Key techniques for text therapy (II)
In the previous module, we explored key techniques in text-based therapy, including language use, tone, pacing, and managing response times. Building on that foundation, this module will continue to focus on essential strategies that enhance text-based interventions, ensuring meaningful and effective client engagement.
Using emojis and media appropriately in therapy
Emojis and other forms of media can enhance text-based therapy by adding warmth, clarity, and engagement. However, their use must be intentional and appropriate to maintain professionalism and therapeutic integrity. This section explores best practices for incorporating emojis, imagery, and external resources effectively.
Use of emojis
Emojis can help convey tone, emotion, and intent in text-based therapy. When used thoughtfully, they can add warmth and help bridge the gap left by the absence of non-verbal communication.
✅ Enhance emotional expression
That's a big realization 🎉 You're showing yourself that you can handle distress, even when it feels overwhelming
✅ Match the client's style
Some clients may use emojis frequently, while others may not. Adjust accordingly.
✅ Use sparingly
Overuse can appear unprofessional or dilute the therapeutic message.
Just wanted to check in and see how you're feeling now! 💭💙 Our session is all about growth 🌱 and self-discovery ✨, and I'm here to support you every step of the way! 🚀💪
🚫 Avoid misinterpretation
Emojis can have different meanings across cultures and contexts.
It sounds like you've been going through a really tough time lately 😂
In the above example, you intended to convey sadness or crying, but some people may interpret it as laughter.
🚫 Avoid emojis in serious topics
I can feel that you're feeling overwhelmed right now 😢
Pro tip:
While there is no strict rule, it is generally best to avoid using emojis if a client does not use them. Once a client starts using emojis, you can incorporate them thoughtfully based on the context.
Did you know?
If a client uses emojis, subtly mirroring their style can help build rapport while maintaining professionalism, especially with younger clients.
Use of imagery
Images can provide grounding, validation, and psychoeducational support when used appropriately in therapy.
- ✅ Psychoeducational visuals
Diagrams, charts, or infographics can clarify therapeutic concepts. - ✅ Grounding images
Nature scenes or mindfulness visuals can support relaxation techniques. - ✅ Client preference
Some clients find visuals helpful, while others may prefer text-based discussions.
🚫 Avoid using overly personal, distracting, or unprofessional images.
Use of links and resources
Providing external links and resources can empower clients by offering additional support outside therapy sessions.
- ✅ Ensure credibility
Share resources from trusted mental health organizations. - ✅ Tailor resources to the client's needs
Offer links that are relevant and actionable. - ✅ Provide context
Explain why the resource may be helpful (e.g., "This article explains grounding techniques you might find useful.").
🚫 Avoid overwhelming clients with too many resources at once.
By using emojis, imagery, and links thoughtfully, therapists can enhance engagement and support therapeutic communication while maintaining a professional and empathetic approach.
Considering cultural and accessibility factors
Effective text-based therapy requires an awareness of cultural and accessibility factors to ensure that communication is inclusive, respectful, and supportive of diverse client needs. Therapists must be mindful of language use, cultural sensitivity, language barriers, accessibility considerations, and generational differences in digital communication.
Use of English
English is widely used in Canada, but language proficiency varies significantly among clients. Some clients may be native English speakers, while others use it as a second or third language. This variation affects comprehension, expression, and engagement in therapy. Therapists should use plain, clear, and direct language to ensure accessibility.
Complex sentence structures, idioms, and figurative language can create barriers to understanding. For example:
Avoid complex idioms and regional slang
Some expressions that are common in spoken English can be confusing in text, especially for non-native speakers or those unfamiliar with regional slang.
🚫 Difficult to understand
I know this situation is really tough, but you just gotta give'r and keep moving forward, eh?
✅ More accessible
I know this situation is really difficult, but we'll work through it together
Pro tip:
Therapists are part of the communities, and it's understandable that we may not always be aware of which phrases are regional slang. The key is to pay attention to how clients respond. If they seem confused or ask for clarification, it's a sign that the language used may not be accessible. When in doubt, opt for clear and direct wording to ensure understanding.
Pro tip 2:
If you are certain that the client shares a similar cultural or regional background, using familiar phrases or local expressions can help build rapport and create a sense of connection. However, it's still important to ensure that the language remains professional and easily understood in a therapeutic context.
Use direct and simple language
Long, complex sentences can make it harder for clients to process information, especially in moments of distress.
🚫 Too complex
Your emotional response to the situation seems to stem from an unresolved cognitive conflict related to your past experiences
✅ Clear and direct
It sounds like your emotions are connected to something from your past that still feels unresolved
Encourage clients to ask for clarification
Clients should feel comfortable asking for clarification when something is unclear. Therapists can invite them to do so by checking in periodically.
✅ Encouraging clarity
Does that make sense? Let me know if anything needs to be explained differently
The Variety of English
Therapists may wonder whether they should adjust their English to match a client's dialect, especially since written English is easier to modify than spoken accents. For example, should a Canadian therapist who uses Canadian English switch to British English if the client does?
There is no fixed rule, but the general guideline is to use the English you are most comfortable with. If you are fluent in a certain dialect and your client uses it, mirroring their style may help build familiarity. However, if you are not confident in that variation, it is best to remain consistent.
Understanding different English variations
English varies across regions, but clients are usually comfortable understanding different forms.
🚫 Unnecessary switching
Let's summarise what we have talked about today, mate?
✅ Natural consistency
Let's summarize what we have talked about today?
Why therapists do not need to change their English if they are not familiar with it
- Using unfamiliar English may lead to errors and reduce professionalism.
- Switching styles unnecessarily can be distracting.
- Clients are generally used to different English variations and can understand them without issue.
- Clarity is more important than matching regional spelling or vocabulary.
Ultimately, therapists should focus on clear and effective communication rather than adjusting their writing style to match regional differences.
Culturally sensitive language
Cultural competence is essential in text therapy, as language and communication styles are deeply influenced by cultural background. Some expressions or therapeutic techniques that work well in one cultural context may be inappropriate or ineffective in another. Therapists should strive to be aware of cultural nuances in language and avoid assumptions about a client's experiences or beliefs.
Avoid culturally specific phrases
Some expressions may be commonly used in one culture but misunderstood or even offensive in another.
🚫 May not translate well
No worries, we'll just play it by ear
✅ More inclusive
We can take things step by step and adjust as we go
Consider different cultural views on mental health
Not all cultures discuss mental health in the same way. Some may view emotional distress as a personal matter to be managed independently, while others rely on family, community, or spiritual guidance rather than professional intervention.
🚫 May not align with cultural values
Have you considered speaking with a psychiatrist about this?
✅ Culturally responsive approach
Who have you considered speaking with about this, besides me?
(In some cultures, mental health is primarily addressed within families, religious settings, or traditional healing practices rather than through medical professionals. A more open-ended question respects these perspectives and invites the client to share their preferred support system.)
Use gender-inclusive and identity-affirming language
Instead of making assumptions, therapists should allow clients to define their own identities.
🚫 Assumes family roles
How does your mother or father support you?
✅ More inclusive
How do the people in your family support you?
🚫 Assumes pronouns
I know he must be really important to you...
✅ Identity-affirming
When a client mentions a person, do not assume their pronouns unless the client has specified them.
I know they must be really important to you...
Yeah... he is my biggest support
What did he do to support you and help you feel less anxious?
Respect different communication styles
Some cultures value directness, while others prioritize indirect or high-context communication.
🚫 Too direct for some cultures
Tell me exactly what you need from me in this moment
✅ Softer, more open-ended approach
I'm here to support you. What would be helpful for you right now?
By using inclusive, culturally responsive language, therapists can create a safe, respectful, and supportive space for all clients—regardless of their cultural background or identity.
Adapting to generational differences
Different generations have distinct communication styles and varying levels of comfort with text-based interactions. Younger clients, such as Gen Z and Millennials, may express themselves using emojis, abbreviations, or digital slang, while older clients, such as Gen X and Baby Boomers, may prefer more structured, formal messaging. Understanding these differences allows therapists to adjust their communication style in a way that fosters connection and trust.
Matching the client's tone while staying authentic
Mirroring a client's communication style can help build rapport, but it should feel natural and not forced.
🚫 Feels inauthentic
That sounds really tough, fr 💀 But you got this!! 💪🔥
✅ Balanced approach
That sounds really difficult. I hear how much you're struggling, and I'm here to support you
Adjusting language for older clients
Some older clients may prefer a more structured and professional tone.
🚫 Too informal
Hey! Just checking in—how's everything going? 😊 No rush, just wanna see how you're feeling!
✅ More structured and professional
I wanted to check in and see how you've been feeling. Let me know when you're ready to talk
Understanding generational attitudes toward therapy
Older clients may be less familiar with therapy terminology or hesitant to engage in emotional discussions via text.
🚫 Assuming familiarity with therapy
Let's explore the cognitive distortions contributing to your distress
✅ Providing reassurance and clarity
It sounds like certain thoughts may be making this situation feel even harder. We can work together to understand and shift them
By recognizing and adapting to generational communication preferences, therapists can create a more comfortable and effective therapeutic experience while maintaining professionalism and authenticity.
Key takeways
Building on the foundation from the previous module, this section highlights additional key techniques for effective text-based therapy. Thoughtful use of emojis, images, and external resources can enhance therapeutic engagement, but they must be used intentionally to avoid misinterpretation or unprofessionalism. Understanding cultural and accessibility considerations ensures that communication remains inclusive, and acknowledges the diversity of language use, regional expressions, and differing attitudes toward mental health. Generational differences also play a role in how clients communicate, and therapists should adapt their style without compromising professionalism or authenticity.
By integrating these strategies, therapists can create a more meaningful, responsive, and supportive text-based therapeutic experience.