Therapy in a Car: Is It Appropriate and Effective?

Can a therapist conduct therapy with a client sitting in a car, not in the act of driving? This question arises from various situations where environmental flexibility is essential, such as during unexpected weather changes, in pandemic times, or in private settings where confidentiality is paramount.

Can a Therapist Use a Car as a Therapy Space?

The idea of conducting therapy in a car seems unconventional, but it can be a viable option in certain scenarios. For instance, during a session with a client, the therapist in my case drove to a park to find a quiet space. However, the weather turned unfavorable, and we had to settle in my therapist’s car. This scenario raises questions about the appropriateness and effectiveness of such an environment for therapy.

Personal Experience with Car Therapy

I personally experienced a therapy session in my therapist’s car at the side of the road. The setup allowed for a unique yet challenging environment. Positioned in the car, the distance between us was closer, and the angle of our sitting positions was less than ideal, making it less comfortable for me. Despite these challenges, it was still a productive session marked by the exceptional mindset of both the therapist and me.

Physical Proximity and Its Impact on Therapy

While a physiotherapist would likely find it challenging to conduct therapy in this manner due to the nature and intensity of their work, a psychotherapist has the flexibility to adapt to such settings. Pandemic times, for example, drove therapists to be more innovative, leading to sessions conducted in safe outdoor spaces, often 6 feet apart with masks on, such as parking lots. These flexible approaches highlight the adaptability of therapists in ensuring that therapy continues effectively.

Appropriate Times for Car Therapy

It is not advisable to conduct therapy in a car too early in the therapeutic relationship. As established trust and rapport are crucial, therapists should ensure that there is sufficient maturity and connection with the client before considering such settings. Once confidence in the relationship is established, car therapy can become a valuable tool for fostering a comfortable and confidential environment.

Using Cars for Telehealth Sessions

For therapeutic sessions involving children or for telehealth appointments, using cars for therapy has become more common. Although there are privacy concerns, there are established procedures to ensure that the children are in a safe and confidential environment, often certified by the therapists. These sessions conducted over video links have proven to be just as effective as in-person visits in fostering mental health and well-being.

Personal Perspective on Car Therapy

For me, conducting therapy over the phone in my car, due to privacy concerns, has been effective and comparable to in-person therapy. The qualitative experience is the same, with the added advantage of convenience and comfort. However, I wouldn't be comfortable sitting in a car with my therapist in an in-person setting due to the physical intimacy and lack of personal space.

Ultimately, the appropriateness and effectiveness of car therapy depend on the specific circumstances and the comfort level of both the therapist and the client. Flexibility and a commitment to confidentiality and safety are key.