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

DeLuca, J.S.; Andorko, N.D.; Chibani, D.; Jay, S.Y.; Rakhshan Rouhakhtar, P.J.; Petti, E.; Klaunig, M.J.; Thompson, E.C.; Millman, Z.B.; Connors, K.M.; Akouri-Shan, L.; Fitzgerald, J.; Redman, S.L.; Roemer, C.; Bridgwater, M.A.; DeVylder, J.E.; King, C.A.; Pitts, S.C.; Reinblatt, S.P.; Wehring, H.J.; Bussell, K.L.; Solomon, N.; Edwards, S.M.; Reeves, G.M.; Buchanan, R.W.; Schiffman, J.

doi:10.1037/int0000211

SAFETYLIT WEEKLY UPDATE

We compile citations and summaries of about 400 new articles every week.

RSS Feed

HELP: Tutorials | FAQ

CONTACT US: Contact info

Search Results

Journal Article

Telepsychotherapy with youth at clinical high risk for psychosis: Clinical issues and best practices during the COVID-19 pandemic
Citation	DeLuca JS, Andorko ND, Chibani D, Jay SY, Rakhshan Rouhakhtar PJ, Petti E, Klaunig MJ, Thompson EC, Millman ZB, Connors KM, Akouri-Shan L, Fitzgerald J, Redman SL, Roemer C, Bridgwater MA, DeVylder JE, King CA, Pitts SC, Reinblatt SP, Wehring HJ, Bussell KL, Solomon N, Edwards SM, Reeves GM, Buchanan RW, Schiffman J. J. Psychother. Integr. 2020; 30(2): 304-331.
Copyright	(Copyright © 2020, Educational Publishing Foundation)
DOI	10.1037/int0000211
PMID	unavailable
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. © 2020 American Psychological Association. Language: en
Keywords	United States; human; social interaction; COVID-19; suicide; injury; psychotherapy; Psychosis; psychosis; stress; patient safety; health; substance use; mood disorder; symptom; Prodrome; Article; family functioning; thinking impairment; telemedicine; videoconferencing; psychological well-being; cognitive bias; isolation; coronavirus disease 2019; Clinical high risk; Telepsychotherapy