This study explored how the global COVID-19 pandemic changed the ways in which art therapists use art in their therapeutic practice. Art has repeatedly been linked to healing in a variety of settings, but generally art therapists have been accustomed to conducting therapy sessions in person. Prior to the pandemic most art therapists preferred in-person sessions for a variety of therapeutic reasons. Although there are clearly downsides to meeting remotely, there have been unforeseen advantages, as well. The present study surveyed 74 art therapists from around the world to understand the changes to art therapy practice that occurred during and after COVID-19. A selection of nine individuals participated in follow-up interviews to clarify and amplify survey findings. Changes to art therapeutic practices, as well as the challenges and benefits of conducting art remotely were highlighted in quantitative and qualitative data analyses. Qualitative data analysis highlighted art therapists’ creativity and resilience in adapting their practices to the new telehealth format. Telehealth practices initiated by the COVID-19 pandemic are here to stay. This study generated a list of practical suggestions for working effectively with art therapy clients at a distance. Future research should focus on creating best practice guidelines for art therapists who will continue to provide online therapy services.