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To start a telepsychiatry practice, you must be licensed by the state to practice, and meet the requirements of your practice. Ideally, you would have board certification in psychiatry.
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Telemedicine allows for treatment of any condition that does not require physical presence to treat. Psychiatry is uniquely suitable for telemedicine practice.
In order to implement telepsychiatry, you need only a solid internet connection (DSL, cable, T1 or higher) and a device capable of videoconferencing. While a laptop or PC with a good web camera and microphone are preferable, a tablet or even a smartphone can work in a pinch for teleconferencing.
Research shows that telepsychiatry is just as effective as in-person, face-to-face care. Many patients, in fact, find that psychiatric treatment via videoconferencing is less intimidating or embarrassing.