![]() Studies in Malaysia have estimated that between 9.6 and 35% of the population around 2.8–10 million individuals, could benefit from, but are not receiving, mental health support ( Crabtree and Chong, 2000 Chong et al., 2013). Most people, at some point in their lives, face adjustment difficulties or other mental health challenges. Given the overall underutilization of counseling services, it is argued that online delivery of counseling services should be considered as an alternative means of reaching many who remain untreated. online counseling and found that a significant proportion of university students in Malaysia would prefer to receive mental health counseling online. This study looked at preferences among students for face-to-face vs. Based on these results, it is suggested that offering online counseling, in addition to face-to-face services, could be an effective way for many university counseling centers to increase the utilization of their services and thus better serve their communities.Īlthough traditional face-to-face counseling is the method preferred by most professionals, a large portion of those who could benefit from counseling services do not in fact seek them out. ![]() Approximately 35% of participants reported that they would be likely to utilize online counseling services but would be unlikely to participate in face-to-face counseling. A survey was conducted with 409 students from six universities in Malaysia participating. ![]() To examine the potential of online delivery as a way of increasing overall usage of services, this study looked at students’ attitudes toward and likelihood of using both online and/or face-to-face counseling. Increasingly, online counseling is considered to be a cost-effective and highly accessible method of providing basic counseling and mental health services. 2King Fahd University of Petroleum and Minerals, Dhahran, Saudi Arabia. ![]() 1School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Malaysia.Themes from comments suggest the importance for participants of the disinhibiting effects of the medium.Kah P. No significant differences in the level of working alliance were found within the online therapy sample with respect to modality of communication, client presenting problem, or therapist. Results revealed significantly higher means on the goal subscale and composite score of the Working Alliance Inventory in the online sample, suggesting that a working alliance can be adequately established in therapy delivered online. Working alliance scores were compared between a small, primarily female sample of online therapy consumers and a representative sample of traditional face-to-face therapy clients. A primary concern in the practice of online therapy is whether a working alliance, considered a central component of successful therapy, can develop when participants are geographically separated. Online therapy, defined as the provision of mental health services through the Internet, is a growing field that has sparked an abundance of interest and controversy.
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