The Telepsychiatry Advantage

The Telepsychiatry Advantage

The Telepsychiatry Advantage is a podcast for clinicians who want a clear, practical understanding of how telepsychiatry actually works. As more care moves online, the show breaks down the real considerations behind it—who it works for, where it doesn’t, how to handle risk, what regulations matter, and how to deliver care effectively through a screen. Each episode focuses on what you need to know to make better decisions and avoid common mistakes in a rapidly changing environment. Your host is Dr. Edward Kaftarian, the founder of Orbit Health, the longest-running telepsychiatry company in the world. He received his psychiatry training at the renowned Johns Hopkins University and holds board certifications in Psychiatry, Forensic Psychiatry, and Addiction Medicine.

Episodes

August 13, 2026 27 mins

A common objection to telepsychiatry is that it simply doesn’t work for patients with psychosis. The concern was that patients might feel paranoid on camera, refuse to engage, or become more symptomatic because the visit was happening through a screen. 

But is that actually what the evidence shows? Not even close. 

In this episode of The Telepsychiatry Advantage, Dr. Edward Kaftarian looks at the research behind telep...

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The elderly population in America has nearly doubled since 1960, and by 2030, about 1 in 5 Americans will be 65 or older.

That means more elderly patients are going to need mental health care. But the number of geriatric psychiatrists is not growing fast enough to meet that demand. So whether a clinician specializes in geriatrics or not, they are going to see more elderly patients — in assisted living, nursing facilities, emer...

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Choosing a telepsychiatry company to join is a major decision. Pick something that's not a good fit, and now you have some real problems. 

The issue is, it's often hard to know. The company might look good on paper, but once you are inside, the red flags can start showing up fast: poor support, bad partners, rigid schedules, unfair contracts, high turnover, or a company that treats clinicians like a commodity instead of part of...

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What separates a good telepsychiatrist from a best-in-class one?

It is not just credentials, experience, or being comfortable on video. The best clinicians know how to make patients feel heard through a screen, how to stay steady when the appointment gets complicated, and how to bring the same professionalism to virtual care that they would bring to any clinical setting.

In this episode of The Telepsychiatry Advantage, Dr. Edward Kaf...

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Want to make sure a patient never wants to book a telepsychiatry appointment with you again?

Then this episode of The Telepsychiatry Advantage is for you. Dr. Edward Kaftarian walks through what the worst version of a virtual psychiatry visit looks like — the kind that makes patients feel ignored, uncomfortable, distracted, or unsure if the clinician is even present with them.

It’s a fun look at how telepsychiatry can go ...

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Telepsychiatry gives clinicians more flexibility to meet patients where they are. But that flexibility can also create more room for small mistakes that quietly hurt the relationship with the patient.

Poor eye contact, a noisy or unprofessional setting, delayed documentation — unfortunately, mistakes like these happen too often in virtual care. And while they may seem minor in the moment, they can make patients feel less heard...

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Prescribing controlled substances through telepsychiatry requires more than knowing the law. It requires knowing how to evaluate risk, read what is happening on camera, and maintain the same clinical standard you would bring to an in-person visit.

In this episode of The Telepsychiatry Advantage—and part 3 of our Ryan Haight Act series—Dr. Edward Kaftarian explains why the screen does not lower the bar, especially...

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Prescribing controlled substances through telepsychiatry requires more than knowing the law. It requires knowing how to evaluate risk, read what is happening on camera, and maintain the same clinical standard you would bring to an in-person visit.

In this episode of The Telepsychiatry Advantage—and part 3 of our Ryan Haight Act series—Dr. Edward Kaftarian explains why the screen does not lower the bar, especially...

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The entire telemedicine industry has one date on its mind: December 31, 2026. That’s when the current telemedicine prescribing flexibilities are set to expire, creating what many in the field now call the “telemedicine cliff.”

These flexibilities were created during the pandemic and allowed many clinicians to prescribe controlled substances remotely without an initial in-person visit. If they expire without...

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The Ryan Haight Act is one of the most important laws in modern telepsychiatry, especially when it comes to prescribing controlled substances remotely. Nearly every conversation around telemedicine care eventually leads back to this legislation and the events that led to its creation.

The law emerged during a chaotic period in the early internet era, when rogue online pharmacies were distributing highly addictive medications with al...

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AI is one of the biggest conversations happening in the world right now, and healthcare is no exception. Some clinicians are excited about what AI could make possible. Others are understandably worried about what it could mean for the future of the profession and the doctor-patient relationship.

First things first: we don’t think AI is here to take the job of psychiatrists. We think the opposite. Used correctly, AI can...

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Telepsychiatry with children and adolescents comes with a different set of challenges. Younger patients may be distracted, restless, reluctant to talk, or more interested in what’s happening around them than what’s happening on screen. But with the right approach, those challenges can become opportunities.

In this episode of The Telepsychiatry Advantage, Dr. Edward Kaftarian talks about how to connect with younge...

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Managing a psychiatric crisis online is not the same as managing one in person. If a patient is manic, psychotic, intoxicated, or in danger of self-harm, good clinical instincts still matter—but they are not enough on their own.

he patient may be in another city. They may be in another state. They may hang up. Calling 911 may not send help to the right place. And in that moment, the clinician cannot afford to be thinki...

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First impressions in telepsychiatry aren’t made when you start speaking—they’re made the moment your video turns on. And for many clinicians, that first impression is working against them.

In this episode of The Telepsychiatry Advantage, Dr. Edward Kaftarian breaks down how your virtual setup shapes patient trust before a single word is spoken. Poor lighting that hides your expressions, camera angles that f...

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Telepsychiatry isn't just a "nice to have" alternative anymore—for many patients, it’s becoming the default.

The field is seeing more patients, more clinicians, and more sessions. The issue is that information on how to actually deliver high-quality care using telepsychiatry has NOT kept up. Many clinicians are still relying on outdated practices, which frankly, don't work as well as they could. 

That...

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