Three examples are discussed where he author has become involved in the delivery of psychiatric treatment via telepsychiatry (video conferencing). The first is in a county rural mental health clinic in California. The second is in conjunction with the Chinese American Psychoanalytic Alliance (CAPA) where mental health professionals in China who are in a training program provided by American teachers via SKYPE ( video conferencing) desire to have their own personal one to one psychotherapy by this technique. The third is psychotherapy in the United States for private patients who for a variety of reasons find it more convenient and feasible to have their therapy via telepsychiatry.