This study explored how addiction treatments had been affected by COVID-19 from the perspective of service providers. A total of 93 service managers and clinicians in New Zealand completed an online survey. Participants noted that more clients presented problems with internet gambling, gaming, social media, and pornography. The researchers identified six themes from the survey responses. Themes included changes to service management and delivery due to a shift to distance-based care. Access to treatment improved for some clients. But online treatment created barriers for clients with poor or no internet connection, no webcam or video-capable phone, and a lack of a safe, private or quiet space at home. Clinicians who used phone or text to deliver treatment found it hard to engage and build rapport with clients.