2020
DOI: 10.1177/0253717620960407
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Telepsychiatry and Telepsychotherapy: Critical Issues Faced by Indian Patients and Psychiatrists

Abstract: Telepsychiatry and telepsychotherapy are new treatment modalities that have been used more than ever during the COVID-19 pandemic. There are many challenges that are faced with the use of this modality for both patients and psychiatrists alike. There are critical issues faced with regard to the development of rapport, managing the entire teleconsultation set up, privacy and issues related to fees, issues related to prescribing and monitoring, and issues while handling emergencies. The challenges faced are disc… Show more

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Cited by 11 publications
(26 citation statements)
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“…In the absence of uniform training or established standards for OPT, there is a risk of delivering suboptimal care to people. 8 Similarly, many therapists and clients are not sure about how to handle several other ethical issues related…”
Section: Ethical and Data Safety Concernsmentioning
confidence: 99%
See 3 more Smart Citations
“…In the absence of uniform training or established standards for OPT, there is a risk of delivering suboptimal care to people. 8 Similarly, many therapists and clients are not sure about how to handle several other ethical issues related…”
Section: Ethical and Data Safety Concernsmentioning
confidence: 99%
“…Further, OPT is not appropriate for treating people with serious psychiatric illnesses or in crises (e.g., a person with active suicidal ideation), which are likely to require close and direct treatment through in-person therapy. 8 For example, people with severe depression and/or psychotic symptoms like the delusion of persecution leading them to believe that their actions are being continuously monitored and anything shared by them online would be used to harm them and would not be very amenable to OPT. Similarly, a person with severe psychiatric illness would require constant supervision and desire immediate psychological support during periods of intense suicidal ideations or distress (e.g., severe anxiety episodes, early morning awakening) at odd times even in the intervening period between the scheduled online sessions.…”
Section: Effectiveness Of Optmentioning
confidence: 99%
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“…For instance, the tele-psychotherapy guidelines developed by the Department of Clinical Psychology at NIMHANS suggested that those with severe psychopathology and/or suicide risk were unsuitable for tele-psychotherapy sessions. This was primarily because of concerns around symptom interference with online engagement and the inadequate safety and response mechanisms for emergencies (Sousa et al, 2020). Current guidelines offer little support to therapists in the negotiation of distance and closeness in their online work with clients who have attachment vulnerabilities – this dynamic manifests differently and can seem accentuated in the digital therapy room (Kashyap et al, 2020).…”
Section: Case Study 1 – Bangalore Indiamentioning
confidence: 99%