Cognitive Behavioral Therapy Using Televideo

• We provide a literature review of CBT over televideo across diagnoses.
• We examine ethical practice in using televideo.
• Televideo delivery addresses access gaps to CBT across diverse populations.
• Programmatic and research findings increasingly support CBT using televideo across diagnoses and ages.

Televideo bridges the gap between high need for behavioral services in rural and other underserved areas and limited access to professionals trained in evidence-based strategies such as cognitive-behavioral therapy (CBT). The authors first summarize the current literature concerning CBT using televideo, including therapeutic rapport as well as condition-specific considerations related to depressive symptoms and suicidality; anxiety and obsessive-compulsive disorders; eating disorders; alcohol and substance abuse; and behavioral medicine. They then address establishing and sustaining a televideo practice, including concerns related to clients/families, therapists, telemedicine site coordinators, and broader community participants. They conclude with a case example highlighting ethical considerations related to CBT services over televideo.