ABSTRACT
This chapter discusses evolving clinical and boundary issues confronting therapists as they explore the rapidly emerging modes of electronic communication determine under what circumstances it may help or undermine the therapeutic relationship. It examines the need for practitioners to be proactive in thinking through and establishing professionally sound policies and procedures regarding electronic communications, including e-mail, texting, cell phones as recording and communication devices, social media, and other related media. Concerns over boundaries, privacy, and confidentiality emerge also around the use of cell phones as recording devices. The possibilities of publically and electronically disseminating private conversations from treatment sessions are limitless. The use of cell phones as communication devices raises ethical and safety issues. Practitioners need to consult their own licensure boards regarding their respective jurisdictions’ laws and rules. Most state licensure boards are silent on the issue of practitioners’ right to provide phone or online therapy services to persons outside of their states.
