Coupleworks therapists use both forms of counselling to help couples and individuals to talk with an objective third person present. The therapist can interpret what they hear into less confrontational dialogue enabling each person to hear what is really being said. From that point they can begin to manage confrontation, resentment, hurt a sense of unfairness, insults, humiliation, guilt, shame and a host of other painful feelings. It also helps to locate the root of those feelings which is often many years before the couple met.
Using Skype or face to face contact is, in part, down to location, time, babysitting costs, work hours, privacy, confidentiality and other day to day reasons. Face to face work, if all those reasons do not present a problem for a couple, is the original tried and tested arena for what is very sensitive work. Skype has been introduced as a way to communicate when some or all of those problems are stopping a couple from seeking help.
Face to face communication of any kind is a social skill which is changing and many people are preferring a less immediate response to difficult emotional issues. Skype is one more way of using technology to work for us in a helpful way.
Over time, since Skype was introduced within the Coupleworks framework, it has been found to have some of its own advantages. Not least that the pauses during a session when a picture becomes pixilated or the sound starts to echo, rather than causing alarm, produces a breathing space to think and rephrase something said in anger or used as a moment to reflect.
There is really no way to compare the two, but to use both or either if it aids and advances the healing process can only be a good thing.