在後疫情時代，通訊諮商（TC）已成為心理服務中日益重要的模式。然而，個案對這種模式的適應程度各不相同，尤其是在情感回應需求方面。本研究旨在從情緒回應需求的角度探討個案對通訊諮商的適應經驗，並分析影響適應品質的個人與情境因素。研究採用探索性質性研究方法，針對11位具有通訊與實體諮商經驗的個案，進行半結構式深度訪談，並選用紮根理論的資料分析方法。結果共歸納出四個面向十個主題，包括：（1）通訊介面與空間的情境性限制，包含技術問題、空間變遷造成儀式感削弱；（2）個案特質與議題情境對情感回應需求的影響，包含理性／敏感特質的差異、創傷議題處理困難；（3）調節不安的支持資源與經驗條件，包含自我調適能力、心理師風格、實體諮商基礎與安全空間；（4）從情感回應需求看通訊諮商的適應差異，涵蓋「相對適應」與「相對不適應」的多元經驗。研究指出，雖通訊諮商在訊息與情感傳遞上具限制，但其適應品質仍可因個案特質、議題屬性、心理師風格與事前準備等因素而有所調節。本研究建議臨床實務重視個案特質與情感回應需求，強化通訊諮商前評估、知情同意與技術調節，以提升適應與成效。

During the COVID-19 period, tele-counseling is almost a necessary way to deliver counseling services. However, after the epidemic, how should tele-counseling be positioned? Is it merely a substitute for in-person counseling, a convenient option for individuals with mobility challenges, those residing in remote areas, or those adhering to social distancing guidelines? Alternatively, does it serve a distinct purpose or applicability of its own. This study explores clients’ experiences and adaptation to tele-counseling, focusing on how individual and contextual factors influence these variations, particularly through the lens of emotional responsiveness needs. This study adopted an exploratory qualitative methodology, involving eleven participants aged 18 and older, consisting of nine females and two males, all of whom had both in-person counseling and tele-counseling experiences (about half of them received counseling in the community and half in the school). At the time of the interviews, five participants were actively conducting tele-counseling, two had engaged in in-person counseling, and the remaining four had experience with either tele-counseling or in-person counseling within the past one to two years. Data were collected through semi-structured in-depth interviews, and the grounded theory was used for data analysis.

Results revealed four dimensions across ten themes: (1) structural limitations of telecommunication interfaces and physical space (e.g., technical disruptions, diminished sense of ritual); (2) influence of client traits and counseling issues on emotional responsiveness needs (e.g., the difference between rational/sensitive traits, difficulty addressing trauma); (3) supportive resources and experiential conditions that regulate anxiety (e.g., self-regulation capacity, therapist style, prior in-person connection, safe environments); and (4) variations in adaptation to tele-counseling based on emotional needs, distinguishing between relatively adaptive and non-adaptive experiences. Despite inherent limitations in emotional and informational exchange, the quality of adaptation to tele-counseling was found to be mediated by client characteristics, therapeutic topics, therapist style, and pre-session preparation. This study recommends that clinical practice attend to clients’ individual traits and emotional needs, strengthening pre-tele-counseling assessments, informed consent, and technological adjustments to enhance adaptation and effectiveness.