The advent of telehealth technology gives psychologists new opportunities t
o expand their practices in a cost-effective manner, but little is known ab
out telehealth efficacy and costs. This study of 49 neuropsychology clients
interviewed using videoconferencing and 49 matched in-person controls yiel
ded no group differences in client ratings of interpersonal factors. Telehe
alth clients were more likely to want to repeat their experience, but psych
ologist satisfaction was lower for telehealth sessions. Telehealth costs we
re significantly lower than in-person costs. Concerns about ethical issues,
billing, and licensure must be addressed to help practitioners capitalize
on new telehealth opportunities.