Abstract
Our previous article, Technology-Based Mental Health Treatment and the Impact on the Therapeutic Alliance, explored factors that influence the therapeutic alliance when treatment was delivered via telemental health, such as video conferencing or telephone. During the COVID-19 pandemic, the use of telemental health became a necessity rather than simply a preference. In this commentary, we explore the use of telemental health in direct response to COVID-19 social distancing orders and offer updated suggestions around best practices for building and maintaining alliance in technology-based mental health treatments.