Tele-mental health, or the provision of remote counseling services, has been available for decades. This qualitative study uses the framework of affordances, derived from Gibson, to examine what social work practitioners working on direct to consumer tele-mental health (DTCTMH) platforms are discovering about the features, benefits, and constraints of virtual therapy. An interpretive phenomenological approach was employed to document the lived experiences of social workers who practice in this manner. According to the practitioners interviewed, for a subset of individuals seeking treatment, DTCTMH can offer meaningful interpersonal interaction that confers benefit. Key affordances include accessibility, anonymity, meaningful work, autonomy, lifelong learning, and access by new populations. Practitioners simultaneously acknowledge the ethical complexities and structural challenges of DTCTMH practice. The article concludes with suggestions for future research, policy, and practice.

远程心理健康，或提供远程咨询服务，已经存在了几十年。这项定性研究使用源自 Gibson 的可供性框架来检查直接面向消费者的远程心理健康 (DTCTMH) 平台的社会工作从业者正在发现哪些有关虚拟治疗的特征、好处和限制的信息。一种解释性的现象学方法被用来记录以这种方式实践的社会工作者的生活经历。根据接受采访的从业者的说法，对于寻求治疗的一部分人，DTCTMH 可以提供有意义的人际互动，从而带来好处。关键的可供性包括可访问性、匿名性、有意义的工作、自主性、终身学习和新人群的访问。从业者同时承认 DTCTMH 实践的伦理复杂性和结构性挑战。文章最后提出了对未来研究、政策和实践的建议。