I have exclusively done phone therapy with one therapist for several years. I have never met her in person. It's not exactly what I wanted, but I had a somewhat uncommon problem that I wanted a specialist in. I live in a rural area and could not find anyone within easy driving distance, so I contacted her. It works well. The way we do it is I write her an email pretty much outlining the things that I need to discuss in the session. I try to send it to her 24 hours in advance. Then when she calls we discuss the email. It is less intense than face-to-face therapy. But it works, and I didn't have to spend a lot of time screwing with a therapist who didn't really understand my issue.