The covid-19 crisis has strongly affected people and organizations worldwide, and workers and students had to adjust to restrictions and recommendations to reduce the spread of the SARS-CoV-2 virus. Social workers have had to find new strategies through information and communication technology (ICT) to maintain communication with both clients and colleagues. The universities' transition to remote work has affected students and teachers and has also affected the work of counsellors at student health services. The purpose of the current study is to examine how counsellors employed by student healthcare services at universities in Sweden experienced the rapid transition to remote work in terms of the working environment and the ability to deliver psychosocial support through ICT to university students. The main research questions were, what strategies did the counsellors use during COVID-19 and what opportunities and limitations with remote student health care did they identify? The result showed that counsellors used different strategies to cope with the challenges related to the work environment and psychosocial support to university students during COVID-19. The limitations described were mainly about the lack of collegial support and peer presence due to remote work. The opportunities highlighted were mainly the digital development of student health care and increased availability.