Accessing care: qualitative analysis of counseling center therapists’ experiences of transitioning to telehealth

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Abstract

The study aimed to explore and categorize therapists’ experiences with the transition to telehealth during the COVID-19 pandemic. We conducted in-depth interviews with 13 therapists working at a university counseling center in the United States to more thoroughly understand their experiences. We then employed consensual qualitative research methods within a research team to analyze these data across multiple phases. The findings revealed several key domains, including obstacles and changes in therapy style and relationships, therapists’ attitudes towards telehealth, perceived fit of clients for telehealth, ethical concerns for the practice of telehealth, the need for training and established telehealth protocols, and logistical challenges for implementing telehealth. The results emphasized the need for additional research, training, and development of best practices in telehealth to support therapists in delivering effective and ethical therapy services online.

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Leroy, T., Top, D. N., Bailey, R. J., Bartholomew, C., Toomey, J., Baker, T., … Jensen, K. D. (2025). Accessing care: qualitative analysis of counseling center therapists’ experiences of transitioning to telehealth. Cogent Mental Health, 4(1). https://doi.org/10.1080/28324765.2025.2470126

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