We are at an exciting crossroads between innovative psychological treatments and innovative technological advances. While cutting edge research has identified effective mental health treatments for anxiety, mood, and behavioral disorders, few clinicians are trained in these evidence-based treatments. The limited clinicians who are experts in these treatments are typically centered in large metropolitan areas. This leaves families in suburban and rural areas with a lack of effective treatment options. Telehealth offers a solution to bridge the gap between expert clinicians and families in need. Telehealth involves the use of web-based communication services (e.g. Webex and Facetime) to deliver treatment directly in a family’s home and requires simply broadband Internet access in the home. In addition to eliminating geographic barriers to treatment, telehealth provides live coaching in the very environment the problems are occurring. At the Boston Child Study Center, we are pioneering the expansion on telehealth in the Commonwealth of Massachusetts.