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Privacy, speed, and real human connection can coexist online—when the system is built with intention. We sit down with Rotem Moshe, executive clinical director at Stepstone Connect, to unpack how telehealth is reshaping mental health care for first responders, rural communities, and anyone who needs therapy to fit life, not the other way around. From onboarding anxious first-time users to coordinating multi-state crisis responses, Rotem offers a candid look at what it takes to deliver safe, effective care at scale.

We explore how encrypted platforms, secure messaging, and disciplined protocols protect client confidentiality while keeping clinicians responsive across time zones. Rotem shares why younger clients flock to flexible, private sessions, how older clients gain confidence with simple test runs, and what drives engagement beyond access alone. You’ll hear how Stepstone’s intensive outpatient programme bridges residential treatment to everyday life, matching clients with the right clinician and schedule for continuity and results.

The conversation also tackles the hard parts: documentation overload, insurance hurdles, and the reality that external pressure rarely sustains change without internal motivation. Rotem’s take on AI is measured and protective of the therapeutic space—there’s promise in smarter workflows, but only if privacy and trust are non-negotiable. We explore licensing challenges, cross-state reach, and why in-person care won’t vanish, even as telehealth grows. If you care about mental health access, clinical quality, and the future of hybrid care, this deep dive offers practical insight and clear-eyed optimism.

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👤 Guest Biography

Rotem Moshe is Executive Clinical Director at Stepstone Connect, a leading US-based telehealth platform for intensive outpatient mental health services. With a background in substance abuse treatment, Rotem helps scale care for underserved communities. Licensed in nine states, she focuses on expanding mental health access for first responders and rural populations while navigating the regulatory challenges of multi-state telehealth.

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About Dr Andrew Greenland

Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing.

Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care.

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Chapters

1. Welcome And Guest Introduction (00:00:00)

2. Rotem’s Path To Telehealth (00:00:41)

3. Inside The Executive Clinical Role (00:03:10)

4. Younger vs Older Client Expectations (00:03:49)

5. Overcoming Tech Barriers In Rural Care (00:06:11)

6. Therapeutic Rapport On Video (00:06:49)

7. Evidence, Security, And HIPAA (00:07:55)

8. Crisis Response Across States (00:09:19)

9. How Clients Find And Choose Care (00:10:33)

10. Platforms, Scheduling, And Fit (00:11:35)

11. Caution On AI In Therapy (00:12:54)

12. Streamlining Documentation Burden (00:14:39)

13. Measuring Outcomes With Client Feedback (00:15:42)

14. Why Clients Disengage (00:16:46)

15. Hiring, Training, And Remote Team Cohesion (00:17:31)

16. Insurance Bottlenecks And Advocacy (00:19:21)

17. The Next Decade Of Telehealth (00:21:44)

18. Stepstone’s Expansion And First Responders (00:22:41)

70 episodes