The field of mental health has witnessed a paradigm shift with the integration of teletherapy, offering innovative approaches to address accessibility and effectiveness in treatment. This review examines accessible teletherapy platforms, including mobile applications, web-based services, and immersive experiences facilitated by virtual reality (VR) and augmented reality (AR). A critical evaluation of these platforms highlights their usability, customizability, and potential to transcend traditional barriers to mental health services. It explores the integration of artificial intelligence (AI) for personalized interventions, gamification, and interactive techniques aimed at enhancing engagement, and the development of virtual support communities for peer interactions and shared experiences. Effectiveness is a central focus of the third section, with a comprehensive review of studies assessing the outcomes of innovative teletherapy approaches. Comparative analyses with traditional in-person therapy outcomes provide insights into evidence-based practices, while patient feedback and satisfaction surveys contribute to a nuanced understanding of the user experience. Challenges and considerations address technological barriers, ethical considerations, and regulatory implications associated with the integration of innovative teletherapy approaches. Recommendations for addressing these challenges underscore the need for a balanced and ethical implementation of teletherapy innovations. It explores potential future directions, including the integration of wearable technologies, advancements in AI and machine learning, and the importance of collaborative research initiatives. These future directions hold the promise of further transforming mental health teletherapy into a more personalized, accessible, and effective mode of treatment. This review consolidates findings on innovative approaches to mental health teletherapy, offering a comprehensive overview of platforms, therapeutic techniques, effectiveness, challenges, and future directions. The synthesis of these insights contributes to the ongoing dialogue surrounding the transformative potential of teletherapy in mental health, paving the way for continued advancements and improved mental health care delivery.
 Keywords: Innovative, Mental, Health, Teletherapy, Access and Effectiveness.