Mental health disorders represent a significant global burden, with profound effects on individuals, families, and societies. The gap in access to mental healthcare remains a persistent challenge, particularly in underserved and rural areas. This chapter explores how telepsychiatry, the remote delivery of psychiatric care using digital technologies, can bridge these gaps by providing accessible and efficient mental health services in primary care settings. Telepsychiatry’s potential to enhance access to specialized care is highlighted, particularly for populations facing geographical, economic, or systemic barriers to in-person consultations. We also examine how advancements in artificial intelligence (AI) and digital phenotyping can enhance remote psychiatric assessments, offering more personalized and objective data for diagnosing and monitoring psychiatric disorders. AI-powered tools, such as chatbots and predictive algorithms, offer promising innovations in early intervention and crisis management, while digital biomarkers collected via mobile devices are promising to assess patient behavior and mental health status. Despite its potential, telepsychiatry faces challenges related to clinician reluctance, technological disparities, and concerns over patient privacy and safety. Effective implementation requires not only advanced technology but also robust collaboration between healthcare professionals, including primary care providers, emergency services, and mental health specialists. Integrating telepsychiatry with measurement-based care tools further ensures diagnostic accuracy and treatment efficacy, contributing to improved patient outcomes. By addressing these barriers and leveraging technological advancements, telepsychiatry has the potential to transform the landscape of mental healthcare, making it more accessible, timely, and tailored to the needs of patients, especially in regions with limited mental health infrastructure.