This paper aims to find ways that remote therapy can provide a ‘good enough’ experience for both patients and clinicians, given that due to the COVID-19 pandemic, it has become the new reality for most. Firstly, I consider the challenges remote therapy poses for clinicians and patients. I then draw on psychoanalytic and neuroscientific literature to help conceptualise differences between therapy in person and remote therapy. Then, I explore how emotional attunement can be achieved through remote therapy. I use four clinical examples to illustrate the differences between therapy in person and remote therapy, but also show how clinicians can use more second-order communication or reflect openly upon misattunements to re-establish attunement with patients. Finally, I give some practical suggestions to clinicians, with a more tailored and specific advice to psychotherapists.

鉴于COVID-19大流行，远程治疗已成为大多数人的新现实，因此本文旨在寻找远程治疗可为患者和临床医生提供“足够好的”体验的方法。首先，我认为远程治疗给临床医生和患者带来的挑战。然后，我将运用精神分析和神经科学文献来帮助概念化亲自治疗和远程治疗之间的差异。然后，我探讨了如何通过远程治疗实现情绪协调。我用四个临床例子来说明亲自疗法和远程疗法之间的区别，同时还展示了临床医生如何利用更多的二阶沟通或公开反思不适之处以重新建立与患者的适应性。最后，我给临床医生一些实用的建议，