Telephone counseling is available for people who are unable to come into the office due to distance or other limitations. Sessions are arranged as if the client is coming into the office, by appointment only. A trained therapist is able to listen to the client's voice tone, cadence, emotional quality, usage of words, and other subtle qualities to help the person understand and resolve problems that they may have been struggling with for years, in a relatively brief period of time. Telephone counseling is, however, generally less effective than in office visits, as the therapist is unable to see the person's body language, facial expressions, gestures, skin tone and other non-verbal ways of communicating that help the therapist understand the client at deeper levels. Although telephone counseling may be less effective and more limited than in office visits, it is still very beneficial and highly effective in treating a wide variety of therapeutic issues.