ABSTRACT : This article explores the transformative role of artificial intelligence (AI) in teletherapy, a growing field within mental health care. As mental health challenges continue to rise globally, especially in underserved regions, AI-enhanced teletherapy offers personalized and accessible solutions. This integration significantly enhances patient care and provider efficiency, from real-time emotional analysis to AI-powered therapy assistants. However, while promising, it also raises ethical concerns, including data privacy, algorithmic bias, and the potential erosion of human empathy in therapeutic relationships. The future of AI in teletherapy depends on responsible implementation guided by collaboration between technologists, clinicians, and patients.