During the baseline phase, the BDI scores tended to reduce which may have been due to participants' anticipation that help was on the way and feelings of optimism. Although there was little clinical change, there was some social change for all of the participants who completed therapy such as employment, relationships, contact with family and returning to education. The attendance rate for TeleCAT compared favourably to that of both the local community mental health centre, where the participants were recruited from, and the hospital based CAT clinic where the therapist was based. Most statements made by participants indicated that the videolink enhanced the quality and development of the therapeutic relationship.  