Abstract
BACKGROUND: Telepsychiatry, a branch of telemedicine, has gained prominence in Saudi Arabia as a means of improving access to mental health services. However, comprehensive insights into the perspectives of both patients and providers remain limited. AIM: This study aimed to explore the perceptions and attitudes of patients and psychiatrists toward telepsychiatry in Saudi Arabia, focusing on its benefits, challenges, and implications for future practice. METHODOLOGY: A mixed-methods design was used, combining quantitative surveys (n = 352 patients) and qualitative interviews (n = 27 psychiatrists). Statistical analysis included analysis of variance (ANOVA) and t-tests to examine demographic differences, while thematic analysis was applied to interview transcripts. RESULTS: Patients reported high agreement with telepsychiatry's benefits (M = 4.17) and general attitudes (M = 4.26), especially regarding convenience and privacy. Age significantly influenced attitudes (P < 0.0001) and perceived challenges (P < 0.0001), with younger participants being more favorable. Gender differences were also significant for attitudes (P = 0.0016) and challenges (P = 0.0271). Education level affected technology use and access (P < 0.0001). Psychiatrists viewed telepsychiatry as effective for stable cases but expressed concerns over diagnostic accuracy, technical reliability, and confidentiality. CONCLUSIONS: Telepsychiatry is well-received by both patients and providers in Saudi Arabia, especially for non-acute care. To optimize adoption, targeted training, infrastructure investment, and culturally adapted platforms are essential for sustainable integration into hybrid mental healthcare models.