While no‐shows are generally less common with telepsychology, patients can sometimes take the clinician's time for granted and can attach less importance to sessions where they do not have to make the investment of showing up in person. Patients were not always “available” at the time of their appointment. In one case, a woman's partner answered the phone and shared her message that she was getting her nails done and was not available. Other times, patients had been sleeping, had just woken up and engaged in the session in bed, were eating during a session, or spent the initial few minutes of the session trying to find a quiet location within their residence. The latter was especially challenging for patients with children or roommates. Given the greater possibility for unexpected disruptions to plans, it was not uncommon for patients to ask our clinicians to call back at a later time.