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I called Susan Mankita, LCSW, a social work consultant and educator in Miami, Florida, to ask how online sex therapy fits within the counseling profession as a whole.

Mankita has been training mental-health professionals about online practice since 1995; she developed and moderated the AOL Social Work Forum for 10 years.

When members of an adult chat room are up past their bedtime, the text is ripe with passion, drama and revelation.

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My distress peaked one night and I found myself frantically searching the web for some kind of drop-in crisis counseling chat.

I wasn't suicidal, so I didn't want to call a suicide hotline and tie up a volunteer who could be helping someone on the verge of ultimate despair. site, wondering if they would talk to me if I used Skype and pretended I was in England – and still not clicking the number.

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We have all type of personals, Christian singles, Catholic, Jewish singles, Atheists, Republicans, Democrats, pet lovers, cute Roanoke women, handsome Roanoke men, single parents, gay men, and lesbians.Text is really powerful."Online therapy is particularly suited to sex and relationship work, especially for clients who crave a layer of anonymity we can't get by going through our insurance companies or driving to an office.And clients can seek matches based on compatibility rather than proximity.As usual, the strengths of the medium are also its weakness. An ethical sex therapist will keep everything confidential and protected, but an ethical sex therapist is not always an expert on encryption and network security.Ultimately, I didn't call a crisis line because I didn't want to talk, I wanted to write.But online therapists have found really interesting ways of getting people to be responsible."In text, you not only have to pay attention to your emotions, you have to recognize them and express them yourself.