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Both in the UK and globally, the COVID-19 pandemic changed the way in which counselling and mental health services are offered and accelerated the trend towards flexible hybrid provision. While online counselling has long been recognised as a useful service for certain client groups, it is now provided routinely across all service types and client populations. However, and despite a growing post-2019 literature on practitioners’ experiences and perspectives, there is a lack of research on client perspectives on video-mediated therapy. The aim thus of this research was to explore clients’ perceptions and experiences of video-mediated counselling.