COVID-19 Resource Page

This page serves as a repository of resources for psychologists navigating the ongoing challenges surrounding Coronavirus Disease 2019 (COVID-19).  This page will be updated regularly, and we appreciate any contributions. Ideas for resources can be submitted directly to Philip Fizur.

General Resources for the Public

How to Prevent Loneliness in a Time of Social Distancing – With increasing numbers of people isolated because of quarantine and social distancing, COVID-19 is not the only public health threat we should be worried about—loneliness is one as well. This article discusses this in greater detail and offers practical steps to address this.

Coronavirus disease (COVID-19) advice for the public -Stay aware of the latest information on the COVID-19 outbreak, available on the WHO website and through your national and local public health authority. Most people who become infected experience mild illness and recover, but it can be more severe for others.

Managing Stress Associated with the COVID-19 Virus Outbreak – The COVID-19 (coronavirus) outbreak has the potential to increase stress and anxiety, both because of the fear of catching the virus and also because of uncertainty about how the outbreak will affect us socially and economically. The National Center for PTSD provides practical steps you can take to improve your wellbeing.

The Science of Wellbeing (now free) – In this course you will engage in a series of challenges designed to increase your own happiness and build more productive habits. As preparation for these tasks, Professor Laurie Santos reveals misconceptions about happiness, annoying features of the mind that lead us to think the way we do, and the research that can help us change. You will ultimately be prepared to successfully incorporate a specific wellness activity into your life.

APA Primer: Keeping Your Distance to Stay Safe – With the number of COVID-19 cases increasing every day, psychologists from the APA offer insights on how to separate yourself from others, while still getting the social support you need.

Mental Health and Coping During COVID-19 – The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people. Fear and anxiety about a disease can be overwhelming and cause strong emotions in adults and children. Coping with stress will make you, the people you care about, and your community stronger, these resources from the CDC aim to help in this regard.

Taking Care of Your Behavioral Health: Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak – Published by the Substance Abuse and Mental Health Services Administration (SAMHSA), a comprehensive guide to managing your mental health in the context of social distancing, quarantine, and isolation.

Free virtual recovery meetings during the COVID-19 pandemic – During this pandemic, many in-person recovery meetings have been canceled or been made difficult to attend due to current safety measures. This resource offers online recovery support groups which will be available five times daily at 9AM, 12PM, 3PM, 6PM, and 9PM EST, along with one daily family and loved one recovery support meeting at 8PM EST. All recovery meetings are non-denominational, agnostic to any specific recovery pathway, and are open to anyone.

How Loneliness from Coronavirus Isolation Takes Its Toll –  From the New Yorker, “For the past century, human life has focussed increasingly on money and material belongings, which, especially with technology, led to neglect of human relationships. Now that we’re suddenly stuck at home, the best means of surviving, psychologically and biologically, is to interact with people by whatever means available”

Wysa: An AI-drive tool set meant to assist individuals with stress, depression & anxiety that states that it uses emperically supported interventions from CBT, DBT, and other areas. Wysa has indicatd that, until the current situation surrounding COVID-19 resolved, their AI chat and other tool packs for anxiety and isolation support will remain free.

Mindfulness Exercise – Some amount of distress during the current pandemic is to be expected. Below is a list of mindfulness exercises curated by William Robiner PhD, clinical psychologist at University of Minnesota to help manage that distress:

4 minute working with difficulty meditation

6 minute working with self-criticism meditation

10 minute working with anger meditation

10 minute feeling overwhelmed meditation

12 minute working with stress and difficult emotion meditation

25 minute working with difficulty meditation

Resources for Parents

Helping kids cope with emergencies (CDC) – Regardless of your child’s age, he or she may feel upset or have other strong emotions after an emergency. Some children react right away, while others may show signs of difficulty much later. How a child reacts and the common signs of distress can vary according to the child’s age, previous experiences, and how the child typically copes with stress.

How to talk to and support your children/teens/young adults regarding COVID-19 This guide was put together by Joshua G. Kellison, Ph.D., Licensed Clinical Psychologist at the DBT Center of Arizona Support ChildTeen During COVID-19

Resources for Parents and Caregivers for Wellness, Resilience, Coping, and Support During COVID-19 – From CHOP, an overview of their comprehensive approach to bolstering their doctors, nurses, and all other staff keeping the hospital open through the current challenge.

The Comfort Ability Program COVID-19 (free resources) – The Comfort Ability Program  (CAP) in response to COVID-19  have created some new online services for kids with pain and their parents that are open to the community.

How to handle Autism-related clinical care during social distancing and school/program closures – From Autism Speaks, tips help prepare for service adjustments caused by COVID-19 precautions.

Parent/Caregiver Guide to Helping Families Cope with the Coronavirus Disease 2019 – From the The National Child Traumatic Stress Network, information for parents and caregivers about infectious disease outbreaks in your community. Knowing important information about the outbreak and learning how to be prepared can reduce stress and help calm likely anxieties. This resource will help parents and caregivers think about how an infectious disease outbreak might affect their family— both physically and emotionally—and what they can do to help their family cope.

National Public Radio piece – Dr. Mary Alvord https://thekojonnamdishow.org/shows/2020-03-24/maintaining-your-mental-health-during-coronavirus

American Psychological Association https://www.apa.org/practice/programs/dmhi/research-information/social-distancing https://www.apa.org/helpcenter/pandemics https://www.apa.org/practice/programs/dmhi/research-information/pandemics https://www.apa.org/practice/programs/dmhi/research-information/social-distancing

Related research from APA https://www.apa.org/news/apa/2020/03/covid-19-research-findings https://www.apa.org/research/action/speaking-of-psychology/coronavirus-anxiety

Consortium for Science-based Information about Children, Youth and Families (CSICYF) www.infoaboutkids.org (This is an evidence-based web resource center developed by 7 APA divisions – 7, 15, 16, 37, 43, 53, 54.) https://infoaboutkids.org/blog/parents-and-covid-19-helping-your-children/

Child Trends https://www.childtrends.org/publications/resources-for-supporting-childrens-emotional-well-being-during-the-covid-19-pandemic

Dr. Rosenthal (psychologist), New York City https://manhattanpsychologygroup.com/4-key-ways-to-cope-with-the-social-impact-of-coronavirus/

American Academy of Pediatrics https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/2019-Novel-Coronavirus.aspx

Center on the Developing Child https://developingchild.harvard.edu/stress-resilience-and-the-role-of-science-responding-to-the-coronavirus-pandemic/

Positive Coaching Alliance, regarding youth athletes https://positivecoach.org/ask-pca/dealing-with-disappointment-during-coronavirus-cancellations-postponements/?utm_source=pcaemail&utm_campaign=devzone&utm_content=button

National Association of School Psychologists https://www.nasponline.org/resources-and-publications/resources-and-podcasts/school-climate-safety-and-crisis/health-crisis-resources/talking-to-children-about-covid-19-(coronavirus)-a-parent-resource

National Traumatic Stress Network https://www.nctsn.org/resources/parent-caregiver-guide-to-helping-families-cope-with-the-coronavirus-disease-2019 https://www.nctsn.org/resources/simple-activities-children-and-adolescents

Early Learning Nation: http://earlylearningnation.com/2020/03/a-parents-guide-to-surviving-covid-19-8-strategies-to-keep-children-healthy-and-happy/

Harvard Graduate School of Education: https://www.gse.harvard.edu/news/uk/20/03/helping-children-cope-coronavirus-and-uncertainty

Zero to Three https://www.zerotothree.org/resources/3210-tips-for-families-coronavirus

Resources for Children

Video Gaming (for teens) related to spreading outbreaks https://www.ndemiccreations.com/en/22-plague-inc

ABSOLUTE EHS:  Environmental, Health and Safety Consulting and Support Services: https://www.youtube.com/watch?v=dggEBYJNEQ0

National Public Radio https://www.npr.org/sections/goatsandsoda/2020/02/28/809580453/just-for-kids-a-comic-exploring-the-new-coronavirus https://www.npr.org/2020/03/13/815715527/the-buzz-on-bee-barf-sticky-science-behind-bumblebee-vomit

PBS https://www.pbs.org/parents/thrive/how-to-talk-to-your-kids-about-coronavirus

Free Subscriptions for Children: https://kidsactivitiesblog.com/135609/list-of-education-companies-offering-free-subscriptions/?fbclid=IwAR1rJJfeWcU-eD8B1Ak97E8g_w9UThq54lo-6kPKQsq_ltODtc1zXhN-HKU

Science: https://www.facebook.com/TheScienceMom/posts/2555301844707352?hc_location=ufi

Math: https://www.weareteachers.com/best-math-websites/?fbclid=IwAR31ycYhzbbVpQhalduTteXUFfTa43Iqropiq-5Z82jofVpr8k-dkyYj6SY#.XnAV7rkdwWw.facebook

Educational shows

  • Netflix: Brainchild, The Who Was? Show, Julie’s Greenroom (about the arts), Ask the StoryBots, The Magic School Bus
  • Disney +: Brain Games, National Geographic
  • PBS: Wild Kratts, Xavier Riddle, Reading Rainbow, Between the Lions, Peg + Cat
  • Amazon Prime: Horrible Histories (for slightly older kids in late elementary, middle school)
  • Educational apps: from Originator Kids: Endless Alphabet, Endless Reader and Endless Numbers; Raz-Kids and Kiddopia.

Resources for Professionals

General

COVID-19 and Anxiety: Actionable Tools for the Care Team Discussion with Martin Hsia, Psy.D. – A a clear-minded, clinical analysis of the mental health aspects of the 2019 novel coronavirus disease (COVID-19) pandemic meant to assist physicians, healthcare professionals and patients alike by addressing a wide range of subjects, including how clinicians can help patients deal with their mental health during a pandemic, monitor and support their own mental health, ease elevated stress levels of patients suffering from anxiety and OCD and help minimize disturbing, disruptive thoughts related to COVID-19.

COVID-Ready Communication Skills – From University of Washington, a guide for health care professionals everywhere. From their website “practical advice on how to talk about some difficult topics related to COVID-19. Building on our experience studying and teaching communication for 2 decades, we’ve drawn on our networks to crowdsource the challenges and match them with advice from some of the best clinicians we know. If you know our work, you’ll recognize some familiar themes and also find new material. It’s incomplete and imperfect. But it’s a start.”

APA resources for students, faculty, psychologists, supervisors, trainees and high school teachers of psychology – A robust set of resources published by the American Psychological Association. This document contains links to other relevant resources.

COVID-19 and aging, from the APA Committee on Aging – Older adults vary in their needs, their risks, and their ability to engage in active coping during the crisis. As such, responses to the COVID-19 outbreak should not solely depend on chronological age as criterion in policies, medical decisions, or allocation of resources. Treating age 60 or 65 and above as a cutoff for discussions of risk for hospitalization or mortality related to COVID-19 obscures tremendous differences across subgroups of older adults. And efforts to assist in coping with the disease need to account for these varying circumstances.

Psychological Effects of Quarantine During the Coronavirus Outbreak: What Healthcare Providers Need to Know – From the Center for the Study of Traumatic Stress, a review of the psychological effects of quarantine, as well as strategies for how healthcare providers can care for their patients’ and their own mental well-being during periods of quarantine.

Leadership in Times of Crisis – Performance in times of stress or threatening events can be a defining moment in the life of a physician leader. Regardless of how well a leader may have done in the day-to-day guidance of a clinic or a cause or a team, the action and reaction during a time of crisis has substantially more perceptual impact among teams, customers and patients. This article from the University of Arkansas for Medical Sciences Leadership Rounds offers a few tips to help focus crisis leadership.

Confidentially Speaking: Staying Calm &Reducing Fear During the Pandemic – From the Cooper Employee Assistance Program, 9 tips on how to manage stress during the current pandemic.

How to Create an APA Style Reference for a Canceled Conference Presentation – To help slow the spread of the coronavirus (COVID-19), officials have canceled many public events, including conferences and conventions. This has raised a question for researchers who were planning to present. APA has you covered on how to cite this in your CV and elsewhere!

Speaking of Psychology: Coronavirus Anxiety – A podcast from the American Psychological Association that explores the connections between psychological science and everyday life, this week discussing the fear about the coronavirus that has gripped the world.

Technical Note: Protection of Children during the Coronavirus Pandemic – Infectious diseases like COVID-19 can disrupt the environments in which children grow and develop. Disruptions to families, friendships, daily routines and the wider community can have negative consequences for children’s well-being, development and protection. In addition, measures used to prevent and control the spread of COVID-19 can expose children to protection risks. Home-based, facility-based and zonal-based quarantine and isolation measures can all negatively impact children and their families. From The Alliance for Child Protection in Humanitarian Action, this brief is to support child protection practitioners to better respond to the child protection risks during a COVID-19 pandemic. Part 1 presents the potential child protection risks COVID-19 can pose to children.

Psychology Supervisors, Trainees, Teachers & Students During COVID-19 – From the APA, a growing collection of resources to support psychology supervisors and trainees in navigating the impact on each individual and their training experience.

Updates from the Association of American Medical Colleges – For those of you teaching or otherwise working in medical colleges, the AAMC has remained in regular communication with its membership to provide relevant updates for educators and students.

A Message of Support from ASPPB, the National Register, The Trust and ABPP – ASPPB, the National Register, The Trust, and ABPP have come together to help improving access to valuable resources, recognizing the diversity of needs and issues. This document provides further information to this end.

A Memo to Program  Training  Directors,  Commission  on  Accreditation  Site  Visitors, Commissioners and Accreditation Constituents from APA Office of Program Consultation and Accreditation – The APA Office of Program Consultation and Accreditation (OPCA) has received calls wanting to know about compliance with accreditation policies and procedures in light of the spread of the coronavirus (COVID-19). This memo begins to answer those questions.

NYNJADOT and PSYDNYS Statement and Recommended Guidelines for Psychology Trainees – The Externship and Compliance Committees advocate for suspension of all non-essential, in-person outpatient psychology services to protect the safety and welfare of our communities during this global health crisis. Further details are available in this memo

COVID-19 Mental Health Impacts: Resources for Psychiatrists – With COVID-19 evolving rapidly across the world, APA’s Committee on Psychiatric Dimensions of Disasters and the APA’s Council on International Psychiatry compiled the following list of resources for psychiatrists. The resources cover not only the physical impact of the coronavirus, but on its potential mental health and psychosocial issues and responses. The resources also include a section on telepsychiatry, to prepare for the possibility of isolation and/or quarantine.

Psychiatric Patients and Pandemics – What can psychiatric clinicians do to keep their patients healthy in this coronavirus time? Ideas from Col. (Ret.) Elspeth Cameron Ritchie, MD, MPH

Physicians and Health Systems Can Reduce Fear Around COVID-19 – We are at a time, unfortunately, of significant public uncertainty and fear of “the coronavirus.” Mixed and inaccurate messages from national leaders in the setting of delayed testing availability have heightened fears and impeded a uniformity in responses, medical and preventive. Here is yet another way to help.

Coronavirus on the Inpatient Unit: A New Challenge for Psychiatry – COVID-19 represents a new challenge for the inpatient psychiatry unit. Some patients on an acute psychiatric unit may be agitated, uncooperative, or even violent, and it’s not hard to imagine the distress of anyone who has a patient spit on them as we’re all trying to remember not to shake hands. Inevitably, there will be patients who present for psychiatric admission with no respiratory symptoms, who are admitted and then become ill and are diagnosed with COVID-19.

Health Care Provider Wellness

FACE COVID – a set of practical steps for responding effectively to the Corona crisis, using the principles of acceptance and commitment therapy (ACT).

Resources for Professionals for Wellness, Resilience, Coping, and Support During COVID-19 – From CHOP, an overview of their comprehensive approach to bolstering their doctors, nurses, and all other staff keeping the hospital open through the current challenge.

University of Colorado Health Care ProviderWell-Being Primer – Compiled by Helen L. Coons, Ph.D., ABPP and colleagues, a collection of concrete strategies to help manage stress during this challenging time.

Intensive Care Society: Wellbeing Resource Library – The Intensive Care Society have shared their new wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist which aims to improve our understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care.

Psychosocial Support Plan for Health Care Workers and Providers – Originally developed by the British Columbia Health Care System in 2012 as an Influenza Response Plan, this guide provides information for navigating Psychosocial Support for Health Care Workers and Providers.

Caring for Yourself & Others During Covid-19 Pandemic: Managing Healthcare Workers’ Stress – From the Schwartz Center for Compassionate Healthcare, a webinar focused on managing healthcare workers’ stress. Download the referenced Stress First Aid Self-Care Organizational Handout.

Montefiore Training on Anxiety and COVID-19 – A webinar for healthcare works and related sectors focused on teaching skills to get you through this time, for both short and long term distress.

Health Care Provider Well-Being During Covid-19 – Compiled by Dr. Helen Coons and colleagues at University of Colorado, this is an a quick reference infographic of concrete strategies to help manage stress during this challenging time, perfect for printing hanging hanging throughout the hospital.

Coping Through Acceptance and Change – An infographic reminding of us what we can change to help us focus our efforts, as well as what we can change and therefor can strive to accept through mindfulness and other strategies. Also good for printing and displaying in the areas where you work as a frequent reminder.

Square Breathing – A mindfulness tool the clinicians of Psychiatry and Behavioral Medicine often teach patients, you may find this helpful yourselves during some of the more difficult moments in navigating this current challenge.

Preventing and Coping with Secondary Traumatic Stress – Secondary traumatic stress (STS) occurs when a person bears witness to others’ trauma. This printable guide reminds us of signs to look for and what to do to cope with this.

Resources for Healthcare Works with Children and Elderly Parents – Compiled at CHOP, this PDF provides resources and suggestions for healthcare workers who also care for children and aging parents at home.

Intensive Care Society: Wellbeing Resource Library – The Intensive Care Society has shared their wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist. These posters aim to improve our understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care.

Scientific Publications

The psychological impact of quarantine and how to reduce it: rapid review of the evidence -From The Lancet, the findings of a review of the psychological impact of quarantine spanning three electronic databases.

Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1 – A novel human coronavirus that is now named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (formerly called HCoV-19) emerged in Wuhan, China, in late 2019 and is now causing a pandemic. These authors analyzed the aerosol and surface stability of SARS-CoV-2 and compared it with SARS-CoV-1, the most closely related human coronavirus and reported on their findings and their implications.

Effective use of technology in clinical supervision – Clinical supervision is integral to continuing professional development of health professionals. With advances in technology, clinical supervision too can be undertaken using mediums such as videoconference, email and tele-conference. This article outlines ten evidence-informed, practical tips stemming from a review of the literature that will enable health care stakeholders to use technology effectively and efficiently while undertaking clinical supervision. By highlighting the “how to” aspect, telesupervision can be delivered in the right way, to the right health professional, at the right time.
Scientific Literature

How health anxiety influences responses to viral outbreaks like COVID-19 – From the Journal of Anxiety Disorders, a guide to What all decisionmakers, health authorities, and health care professionals need to know Health Anxiety.pdf

Adjusting Your Practice / Telemedicine

Telehealth guidance for clinicians working with suicidal clients – From the Center for Practice Innovations at Columbia University, some tips for evaluating and treating suicidal individuals remotely via telehealth in the age of COVID-19. Telehealth Tips with Suicidal Clients

What the COVID-19 telehealth waiver means for psychology practitioners – From the APA, an articles discussing the emergency legislation and guidelines that are temporarily expanding psychologists’ ability to provide telehealth services to Medicare patients so they can receive treatment at home during the public health emergency.

Office and technology checklist for telepsychological services – From the APA, a series of checklists to prepare for telepsychology focus on screening, technology use, setup, pre-session considerations, and beginning virtual sessions.

Informed consent checklist for telepsychological services – Many states require documentation for informed consent. You may want to create such a form for your practice. This article from APA can help in that process.

Advice for psychology supervisors and trainees on caring for patients during the COVID-19 crisis – As public health and education officials continue to monitor the spread of the coronavirus, the APA offers advice for supervisors and trainees at psychology training programs on how to prepare for and adapt to fluctuating circumstances specific to patient care.

APA Telepsychology Resource Library – The content on this webpage, usually reserved for paid members, is being made available to all readers during the COVID-19 crisis to aid the psychology community in their ever-vigilant effort to improve lives and offers a wide variety of resources to help you use telepsychological resources ethically and effectively.

HRSA Telehealth Resource Centers (TRCs) – From the Health Resources and Services Administration (HRSA), the Telehealth Resource Centers (TRCs) have been established to provide assistance, education, and information to organizations and individuals who are actively providing or interested in providing health care at a distance. Their charter from the Office for Advancement of Telehealth is to assist in expanding the availability of health care to rural and underserved populations.

Effectiveness of Telepsychology: Selected Publications – Ann M Steffen, PhD, ABPP has compiled a list of articles she commonly cites in her mental health & aging course that may be of use for those exploring telepsychology.

Psychotherapeutic intervention by telephone – Psychotherapy conducted over the telephone has received increasing amounts of empirical attention given practical advantages that side-step treatment barriers encountered in traditional offi ce-based care. The utility and effi cacy of telephone therapy appears generalizable across diverse clinical populations seeking care in community-based hospital settings. Treatment barriers common to older adults suggest that telephone therapy may be an effi cient and effective mental health resource for this population. This paper describes empirical studies of telehealth interventions and case examples with psychotherapy conducted via telephone on the Spinal Cord Injury Unit of the Palo Alto Veterans’ Administration. Telephone therapy as appears to be a viable intervention with the aging population.

Efficacy of Synchronous Telepsychology Interventions for People With Anxiety, Depression, Posttraumatic Stress Disorder, and Adjustment Disorder: A Rapid Evidence Assessment – Telepsychology holds promise as a treatment delivery method that may increase access to services as well as reduce barriers to treatment accessibility. The aim of this rapid evidence assessment was to assess the evidence for synchronous telepsychology interventions for 4 common mental health conditions (depression, anxiety, posttraumatic stress disorder, and adjustment disorder).

Illinois Department of Financial and Professional Regulation Announces Measures to Assist Licensees and Education Providers During the COVID-19 Pandemic. State of Illinois Executive Order to Expand Telehealth Services – The text of the executive order expanding telehealth in Illinois with links for further information.

Frequently Asked Questions of The Trust Regarding Practicing Teletherapy During COVID-19 – Questions include What is the best way to document informed consent for telehealth sessions; Is a discussion with the client about informed consent for phone and video sessions sufficient as long as it is documented in the progress notes; Is a signed informed consent form necessary, or is it ok if the client responds that they agree in an email or verbally, and this is documented in the chart and more.

ASPPB Temporary Telepsychological Practice Guide During COVID-19 – A collection of information from ASPPB detailing guidelines for the faithful and accurate practice of teletherapy through this crisis.

Neuropsychological Test Administration by Videoconference: A Systematic Review and Meta-Analysis – The purpose of the current systematic review and meta-analysis was to assess the effect of videoconference administration on adult neurocognitive tests. The authors investigated whether the scores acquired during a videoconference administration were different from those acquired during on-site administration. The methods and findings are presented here, along with implications.

Medicare Telehealth Frequently Asked Questions – How will recently enacted legislation allow CMS to utilize Medicare telehealth to address the declared Coronavirus (COVID-19) public health emergency? What services can be provided by telehealth under the new emergency declaration? Would physicians and other Qualified Providers be able to furnish Medicare telehealth services to beneficiaries in their homes? Get the answers to these and other questions in this article!

Telehealth Safety Guidelines – A brief collection of considerations from Sankofa Psychological Services on best practices in telehealth.

The Nuts and Bolts of Business Associate Agreements (BAA) – Nowadays, most psychologists are using business, technical or professional services provided by external entities or individuals to support their practices and increase efficiency. Telephone answering services, cloud storage providers and collections agencies are typical examples. Under the Health Insurance Portability and Accountability Act (HIPAA), you can disclose a patient’s protected health information (PHI) to these “business associates”—if they sign a Business Associate Agreement (BAA). This article offers an over-view of business associates and BAAs.

Ethical and Legal Issues Addressing the Use of Mobile Health (mHealth) as an Adjunct to Psychotherapy – mHealth refers to the rapidly evolving use of mobile devices for health care treatment purposes, particularly the use of apps and texting as adjuncts to psychotherapy. This article identifies the major ethical considerations that need attention and proposes several recommendations to address mHealth use as an adjunct to psychotherapy, including the pressing need for relevant American Psychological Association practice guidelines to assist mental health providers in the ethical implementation of mHealth.

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