Date of Award

2025

Document Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Psychology

First Advisor

Orly Calderon, Psy.D.

Second Advisor

Camilo Ortiz, Ph.D.

Third Advisor

Hilary Vidair, Ph.D.

Abstract

Since the emergence of the COVID-19 pandemic, remote health services have surged in popularity. This study focuses on the initial experiences of CBT psychologists previously untrained in telehealth during the emergency shift to remote therapy, and how these attitudes and experiences have evolved over the last four years. Participants included nine licensed clinical psychologists previously untrained in remote therapy who were practicing CBT treatment for at least two years before the pandemic. This phenomenological qualitative research design involved semi-structured interviews with these nine psychologists. The analysis revealed three main interpretive themes: (1) Experiences Related to the Human Factor, (2) Experiences Related to the Practicum Factor, and (3) Evolving Landscape of Therapeutic Relationships and Experiences in Response to the Pandemic. Psychologists reported initial challenges with technology and maintaining therapeutic alliances, but many adapted quickly and found unexpected benefits in remote therapy. Most participants indicated that they still preferred in-person therapy but did acknowledge the convenience and accessibility of remote options. Over time, many psychologists became more comfortable with remote sessions and adopted a hybrid approach to practice. The findings highlight the resilience of CBT practitioners and the adaptability of CBT across modalities while revealing ongoing challenges in remote settings. The study found less engagement with formal telehealth training than previous research suggested. Results indicate a trend towards hybrid models of therapy delivery. This study contributes to understanding remote therapy adaptation and emphasizes the need for tailored training for experienced CBT psychologists transitioning to telehealth. Keywords: Remote CBT, COVID-19, psychologists’ attitudes and experiences

Download

Share

COinS