Consultations with a psychotherapist via video chat are not much different than live sessions.
The first step is to exchange several messages by mail. I need to know what the problem is in order to determine if I am the right specialist for you, or if I should refer you to a colleague. Then we exchange contacts and hold a video call using protected software.
All you need is a quiet place where you can talk without being disturbed, a stable internet connection, and a desire to make a change 🙂