@Joanna Roberts I don’t think this should be a reason to delay starting. We use a Shure MV7, which costs around £350, but you can invest far less and still get the quality you need for your sessions. I’d actually recommend the wired Apple EarPods — the microphone is solid, audio clarity is good, and they cost about £20. For the camera, if you’re using a MacBook, its built-in camera is perfectly fine. There’s no need to go overboard on equipment for online consultations. You just need clear audio and a decent camera, ultra HD or 4K is a luxury, not a necessity. What camera device are you currently using?