Western Plains Youth and Family Services (WPYFS) has a long history of providing ground-breaking mental health services to the children and their families in Northwestern Oklahoma. Although WPYFS has traditionally delivered rural mental health services through face-to-face, in-person interaction, social distancing requires adjustment and expansion to the counseling process. WPYFS must now provide rural mental health services through teletherapy, also known as ” tele-med” services. WPYFS will provide the needed teletherapy services to its existing clients and new clients that are expected due to the stress and fears associated with COVID-19.