There was never a possibility of leaving high-risk children, young people and families unsupported during COVID-19. Taking great care not to compromise the professional integrity of our therapy – and highlighting the security protocols we established to minimise risk – we moved our therapy services online, delivered via secure video conferencing. This swift reimagining of service delivery was possible as we were already on the front foot in exploring it for those in rural locations. A new addition, in response to the heightened anxiety and burden felt by families during the pandemic, was family therapy.