My t moved to another state gosh a year and 8 months ago and we have been doing phone sessions ever since. Before she moved, we talked about using Skype but she's not too techie so we've never actually tried it. She still has her cell phone with my local area code so that's what I call her on, so there's no long distance charges. It's working really well for me!! I was concerned at first that our connection wouldn't translate over the phone, but it did, I need not have worried about that. I don't need to "see" her to feel connected. On occasion when I'm doing my inner work between sessions, I do pull up her online profile picture just to get my head in the "therapy work" space. At this point, we have done phone sessions longer than I saw her in person! And it continues to work very well for me.