ABSTRACT
Some practitioners train as telephone counsellors or study online as e-therapists, and there are now ethical guidelines for separate professions. Yet, when it is necessary to use another medium, some therapists prefer the phone to working with Skype, and some prefer Skype to the phone. There is a growing emphasis placed on inclusion and therapy for all, and we are increasingly considering client groups that in the past have been unable to access psychotherapy. As a relational therapist as an attachment therapist, one have given thought to the attachment style of the clients one see and questioned whether technology has been a help or hindrance to the therapy. In our consulting room, they experience and leave, returning to their own space, their reality. When therapy is conducted on the phone, they leave a reality, but something of it remains in their reality.
