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Delivering Prolonged Exposure Therapy via Videoconferencing During the COVID-19 Pandemic: An Overview of the Research and Special Considerations for Providers |
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| Authors: | Stephanie Y. Wells Leslie A. Morland Emily R. Wilhite Kathleen M. Grubbs Sheila A.M. Rauch Ron Acierno Carmen P. McLean |
| Affiliation: | 1. Durham VA Health Care System, Durham, North Carolina, USA;2. VA San Diego Healthcare System, San Diego, California, USA Department of Psychiatry, University of California San Diego, San Diego, California, USA National Center for PTSD, Pacific Islands Division, Honolulu, Hawaii, USA;3. VA San Diego Healthcare System, San Diego, California, USA;4. VA Atlanta Healthcare System, Atlanta, Georgia, USA Department of Psychiatry Emory University School of Medicine, Atlanta, Georgia, USA;5. Faillace Department of Psychiatry, University of Texas Health Sciences Center, Houston Texas, USA Ralph H. Johnson VA Medical Center, Charleston, South Carolina, USA;6. National Center for PTSD, VA Palo Alto Health Care System, Palo Alto, California, USA Stanford University, Palo Alto, California, USA |
| Abstract: | Leveraging technology to provide evidence-based therapy for posttraumatic stress disorder (PTSD), such as prolonged exposure (PE), during the COVID-19 pandemic helps ensure continued access to first-line PTSD treatment. Clinical video teleconferencing (CVT) technology can be used to effectively deliver PE while reducing the risk of COVID-19 exposure during the pandemic for both providers and patients. However, provider knowledge, experience, and comfort level with delivering mental health care services, such as PE, via CVT is critical to ensure a smooth, safe, and effective transition to virtual care. Further, some of the limitations associated with the pandemic, including stay-at-home orders and physical distancing, require that providers become adept at applying principles of exposure therapy with more flexibility and creativity, such as when assigning in vivo exposures. The present paper provides the rationale and guidelines for implementing PE via CVT during COVID-19 and includes practical suggestions and clinical recommendations. |
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