UNSTRUCTURED The COVID-19 pandemic has intensified the search for digital solutions in mental health treatment, particularly due to social distancing by both patients and clinicians. This has resulted in the dramatic growth of Video-Based Telemental Health (V-TMH) services. It is critical to examine effects of V-TMH expansion on patients, clinicians, regulations, and public policy. Several key questions arise: (1) In what ways does V-TMH affect the practice of psychotherapy?; (2) To what extent

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... are ethical and patient-centered concerns warranted in terms of V-TMH services?; and (3) How do factors related to user experience affect treatment dynamics for both the patient and therapist? As we consider the future delivery of mental healthcare services, these issues will have strong implications for technology innovation, adaptations of treatments to new technologies, and the training of professionals delivering V-TMH and other digital health interventions.