While therapy via a secure, HIPAA-compliant video platform is ideal for relationship building, accurate clinical assessment, and other reasons, research supports the efficacy of psychotherapy over the telephone when video is not an option. Per the American Psychological Association, a review of 13 studies found significant reductions in symptoms of anxiety and depression when therapy was provided via telephone (Coughtrey and Pistrang, 2018). Initial intake sessions must be conducted via video. Decisions about subsequent psychotherapy sessions over the telephone versus video are made at the therapist’s discretion. Please connect with your therapist to discuss if this may be an option for you.