Objective: To describe the potential benefits and pitfalls in relation to the use of email with patients, with a view to fostering discussion about the impact of the technology on our discipline. Conclusions: Email is useful for supplementing information provided in face-to-face sessions and for monitoring progress. ‘Cyberclinics’ present many possibilities to augment traditional patient management. Problems include not all patients having access to the technology and issues relating to confidentiality. The therapeutic relationship is inevitably altered through its use.