1st Edition

The Therapist’s Notebook for Systemic Teletherapy Creative Interventions for Effective Online Therapy

Edited By Rebecca A. Cobb Copyright 2025
    292 Pages 17 B/W Illustrations
    by Routledge

    292 Pages 17 B/W Illustrations
    by Routledge

    Many therapeutic activities that engage clients in in-person therapy rooms are not obviously available via telehealth. Yet there are creative, practical, and easy ways to intervene in teletherapy that go beyond talk therapy.


    The Therapist’s Notebook for Systemic Teletherapy: Creative Interventions for Effective Online Therapy provides systemic teletherapy activities and interventions for a variety of topics and presenting problems. Forty chapters are arranged into seven parts: setup and preparation, self of the therapist, children and adolescents, adults, intimate relationships, families, and training and supervision. Leading experts provide step-by-step guidelines on setup, instructions, processing, and suggestions for follow-up for interventions that are grounded within foundational therapy theories/models and evidence-based practice. This book explores both new intervention strategies and ways to adapt in-person therapy interventions for telehealth.


    This book provides creative inspiration and practical advice for novice and experienced family therapists, clinical social workers, counselors, play therapists, psychologists, psychiatrists, and others in related fields.

    Section 1. Setup and Preparation  1. Can We Meet Remotely? Legal and Ethical Considerations for Systemic Teletherapy  2. Managing Multiple Therapeutic Environments  3. Confidentiality in Systemic Teletherapy  4. Building Therapeutic Relationships Via Teletherapy  5. Overcoming Lack of Visual and Auditory Cues in Online Sessions  6. Using Background Images to Signal Messages Via Teletherapy  Section 2. Self of the Therapist  7. Managing Distractions and Remaining Present: Suggestions for Online Therapists  8. The "Commute Home": End of Day Letting Go Rituals for Online Therapists  9. Teletherapist Self-Care Assessment  10. Burnout for Online Therapists  11. Self-Care Tips and Tricks for Online Therapists  12. Bumpin' into Teletherapy: Planning for Parental Leave  Section 3. Children and Adolescents  13. Digital Sand Therapy: Cognitions and the Underworld  14. Virtual Puppet Play Therapy  15. Chess and Telemental Health: A Structural Therapy Approach  16. The Solution-Focused Scavenger Hunt  17. Teletherapy Poetry  Section 4. Adults  18. Transformational Teletherapy Chairs  19. Changing Narratives with Virtual Vision Boards  20. Guided Grounding in Teletherapy Intervention  21. Solution-Focused Teletherapy for Sucicidal Intervention  22. A Peek Inside: Virtual Home Visits for Hoarding Disorder  23. Virtual Cognitive Stimulation Therapy: A Group Intervention for Older Adults with Memory Loss  Section 5. Intimate Relationships  24. Structural Interventions for Intimate Relationship Therapy: Capitalizing on the Limitations of Telehealth  25. Doorbells, Babies, and Dogs, Oh My: Distractions as Metaphors in Teletherapy with Intimate Relationships  26. Intimate Relationship De-escalation for Teletherapy: The Structured Pause  27. Mapping the Cycle: A Virtual Emotion Focused Intervention for Clients Practicing Consensual Nonmonogamy  28. Mindfulness-Based Sex Therapy: Setting the Stage for Sensate Focus via Telehealth  29. Assessing Appropriateness of Teletherapy for Intimate Partner Violence  Section 6. Families  30. Digital Play Genograms  31. Telehealth Family Sculpts: So Many People, So Little Space  32. Stacking the Deck: A Strategic Approach to the Ungame  33. Virtual Altar-Making for Grief and Loss  34. Migration Journeys: Increasing Bonds with Shared Stories and Geographical Maps  35. Medical Family Teletherapy: Expanding Care to Promote Health Equity  Section 7. Training and Supervision  36. Supporting Therapists through Deliberate Practice in Systemic Teletherapy  37. Round-robin Case Concepulization for Theoretically Grounded Virtual Supervision  38. Virtual Reflecting Team: A Milan Approach to Teletherapy Intervention  39. Plurilinguistic Virtual Reflecting Teams with Latino/a Families  40. "Real" Practice with Clients: Using Simulation in Virtual Group Supervision

    Biography

    Rebecca A. Cobb, PhD, LMFT, is a clinical professor and for Seattle University’s Master of Arts in Couples and Family Therapy program. She also has her own Seattle-based private practice where she provides supervision as an American Association for Marriage and Family Therapy (AAMFT) approved supervisor and supervision mentoring to AAMFT approved supervisor candidates. She has authored numerous journal articles and book chapters, is a former president of the Washington Association for Marriage and Family Therapy (WAMFT), and has won awards from AAMFT, WAMFT, and the National Council on Family Relations. When she isn’t working, she enjoys hot yoga, hosting dinner parties, hiking with Laney the Aussiedoodle, and spending time with her partner and the small humans that keep attempting to make her a morning person.

    Christine Borst, PhD, LMFT, is an artist, therapist, and creative entrepreneur. She left her role as an assistant professor in family therapy to pursue a creative career, which includes, but is not limited to, writing and illustrating children’s books and tearing up old magazines to make pretty pictures. Her published books include, What is Coronavirus?, For the Love of Organs: A Quasi-Educational Collection of Poems, Us: An Introduction to Pronouns, and Drawing the Sun, a book about the journey to the authentic self. Additionally, she runs a private coaching practice, where she supports clients in connecting with their wild selves. When she isn’t having fun at work, she is hanging out in Colorado with her husband (the other Dr. Borst), her three wonderful children, and their two dogs, kitten, and hedgehog. You can find her on Instagram at @thechristineborst or at www.christineborst.com.

    The Therapist's Notebook for Systemic Teletherapy is the premier guide for systemic therapists engaging in telebehavioral health. With chapters written by the top scholars in the field of technology and treatment, this comprehensive resource shows therapists how to work highly effectively with various populations, presenting problems, and through theoretical orientations. Further, the inclusion of clinical examples makes this book a go-to for any level of treatment professional. This text is a must-have for today’s therapists.

    Katherine Hertlein, PhD, professor of couple and family therapy, Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, author of The Internet Family and The Couple and Family Technology Framework, and editor of The Couple and Family Therapist’s Notebook and The Therapist’s Notebook for Family Healthcare

     

    An invaluable resource for mental health professionals! The authors seamlessly integrate creativity into teletherapy, offering a treasure trove of innovative interventions for diverse clients. This guide delivers practical insights, ethical considerations, and creative strategies that transcend the virtual divide. A must-read for therapists navigating the digital landscape, it not only enriches therapeutic practice but also redefines the possibilities of connection and healing. A true gem for those seeking to enhance their teletherapy toolkit.

    Sophia Ansari, LPCC, RPT, owner of Let’s Play Therapy Institute

     

    Rebecca Cobb has done a magnificent job of bringing together a notable group of experienced authors to write about one of the most important topics of our time, teletherapy. This text is a resource to all therapists, especially those who practice systemically. Teletherapy is relatively new, and it is further complicated when therapists are required to assess and intervene systemically online. This text is both practical and informative and is a rich resource for therapists who practice teletherapy.

    Adrian Blow, PhD, professor of couple and family therapy, Michigan State University, and author of Deliberate Practice in Systemic Family Therapy and Bringing Common Factors to Life in Couple and Family Therapy

     

    A virtual treasure trove of clinical innovation, practice focused intervention, and ethical guidance for bringing your systemic practice into the online world of your clients with focus and impact. Rich with practical wisdom, this compendium captures the “how to’s”, “what if’s”, and “now what’s” found in the everyday practice of systemic based telehealth. Clear, accessible, and informative, this notebook provides a handy guide for flourishing in the online clinical space. 

    James Furrow, PhD, author of Emotionally Focused Family Therapy and Becoming an Emotionally Focused Therapist, Seattle University