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While technology is not always a replacement for face-to-face treatment for mental health difficulties, it can offer increased choice and flexibility.

Otherwise, the term is quite broad and can include relationships based upon text, video, audio, or even virtual character.

Other ways of communicating online with these devices are via services and applications such as Email, Skype, i Chat, instant messaging programs, social networking services, asynchronous discussion groups, online games, virtual worlds and the World Wide Web.

Some of these ways of communicating online are asynchronous (meaning not in real time), such as You Tube and some are synchronous (immediate communication), such as Twitter.

The particular means of communication associated with each website is shown in the table.

Meetings for the websites in the table below have also been organized and put into our online meeting calendar.

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