via skype webcam
Been trying to move more of my distance clients over to Skype streaming for the face-to-face therapy experience. Some clients are so used to doing phone sessions, though, they don't feel as comfortable being tied to a screen. I think it's the future of the Internet -- streaming interconnectivity -- and that it could potentially provide a more intensive therapeutic experience because of the eye contact.
Of course, eye-contact is exactly what SOME sex therapist's clients want to avoid. I understand that, and suspect that's why phone counseling is still my patients' favorite choice. Even some folks who live close enough to make the drive tend to appreciate the stress-free experience of therapy from the privacy and anonymity of their homes.