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Telepsychiatry refers to psychiatric treatment and attention offered online through, for instance, videoconferencing. It includes therapy, psychiatric evaluations, psychiatric intervention, medication management, and patient education.
Telepsychiatry became the norm during the year of the COVID-19 pandemic when, to prevent the spread of the virus, all kinds of medical services that did not absolutely require in-person interactions moved online.
The pivot from psychiatry to telepsychiatry during the earlier days of the pandemic posed new challenges to both psychiatrists and patients, radically altering the way psychiatry works now and going forward.
How the Pivot to Psychiatry Affected Psychiatrists
During the earlier days of the COVID-19 pandemic, the necessary pivot that psychiatry, as a field, made to telepsychiatry, and especially the pivot that psychiatrists themselves made to online therapy (e-therapy), was difficult for psychiatrists.
For instance, it became harder for psychiatrists to assess their patients’ “affect”—that is, the outward display of someone’s internal emotions as indicated by their verbal and nonverbal communication, including body language cues such as posture, hand movements, and eye contact. Building an atmosphere of trust with their patients also became more challenging for psychiatrists, as e-therapy sessions tend not to be as intimate or personal as in-person ones. Interacting with a psychiatrist via a laptop simply isn’t the same as interacting with them across a carpet.
More, although psychiatrists found that e-therapy does work for many people in significant ways, it doesn’t tend to work well for patients with serious psychiatric illnesses.
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