Distance, stigma, and scheduling barriers often keep people from evidence-based addiction care. Tele-Addiction Psychiatry turns those barriers into design inputs for safe, high-reach treatment that still feels personal. We start with clinical fundamentals that port well to video and phone: same-day MOUD starts, alcohol pharmacotherapy, nicotine treatment, stimulant-use contingency strategies, and integrated management of anxiety, depression, and PTSD. The session shows how to create “low-friction” entry—text-first triage, simple e-consent, and rapid scheduling—without sacrificing safety or ethics. Assessment adapts: verify ID and location at each visit; map last use, withdrawal stage, sleep debt, and co-occurring symptoms; and maintain a living safety plan that names supports and local rescue routes. Medication stewardship gets operationalized for remote care—pharmacy synchronization, mail-order options, observed or recorded inductions where permissible, and clear QTc or lab protocols with nearby partners. We discuss what to do when bandwidth is limited or privacy is thin: clinic tele-pods, audio-only pathways, asynchronous check-ins for between-visit monitoring, and culturally matched peer support. Equity is not an afterthought: loaner devices, data vouchers, language access, and disability accommodations expand who can benefit. Measurement remains lean but reliable—craving scales, withdrawal scores, sleep/energy check-ins, and “connection minutes”—with dashboards that flag missed inductions or no-shows. Care transitions get explicit: ED-to-clinic bridges, warm handoffs from inpatient or jail release, and 72-hour follow-ups after any crisis. Finally, we cover regulatory and documentation essentials so virtual prescribing, remote toxicology, and multi-state practice stay compliant. Done right, Tele-Addiction Psychiatry, discoverability via a tele-addiction psychiatry conference, and practical tools like virtual SUD care let teams extend reach while preserving quality, safety, and relationship.