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Still, as our back-and-forth winds down, I feel totally underwhelmed. Hokemeyer suggested, my Talktala experience feels like Self-Reflection Lite—it's not in-depth enough to provide any real insight.Not for me, anyway—a therapy newbie might find Regina's advice illuminating.Confession time: I've been in talk therapy for more than 20 years (I started when I was 15—today I'm 37).Nope, I'm not proud of that—it's vaguely embarrassing, this commitment I've made to worship at the altar of my most deep-seated issues.There are various fees associated with the site's many types of e-therapy—"Email Consultation," "Email Therapy," "Private Therapy," and "One-on-one Counseling," to name a few. The "Depression" section of My Therapy Couch is the second most popular, with 481 threads.Trying to jump in and get going with some feedback, I post about being new to the boards. I check on the post again after 24 more hours, but still no one's replied.Could spilling my guts to faceless strangers on an online message board or chat room possibly compare to "real" therapy? Paul Hokemeyer, a NYC-based addictions and family therapist, is dubious."Therapy that changes people's lives is a nuanced process," he says.

After I post a brief monologue about feeling isolated, I can see that my new buddy is typing a response, but then my Internet connection drops off before I can catch a reply.My Therapy Couch rather charmingly calls itself a " social counseling site." So ...it's like Facebook had a baby with a virtual shrink's office! Like Talktala, MTC features free forums where users can vent about their issues, but if you want real therapeutic guidance (aka "Direct Counseling") from a professional, you'll need to cough up some cash.They felt more like social outlets than mental health resources. Hokemeyer expresses major concern about sites like Blah Therapy, where "non-trained professionals [are] giving advice to other individuals.""There is just too much room for harm," he notes.And I can't help but agree with his assessment that "deeply entrenched and persistent emotional and relationship issues cannot be adequately addressed through an online therapeutic relationship.THE RESOLUTION (OR LACK THEREOF)I end up chatting with "Special-Reward" about Life Stuff—our jobs, the site, the few "creeps" she's encountered there—for about 45 minutes.

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