I'm stopping by to say hello from the Psychology of Cyberspace forum, since the issues here in this forum have often come up in mine. There's quite a bit of debate about the pros and cons of online clinical work, and I think that's the best way to think about it: there are pros and cons. For those who might be interested, here's a section of my online book that explores some of these issues:

http://www.rider.edu/~suler/psycyber/therintro.html

In particular, the discussion in this thread reminds me of an article written by our Clinical Case Study Group at ISMHO (ismho.org). There are some important "myths and realities" of online clinical work that we need to explore further:

http://www.rider.edu/~suler/psycyber/myths.html