Abstract

This mixed-methods, exploratory study compares the Client Satisfaction Questionnaire-8 (CSQ-8) and the Working Alliance Inventory-Short Revised (WAI-SR) scores among twenty-one college students who received mental health services using teletherapy during 2020 to 2021, and a comparison group from two similar studies using face-to face counseling. This study describes the self-reported student satisfaction levels with teletherapy services, the therapeutic alliance between the student and therapist, and qualitative data detailing participant experiences with teletherapy. The sample included 81 percent female participants, 57 percent between 18 and 21 years, and 62 percent Asian American students. Results indicated that 71.4 percent of the participants completed seven to eight teletherapy sessions out of a one to eight brief therapy model offered to them. Students reported high levels of satisfaction with services (29.4 out of a possible 32). High levels of therapeutic alliance with therapists were reported at (WAI-SR = 54.4, out of a possible 60). Qualitative responses focused on appreciation for the therapy sessions or the therapist. The results were mixed about the use of technology in psychotherapy. The response rate was 25.9 percent. These results compared favorably with similar studies, which found that students who were seen in face-to-face therapy were very satisfied with services (CSQ-8 = 29.8, out of a possible 32) and experienced high levels of therapeutic alliance with their providers (WAI = 77.2, out of 84). In comparison, teletherapy participants were more likely to be younger and Asian than face-to-face clients (mean = 26.2, 52.2% White). Clinical implications are provided. Areas for future research are outlined.