Another challenge in rolling out telepsychology services was getting patients to feel comfortable using videoconferencing services. Initially, most of our telepsychology visits were conducted via telephone, due to patient preference and concerns about using an unfamiliar technology. As one integrated care professional concluded after surveying his colleagues about how many clinicians were finding this same challenge, despite all of our efforts to set up videoconferencing the telephone is still king. As a result of this trend, our therapists were having to learn to navigate telepsychology sessions relying solely upon verbal cues (e.g., tone of voice).