{"id":4173,"date":"2022-08-19T14:07:18","date_gmt":"2022-08-19T18:07:18","guid":{"rendered":"https:\/\/blogs.goucher.edu\/magazine\/?p=4173"},"modified":"2025-07-18T15:55:29","modified_gmt":"2025-07-18T19:55:29","slug":"mind-shift","status":"publish","type":"post","link":"https:\/\/blogs.goucher.edu\/magazine\/mind-shift\/","title":{"rendered":"Mind Shift"},"content":{"rendered":"

“W<\/span>e\u2019ve learned from mental health professionals that the social isolation many people experienced during COVID increased levels of anxiety and depression,\u201d says Ellie Hart \u201968<\/strong><\/span>, a mental health first aid (MHFA) instructor living in South Palm Beach, FL. She describes MHFA as being \u201clike CPR for mental health. It teaches people how to recognize the signs and symptoms of someone having a mental health or substance use challenge\u2014[a skill that] became even more important during the pandemic.\u201d<\/p>\n

It\u2019s true. Treatment for anxiety and depression has increased since the pandemic began. As have reports of everything from sleep disturbances and stress-related illnesses to rates of substance abuse, opioid overdoses, and suicide.<\/p>\n

According to Nyasha Grayman, Henry S. Dulaney Professor and associate professor of Africana studies and psychology at Goucher, \u201cthe pandemic instigated a next-level mental health crisis in the country.\u201d<\/p>\n

In his March State of the Union address, President Biden echoed Grayman: \u201cOur country faces an unprecedented mental health crisis among people of all ages. …The grief, trauma, and physical isolation of the last two years have driven Americans to a breaking point.\u201d<\/p>\n

\u201cTeletherapy has been a critical tool in addressing [this crisis].\u201d says Grayman. And teletherapy\u2014the provision of mental health services online or over the phone\u2014has grown exponentially since the pandemic began.<\/p>\n

While the technology to provide teletherapy has existed for many years, Frontiers in Psychiatry<\/em> found it was only \u201cused sparingly\u201d before March 2020, for significant reasons.<\/p>\n

\u201cIt\u2019s not real therapy,\u201d Grayman would have told you five years ago\u2014she also maintains a private practice providing grief therapy.<\/p>\n

Psychologist Sharon Churnin Nash \u201969<\/strong><\/span>, who has worked in the field more than 30 years, only used teletherapy here and there to accommodate a client unable to get to her office. Nash works predominantly with Silicon Valley professionals\u2014her office is just a stone\u2019s throw from the world\u2019s center of technology and innovation. Yet her clients rarely requested remote appointments.<\/p>\n

Even millennial Hannah Rose \u201912<\/strong><\/span>, who \u201cput a lot of emphasis on the cathartic and connecting power of in-person counseling,\u201d wouldn\u2019t use it for her own therapy practice before March 2020. \u201cTeletherapy was pretty stigmatized before the pandemic,\u201d she says. \u201cNone of my clients would have been comfortable meeting via teletherapy even in weeks that they had to miss a session.\u201d<\/p>\n

But with COVID-19 came \u201cstay-at-home\u201d orders. If these therapists wanted to continue seeing clients\u2014they did\u2014they had to be willing to try teletherapy. They were willing.<\/p>\n

Before she started her private practice in January 2020, Grayman had the prescience to choose an electronic health records software with a HIPAA-compliant teletherapy feature. She had no idea how well\u2014or how much\u2014it would serve her.<\/p>\n

In February 2020, when the Santa Clara County public health director mandated a stop to in-office visits, Nash couldn\u2019t believe it. It seemed so \u201cextreme,\u201d she recalls. But her four adult children helped her set up Zoom access at her home office with a large screen and a camera, \u201cand I have been seeing my clients that way ever since,\u201d she says.<\/p>\n

Rose, a licensed clinical professional counselor who is also an adjunct psychology professor at Goucher, started using telehealth the week after Maryland\u2019s governor issued a stay-at-home order. \u201cWe all thought it would be super temporary and just sort of leaned into the awkwardness of it,\u201d she reflects. \u201cNow, it\u2019s the norm.\u201d<\/p>\n

In the two years these therapists have been using teletherapy, they\u2019ve all had their share of technology glitches and pivots to plans B and C, but they\u2019ve also experienced improvements in telehealth as it\u2019s risen to meet the needs of its users. Nash notes \u201ctremendous improvements with Zoom in confidentiality critical to the therapeutic alliance with clients.\u201d<\/p>\n

And Grayman has \u201cbeen pleased to see health insurance companies get on board through a newfound willingness to pay for therapy delivered online. Pre-pandemic, only [in-person] therapy was covered.\u201d<\/p>\n

For Grayman, the \u201ctransition to providing therapy online was seamless from a technological and administrative standpoint.\u201d Her challenge was \u201crecreating a therapeutic environment\u201d in two discrete spaces\u2014her clients\u2019 and her own. She describes her practice as \u201cboutique\u201d for both its size (she takes on only one new client each month) and its laser focus (African Americans living in Maryland who have experienced traumatic grief). She provides an intimate and highly personalized experience\u2014not the stuff of cameras, computers, and cords.<\/p>\n

\u201cInside a brick-and-mortar office, the client and I are immersed within the same sensory container,\u201d she says. \u201cWe experience the same soft lighting and take in the same aromatherapy scents and healing sounds. These are important backdrops to my approach.\u201d But to recreate this for a client doing therapy from their home office, their bedroom, or even their car, Grayman had to get creative. She now sends care packages to her clients \u201cthat include essential oils and a plush throw, among other items.\u201d<\/p>\n

For Rose, an unexpected advantage of teletherapy is that \u201ccounseling is so much more accessible now.\u201d And she\u2019s gotten to be a stay-at-home dog mom. \u201cThat helped with puppy training a lot,\u201d she says. \u201cIt\u2019s also super convenient. I have never had a work-from-home job before, and I love it. I also really love being able to be in the homes and cars and personal lives of my clients; they can move the camera around to show me things they want to that they wouldn\u2019t be able to in my office.\u201d<\/p>\n

\u201cAfter two years of telehealth,\u201d Nash says, \u201cthe most striking reality is that introverts really prefer and flourish with online therapy. In contrast, my extraverted clients cannot wait to get back to in-person sessions.\u201d She anticipates adopting a hybrid practice o accommodate both types of personalities, as well as her own. She expects it will \u201cinvigorate her practice.\u201d<\/p>\n

Grayman, who gave teletherapy the cold shoulder pre-pandemic, says, \u201cNecessity has opened my eyes to a way of doing effective therapy from which I doubt I will depart. Teletherapy allows me to work with individuals across the state without consideration for transportation, traffic, or weather. Current teletherapy applications allow you to maintain the privacy of your home environment with virtual or blurred backgrounds while engaging from the comfort of your home. Those working outside of the home can sign up for sessions during lunch breaks, take advantage of walk and talk therapy outdoors\u2014a personal favorite\u2014or cozy car cabin therapy inside.\u201d<\/p>\n

\u201cMore people are willing to seek counseling, more clinicians are willing to provide teletherapy, and virtual sessions are more of the norm than in-person sessions,\u201d says Rose. To her point, Nash\u2019s \u201ccaseload intensified during the pandemic.\u201d And she\u2019s not unique. \u201cMost therapists in the area are fully booked\u2014with a waitlist,\u201d she says. \u201cIt\u2019s actually difficult to find colleagues with openings and availability.\u201d<\/p>\n

Cognitive and Behavioral Practice Journal<\/em> describes teletherapy as \u201cperhaps the field\u2019s largest and most abrupt transformation in scope of practice. … It has launched into the clinical mainstream and has become a dominant mode of outpatient mental health care delivery.\u201d In other words, teletherapy\u2019s here and it\u2019s not going away. And \u201cwith interstate provider licensure on the rise, the use of teletherapy will only continue to grow,\u201d predicts Grayman.<\/p>\n

While greater access and convenience are definitely advantages of teletherapy, it is not a cure-all. The technologically challenged and those without a computer or smartphone or internet access can\u2019t connect so easily. And while research shows that teletherapy is just as effective as in-person therapy for many diagnoses, not every person or every mental health issue responds to remote treatment. And even for tech savvy people without access concerns, finding a private place in their own homes or someone to watch their kids while they step away for a therapeutic hour can be its own challenge.<\/p>\n

The pandemic has made clear the importance of tending to one\u2019s mental health. In Rose\u2019s personal and professional experiences alike, she says, \u201cI have come to learn that prioritizing one\u2019s own mental health is more than just a luxury; it is a necessity. If we do not work to heal our unresolved wounds, practice taking care of ourselves and rewriting our narratives, if we do not mend our broken senses of self-worth and self-efficacy, we are most likely going to continue to exhibit the same maladjusted and self-sabotaging behaviors long into our lives. The pandemic has illuminated many of our preexisting mental and emotional wounds, but also added layers of grief, trauma, and isolation. Now, more than ever, seeking and accepting help for our mental health is of the utmost importance.\u201d<\/p>\n

Goucher is on board. In September the school hosted Fresh Check Day\u2014\u201can uplifting mental health promotion and suicide prevention event … to create an approachable and hopeful atmosphere where students are encouraged to engage in dialogue about mental health.\u201d Through the gift of an anonymous donor, the college launched the inaugural Goucher Advocates for Emotional Wellness Lecture this spring with Sonja Lyubomirsky, one of the world\u2019s leading happiness researchers.<\/p>\n

There\u2019s no question the pandemic brought many mental health challenges with it. The silver lining is that the importance of tending to one\u2019s mental health is finally getting its due.<\/p>\n

And while there have been advances in teletherapy in the past two years, perhaps the greatest advances weren\u2019t in the technology as much as in the willingness of therapists, who were practically forced to adopt a method of doing their emotionally demanding jobs with no reasonable notice\u2014a method they had no training in, little to no experience with, and, especially, no interest in using\u2014and they not only stepped up quickly, they did what they help their clients do each and every day: They kept an open mind, adapted, noticed what was working, tweaked what wasn\u2019t, and adjusted to what is. Ultimately, they\u2019ve all embraced it for the ways it\u2019s allowed them to continue doing the work they\u2019ve been called to do.<\/p>\n","protected":false},"excerpt":{"rendered":"

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