Psychotherapy with video calls can be as effective as in-person treatment. | Analysis by ClaudiaWallis1
In the before times, clinical psychologist Leslie Becker-Phelps met with patients in a tidy private office in Basking Ridge, N.J., carefully observing their demeanor, body language and, with couples, interpersonal vibe. That changed with COVID’s social-distancing exigencies. “My office is a 14-foot by 14-foot room,” she explains, “and I am not going to do therapy with masks that cover something that is so important in therapy—the face.
Long before COVID, researchers began to look at how well remote psychotherapy works. Most studies focused on people with depression treated with cognitive-behavioral therapy . This approach, which aims to change negative patterns of thought and behavior, “lends itself well to research because it has a clear structure and process,” Bufka notes. In CBT, patients work through a series of information modules and exercises.
Remote technology can work well for diagnosis, too. In many studies of teletherapy, however, the initial diagnostic screening was done in person. “There was a concern about capturing the severity of the individual’s presentation,” Bufka explains. But now insurers have loosened rules around remote diagnosis and treatment, and clinicians are using teletherapy for first assessments.
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