“…With TBH also comes many challenges including access to care for the underserved clients who may not have the technological resources, as well as others who do not have the familiarity or capacity to learn this type of new platform as a means to connect. While the use of TBH platforms has been widely established and utilized for over a decade (Bacigalupe, Camara, & Buffardi, 2014; Cabieses, Faba, Espinoza, & Santorelli, 2013), couple and family therapeutic services specifically, and couple and family mental health services in general, have continued to lag in utilization of teletherapeutic services. This problem has been exacerbated by many of the mainstream approaches for working with family systems and subsystems having in focus such transformative foci as the use of space and physical positions (Haley, 1991; Minuchin & Fishman, 1981), the process of physiological and emotional attunement (Greenberg, 2002; Greenberg & Watson, 2006; Shapiro, 2001), and experiential foci for challenging homeostatic problem sequences (Satir et al, 1991; Whitaker & Bumberry, 1988).…”