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    Telepsychotherapy with youth at clinical high risk for psychosis: Clinical issues and best practices during the COVID-19 pandemic

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    Author
    DeLuca, J.S.
    Reinblatt, S.P.
    Edwards, S.M.
    Reeves, G.M.
    Connors, K.M.
    Wehring, H.J.
    Bussell, K.L.
    Buchanan, R.W.
    Date
    2020
    Journal
    Journal of Psychotherapy Integration
    Publisher
    American Psychological Association Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1037/int0000211
    Abstract
    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.
    Keyword
    Clinical high risk
    COVID-19
    Prodrome
    Psychosis
    Telepsychotherapy
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087021819&doi=10.1037%2fint0000211&partnerID=40&md5=0b9a225440601b7c691ed4db7208b67b; http://hdl.handle.net/10713/13235
    ae974a485f413a2113503eed53cd6c53
    10.1037/int0000211
    Scopus Count
    Collections
    UMB Coronavirus Publications
    UMB Open Access Articles 2020

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