Actually zoom despite its privacy concerns is on the whitelist for telemedical application by the insurers in Germany, so I think they understand how to play the game...
Private consultations not billed through public insurance is not quite as regulated though.
https://www.kbv.de/media/sp/Liste_zertifizierte_Videodiensta...
Discussing your heart disease or skin condition is sensitive, but it's not as sensitive as discussing deeply personal thoughts or inner monologues.