Sean talked about using FaceTime with a therapist. I know there are therapists who do that right now. I think that would be more the route to go.
One of the problems linked to the stigma is that even if we were to have the services in my little town of 375 people, it's guaranteed that 99% of the people would not utilize them, because they don't want their neighbour to know they're utilizing them.
It needs to be something that would be discreet, if that person needs it to be discreet.