The Hidden Architecture of Online Therapy: Why the ‘Platform’ Model Can Fail You

By Ari Sotiriou UK Accredited Psychotherapist Photo by The Ghazi @Pexels I work within both. Consequently, I occupy a unique position from which to observe the clinical and psychological implications of both settings. In this reflection, I want to explore the “hidden” architecture of online therapy—the economics, the […]

The Vanishing Patient: Digital Ghosting and the Fragility of the Online Analytic Frame

This post explores the modern clinical phenomenon of "digital ghosting"—the sudden, silent termination of therapy via online platforms. Drawing on a real-world case of a client who "de-matched" 30 minutes before a session, the article delves into the psychodynamic mechanics of the narcissistic wound and the "bad breast." The narrative examines how the ease of...