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I am sure that anyone using Zoom is aware of the Chat feature. It’s how I share custom links with clients to join me in online games, but it has another use that has come in handy in my sessions.

Talking and therapy seem to go hand-in-hand, but for a number of reasons, a client might prefer not to engage in verbal conversation. Reasons I personally have experienced include:

  1. Clients with selective mutism might be unable to speak during sessions
  2. Autistic clients often have nonverbal periods, sometimes in response to stress
  3. In telehealth sessions, clients might be worried about privacy and think that someone might overhear what they say

In all three of these cases, a client might be able to write down what they want to say even if they cannot verbalize. Sometimes, a client with selective mutism or experiencing a nonverbal episode might be unable to type what they want to say, but it is helpful to show flexibility and offer different ways to communicate.

Although I am hesitant to endorse “text therapy” because I need more information on its effectiveness and safety issues, using the chat in a telehealth session means you can still see the client on video while using the chat, which addresses those concerns.

In my office, I’ve had clients write down things they would prefer not to say to me. Although some kids have slower typing speed, children who were able to write things down in sessions have been able to communicate using the chat, and it is much easier to read their handwriting!

Published by Dr Marschall

Dr. Amy Marschall received her Psy.D. from the University of Hartford in September 2015. She completed her internship at the National Psychology Training Consortium with specializations in assessment and rural mental health. Currently, she specializes in trauma-informed and neurodiversity-affirming care, and she is certified in telemental health. Dr. Marschall runs a private practice, RMH Therapy, where she provides individual and family therapy as well as psychological assessments across the lifespan. Dr. Amy Marschall is an author and professional speaker.

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