There appears, however, to be a widespread belief that online counseling is not the same as counseling in person because of the lack of nonverbal cues, such as eye contact, facial expressions, posture, and tone of voice, and that misunderstandings are possible (Bloom, 1997, 1998; Grohol, 1999b; ISMHO, 2000; Lee, 1998; Sussman, 1998).
The ISMHO was formed in 1997 to "promote the understanding, use and development of online communication, information and technology for the international mental health community" (ISMHO, 2000, p.
Grohol was the first president and a founding member of ISMHO.
In fact, ISMHO (2000) has produced the most extensive set of guidelines for practice published thus far and has been conducting case study research through a closed listserv of practitioners (available at http://www.
These organizations included groups such as Metanoia, ISMHO, Who's Who in Mental Health on the Web, HonCode, WebPsych Partners, and HealthLinks.