For example, therapists are licensed differently depending on the state. So, if therapy is conducted across state lines, should therapist or client licensing laws apply? If state therapist licensing laws are followed, the patient may not receive the same quality of care as would be afforded in their own state. Following customers' laws makes no sense, how can they follow laws they were never licensed for? One could argue that the therapist must be licensed in both their own state and the client's state, but this would significantly reduce the amount of e-therapists available. It's a pain to get licensed in one state, not many people would be willing to go through that again. One of the most common barriers to online therapy is insurance companies. More insurance companies are starting to cover e-therapy than ever before, but it's still a struggle and not everyone is on board yet. There is no simple solution to this problem as insurance companies operate on their own. Since this form of therapy is still a relatively new concept, it will most likely just take time and more studies showing the benefits before the problem truly goes away. The final problem facing e-therapy is not something that can be solved. Medication cannot be prescribed via online therapy. This is it