The COVID-19 pandemic has led many counselors and therapists to transition from in-person therapy to teletherapy services. Doctoral trainees in their first year of training, faculty, and staff at the Psychological Services Center (PSC), a training clinic at a large public university, successfully completed a rapid transition to teletherapy in March 2020. This brief report will provide insight into steps taken by the PSC to shift to remote training and practice while maintaining its educational and community mandates, prioritizing continuity of care and training during the onset of a global pandemic. We provide the trainee perspective on technological needs, remote supervision, and changes to clinical practice during the transition. Special considerations around self-disclosure and child treatment will be discussed. This brief report serves as an example of the multitude of considerations faculty, staff, and trainees may be faced with as therapeutic services continue remotely throughout the COVID-19 pandemic and beyond.
Objective
Residential treatment for severe eating disorders (EDs) is associated with primarily positive outcomes. However, less is known about the moderators of treatment response. Comorbid post‐traumatic stress disorder (PTSD) diagnosis is associated with increased ED symptom severity. This study investigated whether PTSD moderated outcomes of transdiagnostic, residential ED treatment based upon the Unified Protocol.
Method
Female patients (N = 1055) in residential ED treatment completed a clinical interview to assess PTSD diagnosis and self‐reported ED, depression, and anxiety symptoms, anxiety sensitivity, experiential avoidance, and mindfulness. We tested whether PTSD moderated trajectories of symptom change from treatment admission to discharge and 6‐month follow‐up using multilevel models.
Results
PTSD moderated change in ED symptoms, depression severity, and experiential avoidance. Patients with PTSD showed steeper symptom improvements from admission to discharge. However, PTSD was associated with greater symptom recurrence after residential treatment.
Conclusions
Patients with comorbid PTSD demonstrated more improvement during residential treatment, but experienced steeper posttreatment symptom recurrence.
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