Evolve Your Therapy Practice for a Dynamic Future

ACEP • June 30, 2020

(by Kirsten Keach, LMFT) I closed the doors on my face-to-face therapy office. I will be 100% online for the foreseeable future. This was a big but necessary decision to make. One that I know many therapists are struggling with as we all try and adjust to unpredictable circumstances.


Going to my office, even to do video sessions, made me feel normal— it was a tether to the ease of my pre-COVID life. But that time period is over now. We can’t go back to the way things were before. It is prudent to create a practice and lifestyle that allows flexibility within the unknown.


Many of you reading this article were thrust into practicing online as a result of the closures and may have considered it a temporary adjustment and structured your practices as such, with the intention of going back to your office. Depending on your circumstances and location, going back to the office may be a long time off for you. I wrote this blog to help you shift your temporary online practice into something more long-term, engaging, fun, and creative. Even when you can see clients in person, an online practice can be a powerful addition for you.

This article will help you see the benefits and options available to you as a therapist working online AND how to craft an online lifestyle that works for you for the long-term.


I started dabbling in online therapy in 2016 when a very entrepreneurial friend explained to me that ALL non-emergency medical services would eventually be online only and that many major hospitals were already planning that transition. Foreshadowing?? I took his advice and decided to get ahead of the game. I quickly found that providing online therapy was very different than providing face-to-face therapy.


Being a successful online therapist requires you to adjust your lifestyle and your practice in order to accommodate the type of energy it requires. With this comes the opportunity to design your lifestyle AND you get to be creative with how you practice – even more so than when you are working in a face-to-face practice.


To get you started in re-imagining your practice, let’s begin by talking about all of the great benefits that come with working online.


Benefits of Working Online

  • It is location flexible – for both you and your clients
  • Lower overhead – you can cut costs by not having office space if you choose. 
  • Easier scheduling – It is easier for clients to schedule because it removes travel time. 
  • No longer have to work evenings – I find most people can take a lunch break during the day, so I don’t have to see people after normal business hours. 
  • Better client fit – Because you are less limited by geography, you can access a larger pool of people who may be perfect for you to work with. 
  • Makes returning from maternity leave easier – You can work from home and have the ability to see your baby or breastfeed between sessions. This is critical in a field that is approximately 73% female.
  • You can provide in-home family therapy without having to physically go to the client’s home, allowing you access to the entire family system. 
  • You get to have your emotional support animal with you all day 😉
  • You have more options for the way you deliver therapy.


Types of Online Therapy

Let’s talk about the different types of online therapy out there. When most people think of online therapy they think of video sessions. But a successful online practice can involve more than just replacing your in-person sessions with video sessions. Working online gives you permission to explore a variety of mediums for your client’s personal growth. Below are some of the options.


  • Video Sessions – delivered online via a secure video software. 
  • Message Based Therapy – This type of therapy is generally done email style, where your client has a secure area or room where they leave you messages that you respond to, and the majority of the therapy is conducted that way. For people who need flexibility this can be a great option because you don’t have to be anywhere at a set time or worry about using video. Some clients really prefer this type of therapy. 
  • Multimedia Messages – This can be an extension of message-based therapy. Some therapists exchange video, and audio messages with their clients in addition to doing text-based therapy. For example, you can send a video of yourself doing a tapping sequence to help your client.

    *Please make sure you are using HIPPA compliant communication platforms for all of the above options. 
  • Online Courses – You can create online courses and or resources for your clients to use between sessions. This is really helpful if you find yourself using the same interventions over and over again. It also adds value to your service and provides another option for clients.
  • Online Content– An easy way to systematize how you share information is creating online content. This is similar to creating an online course, but is simpler and easier to share. Examples of online content include: YouTube videos, blog posts, instructional images etc. This gives your clients resources to use to learn new concepts or practice skills between sessions.


When you are thinking about your practice, think out of the box. The above types of practice can be blended and mixed and matched. That is the benefit of the online practice, you don’t just have to do one thing anymore. Check with your specific profession about any rules that may apply to how you can practice.


Things that Make Online Therapy Easier

Let’s make your life and your work as EASY as possible. If the online space is newer for you, that is okay. There are many tools out there to help. 


Take advantage of existing platforms – There are platforms that already exist that you can join in order to learn about new ways of doing therapy. These platforms may not be the best paying, but they provide you with lots of free training, free supervision and clients to help you learn. Most of them only require you to accept a very minimal amount of clients. This a great way to get started when trying something new, especially message-based therapy. 


Software is your friend – Having good software makes things much easier. There are great platforms like SimplePractice that have everything integrated for you, including all consent forms, payments, online scheduling, and video software. This makes life much easier and saves TONS of time. 


Buddy up – Find an online practice friend to share information and learn alongside. Online therapy is a new and evolving field and it involves learning experiences.


Create a lifestyle around it – The personal impacts of working online are not the same as working in an office. Create a lifestyle and a schedule that works for you. Be creative with this. The options are endless. 


Try a session for yourself – If you haven’t had a session with an online therapist, do it. Trying online therapy myself made me a believer in the impact it can have.


Creating an online therapy practice that embraces the dynamic and online world we live in can be fun if you go into it with the right mindset. The world is changing rapidly, don’t be afraid to jump in and go with it.


Author Bio

Kirsten Keach is a licensed marriage and family therapist specializing in relationships. She helps couples and singles develop meaningful, lasting, soulful love relationships. In her free time she is an avid traveler, improv comedy performer and amateur salsa dancer. Learn more about Kirsten here.


Photo from The Lazy Artist Gallery by Pexels

By Lori Chortkoff Hops • October 14, 2026
December 1961 - September 2026 Personal reflections by Lori Chortkoff Hops, PhD, DCEP, Former ACEP President Shockingly, we lost a great one. Teacher extraordinaire. Multitalented healer. Introspective thinker. Generously hearted. Craig Weiner lived life with gusto, whether vibing with international creative expressions of formal and street art or cherishing exotic cuisine, deftly climbing rocky heights, or sunset kayaking with whales in the sound. Craig was ever curious for the next adventure, delighted with spontaneous encounters with new and familiar souls and animals, sounds and colors. Holding a razor-sharp memory, Craig could easily quote an apt phrase, whether common or obscure, at a moment's notice , highlighting one of his many areas of expertise or fascination. How strange indeed to be left with the echoes of silence his memory traces through our collective grief. Only months before his passing from the physical form, Craig and his beloved wife and partner, Alina Frank , were newly settling into their home in sunny Mexico, far from their home of many years in the lush wetlands of the Pacific Northwest. In true Craig style, he befriended many people right away, while sharing his antics with those at home through his active social media sites. Many relished his detailed narratives with videos from stunning desert, sea, mountain, and waters of the world. Craig greeted people with glee, with his trusted dog Bibi (aka Habibi Bear) in tow. In true Craig fashion, Bibi sometimes was carried and worn like a scarf, riding on the back of Craig's neck. Craig gave unceasingly from his soul for the well-being of all, leaving an immeasurable impact on the field of energy healing. His accomplishments are broad and deep, and can be found listed on his website . In his brief time with us, though he accomplished much, he left many dreams unrealized. It is up to us to find our way to extend what we loved best about Craig, and make it happen with him in mind. Beyond his vast curricula of knowledge and products and classes, I was most touched by Craig's unceasing commitment to excellence, deeply sharing authentically from his heart moments of pain and joy, his snappy sense of humor, and his infectious smile with a hearty laugh asking us to meet his mood with our own joy. Craig's life is honored with two memorial services, in his two homes, with beloved friends and family. And we will all be able to track Craig's eternal spirit when we hear the splash of sea life, see silver light dancing on the water, and feel the warmth of love in laughing eyes, no matter the species. You can learn more about Craig's life story and work in his own words through this podcast interview with me . If you wish to donate to a charity in Craig Weiner's name, his wife Alina Frank has kindly requested choosing Jovenes Adelante . Jóvenes Adelante AC is a Mexican Donataria Autorizada; JA is a 501 (c) (3) non profit. All financial contributions are tax deductible. About the Autor Lori Chortkoff Hops, PhD, DCEP is a licensed psychologist in Westlake Village, California, USA. She is certified in Comprehensive Energy Psychology and Logosynthesis. Lori is a past ACEP president and Reiki master. Learn more about Lori at www.drlorihops.com . Lori teaches online intuition classes and consultation. Check out her podcast Healing Tips from the Heart: Helpers, Healers and Guides.
By Dawn Eidelman • October 14, 2026
Widening the Circle: The Ripple Effect (Part 1 of 3) 
By Amy Frost • October 14, 2026
When people hear the words humanitarian work, they may imagine traveling across the world to respond to a war, natural disaster, or humanitarian crisis. That work matters enormously. But over many years of working with veterans, military families, first responders, community leaders, and the ACEP Humanitarian Committee, I have learned something equally important: You do not have to travel across the world to change the world. You can begin with the community right in front of you. I grew up in a military family. I was born on an Air Force base. My uncle, a Navy pilot, died in a plane crash when I was very young. Years later, my husband Tom died during Desert Storm, and the life I thought I had mapped out suddenly disappeared. At the time, I had a successful career with the Department of Defense. I had an MBA. I knew how to organize, manage, execute, and get things done. Grief didn't particularly care. Eventually, my own search for healing led me to earn a master's degree in spiritual psychology. Over time, what began as my own journey became a calling to serve veterans and their families—and, increasingly, the many people who spend their lives serving others. Build Community Before the Crisis One of the most important lessons I have learned about humanitarian work is surprisingly simple: Don't just run in to help. Build relationships first. Years ago, through ACEP's humanitarian work, Suzanne Connolly, Dr. Kristin Miller, and I became involved in developing what evolved into a Veteran-to-Veteran project in Las Vegas. We didn't simply arrive with a program and tell veterans what we thought they needed. We reached out to people already trusted within the veteran community—leaders connected with the VA, Nevada veterans' services, veteran groups, and other community organizations. We listened. We built relationships and earned their buy-in. Then we introduced tools from Thought Field Therapy and energy psychology that they could use themselves and share within the circles where they already had trust. My job was not to become the center of the system. My job was to help strengthen the system that was already there. Our final formal training took place in April 2017. Six months later, on October 1, Las Vegas experienced a devastating mass shooting.  Suddenly, the relationships we had spent years cultivating mattered in ways none of us could have anticipated. I didn't have to figure out how to reach an entire traumatized city. The network already existed. I could reach the leaders I knew, support them, and help them support their own communities. Build community before the crisis. When something happens, you won't be starting from zero. The Ripples Create More Ripples Today, I continue working with veterans and their families throughout Las Vegas. I support the Rebel Vets community at UNLV when they need me, and I facilitate a monthly gathering at the City of North Las Vegas Veterans & Community Resource Center. We deliberately call it Women's Fun Day . Why? Because if we called it Suicide Prevention, a lot of people who need connection might never walk through the door. Women veterans come, but so do spouses, adult children, caregivers, and community supporters. We talk. We laugh. We practice something simple—a breathing technique, tapping, another self-regulation tool. Sometimes I support them. Sometimes they support me. And then something wonderful happens: people take what they learn and carry it somewhere else. One veteran I've known for years is now in pastry school and mentoring younger people there. She is sharing some of the practices she has learned with the young people she encounters. Others have created simple “walk and talk” gatherings in local parks or brought self-care practices into coffee shops and community groups. This is how humanitarian work grows: the ripples create more ripples. It doesn't always require a large grant, a formal program, or an airplane ticket. Sometimes it begins with a walk. Sometimes with coffee. Sometimes with one person asking another person, How are you, really? Hope Providers Need Hope, Too There is another part of humanitarian work that I believe we need to talk about much more openly. I call it providing hope for the hope providers . The people who spend their lives helping others—clinicians, first responders, veterans, caregivers, nonprofit leaders, teachers, humanitarians—can become extraordinarily good at appearing fine. They are often the people everyone else depends upon. That can make it very difficult for them to say, I need help. I think about suicide prevention through that wider lens. Long before someone reaches the most visible point of crisis, something may be disappearing mentally, emotionally, or spiritually. Someone may continue running an organization, caring for a family, or serving a community while quietly running out of resources themselves. I know something about this personally. After my husband died, there were moments when I did not want to be here. I had to find my own way through that terrain. Years later, during the aftermath of the Las Vegas shooting, my own grief resurfaced. I had spent years learning about self-care and teaching it to other people. But I discovered another layer underneath all my competence and activity. I needed to learn how to receive care, too. If we want people to remain in the work for the long haul, we have to support the people doing the supporting. Why ACEP Matters to Me This is one reason ACEP has become so important in my life. ACEP gives me community. It gives me people with whom I can have conversations I don't get to have anywhere else. It gives me trusted resources and colleagues who understand this work from the inside. Through ACEP's Humanitarian Committee and our conferences, I have met people who became dear friends—and then became collaborators in doing good in the world. We support one another. We challenge one another. We remind one another to practice the very things we teach. And ACEP's humanitarian work has never been only about what one committee accomplishes. Its real power lies in what happens when someone gets an idea, finds a few kindred spirits, learns useful tools, and takes them home. One person mentors another. One project becomes another. One community develops its own capacity to respond. Eventually, we don't even know where all the ripples have traveled. That is a good thing. Start Where You Are So what would I say to someone who feels called to humanitarian work but doesn't know where to begin? Start where you are. Find something you genuinely care about. Find the people already doing the work and listen to them. Learn a few practices that can help people regulate stress and reconnect with themselves and one another. Make those practices simple and accessible. Find collaborators. Take care of yourself while you are doing it. And then give other people permission to take what works and make it their own. You do not have to do everything. You are not supposed to. Maybe your contribution is traveling to a community in crisis. Maybe it is supporting the people who do. Maybe it is mentoring one young practitioner, gathering veterans for coffee, teaching a breathing technique, checking on a caregiver, or simply believing in someone who has forgotten how to believe in themselves. Make it simple. Make it fun. Do what you're here to do. Then let the ripples travel. Because perhaps that is the deepest lesson humanitarian work has taught me: we are not here to rescue one another. We are here to build communities strong enough that we can care for one another. About the Author Amy Frost, MBA, MA Spiritual Psychology, is an educator, facilitator, trainer, coach, writer, and longtime humanitarian whose work has included veterans, military families, first responders, community servants, and those who support them. A longtime member of ACEP's Humanitarian Committee and ACEP's 2018 Humanitarian of the Year, Amy has spent decades developing community-based approaches to resilience, self-care, peer support, and humanitarian service. Image by qimono from Pixabay
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