From a Distance: Establishing, Developing, and Deepening the Therapeutic Alliance

Abstract

We describe challenges when developing a therapeutic alliance—the dynamic and collaborative relational bond developed between therapist and client in a virtual environment during COVID-19. We offer adaptive strategies that can be used when establishing, developing, and deepening the therapeutic alliance when working virtually. Using a case study, individual vignettes illustrate the importance of establishing, developing, and deepening a therapeutic alliance. We introduce reflection and consultation adaptive strategies that may be effective when working virtually with clients. We also offer additional recommendations for strengthening clinical experiences while working with clients in a virtual environment.