM-like consistency checks to increase the time it would take to make a back door. Also post the checksum on some (can't remember what it's called) independent channel from where the download files are
  So it's still possible to have confidential communication over the internet
2. Re:Confidentiality by nbauman · 2013-10-11 00:03 · Score: 2
  
  Unfortunately no therapy transacted over the internet or the telephone system can, these days, be said to abide by the confidentiality agreement the therapist is supposed to abide by.
  What confidentiality agreement?
  When Monica Lewinsky's therapist handed over her therapy notes to Kenneth Starr, that was the end of client-therapist confidentiality in the U.S.
  HIPAA explicitly allows therapists to disclose information for law enforcement purposes.
  Covered entities may disclose protected health information to law enforcement officials for law enforcement purposes as required by law (including court orders, court-ordered warrants, subpoenas) and administrative requests; or to identify or locate a suspect, fugitive, material witness, or missing person. https://en.wikipedia.org/wiki/Hipaa
Thanks for this submission by turp182 · 2013-10-10 08:16 · Score: 1

I have family members that will find this very interesting; finding competent local mental health professionals has been difficult for a couple of them.
Thank you Slashdot.

--
BlameBillCosby.com
States Still Want Their Cut by Baby+Duck · 2013-10-10 08:28 · Score: 1

States and the education institutions that lobby them still want their cut from license fees and paid supervision hours. If you start providing therapy across state lines where the endpoints don't provide license reciprocity, you'd best hire a lawyer first.

--
"Love heals scars love left." -- Henry Rollins
Psychedelic psychotherapy as well? by YttriumOxide · 2013-10-10 08:37 · Score: 1

Psychedelic psychotherapy is an interesting new field... combining it with online therapy might make for some interesting experiences!
(honestly yes, I am joking... please don't take that as a serious suggestion)

--
My book about LSD and Self-Discovery
Also on facebook as: DroppingAcidDaleBewan
Re:Options by Sarten-X · 2013-10-10 08:53 · Score: 1

I also see great value for those that aren't to that point yet.
And in the case of bipolar, the bad days where you're too depressed to leave the bed, let alone the house.

--
You do not have a moral or legal right to do absolutely anything you want.
Internet is just as effective as face to face by nitehawk214 · 2013-10-10 08:54 · Score: 2

therapy via the Internet is just as effective as face-to-face treatment
Meaning, it still isn't very effective... but at least it is cheaper. Why not give it a try?

--
I'm a good cook. I'm a fantastic eater. - Steven Brust
1. Re:Internet is just as effective as face to face by nitehawk214 · 2013-10-11 01:53 · Score: 1
  
  It is effective provided you find the right therapist which is a needle in a haystack.
  Dont go by recommendations, a therapist who seems great for someone may suck for you.
  You can call mental health patients LUCKY when they find a therapist that doesn't suck.
  Is this because most therapists are bad at their jobs, or is it more that we have no good process to match patients with the type of care they need? (or both)
  
  --
  I'm a good cook. I'm a fantastic eater. - Steven Brust
Re:in other words by CanHasDIY · 2013-10-10 08:58 · Score: 2

I don't know about therapy in general, but I did find some interesting material about pseudoscience in mental health.
Anecdotally, my parents sent me to a child psychologist when I was about 8, presumably because I wasn't handling their divorce the way they expected (I wasn't bothered by it because I knew everyone would be happier that way, which is apparently considered quite an odd attitude for a kid that age)... While I question the validity of sending a rather well-adjusted kid to such a professional, it was nice to have someone outside the family I could talk to about stuff.
I will say, though, the increasing prevalence in diagnosing children with previously unheard of conditions does seem to be an excuse to avoid taking responsibility by doping the poor little buggers out of their brains. Considering that most of the mass killings in recent history has been performed by people who have prescriptions for mood-altering drugs like Zoloft, it's fair to question the validity of today's mental health diagnosis, as well as the system in general.

--
An enigma, wrapped in a riddle, shrouded in bacon and cheese
NSA screws up this idea... by superdave80 · 2013-10-10 08:59 · Score: 2

Everybody who would like their private therapy sessions recorded and stored by the NSA raise their hands.
Cleverbot by WillgasM · 2013-10-10 09:11 · Score: 1

I thought that's what Cleverbot was for
Please go on... by TheloniousToady · 2013-10-10 09:42 · Score: 1

How do you feel about that?
Yay! Internet snuff films! by Chas · 2013-10-10 10:26 · Score: 1

So when some poor nutjob calls their shrink and then offs themselves LIVE ON VIDEO OVER THE INTERNET, it'll take even LESS time for it to hit the sharing sites!

--

Chas - The one, the only.
THANK GOD!!!
Re:Now even Pedophiles can receive mental help! by Anonymous Coward · 2013-10-10 10:46 · Score: 1

I looked up a better definition of hebephilia and Ephebophilia and your comment walks a fine line. The definition of both requires a strong preference for the respective developmental stage, not just an occasional thought. I have to wonder with the vagary in the definition of hebephilia if it includes what should be ephebophilia in the stats. The latter includes legal girls, and there are plenty that fit in the hebephilia age range that have all the biological cues as the technically legal ones.
In conclusion, looking at a high school girl and thinking "ohh, yeah. That looks nice" once in a while is not a mental problem, just nature fucking with you. A fixation on middle school girls is.
Screen Process by Eddy_D · 2013-10-10 11:00 · Score: 1

The screening process for new clients would be a new twist for me, usually I'm trying to pass myself off as a sane when I take one...
- Eddy

--
- I stole your sig.
This is somewhat obvious. by presspass · 2013-10-10 11:06 · Score: 1

I will postulate that online therapy is less intimidating then face to face therapy and therefore, more productive. In the future I will try to post something that is more controversial, I promise.
1. Re:This is somewhat obvious. by wonkey_monkey · 2013-10-10 20:49 · Score: 1
  
  In the future I will try to post something that is more controversial, I promise.
  I have a phobia of using the internets, you insensitive clod!
  
  --
  systemd is Roko's Basilisk.
Re:in other words by Anonymous Coward · 2013-10-10 11:11 · Score: 1

Considering that most of the mass killings in recent history has been performed by people who have prescriptions for mood-altering drugs like Zoloft
That's quite a claim! Can you back it up?
Just reading my post I am surprised you have. by ralphaostrander · 2013-10-10 12:15 · Score: 1

not contacted me.
Hmmm... by NotQuiteReal · 2013-10-10 13:12 · Score: 1

Maybe the therapists ARE abiding by the agreement, but SOMEBODY else is illegally breaching that confidentiality? Toss some lawyers at the problem, they always sort it out. Heh, I can see it now - a massive hack to purge HIPAA sensitive data, while keeping all the other stuff.

Next up, if only nutcases have privacy, then terrorists will all become nutcases... oh, wait.

--
This issue is a bit more complicated than you think.
Re:in other words by phantomfive · 2013-10-10 17:48 · Score: 1

There's not much to indicate that DSM 5 is anything more than a money grab

--
"First they came for the slanderers and i said nothing."
Re:in other words by CanHasDIY · 2013-10-11 01:23 · Score: 1

http://www.ladailypost.com/content/brief-history-psychotropic-drugs-prescribed-mass-murderers

--
An enigma, wrapped in a riddle, shrouded in bacon and cheese
In other words is absolutely useless .. by codeusirae · 2013-10-11 01:56 · Score: 1

"several recent studies have found that therapy via the Internet is just as effective as face-to-face treatment"

Recent studies have also shown that cyber-sex is just as effective as getting your girl friend to sit-on-your-face :)