Question 1

What is videoconference based therapy?

Accepted Answer

Video based therapy is the same as face-to-face therapy with the exception that the interaction is carried out via videoconference using webcam technology. This form of therapy offers increased flexibility because it cuts out the time restraints imposed by travelling to a face-to-face session.

Question 2

Who provides videoconference based therapy at Couch in the Cloud?

Accepted Answer

In keeping with Couch in the Cloud's commitment to professional excellence, all of our clinicians are trained Clinical Psychologists. This means they are specialist mental health professionals accredited to practice clinical psychology by the Australian Health Practitioners Regulation Authority (Australia's peak body overseeing health carer registration). A clinical psychologist undertakes more psychology training than most mental health professionals. Specifically, each of our clinical psychologist have undertaken 4 years of basic psychology training including an honours research year; in addition to a further 2 years of postgraduate training in clinical psychology practice that is followed by a further 2 years of supervision by an experienced Clinical Psychologist. Following this, most of our clinicians complete PhD research in the field of clinical psychology (a further 3 years of training). Many of our clinicians have published research in the field of adult and child mental health. In total, our clinicians will have completed approximately 8-11 years of training.

Question 3

What is the evidence for video based therapy?

Accepted Answer

All of the intervention strategies used at Couch in the Cloud are evidence-based, and could be broadly termed cognitive-behavioural interventions. Cognitive-behavioural therapy is the psychological therapy with the greatest support for use with most acute and chronic mental health conditions.    The online videoconferencing component of our service has not been subject to rigorous testing yet. It may be that the format is less effective than face to face, or the opposite may be true. If you are in doubt speak with another health professional such as your GP or psychiatrist.   This is a quote from a research paper titled Current Directions in Videoconferencing Tele-Mental Health Research: "Previous findings have demonstrated that tele-mental health services are satisfactory to patients, improve outcomes, and are probably cost effective. In the very small number of randomized controlled studies that have been conducted to date, tele-mental health has demonstrated equivalent efficacy compared to face-to-face care in a variety of clinical settings and with specific patient populations."   For more information you are encouraged to visit Google Scholar and enter the search terms "cognitive-behavioural", "videoconference", and "online". Using this strategy you can find more information on the research status of video therapy.

Question 4

Can I find out about my clinician before I get started?

Accepted Answer

Sure, no problem. We can send you information about each of our clinicians. You can confirm their credentials on the Australian Health Practitioner Regulation Agency website. http://www.ahpra.gov.au/registration/registers-of-practitioners.aspx

Question 5

Is my GP involved in this process?

Accepted Answer

We certainly always encourage collaboration and involvement with GPs. Therefore, in most but not all instances we require contact and collaboration with your General Practitioner (GP).   Your GP may be managing your Mental Health Care Plan or your medication or both and therefore it is important that your clinician speaks with them regularly to update on your situation.

Question 6

How long does each session last?

Accepted Answer

A typical session runs for 1 hour, however we believe it is important to be flexible to your needs.In some cases only a brief session (e.g., 20 minutes) is required, and in some cases a longer session (e.g., 2 hours) is required.

Question 7

How do I book sessions?

Accepted Answer

For your initial session you and your therapist will agree upon a time to meet.   For all sessions after that we have an online booking system to make it a seemless process for you.   We will send you a text reminder 24 hours before your session in case you forget.   You should treat the process like face-to-face therapy, turning up on time, dressed approppriately and not avoiding late cancellations.

Question 8

Where do I attend sessions?

Accepted Answer

We use Adobe Connect for all of our video sessions. It is a reliable and secure videoconferencing platform. When you have been allocated to a clinician they will send you a welcome package in a pdf or word format document with instructions on how to connect.

Question 9

Do you charge for an initial chat?

Accepted Answer

No. After you contact us we will email or phone you so you can find out more about our service and whether it would be a good fit for you.

Question 10

What does it cost?

Accepted Answer

At present we offer 50 minute therapy sessions plus 10 minutes of administration (i.e. writing notes and liaising with other professionals on your behalf) for $75.

Question 11

Am I eligible for a rebate?

Accepted Answer

At present Medicare does not provide rebates for online psychological services to all people. However, shortly (in November) Medicare will start to offer rebates for people in certain remote areas. The Medicare rebatable psychological services via telehealth will be available for patients living in Modified Monash Model regions four to seven, which cover smaller country towns and remote and very remote locations   See the below weblink for more information. http://www.health.gov.au/internet/ministers/publishing.nsf/Content/health-mediarel-yr2017-hunt035.htm    Some private health funds provide rebates for online therapy depending on the individual’s level of cover. You should check with your private health fund to see if you would be eligible for a rebate.