All of the Following Are Challenges Associated with Distance Counseling

All of the following are challenges associated with distance counseling EXCEPT:

A) loss of body language, inflection, and other cues to communication.
B) licensing concerns relative to practicing across state and international boundaries.
C) limited effectiveness of counseling services that are not delivered face-to-face.
D) reimbursement by insurance providers.
E) need to continuously update ethical codes to address distance counseling.