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Dr. Jacobs was thoughtful and measured in her response, emphasizing the trade-off that has come with going virtual. While she might not be able to feel her patients’ presence in the same way, she’s beginning to see them in a “wider context” as they walk her around their childhood bedrooms and introduce her to their spouses and children. She’s also noticed that doing therapy at home makes her patients more likely to take action on their issues. “They’re talking about long-standing, unhealthy dynamics with their parents and then, when the session ends, immediately walking out of their rooms and attempting to change them.” Julia McAnuff, a registered associate MFT, views telehealth as an innovation, a “window into [her] patient’s lives.” She’s even noticed many of her patients taking more emotional risks as a result of being in the safety of their at-home environment.

It isn’t just the discomfort of being on camera that people don’t like. Mina Naderpoor, a 26-year-old L.A. resident who has been in somatic and cognitive therapy for a decade, explained to me that as someone who deals with issues like body dysmorphia, sharing a physical space with her therapist is very important: “When you’re on Zoom, they can’t see your physiological responses to things. Like, if my hand shakes in response to something,” she said. “It’s hard to be validated virtually because they can’t see my physical being. I’m a floating head.” Not to mention the fact that not everyone has a space they can carve out for themselves. Naderpoor has roommates, and has had trouble finding an environment that feels private or safe once a week.