Teletherapy, while accessible since the 1950s, saw limited adoption until the COVID-19 pandemic forced a rapid shift from in-person to remote mental health care. Initially met with skepticism by patients and providers, teletherapy has since demonstrated comparable effectiveness to in-person psychotherapy across various disorders and populations. Patients appreciate its convenience, privacy, and accessibility, especially for rural, low-income, caregiving, and special groups such as military veterans and refugees. However, qualitative differences remain: some patients report challenges in emotional connection, nonverbal communication, and therapeutic rituals, while others experience greater comfort and freedom. Certain interventions, like CBT and OCD exposure therapy, may benefit uniquely from teletherapy’s home-based context. Future research should explore patient and therapist preferences, identify populations best suited for teletherapy, and integrate it flexibly with in-person care to enhance accessibility and outcomes.