Table 2.

Selection of respondent quotes by subtheme for qualitative Theme 1

THEME 1: Remote delivery of psychological support raises unique safety concerns and interference with care	Subtheme1.1: Different safety and privacy concerns hindering care
	I think, for example, whatever challenges wouldn’t be occurring in-person, like shutting the door. Everything [remotely] you have to show them, like to assure them you know, “We have kept the doors closed, like the windows are shut,” so like you know, it’s a private conversation.
	You know I [the practitioner] can just click ‘leave room’ on Zoom while someone is having a panic attack. It’s so tempting. If you don’t want to deal with it, to just leave the room, or what? …And then all of a sudden, you’ve left, you have abandoned your patient having a panic attack. And that could just be horrible for a patient.
	Subtheme 1.2: Interference with ‘natural’ therapeutic engagement
	Like we have to look at the screen right, you shouldn’t be like directly seeing the person, like we shouldn’t look directly in the eyes--these kinds of things they had told us. And it’s like now we will obviously happen to stare at the screen, that does not connect I felt, and like they [clients] might feel slightly nervous I felt. Plus, if we have to do it virtually itself then that connection should be [improved].
	I certainly feel like it’s very different and there seems to be a lot missed in terms of, like you know, we’re forging a connection and the therapeutic alliance. It’s all on the computer so that’s a very different experience than when you’re sitting next to someone, and you know, talking and connecting with them.
	Subtheme 1.3: Technology aspects that cause disruptions during sessions
	We had some difficulties with the internet signal and the audio, but nothing else. I have had no problems with the Zoom platform because I already knew how to use it.
	Only thing was, while sitting in front of the laptop and phone screen, it was a bit stressful, and we felt eye pain, headache and body ache sometimes.
	So, the idea that, like in a face-to-face conversation we can feed off of each other and talk at the same time, and still hear each other. But sometimes Zoom, because the audio will prioritize one person over the other, you might miss stuff. So, it’s sort of, it sometimes slows down the conversation, which is great, but it also can take away some of the natural flow of conversation.