My T sometimes does phone calls with me when I can't make it to his office. Those are only 10-15 minutes long though and more of a check-in than real therapy. My T says it's hard to do real therapy over the phone, since you can't see the person and can't be in one room with them.
I'd also think that talking for 50 minutes on the phone with him and doing real therapy would not work for me. He'd not notice when I dissociate or get stressed at all, since I show that mostly by body movements.
I think it's fine for a session or two, it would not work for me for a prolonged time though.
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