Therapy and the Internet

Here’s one more arena in which Google has changed our lives: the process of psychotherapy.

How the internet can complicate the patient-therapist relationship is the subject of an interesting story by Dana Scarton that ran in The Washington Post this week. Scarton writes about the growing amount of information that patients can find about their therapist online -- and that therapists can find about their patients.

Googling your patient or therapist, or checking out the other’s Facebook page, if he/she has one, raises all sorts of issues relevant to the therapeutic relationship. The most significant, I think, is that the internet enables both the patient and therapist to learn all sorts of things about each other’s lives that they haven’t learned directly from the other.

I think it’s a bad idea for therapists to google their clients, and I don’t do it myself. I think it’s essential that my understanding of my clients be based on what they disclose during a therapy session. What patients tell me -- or don’t tell me -- about their lives, when they tell me, and how they tell me are all, in and of themselves, important things for us to talk about while helping them work out their problems. Researching a patient’s life online would put me in some awkward situations: If I don’t tell the patient what I’ve done, I end up with information about him or her that I know but can’t talk about. And if I do tell the patient what I’ve done, the patient may interpret my outside research as a sign that I don’t believe what he or she is telling me in person. Either way, my research would destroy the trust and honesty that are necessary for a productive therapist-client relationship.

I know that many people seeking therapy start by researching therapists online (I have my own website, after all). I also know that searching online for one’s friends and acquaintances is an inevitable part of modern-day life, and it’s a hard habit to break. If you’re a person googling your therapist while in treatment, I would suggest that you bring this up with your therapist. Searching online in this context is usually a reflection of a patient’s curiosity about the therapist and the therapist’s life. These questions and feelings can be extremely helpful when discussed in the course of therapy. What does a patient want to know about the therapist that he isn’t learning in therapy? Why does he want to know this? How does he think this knowledge will help him? Discussing these questions in therapy, and trying to answer them, can often give patients insight into their own problems and their relationships with people in their lives other than the therapist.

As a psychologist with a private practice, I think it’s important that I have a presence online; the challenge for me is to not be too online. But aside from my website and initial emails with potential clients, I try to keep my professional communications with clients on the phone or in person.