The recent pandemic has increased employer interest in use of technology tools to provide counseling to distressed employees. This presentation provides a high-level overview of the key findings in the hundreds of studies in the research literature on the purpose, use and effectiveness of mental health support provided using technology. Technology channels for mental health service delivery include the telephone, internet, and smart phone Apps. Ten distinctions are provided to help understand the basic differences between traditional live counselor approach and the many techno-therapy machine-based options now available.