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The Hidden Risks of Over-monitoring Kids Online

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Parents feel a heavy burden to protect their kids from online harm. Threats such as cyber-bullying, predators, and unwanted content are real, and it’s understandable to want to put tight restrictions in place. But what if the very tools we use to protect our children are creating unintended consequences? Over-monitoring can undermine trust, limit children’s development of independence and online resilience, and even expose privacy vulnerabilities. Here’s what the research shows and how parents can find the perfect balance.

Where did we go wrong?

66% of parents surveyed say that parenting is harder today than 20 years ago, and digital technology is to blame.[1] Parents monitor in a variety of ways, including limiting screen time, checking websites, requiring password access, using GPS tracking, and checking social media following/friending.[1] Yes, tighter supervision sounds like a necessary solution in a world full of endless apps, social networks, and online risks, but is it?

A study conducted by the University of Central Florida found that parental-control apps, which allow for deep monitoring of children’s online activities, were associated with more, not fewer, online risks for teens. More specifically, the study found that teens whose parents used these apps reported unwanted explicit content, online harassment, and sexual solicitations. This doesn’t mean monitoring caused the risks; instead, parents often turn to these apps because their teens are already encountering online issues. The researchers concluded that instead of building digital competence and trust, many of these apps fostered a control-heavy and distrusting family environment.[2] So, instead of turning to these apps for help, try Dr. Bennett’s Connected Family Course.

Another study of children’s apps found that even “family-friendly” apps often include trackers, location permissions, or mislabeling of age ratings.[4] Further, children and teens with over-monitoring parents saw their parents as intrusive and were more likely to hide, deceive, and intentionally misbehave.[4] All in all, when monitoring feels oppressive, kids may respond by hiding and lying rather than being open and honest.

What does that mean for parents?

If the goal is safety, forced online surveillance may undermine the trust between parent and child and may hinder the open and honest communication we should be working to establish. As we teach in our Screen Safety Essentials Course for families, just implementing controls isn’t enough. One of the most damaging costs of over-monitoring is to trust and self-regulation. When children know they are constantly being watched, they may feel that their parents don’t believe they are capable of making responsible choices. That can lead to secrecy, feelings of giving up on communicating openly, and a lack of connection or engagement with parents.

“Why tell mom and dad if they won’t believe me anyway?”

I found myself asking this exact question at 12 years old when I made my first Facebook account and kept it a secret. I didn’t want to get in trouble, and I wanted to connect with my friends outside of school. I felt left out. But, when I asked my mom if I could open my own account, she said no. When I asked her why, she had no answer. So, I took it upon myself to create an account anyway.

I lied about my age so that I could create the account without parental supervision, and I kept it a secret. I would use it when she was not paying attention. My intentions were pure, and I did use it to connect with friends. But, of course, like with all online platforms, creepy older men would try to befriend me or message me.

GetKidsInternetSafe’s mission is to improve parent-child relationships AND screen safety. Had my mom and I had access to the GKIS Social Media Readiness Course, we would have been able to find a safer middle ground for me to connect to my friends. Not only would I have learned more about screen safety and been better equipped to solve online problems independently, but my parents and I would have engaged in healthier conversations and maybe even gotten closer. Ultimately, I would have been prepared to protect myself from getting into a relationship with a 17-year-old. Read The Hidden Dangers of Online Grooming: I Was Only 13, to find out how my lack of preparation for having social media resulted in me forming a premature physical relationship with a young man who was four years older than me at that time.

How Can We Do Better?

One of the most effective ways to guide children safely online isn’t through hidden surveillance, but through connection, conversation, and shared agreements. When parents begin by listening to their children about what worries them, what they enjoy, and what feels out of control, they build a foundation of trust. That trust becomes the launch pad for screen-time guidelines, digital boundaries, and the kind of autonomy children need to develop resilience. GKIS emphasizes this approach through its Connected Family Screen Agreement, a free tool designed to invite open dialogue instead of enforcing silence. It helps kids understand why parents have concerns and utilize safety tools and techniques.

Instead of solely relying on rigid controls, the path to healthier online habits includes tools, skill-building, and gradual transition. GKIS’s Screen Safety Toolkit isn’t a spy-kit; it’s a resource for families to use as practical checklists, conversational prompts, and strategies to empower children rather than just restricting them.

By investing in tools like this, parents can shift from pushing their kids to secrecy to creating a trusting relationship through honest communication. This way, your child knows that they are safe, supported, and ready to navigate the digital world with you by their side.

 

Thanks to CSUCI intern, Elaha Qudratulla, for researching and sharing an important story about how online safety is more important than online policing.

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

Works Cited

[1] https://www.pewresearch.org/internet/2020/07/28/parenting-children-in-the-age-of-screens/

[2] https://www.ucf.edu/news/apps-keep-children-safe-online-may-counterproductive/

[3] https://arxiv.org/pdf/2303.09008

[4] https://www.sciencedirect.com/science/article/abs/pii/S0140197117302051

 

Photos Cited

[1] Rizki Kurniawan

[2] Marten Newhall

[3] Tasha Kostyuk

[4] Vitaly Gariev

https://unsplash.com/

Off the Phone and On the Soccer Field: My Cure for Digital Disconnection

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Kids crave connection. Face-to-face interaction and emotional closeness are vital for healthy development—particularly for adolescents.[1] Screen time offers shallow connections and distracts kids from those unpleasant cravings. It also keeps kids so busy that they don’t seek the connection they so desperately need. What if they didn’t have to be so lonely? What if there was a way they could be off their screens, doing something good for their health, and making friends at the same time?  For me, that was playing sports.

The Seed Was Planted

As a child, I was most excited to hang out with my friends, be on my phone, watch TV, or eat sweets, in that order. That was until I joined a team sport.

It all started when my mother asked me if I wanted to join the local soccer team. I was nine years old and against the idea because I didn’t want it to cut into cartoon time on the weekends, and had we gone through the Screen Safety Essentials Course, we wouldn’t have worried so much about the impact of screens on us. But she insisted. I only agreed because my favorite cousins were on the team.

I learned from the first practice that I loved the intense physical activity of soccer, and after a while, I began to really get the hang of it. I felt proud and accomplished. I made great friends on the team. We loved team bonding activities and even began to hang out outside of practice. I loved it so much, I gave it my all and looked forward to it all week.

By high school, I had won medals and genuinely felt like I was good at the sport. I received praise and encouragement for all of my efforts and hard work. It also inspired me to work hard in other aspects of my life. I tried harder in school, was friendlier with classmates, more obedient in class, and more eager to participate in the learning process. According to Project Play, high school athletes are more likely to further their education and even receive higher grades in college.[2] I started seeing everything in the world as a skill waiting to be attained, something that required courage, effort, and training.

Having that view of the world helped me when I sprained my ankle right before the start of my freshman season. While recovering, I could have easily scrolled through Snapchat and Instagram endlessly. But I wanted to make sure I continued to build the bond with my teammates for when I returned. It taught me to wait my turn, keep a positive attitude, remain patient, and support others as they shine. As soon as I recovered, my teammates were more than happy to catch me up to speed, and I rebuilt my strength.

Core Memories That Last

One of my most memorable moments taught me something I will never forget. It was my junior year; we were tied 0-0, with a minute left in the game. My team was exhausted, but as captain, I knew this is where my job was most important. I dribbled the ball up the center, dodging two midfielders and one defender, set it up for my left forward, and yelled, “SHOOT!” She shot and sent it straight into the upper right corner of the goal. Everyone who was there to support us was on their feet, our coaches were throwing their clipboards in the air and hugging each other, and our teammates ran to us for a celebratory hug and a jump around. We spent the last 15 seconds of that game with tears in our eyes and joy in our hearts. We had just beaten a 40-year record for our school!

This is when I realized this would have a lifelong impact on me. It was one of those moments that I’ll look back on happily. It was a lifetime of preparation to become someone people could rely on when things got tough and hope felt lost. It was the moment I truly understood what being a leader meant to me and the impact it had on others.

I hugged and thanked my mother for signing me up for soccer at nine years old. She introduced me to the first love of my life, and I would forever be grateful for that. From then on, I never doubted my abilities to get something done, never lost confidence in myself, and never hurt someone without apologizing or broke something without trying to replace it.

The Impact of The Beautiful Game

Project Play reports that sports, in particular, can positively impact aspects of personal development among young people, keep them away from harmful substances, and encourage cognitive, educational, and mental health benefits.[2] I believe my experience of playing soccer was so much more than just a fun sport or a way to stay active, although both are tried and true. It was a refinement of my character, it was a positive shift in how I viewed the world and myself in it, it was what taught me that rejection was just redirection, and it was a way to build and maintain connections with people I am still close to, at 27 years old.

Why Everyone Should Play Sports

Participation in sports can protect against the development of mental health disorders.[4] These benefits include lowering stress levels, rates of anxiety and depression.[5]Lifelong participation in sports leads to improved mental health outcomes and even immediate psychological benefits which continue long after participation is over with. The improve self-confidence, encourage creativity, and nurture a higher self-esteem. Statistically, adolescents who play sports are eight times more likely to be physically active at age 24.[3]


Thanks to CSUCI intern, Elaha Qudratulla, for sharing an important story about how beneficial playing sports were for her then and how it still helps her today.

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

 

Works Cited:

[1] https://www.uvpediatrics.com/topics/alone-together-how-smartphones-and-social-media-contribute-to-social-deprivation-in-youth

[2] https://projectplay.org/youth-sports/facts/benefits

[3] https://odphp.health.gov/sites/default/files/2020-09/YSS_Report_OnePager_2020-08-31_web.pdf

[4] https://baca.org/blog/does-playing-organized-youth-sports-have-an-impact-on-adult-mental-health/

[5] https://pce.sandiego.edu/child-development-through-sports/

Photos Cited:

[Header] Eva Wahyuni on UnSplash

[2] Olivia Hibbins on UnSplash

[3] Elaha Qudratulla

[4] Jeffrey F Lin on UnSplash

[5] Elaha Qudratulla

https://unsplash.com/

Netflix Documentary, Bad Influencer, Exposes Parent Producer Abusing Child Influencers

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We were hunters and gatherers for 90% of human existence. That means our brains are still wired to prioritize the things that kept us alive when we were living on the land, before the domestication of animals and the construction of cities. One thing that kept us alive was living in a tribe and cooperating. Attracting a tribe and fitting in was a requirement of life. That is why kids and teens are hyper-focused on doing what their friends do and working to be cool and accepted. Online influencers count on this drive to maintain their income streams. One way to attract kids online is to be a kid doing what kids love to do, playing with toys and video games, opening new packages, and hanging out with friends acting goofy. Netflix’s Bad Influencer offers a glimpse of the kid influencer “scene,” and the lengths that some parents will go to attract and keep a following.

What is Bad Influence about?

The limited documentary series has gone viral for good reason. It’s definitely entertaining, but also deeply unsettling. It is a perfect way to raise awareness about how scary a life all about social media can be. Bad Influencer is a documentary that focuses on a tween who becomes an overnight social media star and brings her friends to stardom with her. What started out as a fun hobby quickly turned into a living nightmare. It may seem glamorous to be famous online, until you learn that the child influencers spent the majority of their childhoods working long hours acting out video ideas, risky stunts, and performing pranks that sometimes went too far—all under the pressure of adult producers/parents hungry for views. Check out Intimacy With Minors Encouraged at the Hype House for a similar story of underage exploitation.

SPOILER ALERT: The show takes a chilling turn when the mother of the main character is accused of, and videotaped, sexually exploiting these kids on set by positioning herself as one of the only adults supervising them to control them. Some survived the battle with only a few scars, while the main character is stuck living this nightmare over and over again. It may be funny, exaggerated, and attention-grabbing, but it also paints a dark picture of a digital world where clout matters more than character and children are left to pay the price.

Psychology Behind the Fame Obsession

From a psychological point of view, being an influencer is cool to children because they have a natural need for validation, attention, and social connection.[1] Although the minimum age on most social media platforms is 13, it is reported that children ranging from 8-17 are found scrolling through online platforms soaking up content too mature for their ages.[2] Sadly, unlike real-world relationships, social media platforms offer fast, unfiltered dopamine hits through likes, shares, and views. Without proper guidance, this can make kids tie their self-worth to online numbers, which can result in low self-esteem, fear of missing out (FOMO), performance anxiety, and digital addiction.[3] As a result of social unlimited social media usage, kids can also experience anxiety, depression, and even poor quality of sleep.[4] Counteract this monster and help your child build emotional resilience, red flag awareness, and digital literacy by taking our GKIS Social Media Readiness Training Course. Geared for teens or tweens, it’s the perfect giftbefore that new device or video game.

What You Can Do to Help

Bad Influencer is not just a show; it’s a cautionary tale that shares the pressures kids face online every day. It is easy to get off topic and want to pull the plug on all electronics just to protect your child from their dangers, but that is not always possible. Technology and online platforms are all around us, and it is better to set your child up for success than to try to keep them out of the loop. Connecting with your child over what they find interesting can help create a trusting relationship where you can notice if things start to become a little off. Our free Connected Family Screen Agreement can help you and your child co-create rules around how to safely navigate online platforms. This way your child can thrive in the digital age without losing themselves in it.

 

Thanks to CSUCI intern, Elaha Qudratulla for researching and co-writing this article.

I’m the mom psychologist who will help you GetKidsInternetSafe. Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

Works Cited

[1] https://genomind.com/patients/the-social-media-dilemma-how-childrens-mental-health-may-be-affected/
[2] https://pubmed.ncbi.nlm.nih.gov/37721985/
[3] https://startmywellness.com/2025/02/how-social-media-affects-mental-health/
[4] https://pmc.ncbi.nlm.nih.gov/articles/PMC11641642/

Photo Credits

[Header] freestock on Unsplash
[2] Leonardo David on Unsplash
[3] Sanket Mishra on Unsplash
[4] Cande Westh on Unsplash
https://unsplash.com/

U.S. Senate Passes KOSA and COPPA 2.0

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I am so excited that we are FINALLY seeing progress in holding big tech accountable for giving safer child options online! On July 30th the U.S. Senate overwhelmingly passed the Kids Online Safety Act (KODA) and the Children and Teens’ Online Privacy Protection Act (COPPA 2.0). This has been hard-earned with many parents and professional advocates working tirelessly to protect our kids. Next, this legislation must pass the U.S. House to become law!

We detailed the descriptions of these bills in our previously published GKIS article, “California’s Newest Online Privacy Protections for Kids.”

The Children and Teens Online Privacy Protection Act

The Children and Teens Online Privacy Protection Act (COPPA 2.0) is legislation that also aims to strengthen minors’ online protections.[1] It would amend the original 1998 act and strengthen the online collection and disclosure of information of children up to the age of 16.[1]

The Kids Online Safety Act of 2022

The Kids Online Safety Act of 2022 (KOSA) is a kid’s online safety act that aims to empower both parents and children to have control over their online activity.[2] It would provide children and parents with the right tools and safeguards by requiring that social media platforms have protective options regarding algorithms, product features, and information.[2] KOSA would require social media platforms to have a duty to prevent harm to minors in its many forms.[2] The KOSA bill requires that non-profit organizations and academic researchers get access to data from social media platforms to conduct research regarding harm to the well-being and safety of minors.[5] This act applies to social media, social networks, multiplayer online video games, social messaging applications, and video streaming services.

Specifically, social media platforms will be required to:

  • have the strongest safety settings for children set by default. That means better protection over their information, disabling the most addictive use features, and the ability to opt out of personalized algorithmic recommendations.
  • Give parents new controls to spot harmful behavior and a dedicated channel to report it. That means parental controls are turned on by default for young children and as an option for teens. To protect minor privacy, platforms must notify them that parental controls are in place.
  • Act on their duty to protect kids from harmful actors and content like those that can contribute to suicide, sexual exploitation, eating disorders, substance abuse, and ads for illegal products like THC, tobacco, and alcohol.
  • Participate in independent audits and child and teens online safety research.[2]

Please keep in mind that this act:

  • Requires social media platforms to avoid intentional nudges and reminders that move kids to harmful content, it does not block or censor internet content. Third parties can still share information that the social media platforms are not liable for and kids can still search for content that may be harmful to them.
  • Although most social media platforms do ask for the date of birth of new users to profile and comply with the Children’s Online Privacy Protection Act (COPPA), this act does not require social media platforms to set up age-gating or age verification.
  • Does not prevent kids from going online. But it does ask for safeguards and permissions for users under 13 years old in a similar way that COPPA does.
  • Does not monitor user behavior, which would be a violation of privacy by itself.
  • Does not impact personal websites or blogs.[2]

Social Media Readiness

Although these legislations are a step in the right direction, they still do not provide the education and problem-solving training that kids need to make safer decisions online. That is still left up to the schools and the parents. If you haven’t yet taken the step to help your kids learn the skills they need to better assure safety, check out our Social Media Readiness Courses. For the tween, we have a short and sweet online lesson (complete with mastery quizzes) that is at a fifth-grade reading level. This gets important family conversations started and teaches kids important skills for recognizing the dangers of digital injury and for implementing important psychological wellness tools. Our teen version goes more in-depth and takes far longer (also complete with mastery quizzes) and is at a tenth-grade reading level.

If you work with youth or families and want to improve your expertise in supporting their online safety, check out our GetKidsInternetSafe Screen Safety Certification Course!

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting, 

Dr. Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

Works Cited

[1] FACT SHEET. — COPPA 2.0 https://www.commonsensemedia.org/sites/default/files/featured-content/files/coppa_2.0_one_pager_2021.pdf

[2] The Kids Online Safety Act of 2022 https://www.blumenthal.senate.gov/imo/media/doc/kids_online_safety_act_-_one_pager.pdf

Photo Credits

Photo by Connor Gan on Unsplash

Sextortion Scammers Targeting the LGBTQ+ Community

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People seeking companionship or romantic connections online are falling victim to internet predators. There has been a dramatic increase in recent reports claiming that LGBTQ+ individuals are being purposely targeted for malicious online sextortion crimes. These crimes have led to devastating and long-lasting repercussions for victims and their families. As a result, the Federal Trade Commission (FTC) issued a warning in response to complaints about dating sites geared towards LGBTQ+ community members being infiltrated by sextortion perpetrators.[1] To help ensure your family has the tools to safely navigate the online world, check out our Screen Safety Essentials Course.

What is Sextortion?

The term sextortion (sexual-extortion) falls under the broader category of sexual exploitation. In many cases, sextortion is a form of blackmail that involves the act of extorting things like money and sexual favors through means of manipulation and coercion. For example, a perpetrator may threaten to reveal or expose personal and sensitive information about the victim to others unless they agree to the perpetrator’s demands.

How are people being victimized?

Despite advancements in societal attitudes towards LGBTQ+ community rights, the world can sadly still be a hostile place. That’s why dating apps geared toward members of the LGBTQ+ community, like Grindr, Feeld, and Her, have become popular.

These sites were designed to provide a safe space for both openly queer and closeted people to meet and make connections with each other without fear of harassment or exposure. Unfortunately, recent reports have indicated that an increasing number of apps and websites marketed toward members of the LGBTQ+ community are being infiltrated by sextortion predators.

Blackmail

A typical sextortion scam begins with a perpetrator creating a fictitious account on a dating app or social media networking site using a fake identity and photos. The perpetrator poses as a potential partner or someone looking to make a connection online and attempts to establish contact with another person under the guise of starting a romantic relationship. This is a process referred to as catfishing.

The perpetrator cultivates the relationship with their target to gain their victim’s trust and make them feel comfortable. The process can last for days, weeks, or even months. After establishing rapport, the perp will send explicit messages, photos, and videos and ask for some in return. Once the target shares their personal images and information, the scammer threatens to release it to the victim’s friends, family, or co-workers, or post it online unless the victim does what they say.

The primary motivations behind these types of romance scams can be financial and sexual. Sextortion predators use various manipulation tactics to not only extort money from victims but also to access sexually explicit photographs and messages, for their own sexual gratification. Recent reports have revealed that minors using the app, despite there being minimum age of use requirements, were targeted specifically by pedophiles hoping to elicit child pornography. In both cases, similar methods of exploitation are used.[2]

The FBI has stated that most victims report that initial interactions with perpetrators are mutual and unsuspicious. However, after a brief period, the extortionist will attempt to transition the interaction away from the app and onto private messaging forums. Without exposing their true identities, these online predators will go to great lengths to convince targets that they are legitimate users of the app.

Scammers often use stolen or fake photographs and may even hire a video model to convince their victims that they are interacting with an authentic person. It is very common for perpetrators to befriend victims on social media to access a list of the victim’s followers which typically include family members, friends, and co-workers.[2]

Why are LGBTQ+ apps being targeted?

Experts suggest that individuals using these dating apps are being specifically targeted by predators for a few different reasons. Given the nature of the apps, which are primarily used to foster romantic connections, online predators have a much greater opportunity to collect private and sexually explicit information from their targets. Additionally, since these apps have been designed for LGBTQ+ community members, predators assume that their targets have an even greater incentive to keep quiet about their victimization and comply with demands.

Because these apps are marketed as a safe space, people who are not openly queer rely on them to make connections with others without fear of exposure. As the thought of public shaming and the potential outing of their sexual orientation or gender identity is so profound, these individuals are more easily subject to victimization.

The Fallout

According to the FBI, the number of these cases has been steadily increasing. Experts speculate that the onset of the COVID-19 pandemic and the emergence of hookup-culture has escalated this trend. As the dating world transitioned largely onto virtual platforms, sextortion predators took advantage of this change.

Last year, the federal agency reportedly received over 16,000 sextortion complaints with financial losses totaling over $8 million.[2] In reality, the repercussions of these crimes extend beyond financial ruin. Sadly, the effects of being targeted and exposed by sextortion predators were overwhelmingly devastating for some victims who felt driven to take their own lives.[1] As a result of the seriousness of these crimes, law enforcement officials have significantly increased their efforts to capture and charge perpetrators.

How to Protect Yourself

It is important to be aware of the potential dangers inherent online in order to prevent yourself and your loved ones from becoming victimized. Dr. Bennett believes that providing our kids and teens with the necessary knowledge and skills to navigate these pitfalls before they arise, is the key to avoiding digital injury. That is why we created the Social Media Readiness Course which is designed to empower families to promote safe and responsible practices while avoiding harmful outcomes online. The internet can be an exciting and helpful tool when we are equipped with the proper skills to use it.

T hanks to CSUCI interns, Mackenzie Morrow and Michael Watson for researching the targeting of LGBTQ+ community members in sextortion scams on popular dating apps and co-authoring this article.

 

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

Works Cited

[1] Skiba, K. (2021). Sextortion plaguing LGBTQ+ dating apps. AARP. https://www.aarp.org/money/scams-fraud/info-2021/lgbtq-dating-apps.html

[2] Petkauskas, V. (2021). The shame game: how sextortion scammers prey on victims’ fear. Cybernews. https://cybernews.com/privacy/the-shame-game-how-sextortion-scammers-prey-on-victims-fears/

Photo Credits

Photo By Sharon McCutcheon (https://unsplash.com/photos/MW7ru0BdTFM)

Photo By Tima Miroshnichenko (https://www.pexels.com/photo/a-man-holding-a-letter-lightbox-6266500/)

Photo By Bruno Aguirre (https://unsplash.com/photos/xw_WBtNEqfg)

GKIS Guide to Teletherapy Services

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With COVID-19 quarantine guidelines and stay-at-home orders, many aspects of our daily lives have transitioned into virtual worlds. Online school, work, communication, socialization, and even grocery shopping are accessible from the safety of our homes. Mental health services are no exception to this virtual transition. With face-to-face meetings impossible, telehealth psychology services became the only viable option. As a result, state and federal regulatory agencies and insurance companies temporarily relaxed rules and regulations to ensure that more people could receive the services they need. Today’s GKIS article covers the critical issues you need to know about teletherapy.

What is teletherapy?

Teletherapy is a branch of the broader service of telehealth (or telemedicine). Generally, teletherapy facilitates remote mental health services through technology. In other words, teletherapy allows clients to receive therapeutic or psychiatric treatment from practitioners over the phone, through video chat, or even text message.[1]

How does it work?

Teletherapy involves entirely virtual interactions between mental health experts and clients through the use of smartphones, computers, or tablets. In general, teletherapy sessions are supposed to work in the same way that traditional therapy sessions work. Therapists work with clients remotely to provide talk therapy, teach therapeutic techniques, and develop coping strategies. Teletherapy can be used for one-on-one, family, marriage, and group counseling.[1]

Who offers teletherapy services?

Teletherapy services are offered by licensed mental health professionals.[1] Many of us have recently seen an increase in advertisements for teletherapy services from companies such as Talkspace and BetterHelp. These companies are online therapy platforms that hire clinicians to work for them in exchange for a steady number of clients. To apply, clinicians must provide proof of credentials, proof of competence in therapeutic treatment, and undergo a rigorous screening process.[2] Unfortunately, it is impossible to ensure that this standard of hiring and assessment is upheld by every online therapy company.

What are the potential benefits/risks of teletherapy?

Potential Benefits for Clients:

Increased Access to Mental Health Services

  • Telehealth can be very convenient. It alleviates travel restrictions, time constraints, and other barriers like childcare needs.

Greater Sense Of Security

  • Many people feel more comfortable in their homes, which allows clients to relax and be more willing to share their thoughts and feelings.

Public Health Concerns

  • The primary factor responsible for this shift to teletherapy is concern over public health during the global pandemic. Telehealth allows clients and experts to abide by stay-at-home safety protocols.

Economic Advantages

  • Teletherapy alleviates costs associated with travel and childcare.

Client Control

  • It’s much easier for a client to move to another therapist when using teletherapy because factors regarding commute and location of the new therapist are removed.[3]

Potential Benefits for Mental Health Practitioners:

Greater Access to Clients

  • Teletherapy allows therapists to meet with clients who may be unable or unwilling to travel. Many people find the prospect of meeting with a therapist in a clinical setting intimidating. For people who feel more comfortable at home, teletherapy may increase their likelihood of seeking out therapeutic treatment.

Economic Advantages

  • Teletherapy alleviates costs associated with travel, business expenses such as rent for office space, and allows practitioners to meet with more clients.

Time

  • With less time spent commuting from home to work, practitioners have greater flexibility regarding scheduling appointments with more clients.

Efficiency

  • Sessions conducted via chat or messaging automatically generate a record of the session, and video-conferencing allows the opportunity for sessions to be recorded.[3]

Potential Risks and Limitations for Clients:

Privacy

  • There are several potential risks to client privacy associated with teletherapy services.
  • It’s possible for hackers to access private data from a client’s device. Files containing sensitive client information that are unsecured may be accessed by an unwanted third party.
  • Even HIPAA compliant teletherapy services may be subject to data breaches that put client confidentiality at risk.
  • Unsecure chat and conferencing programs may expose sensitive client data, so clients should only work with therapists who have the tools and knowledge to encrypt data.
  • Some people lack access to private environments even within their own homes, this can make it difficult to protect client confidentiality as people may overhear or listen in on a private session.

Competence of the therapist

  • Therapists who are not competent regarding the use of technology and commercial software put their clients at significantly greater risk of breaches in confidentiality

Environment

  • Some people may prefer the security, and calm of a clinical office setting and have difficulty accessing a comfortable and private environment to facilitate their session.

Distractions

  • It is very easy for people to become distracted by things like notifications, emails, and text messages when using their devices and these distractions may impede upon the therapy session.[3]

Potential Risks and Limitations for Mental Health Practitioners:

Privacy

  • It is the responsibility of the clinician to protect client data, ensuring this protection is much more complex when relying on online/virtual programs than it is for clinicians in a traditional therapy setting.

Legal and ethical concerns

  • Therapists must comply with state licensing board regulations in both the state where they practice and where the client is located. Following the proper rules and regulations requires special knowledge and legal understanding which can be difficult to keep up with.

Communication

  • With the absence of face-to-face interaction comes the loss of many non-verbal cues and paralanguage that enhance overall communication among clients and clinicians. It can also be more difficult to establish a comfortable rapport with a client in a virtual setting where people feel distanced. In other words, the physical separation may impede the therapeutic dynamic.

Anonymity and client safety concerns

  • Clients can easily hide their identities online. This can make it much more difficult for clinicians who have a responsibility to report clients who may harm themselves or others to the proper authorities.[3]

Is teletherapy comparable to traditional therapy?

There is a lot of debate as to whether teletherapy is truly comparable to traditional therapeutic treatments. Some experts claim that there is a lack of research or evidence regarding teletherapy including its efficacy and effectiveness with long-term outcomes. Other experts claim that there is no significant difference between teletherapy and traditional therapy regarding the practices used and their efficacy. Some clients have reported great experiences with teletherapy, and others have expressed the opposite. As with traditional therapy, what seems to matter most is the compatibility of the client and the therapist. As of now, it seems difficult to definitively say which avenue of mental health care is superior. The bottom line is, whether it’s teletherapy or traditional, it is up to the client to decide what avenue best suits their needs.

Dr. Bennett has been practicing teletherapy with her child, teen, and adult clients since the beginning of the pandemic. She says she’s had to get creative figuring out how to keep kids focused with fun games and skill-training strategies. She says she does miss the natural comfort and improved intimacy of face-to-face therapy. But she suspects that over half of her clients will opt for telehealth services in the future. She says it’s particularly convenient for busy families who have multiple children in sporting and learning activities. She even got licensed in Hawaii and Idaho so she can work remotely while she is on vacation!

GKIS Services

  •  Screen Safety Essentials Course offers a comprehensive family program with tools for fostering open communication and creating safer home screen environments.
  • Screen Time in the Mean Time is the parenting guide needed in this digital age. Dr. B’s book posits tangible ways to keep your family safe and connected while utilizing technology.

 

 

Thanks to CSUCI intern, Mackenzie Morrow for researching Teletherapy mental health services and co-authoring this article.

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

 

 

 

Works Cited

[1] Villines, Z. (2020). Teletherapy: How it works. Medical News Today. https://www.medicalnewstoday.com/articles/teletherapy

[2] Person, M. (2019). The pros and cons of contracting with online counseling companies. Counseling Today. https://ct.counseling.org/2019/01/the-pros-and-cons-of-contracting-with-online-counseling-companies/

[3] Stoll, J. et al. (2020). Ethical issues in online psychotherapy: A narrative review. NCBI. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026245/

 

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