Text-based e-counselling has the potential to expand and improve the delivery of telepsychiatric services. Despite the loss of visual connection in patient-physician interactions, text-based communication offers many unique advantages. Patients often feel more comfortable with self-disclosure when communicating online and through text. Online mediums are also more accessible for patients who may face geographic, financial, or social barriers to receiving traditional in-office psychiatric care.

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... hile text-based telepsychiatry is highly cost-effective, concerns regarding privacy, security, and emergency use must be taken into consideration for future implementation.