I’m not a proponent of Sigmund Freud’s psychoanalysis or talk therapy, but one thing that Freud got right is allowing his clients to avoid eye contact during the therapy session. When you require the client to maintain a social adult setting requiring eye to eye contact, you are disturbing the ability of the client to concentrate on their problem. Today almost all of my client sessions are on Zoom or FaceTime. After establishing rapport face to face on video I will tell the client I am turning off my video feed and tell them why. I then can visually calibrate their before state and their state after the therapeutic intervention.