This chapter reviews the rare use of telemental health modalities in Sri Lanka and challenges facing nationwide implementation of these services in this resource-limited setting. As in other developing countries, cost of, and access to, appropriate infrastructure are key constraints in using such advanced technologies in health service delivery. While healthcare providers and policymakers have realized the value of telemental health as a useful tool, challenges to its implementation remain. These challenges include lack of technology, appropriate infrastructure, knowledge, and skills. This chapter will delve into discussing the current approaches to implement TMH through educating the General public and disseminating mental health services in Sri Lanka.