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With the creation of sites like Talkspace and Cerebral, digital therapy has slowly gained popularity. The COVID-19 pandemic accelerated this trend, with many people met with their therapists in person switching to virtual appointments. And with the ongoing pandemic, more people need access to mental health care. Digital therapy offers the chance to meet with a therapist regardless of where you live or how easily you can leave home. But when it comes to the benefits of digital therapy versus in-person therapy, how do the two compare?
licensed mental health counselor and head of clinical content at Spring Health
Compared to in-person therapy, digital therapy “doesn’t look the same. It’s definitely not the same, but there’s a replication there,” says Amy Cirbus, PhD, LMHC, director of clinical content at Talkspace. “I’m not in the same room with you, but I can sort of still have that three-, four-dimensional experience because of the ways that I can talk to you.”
One of the key differences is that digital therapy is done outside of the “container” of the therapist’s office, meaning there’s far more room for distraction, says Dr. Bradford.
“We talk about [the office] being this space that holds whatever the client is bringing in. There is some of that that’s lost virtually because clients are still like, ‘Okay, am I homeschooling? Or is my boss emailing?'” says Dr. Bradford. “People at this point are taking therapy sessions from their car or the bathroom and, you know, just trying to figure out a way to have some privacy and that, of course, is not ideal.”
With people attending virtual appointments from their own environment, providing a bit of physical separation from their therapists, Dr. Bradford says they might feel more willing to open up.
“You’re here with me, but the screen still separates us. And so you may feel a little more comfortable with sharing stuff that might’ve taken a little longer for you to share in the office,” says Dr. Bradford. “That’s something else that has played in favor of some of these more virtual kinds of spaces is that I do think it allows clients to be a little bit more vulnerable.”
The experience of text therapy is different when a therapist cannot read a client’s body language or hear the sound of their voice. However, text therapy also allows her to speak to someone in real-time while they’re working through a situation.
“If you are my client and you’re having a tough day, I’m getting you at that moment,” she says. “I’m getting a text message from you, I’m getting a live chat with you, I’m getting a voice note from you on your commute to work, versus waiting until next Wednesday with your appointment with me and reporting on what that felt like. I get that accessibility right in that moment.”
Whether you’re seeing your therapist in person, texting with them throughout the week, or communicating in another way, it’s important to do what feels right for you.
“This has been such a stressful past 18 months,” says Dr. Bradford. “It feels like it’s not letting up anytime soon. And so we’re going to have to dig even deeper to even to make sure that we’re taking good care of ourselves so that we can get to the other side of this.”
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If you’ve ever left the house without your phone, you know how naked it can make you feel in those moments before you race back to reclaim your screen. But you’re not the only one experiencing phone dependency: One survey found that we spend up to 40 hours a week on our phones, and 40 percent of adults say they’re online almost constantly, per the Pew Research Center. Does that number surprise you? Then you may be one of those people wondering if it’s a good idea to spend less time on your phone. Enter Phone-Free February.
clinical psychologist and co-host of the Mind In View podcast
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This nonprofit campaign encourages people to use their screens less for 28 days, with the ultimate goal of interacting more with the real world. Doing Phone-Free February doesn’t mean you have to completely ditch your phone—that would be impossible for most people with jobs, anyway. But it encourages being on screens less. Here’s what the challenge involves, plus why psychologists say this trend is actually worth considering.
What is Phone-Free February, anyway?
Phone-Free February is a campaign that was co-created by the Global Solidarity Foundation, a nonprofit organization that focuses on social issues like climate justice, smartphone usage, and sustainability. Phone-Free February kicks off on February 1 and lasts for the entire month.
The overarching goal is to “promote healthier smartphone use by challenging you to go without your phone for the month of February,” according to the Phone-Free February website. Participants can choose from two levels: PhoneFlex, which challenges followers to use their phones less and be mindful about their usage, and Phone-Free, which involves putting your phone in a box for a month. (FYI, the creators of Phone-Free February admit on the challenge’s website that this second category is “radical” and “advanced.”)
If you want to do Phone-Free February the way the challenge was intended, you’ll need to sign up for a level online. But technically, you can just try to spend the month of February being more mindful about your phone usage.
Benefits of reducing your screen time
There is a lot of data to show that our phone usage isn’t exactly healthy. That said, lowering your screen time can offer some useful benefits.
Lowers risk of health conditions
Research shows that excessive screen time is linked with a higher risk of obesity, mental health concerns like anxiety and depression, and sleep complications. And unfortunately, obesity, mental health conditions, and sleep issues can all be related. “If you’re on your phone and scrolling, you usually don’t realize that you’re mindlessly snacking,” says Jaime Zuckerman, PhD, a licensed clinical psychologist based in Pennsylvania.
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Eating more than your body needs can raise your risk of obesity, obesity can then cause sleep disorders like sleep apnea, and not getting enough sleep can worsen your mental health. See the cycle? Cutting back on your screen usage can lower your risk of these health conditions and improve your overall quality of life. “Less screen time could improve your weight and, ultimately, your health,” Dr. Zuckerman adds.
Increases self-awareness
Less time for the phone = more time for you. “A big pro is that you can allow yourself to be with your thoughts when you’re not on your phone,” says Thea Gallagher, PsyD, a clinical assistant professor at NYU Langone Health and a cohost of the Mind in View podcast. “That can be powerful, and you can get to know yourself, building self-awareness of your thoughts, feelings, creative urges, dreams, and imagination.”
Improves relationships
Could your phone affect your relationships? Turns out, yes. Going screenless may also improve your relationships, says psychologist John Mayer, Ph.D., author of Family Fit: Find Your Balance in Life. “I have seen so many relationships being poisoned by one or both partners spending inordinate amounts of time on their phone and not engaging in conversation and activities with their partner,” he says. Without the excess phone usage, you may get some time back to spend with your loved ones and see them beyond the screen.
Boosts mental health
Limiting screen time also means you’re likely to be on social media less—and that can give your mental health a boost, Dr. Zuckerman says.“It reduces the self-comparison that people tend to do on social media and can improve your self-image,” she explains.
Aaron P. Brinen, PsyD, assistant professor of Psychiatry and Behavioral Sciences at Vanderbilt University Medical Center, agrees that a lot of phone use is tied to social media. “Many of the things we are doing are algorithm-based,” he says. “Essentially it’s a digital slot machine. Just like any type of behavior on a reinforcement schedule, it’s good to step away. If you’re in Vegas, there’s value in stepping away from the gambling tables. ”When you can make intentional time to take a break, Brinen says you’ll likely notice that your anxiety goes down.
Allows you to become more present
Overall, Dr. Gallagher says that spending less time on your phone allows you to be more present in everyday life. “Phones have a tendency to pull us out of the moment,” she says. “When you remove that, you’re allowing yourself to focus on the people in your life and what’s happening around you.”
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How to spend less time on your phone
Experts say there are a few things you can do to make it easier to spend less time on your phone. Consider these tips:
Curb your app use: Disabling push notifications for apps you don’t need, like social media platforms, can go a long way. You can even delete the apps if you have trouble controlling your use, Dr. Gallagher says. “There are timers and reminders on the phones—you can use them,” Dr. Brinen adds. (He points out that he has a timer on his phone for YouTube and has found it to help limit his use.) Apps that limit screen time are also something you can try if the feature isn’t already embedded in your phone.
Designate screen-free times during the day: Dr. Gallagher suggests setting aside time when your phone is put away, like from 6 p.m. to 8 p.m. (You can also hide your apps from your phone during certain times of the day, Dr. Brinen explains.) The best time frame to choose is ultimately what fits best with your work and home life schedule. If you’re a heavy phone user, Dr. Gallagher suggests going slow. “Start with 20 minutes, then 30 minutes, and note how you feel before and after,” she says. “It can give you an opportunity to see that those breaks are possible and beneficial.”
Put your phone to “bed” for the night: Many people use their phone as an alarm, but you don’t have to go this route. Instead, consider investing in an analog alarm clock and putting your phone away in another room for the night at a designated time, like an hour or half hour before you plan to go to sleep. If you’re worried about getting a call about a family emergency, you can put your phone on “do not disturb” but allow certain contacts to still get through.
Don’t feel the need to respond immediately: “A lot of us feel like we have to respond right away if somebody texts us,” Dr. Gallagher explains. “But you don’t have to do that.” Instead, she suggests setting a new precedent with yourself where you only respond to texts within a certain window of time or simply don’t feel pressure to get back to people right away. “People should not feel like they need to be constantly contactable,” she says.
What to do when you’re not on your phone
Have the health benefits of reducing screen time convinced you to try the challenge? We’re rooting for you! But, going without a phone (for short or long periods of time) can still be challenging in this day of age. If you’re seeking ideas of what to do with the newly-founded time in your schedule, look no further. Here’s what our experts recommend to maximize your screenless time:
Focus on things you enjoy: If you have certain hobbies in place already, Dr. Zuckerman recommends focusing on them more. But she also stresses that you don’t need to spend time doing something during your screenless time because you feel obligated to do it. “If exercising isn’t something you enjoy, don’t do it during that time,” she says. “You have to make sure these are things you enjoy.”
Try to spend time outside:Research has linked outdoor time to better mental health, but Dr. Zuckerman says it’s important to get out in a way that feels natural to you. “You don’t need to go on a hike,” she says. “You can just sit on a bench during a lunch break or take a quick walk outside.”
Have conversations with other people: It sounds simple, but Dr. Gallagher explains that you’ll be surprised at how much better conversations flow when you’re not distracted by your phone. Dr. Mayer agrees. “Talk to your partner, your kids. Let’s get back to good conversations,” he adds.
Start reading: It’s not for everyone, but Dr. Gallagher points out that reading a good book can be a nice substitution for time you would have otherwise spent scrolling. Don’t love books? Try a magazine, comic book, or poetry. Reading shouldn’t be a chore, so find something that actually piques your interest.
Spend time with your thoughts: You don’t have to be doing something, physically or mentally, at all hours of the day, Dr. Gallagher says. Taking time to sit, think, and reflect can help you become more mindful and maybe even learn a few things about yourself along the way.
The bottom line
Phone-Free February challenges you to be more mindful about your phone usage. If you feel like you’re probably picking up your phone too often or doomscrolling even though you didn’t even want to, you’re not alone. But, here’s your chance to be more proactive about your habits.
Doing your best to cut down on your screen time can help boost your mental and physical health, and even improve your relationships with loved ones. Just be honest with yourself about when you need to use your phone, and when you don’t, and take things from there. It’s not always easy to give up the devices in our technology-driven world, but be kind to yourself and don’t judge too hard if you still need to be on your phone from time to time. When in doubt, remember what Dr. Gallagher says: “Have compassion for yourself.”
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