Introduction: Telepsychiatry is a branch of telemedicine, Nowadays with the development of COVID-19 pandemic and lockdown has become a must, which made the conventional psychiatric consultations difficult. This makes telepsychiatry a highly important method for patient’s care during the pandemic. The objective of this study was to compare the differences between face to face consultation and telepsychiatry from the patients’ perspective among an Egyptian sample of psychiatric patients during COVID-19 pandemic. Methods: This study was a cross sectional study that included183 psychiatric patients. An online survey was conducted at June, 2020, it was designed by the authors and uploaded using Google forms in a specific web site (www.shezlong.com) that gives a telepsychiatry service. Results: 47.5 % of patients had a general satisfaction towards face to face consultation versus 21.8 % towards telepsychiatry and 30.6 % towards both. 49.2 % of patients reported that the cost is better in face to face consultation versus 22.9 % in telepsychiatry and 27.9 % reported it is equal in both. 55.2 % of patients trust the face to face diagnosis versus 4.4 % trust telepsychiatry and 40.4 % trusted both equally .46.5 % of patients trust the treatment in face to face consultation versus 2.7 % for telepsychiatry and 50.8 % for both. The major advantages of online consultations were avoiding embarrassment and stigma attached to psychiatric clinic, avoiding COVID-19 infection, saving money and time for travelling and transportation. Conclusion: Telepsychiatry is an important method for evaluation and follow up of the psychiatric patients especially in pandemics, so developing new training programs in Egypt to increase the awareness about the importance of telepsychiatry for both the clinicians and the patients through workshops, symposia and conferences are highly important.