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Monday, March 10, 2003
Feature

Videoconferencing cures
Wendy Moore

Illustration by Sandeep JoshiTHE idyllic isolation of the Shetland Isles, off the north coast of Scotland, became a desolate prison for Kate Richardson when she developed anorexia nervosa. With her weight below 42 kilos, Kate (not her real name) had scarcely enough energy to leave her home, let alone make a gruelling 12-hour ferry trip or costly flight to the nearest eating-disorders service in Aberdeen, on the Scottish mainland.

She started developing a form of anorexia several years ago after an illness destroyed her appetite, and found that she had nobody to turn to for help on the sparsely populated islands. "My weight was dropping and I had lost all interest in eating," Kate recalls. With no professional advice or therapy on hand, her only option for specialist help was to go 200 miles to the Scottish mainland. "It was just unthinkable at the time," she says. "I would have had to stay overnight away from home, when I wasn’t even fit enough to travel."

Happily she has now started to gain weight and self-confidence, without ever having to leave her island home. Thanks to a pioneering service which brings specialist help direct to her, Kate is able to `visit’ her local health centre once a week for a virtual counselling session with clinical psychologist Susan Simpson, via a video-conferencing link-up live to the Royal Cornhill Hospital (RCH), Aberdeen.

Almost 50 persons in the Shetlands have now benefited from various forms of virtual therapy brought to them down the line from Aberdeen. Not only is the technology cheap and easy to use but also many patients actually prefer remote therapy to face-to-face interviews. `Often with eating disorders, people feel very ashamed of their condition,’ says Susan Simpson, who has developed the service. `With video-conferencing they feel they have more space, they are not being confronted and many people say they like having a bit more control over the sessions.’

More importantly, the approach appears to be highly effective. Nine out of 12 patients with eating disorders were symptom-free a year after undergoing videotherapy, while hypnotherapy has proved popular, too. Now Simpson hopes to extend the service to people in other remote parts of Scotland and there are moves to expand similar projects including a minor injuries service, which links far-flung clinics to emergency services at Aberdeen Royal Infirmary.