Weird. Many of the therapists I know (especially those under 60) use email to communicate with clients. I use it with some to schedule. Then I had one start sending me dreams, and something stopped me from saying, “Let’s wait and talk about those in our sessions.”
This raises some hair-raising questions. Sure, my email is secure (although it’s not encrypted), but is his? Where does this fall in HIPAA? What if he sends me a message that communicates an emergency, and it sits in my IN box for hours. (Actually, I check my email CONSTANTLY on my iPhone, it’s become a bit of a problem, but that’s another story.) Do I want to have an email conversation throughout the week as a part of the therapy? In this case, I do!
Another way that email plays a role in my practice, a lot more nerve-wracking: two of my men’s groups have set up email listserves, restricted to them and me. A lot of very personal stuff goes out across the wire, and ends up sitting in the IN boxes of every one of those guys. How often does a wife or a kid walk by and take a peek? On the other hand, for both groups those listserves have become a dynamic part of the process.
I don’t want to give it up. But it worries me.