Welcome! I understand about not having local providers. I live in a really rural area and drive 1 hr 15 minutes each way for therapy and 2.5 hours each way for pdoc. I do zoom with pdoc more than half the time. I miss seeing her in person but sometimes it just doesn't work to drive so far. Sometimes I have to do zoom with my therapist because it is just too much to drive so far if I'm really symptomatic. I'm really glad zoom exists for this. But I would hate it if I were stuck with zoom all the time for both.