I am able to provide telephone or Skype sessions under certain circumstances. In general, it is preferable and more effective to meet in person. However, if we already have a relationship and you are then temporarily away (e.g.; traveling or temporarily relocated), or as a bridge to a new living situation elsewhere, a phone session may be appropriate and helpful.
Under certain rare exceptions, such as when no treatment is available locally, or medical or psychological conditions clearly prohibit access to treatment, I will sometimes be able to do an initial consultation by phone.