Telepsychotherapy with youth at clinical high risk for psychosis: Clinical issues and best practices during the COVID-19 pandemic
| Autor: | Joseph S. DeLuca, Miranda A Bridgwater, Shauna P. Reinblatt, Kristin Bussell, Emily Petti, Kathleen M. Connors, Robert W. Buchanan, Cheryl A. King, Samantha Y. Jay, Caroline Roemer, Jordan E. DeVylder, Samantha Redman, Elizabeth Thompson, Sarah Edwards, Nicole D. Andorko, Mallory J Klaunig, Jason Schiffman, Lee Ann Akouri-Shan, Heidi J. Wehring, Pamela Rakhshan Rouhakhtar, Natalee Solomon, Zachary B. Millman, John Fitzgerald, Steven C. Pitts, Doha Chibani, Gloria Reeves |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty Psychosis education.field_of_study Psychotherapist 05 social sciences Population Psychological intervention medicine.disease Mental health Article Child psychotherapy Prodrome Psychiatry and Mental health Clinical Psychology Distress Pandemic medicine 0501 psychology and cognitive sciences Psychiatry education Psychology |
| Zdroj: | Journal of Psychotherapy Integration J Psychother Integr |
| ISSN: | 1573-3696 1053-0479 |
| DOI: | 10.1037/int0000211 |
| Popis: | Early detection and prevention of psychosis has become an international priority. Much of this work has focused on youth presenting with attenuated symptoms of psychosis- those at clinical high risk for psychosis (CHR)-given their elevated probability of developing the full disorder in subsequent years. Individuals at CHR may be prone to exacerbated psychological distress during the coronavirus 2019 (COVID-19) pandemic and its subsequent physical isolation measures, as a result of heightened stress sensitivity and comorbid mental health problems. Telepsychotherapy holds promise for reaching this population, especially during the current COVID-19 outbreak. However, there are limited evidence-based guidelines or interventions for use of telepsychotherapy with this population. In this article, we review common clinical issues for individuals at CHR and how they might be exacerbated by the COVID-19 pandemic. We then review best practices for treatment and adaptations for telepsychotherapy for individuals at CHR, and highlight real clinical issues that we are currently experiencing in a United States- based specialized CHR clinic as we conduct telepsychotherapy via videoconferencing. We conclude with questions for those in the field to contemplate, as well as potential challenges and benefits in using telepsychotherapy with individuals at CHR and their families. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|