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There may be some information that is necessary to give in-person (i.e. important diagnoses, boundary-setting).

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Be thoughtful about own distractability.

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Texting link to phone helps a lot with Teams issues.

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Considering that there may need to be some therapy time for reflection on the session as people may be hopping from one thing to another vs. having drive time to reflect.

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HIPAA compliant platform!

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Asking about who else is in the room, reminding about being in a private space.

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Remembering that not everyone has done therapy before and don't know what to expect or what the expectations are - need to either explicitly explain or have them come in first.

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Prioritizing the time - often something else going on at the time of the telehealth session. "I noticed that it seems that there is often something going on at the same time as our session. Is there a better time." And working to prioritize the session.

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Noting that you might be asking questions that you wouldn't ask in-person. Asking about non-verbals, what's happening for them, substance use happening, etc

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Expectations: Not driving, in stores, in the bathroom, out of state (laws and regulations with out of state), with clothes on, no substance use, lying down in bed unless there are serious medical issues, skateboarding, etc.

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Need to be ready to discontinue the session when client is not in a setting to do a session. This is related to setting expectations too.

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Setting expectations around the use of telehealth. For example, cannot be driving while they are in their session.

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Have clients come in first and test their equipment to make sure they know how to use their equipment, Teams, etc to make sure they feel confident/competent to use telehealth.

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Sending an information sheet with helpful information for clients - troubleshooting issues with video/audio, screenshots, links, etc.

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Being prepared to give the client feedback if telehealth is not working out - if a client is distracted, moving around and not staying at the computer, etc. Learning how to coach clients to use telehealth appropriately and also have a conversation to transition to in-person if not working out.

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When working with kids, having an image on the screen in helpful. Having a whiteboard or having a background of your office is nice. A PPT with various slides covering different aspects of the session.

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Inquire where the client is - are they at home? If not at home, find out the address in case there is an emergency and you need to call for help

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Ensuring a plan for if you lose connection.

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Making sure that the client is in a confidential space.

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Explaining that the session was on a secure channel, privacy issues.