Why Telehealth Etiquette Matters: Creating a Safe and Stable Space for Therapy

online counseling session

Telehealth is Convenient — But It Still Deserves Respect

One of the great advantages of telehealth is flexibility: you can receive care from virtually anywhere. But just because you can take a session from your car, your workplace, or the corner of a grocery store parking lot doesn’t mean that you should.

As a psychiatrist and psychotherapist, I show up at the same time every week from a private, quiet, and professional space—because that’s what good care requires. And for therapy to really work, patients need to do the same.


What Good Telehealth Etiquette Looks Like

  • Be in a stationary location. If you’re in your car, that’s fine—but please don’t be driving. Pull over and park so you can give your full attention to the session.
  • Find a private space. Therapy often involves talking about personal and emotional topics. It’s hard to feel safe and open if you’re worried about being overheard or interrupted.
  • Be on time. Just like an in-person appointment, punctuality matters. It honors the therapeutic process and allows us to use the full time we’ve set aside.
  • Try to use the same place each week. Predictability creates a sense of safety, and therapy works best when we’re grounded—not scrambling to find a quiet corner at the last minute.

Why It Matters

When patients show up in a distracted, chaotic, or rushed way, therapy simply can’t unfold the way it’s meant to. Insight, reflection, and emotional growth require presence. When sessions feel disorganized or squeezed between other obligations, the space we need to do meaningful work gets lost.

Therapy is a commitment—not just to the appointment time, but to yourself.


Setting the Frame Is Part of My Job

Part of my responsibility as a provider is to help set the frame for therapy. That includes creating consistency, offering structure, and communicating expectations clearly.

If at any point something doesn’t feel clear, or if you’re unsure why a certain aspect of etiquette matters, I want you to know that it’s okay to ask. And if I haven’t said it directly—I’ll own that. I don’t expect patients to automatically know how therapy works. That’s part of what I’m here for.


Final Thought

Telehealth has opened up access to care in wonderful ways. But it’s still real therapy. The more seriously you take the setting, the more you get out of it.

As your provider, I’m here—every week, in a consistent and grounded space. I invite you to meet me there, in every sense of the word.


 

Friendships: A Reason, a Season, or a Lifetime

Why Some Friendships Don’t Last Forever

 There’s a phrase I’ve always found comfort in: *people come into our lives for a reason, a season, or a lifetime*. The older I get—and the more I work with people navigating change, grief, and personal growth—the more I see how true this is.

Friendships don’t always last forever. Sometimes they drift, or end abruptly, or slowly fade away without closure. That can feel painful, confusing, or even like a failure. But when we look more closely, many of these connections served a purpose—some we can name, and some we may only recognize in hindsight.

Friendships That Serve a Purpose: A Reason

Some friendships arrive when we need support, encouragement, or guidance. Maybe it’s the friend who helped you through a breakup. The colleague who stood by you during a hard year. The neighbor who brought soup when your world was falling apart. These are connections that often burn bright but brief. Their role was to help us in a specific moment—and that’s okay.

When Life Aligns: A Season of Connection

Then there are friends who walk with us for a chapter of life. College roommates, coworkers at a job we’ve long since left, neighbors we once saw every day. These relationships are often rich and meaningful, shaped by shared routines or life stages.

Some of the deepest friendships I’ve experienced were with other parents while raising children. In those years, our lives were so interwoven—playdates, school events, late-night texts about fevers or frustrations. We leaned on each other. We trusted each other. We often became each other’s chosen family.

But children grow up. People move. Marriages change. And suddenly those connections can loosen, or even disappear. Not out of conflict—just out of the natural evolution of life. It can feel bittersweet. A little like leaving a job you once loved, or saying goodbye to a neighborhood where you knew every face.

When a Friendship Circles Back Later in Life

I remember one friendship from my internship in Michigan—someone I met during that intense and transitional time. She wasn’t in medical training with me, but she became a deeply important part of my life. We were there for each other in a way that only happens during vulnerable chapters. After several years, I moved to Washington, D.C., for a more competitive residency, and the relationship quietly faded. I hoped it would continue, but it didn’t—at least not then.

Years later, she reached out again. The intensity we once shared wasn’t there, but the warmth was. It reminded me that even a “seasonal” friendship can carry echoes of a deeper bond. And sometimes, unexpectedly, a season can circle back into our lives. Maybe not in the same way—but still with meaning. Still with love.

Lifelong Friends: The Ones Who Stay

And then—if we’re lucky—we have the lifetime friends. The ones who know the whole messy, beautiful story. They evolve with us. Forgive. Celebrate. Show up. We don’t need a dozen of these to feel fulfilled; even one or two can be a gift beyond measure.

Short Friendships Can Still Be Transformative

It’s important to honor the connections that were brief but still meaningful. A friendship doesn’t have to last decades to be “real.” Sometimes, even a short-lived bond can be healing, joyful, or transformative.

One walk. One conversation. One season of being truly seen.

Instead of only mourning what ended, we can ask: *What did I learn from this person? How did they shape me? What will I carry forward because of them?*

Letting Go of Friendship Without Guilt

Friendship changes can be hard, especially when we feel left behind or unsure why it ended. But with time, we can hold the gratitude and the grief together. We can wish people well—even from afar—and release the idea that every connection must be lifelong to be valuable.

Final Thoughts on the Changing Nature of Friendship

You don’t have to hold on forever for something to matter. Some friendships were never meant to be permanent—they were meant to be powerful. And they were

Therapy isn’t just for bad weather

Therapy Isn’t Just for Bad Weather

When spring arrives and the long Maine winters give way to sunshine and warmth, it’s tempting to step back from routines that feel “heavy” — like therapy. Life feels lighter, moods lift, and we find ourselves outdoors more. It’s understandable. But therapy isn’t just for stormy seasons.

In fact, some of the most meaningful work in therapy happens when we’re not in crisis.


Why Summer Can Be an Ideal Time for Growth

When we’re not in survival mode, we can reflect more deeply. We can ask:

  • Who am I becoming?
  • What habits do I want to reinforce?
  • How do I build on the progress I’ve made?

Without the emotional urgency that comes with winter blues or life stressors, summer gives us space to explore.


Skipping Sessions Can Disrupt Momentum

Taking a break may feel harmless, but therapy often builds on itself. Each session adds to the last, and gaps in treatment can slow or even reverse progress. If you’ve worked hard to get where you are, summer might be the time to solidify that progress — not pause it.


Therapy Isn’t Seasonal — It’s Foundational

Think of therapy like tending a garden. You don’t just water it when it’s wilting — you care for it consistently to see it bloom. Our mental health is similar. Sunny days don’t always mean we’re done healing. Sometimes they offer the best light to see things clearly.


Final Thought

Enjoy the sunshine, take the beach days — but don’t lose sight of the steady work you’ve been doing in therapy. Emotional health isn’t a seasonal project. It’s a lifelong investment in yourself.


Telepsychiatry in Maine — Serving Portland, Bangor, and Southern Maine

Psychiatric Care Across Maine — From Anywhere You Are

Whether you live in Portland, Bangor, Lewiston, or a small town in between, accessing personalized psychiatric care can be challenging. Long waitlists, long drives, and a shortage of providers often get in the way of people getting the support they need.

As a board-certified psychiatrist practicing exclusively via telehealth, I provide accessible, compassionate psychiatric care across the entire state of Maine. All sessions are conducted securely and privately via video, from the comfort of your home.

I work with adults facing a range of concerns, including:

    • Depression and anxiety

    • Trauma and stress-related disorders

    • Midlife transitions

    • Sleep difficulties

    • Medication management and psychotherapy combined

Why choose telepsychiatry in Maine?

Same high level of care you’d receive in person

No commute or wait times

Flexible scheduling

Available statewide — from Aroostook County to York

About Me:

Serving Patients in Bangor and Throughout Maine

Although my practice is fully virtual, I work with many patients in the Bangor area — as well as those in surrounding towns like Brewer, Orono, Old Town, and Hermon. Whether you’re a student at UMaine, a professional balancing a busy schedule, or someone living outside the city with limited access to care, telepsychiatry makes it easy to receive high-quality, private psychiatric care without the need to travel.

I also provide psychiatric care to residents across Maine — including Portland, Augusta, Lewiston, and rural communities that often lack local psychiatric resources.

Whether you’re in a rural area with limited access or just prefer the convenience of remote care, I’m here to help.

If you’re looking for a psychiatrist in Maine who offers both medication and therapy and truly listens, I invite you to learn more or contact me through my website:
👉 www.drmadelinegoodman.com

Madeline Goodman, D.O., Diplomate, American Board of Psychiatry and Neurology
Psychiatrist for Adults – Licensed in Maine
100% Telepsychiatry | Accepting New Patients


Telepsychiatry in Maine — Serving Portland, Bangor, and Southern Maine

Psychiatric Care Across Maine — From Anywhere You Are

Whether you live in Portland, Bangor, Lewiston, or a small town in between, accessing personalized psychiatric care can be challenging. Long waitlists, long drives, and a shortage of providers often get in the way of people getting the support they need.

As a board-certified psychiatrist practicing exclusively via telehealth, I provide accessible, compassionate psychiatric care across the entire state of Maine. All sessions are conducted securely and privately via video, from the comfort of your home.

I work with adults facing a range of concerns, including:

  • Depression and anxiety
  • Trauma and stress-related disorders
  • Midlife transitions
  • Sleep difficulties
  • Medication management and psychotherapy combined

Why choose telepsychiatry in Maine?

Same high level of care you’d receive in person

No commute or wait times

Flexible scheduling

Available statewide — from Aroostook County to York

About Me:

Serving Patients in Bangor and Throughout Maine

Although my practice is fully virtual, I work with many patients in the Bangor area — as well as those in surrounding towns like Brewer, Orono, Old Town, and Hermon. Whether you’re a student at UMaine, a professional balancing a busy schedule, or someone living outside the city with limited access to care, telepsychiatry makes it easy to receive high-quality, private psychiatric care without the need to travel.

I also provide psychiatric care to residents across Maine — including Portland, Augusta, Lewiston, and rural communities that often lack local psychiatric resources.

Whether you’re in a rural area with limited access or just prefer the convenience of remote care, I’m here to help.

If you’re looking for a psychiatrist in Maine who offers both medication and therapy and truly listens, I invite you to learn more or contact me through my website:
👉 www.madelinegoodman.com

Madeline Goodman, D.O., Diplomate, American Board of Psychiatry and Neurology
Psychiatrist for Adults – Licensed in Maine
100% Telepsychiatry | Accepting New Patients
www.madelinegoodman.com