My t moved to another state in November, and we've been doing phone sessions (full 50 minute sessions sometimes longer) since then. It's working out really well, I was a little concerned at first that our relationship wouldn't transfer to over the phone, but it did. The first phone session we did I told her I felt a little weird about it and she said close your eyes, I'm sitting in my chair, you're on the couch... etc and described her office here. It helped and I haven't had to do that since. I used to bring her copies of my dreams that we were going to work on, now I just email them instead. We had talked about doing skype once she got set up on high speed internet, but she hasn't mentioned it lately and I'm fine with just the phone so I'm not going to worry about it. We had been doing weekly sessions in person for a year when she moved, so we already had a really good t relationship before she moved and I'm happy to say it has continued over the phone. Good luck to you!