Therapy, Coaching & Distant Healing via Technology

We offer articles from TILT Magazine and information related to online therapy, online coaching, online complementary and alternative modalities and cyberpsychology.

Left to My Own Devices

July 11th, 2014   •   no comments   

Wired to Worry 17 cartoonI love gadgets. I also love tracking data. You would think that I would be over the moon about all the cool personal fitness trackers on the market. Surprisingly, I am underwhelmed and I have spent some time reflecting on my lack of unreserved enthusiasm.

As a cognitive behavioural therapist, I frequently ask my clients to track their sleep, exercise, caffeine, thoughts, mood, diet and more. Even though research shows that tracking improves outcomes, it is still a hassle and compliance is often an issue. Letting clients know that some data is better than no data does help, but an easier way to collect that information would be a relief.

That brings us to the early adopters in the Quantified Self Movement who have started to develop some impressive technical solutions to the collection of behavioural data. If you are not already familiar with the term, Quantified Self refers to using technology (often using wearable sensors) to track behavioural data. Some examples of the devices that are making their way into the mainstream are Nike’s Fuelband, the Fitbit, and the Jawbone UP. These devices make data collection easy and can track sleep, steps taken, and even stairs climbed (in models that have an altimeter).

So, what’s my problem? I have decided that it boils down to the fact that many people see these devices as a solution to their motivation problems when, in fact, they simply assist you in tracking your progress. Activity trackers might simplify life for avid exercisers already tracking their progress with more complex systems. However, for someone who is ambivalent or precontemplative about making healthy behavioural changes, buying a personal activity monitor is unlikely to be enough to achieve their personal health goals. At the end of the day, that Fitbit or Fuelband doesn’t make the workout less painful or force you to keep running when you feel like packing it in.

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of the Left to My Own Devices article.

Christine Korol, PhD, is a cartoonist psychologist in private practice in Calgary, Canada, and the host/producer of a podcast on that provides free online anxiety and stress reduction education videos.

Views from the Front Line: An Industry Perspective

July 6th, 2014   •   no comments   

Views from the front line USAislinn Enright and Mark Wallin represent SilverCloud Health in the UK and US respectively. As leaders in their field, producing and promoting engaging online health and wellness solutions, their roles require them to stay abreast of industry relevant matters. However, their geographic localities each present different issues and priorities, and occasionally divergent perspectives.

A View from the US

Mark Wallin, SVP, SilverCloud Health Inc.

Mark has U.S. and international experience with corporate healthcare and eHealth organizations, such as Aetna, WebMD and ICW AG. Driven by a passion for quality health outcomes, Mark has successfully operated or engaged in multiple entrepreneurial start-up and turnaround opportunities in healthcare technology.

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of the Views from the Front Line: An Industry Perspective article.

How Online Health and Wellness got its Silver Lining

June 29th, 2014   •   no comments   

silvercloudWith an expanding international client base in the US, Ireland and the UK, SilverCloud Health is reshaping the delivery of online therapeutic services. CEO, Ken Cahill, outlines the ideas and process that brought the company to life, and how its products benefit clients.

Academic beginnings

SilverCloud Health is a spin out from the Technology Enhanced Therapy (TET) project, a three year joint translational research project undertaken jointly by the National Digital Research Centre (NDRC), Trinity College Dublin and Parents Plus, Mater University Hospital in Ireland. Prior to this, the project underwent seven years of direct academic and clinical research at Trinity College Dublin and Mater University Hospital.

When I first met Dr Gavin Dhoerty, Dr John Sharry, Dr David Coyle and Dr Mark Matthews, the four founding scientists of the TET project, I was hugely impressed that they were bringing over 120 years of academic and clinical expertise. They coupled this experience with refreshingly positive and forward thinking attitudes towards mental health and positive behaviour change.

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of the How Online Health and Wellness got its Silver Lining article.

Ken Cahill is the CEO and one of the founding partners of SilverCloud Health, tasked to bring the company global. Previous to SilverCloud Health he was employed by the NDRC, where in his role as an entrepreneur in residence he guided multiple start-up companies through the early phases of growth.

From Snail Mail to Email to Private Conversations: Could online counselling become clients’ preference?

June 22nd, 2014   •   no comments   

privacemail1In 1994, while working in an addictions outpatient clinic, we – Dan Mitchell and Lawrence Murphy – came up with the idea of using email to provide therapy. At the time, Michael White and David Epston were travelling the world talking about their new form of Narrative Therapy. Between sessions they would write clients letters that reflected on the session and underscored key therapeutic moments. Research was demonstrating that these letters were shaving one to several sessions off the total needed for change (White & Epston, 1990). Not only that, the letters themselves were being treated as prized possessions by the clients who received them.

At the same time, a clinic in British Columbia, Canada, where we worked had provided all of us clinicians with computers, Internet access and email. Our idea was to marry the therapeutic benefit of Narrative Therapy letter writing and the technology of email. If we could develop appropriate ethics; text-based therapeutic techniques to compensate for missing non-verbal cues; and appropriate clinical processes, we could provide services to anyone anywhere in the world.

So in 1994 we founded our online clinical practice called Therapy Online. At the time, we were using a community based electronic bulletin board system. In order to access the bulletin board, one would need to dial their modem directly into the bulletin board server. A 2400 baud modem was top-of-the-line, colour monitors were all the rage, and graphical display was sparse to say the least. To everyone online it was all cutting edge.

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of the From Snail Mail to Email to Private Conversations: Could online counselling become clients’ preference article.

Dan L. Mitchell, currently living in North Vancouver, Canada, earned his Masters degree in Counselling Psychology from the University of British Columbia in 1989. He is a Canadian Certified Counsellor with the Canadian Counselling and Psychotherapy Association. Dan has extensive experience in the field of addiction counselling having maintained a role in BC Mental Health & Addictions from 1990. Dan is the Clinical Supervisor for Therapy Online’s team of Counsellors.

Lawrence J. Murphy, currently living in Guelph, Canada, obtained his Masters degree in Counselling Psychology from the University of British Columbia in 1995. Lawrence has travelled extensively giving presentations at international conferences and workshops on the topic of online counselling. Lawrence is the Dean for Therapy Online’s courses.

Online Marketing Trends 2014

June 15th, 2014   •   no comments   

marketing toolboxContinued push for quality content; with Google and other search engines continually improving their search algorithms in favour of relevance and quality, the SEO and marketing benefits of superior, custom content will remain high on the agenda across the long term.

Mobile marketing; mobile is becoming an increasingly important platform for marketers. However, the growing variety of devices will make all-inclusive strategies unachievable. Define clear expectations around what you can achieve and balance flexibility with confidentiality and privacy requirements.

Video marketing; now video can be shared across mobile devices and Facebook has enhanced their mobile ads platform to accommodate; the savvy online marketer will get acquainted with apps like Instagram, Snapchat and Vine. Visual content is a must in any 2014 campaign!

Social Media diversification; Facebook, Twitter and LinkedIn are joined by new networks like Google+, Pinterest, Vine and Instagram.

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of the Online Marketing Trends 2014 article.

Sarah Lawton is a UK based content marketer and social media expert. With a passion for communication, new technologies and top quality content, Sarah encourages SMEs to make the best use of both traditional and online solutions. For further information or advice, please contact: and see

For the Love of Books

June 8th, 2014   •   no comments   

Love of books 1“Where is human nature so weak as in the bookstore?”

Henry Ward Beecher

Psychotherapy 2.0: Where Psychotherapy and Technology Meet
Editor : Philippa Weitz

The digital age is both exciting and challenging for psychotherapy, opening the door to clients groups previously not able to access psychological help, whilst also providing the challenges caused by social media and internet abuse and how these impact on the consulting room.

Psychotherapy 2.0 blows open the consulting room doors and shows successful pathways for attracting new clients to gain access to psychological help, as well as demonstrating that despite initial scepticism, working online as a psychotherapist or counsellor can be as effective as ‘face2face’ work: the therapeutic relationship may be different but it remains the centrally important feature for successful psychotherapy. It follows therefore that all psychotherapists and counsellors need to be fully informed about the impact of the digital age on their clinical practice.

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of The Love of Books article.

Support our Kickstarter campaign and keep TILT Magazine in production!

June 4th, 2014   •   1 comment   

Screenshot 2014-06-04 16.07.15Would you consider giving as little as $1.00 / £0.60 to support our efforts to keep TILT in production? Just click below to see our Kickstarter campaign!

TILT Magazine offers cutting edge information to therapists, coaches and healers about online intervention and cyberculture.

The Online Therapy Institute has produced TILT Magazine since 2010, and the co-founders of OTI consider TILT a labor of love. Four years later, while our readership is a small but strong niche of helping and healing professionals from around the globe, we do not have a large enough subscription base to pay for the magazine’s production costs. This is because our primary readership is our students, and we want to continue to be able to offer this valuable educational resource to both our students and the larger healing community.

This project is aimed at raising the funds necessary to keep the magazine in production through the end of 2015 – funding a total of six issues. This will allow us to continue offering a free subscription to our students and supporters of the Online Therapy Institute and keep archived issues available to everyone. Any additional funds will be used for future issues beyond our immediate stated goal.

TILT Magazine~ Therapeutic Innovations in Light of Technology~ is about envisioning therapeutic interventions in a new way. While Kate was visiting DeeAnna on the Jersey Shore, they took a late afternoon boat ride and a display of sail boats tilting against the sunset came within view. It reminded them how, as helping professionals, we should always be willing to tilt our heads a bit to be able to envision which innovations – however seemingly unconventional – may fit our clients’ needs.

Our clients are experiencing issues in new ways in light of the presence of technology in their lives. As helping professionals, so are we. TILT and the Online Therapy Institute is about embracing the changes technology brings to the profession, keeping you informed and aware of those developments, and entertaining you along the way.

With 4 years of production under our virtual belts, we have TILT’s publication process down-

  • Soliciting high quality articles to editing the content and
  • Conceptualizing visual layout
  • Reviewing final drafts after our graphic designer has completed the compilation and layout design
  • Dissiminating the magazine to our subscribers
  • Repurposing content to our blog, and within our courses

Yet there are always challenges…

An article author may submit late or have a crisis and not be able to fulfill the deadline; a columnist may draw a blank on the next issue’s topic; we may actually take the magazine to press and discover a typo after the fact- but we have a great production team and we have always been able to rectify problems as they arise. We anticipate continuing to produce a high quality publication while troubleshooting successfully when problems arise.

The larger challenge becomes that of sustaining what we have started once we have secured funding through 2015. Our hope is that as our Institute grows and revenues increase, TILT Magazine will be financially viable for the foreseeable future.

Wish sincere gratitude,

DeeAnna & Kate


Other posts of interest: 

Kickstart TILT on the rest of the journey!

Alternative Healing Modalities and Technology – Kickstarter Campaign

TILT’s Yin and Yang


We now offer 20% off Masteries courses for International Association of Coaching members!

June 3rd, 2014   •   no comments   


e reader (2)We are pleased to announce that Online Therapy Institute has become a member benefit provider of the International Association for Coaching (IAC). We are an IAC Coaching Masteries LIcensee having incorporated the IAC Coaching Masteries into many of our coach courses and certifications. Additionally, we have written an ebook  about extnding the IAC Coaching Masteries to online coaching.  IAC members can receive a 20% discount on specific courses!


From the latest IAC Newsletter: 


We would like to welcome the Online Therapy Institute to our list of member benefit providers. IAC members can now download the ebook “Applying the IAC Coaching Masteries™ to Your Online Work”, and also receive a 20% discount on selective courses.


This member benefit includes a free downloadable ebook  for applying the Masteries to online work, and also a 20% discount on their courses for IAC members.  


Our courses are taught in an online, self-paced elearning environment with ongoing feedback from your coach mentor.

The three courses are:

Certified Cyber Facilitator: Online Coaching
60 hours $2000/£1260

Specialist Certificate in Cyberculture: Online Coaching
30 hours/$1000/£600

Applying Coach Masteries & Ethics to Work Online
10 hours $400//£250


We enourage all our coach and complementary modality students (intuitive approaches, reiki, energy medicine) to become an IAC member and to further their professionalism by becoming an IAC Masteries Practitioner. Often our students will enroll in our courses and incorporate their coursework into the required learning agreement to obtain the IAC Masteries Practitioner credential.


Need more information?

Toll free: 877.773.5591 in the US

+44 (0) 1506 511539  UK/EU


Certified Cyber Therapist- New 15-Hour Credential

June 1st, 2014   •   no comments   

certified cyber therapistWe have launched a new 15-hour certificate to compliment our existing courses about online therapy!

Certified Cyber Therapist - a 15 hour survey course offering the fundamentals of online therapy delivery

Summary of current offerings:

As many of you know, we have been offering the Certified Cyber Facilitator credential for a couple of years. This credential is a 60-hour program with 5 different areas of concentration- one of which is online therapy.

The Certified Cyber Facilitator- Online Therapy Track consists of two 30-hour programs-

Foundational Cyberculture Series 

Specialist Certificate in Cyberculture: Online Therapy

Information about the new credential: 

To satisfy the need for a cursory introduction that prepares the student for conducting online therapy AND offers an opportunity for advancing on to the full CCF course, we offer the Certified Cyber Therapist option.

Facilitated in an online asynchronous platform with ongoing feedback, this course is based on the salient points Kate Anthony and DeeAnna Nagel view as the absolute basics in starting your online therapy work- regardless of your geographic location.

Kate Anthony has been a leader in the field of online therapy in the UK, helping to establish and authoring 3 sets of Ethical Guidelines for the British Association for Counselling and Psychotherapy (BACP). DeeAnna facilitated the Distance Credentialed Counselor training, a credential conferred by the Center for Credentialing and Education (CCE) for 10 years. Kate and DeeAnna developed the curriculum utilized for the DCC training from 2009-2014.

Their unique brand of expertise is available to therapists around the globe from beginning endeavors to advanced studies.

For more information: Certified Cyber Therapist


Responses to a Dilemma in Online Workplace Supervision

May 31st, 2014   •   no comments   

cybersupervisionIn the last edition this column was concerned with online workplace supervision, and at the end I posed a dilemma and asked for your thoughts. I have amalgamated the responses under several headings.

The Dilemma!

Your online supervisee, Jo, works from home, but is employed to provide online counselling and support for employees of a large organisation. A supervision issue has emerged concerning pressure on counsellors providing this service to be available to monitor and support employees in the chat room at the same time as being available for drop in sessions with online clients. The organisation’s stance is that often there are no drop-in clients, so it makes sense for the counsellor on duty to be also responsible for the chat room at this time. You both agree that there are both practical and ethical issues involved here. What suggestions do you have for the supervisor and the supervisee to take this forward? You are an external supervisor, paid for by Jo. Is there anything that with hindsight might have been done in the past to help now?

What are the issues?

A key response was that Jo and the supervisor needed to go back to basics and consider the Ethical Principles in the BACP’s Framework. Even if the organisation was not a member, it was assumed that Jo and her* supervisor were. There were no responses from online practitioners working to other Frameworks, but the same guideline would apply here – what would your professional organisation’s stance be?

… read the complete story ~

This article first appeared in the Winter 2014 issue of TILT Magazine ~ Therapeutic Innovations in Light of Technology.

Click here to read the entire PDF version of the Responses to a Dilemma in Online Workplace Supervision article.

Anne Stokes is based in Hampshire, UK, and is a well-known online therapist, supervisor and trainer and Director of Online Training Ltd. She can be contacted at

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