Remote CBT for Psychosis During the COVID-19 Pandemic: Challenges and Opportunities.
The COVID pandemic is now leading to the emergence of a secondary mental health pandemic. Clients with psychosis are at increased risk of poorer medium- and long-term psychosocial and clinical outcomes. In response to the pressing need to flexibly deliver high-quality care to individuals with psychosis, this brief report proposes high yield cognitive behavioral techniques for psychosis (HY-CBt-p) facilitated by task sharing and digital enhancements. HY-CBt-p is delivered over fewer sessions than formulation-based Cognitive Behavioral Therapy for psychosis (CBTp), can be learned by a range of providers, and includes techniques such as developing a normalizing explanation; techniques to reduce anxiety, depression, and insomnia, which perpetuate psychotic symptoms; self-monitoring; reality testing; and wellness planning. Previous research suggests that effect sizes will be lower than that of 16-session formulation-driven CBTp, but additional research is needed to test the feasibility, acceptability, efficacy, and comparative effectiveness of different forms of remote-delivered CBTp.
['Kopelovich|Sarah L|SL|0000-0003-1047-2952', 'Turkington|Doug|D|']
D000086382:COVID-19 D015928:Cognitive Behavioral Therapy D003695:Delivery of Health Care D005260:Female D006801:Humans D008297:Male D058873:Pandemics D011618:Psychotic Disorders D011787:Quality of Health Care D000086402:SARS-CoV-2 D017216:Telemedicine
COVID-19 Cognitive behavioral therapy for psychosis Serious mental illness Telehealth