Beth, are you sure your computer doesn't have a webcam? My super-cheap one does and I can't remember the last computer I had that didn't have one. I'm sure they are out there without one but is it possible you have one and have just never used it? Mine looks like a little round dot on the top of the screen.When I connect with my therapist I just follow a link which asks me if I want to open my video and audio feeds and they open automatically after that and then I'm connected.

I'm so sorry you are dealing with this. In my state I think (not positive) they are allowing phone calls to be billed as sessions.