COVID-19 Uncertainty and Avoidance in Anxiety Related Disorders

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Abstract

Evidence-based practice inherently involves critical thinking and flexibility to deliver these treatments in an efficacious yet tailored manner. Experiences during the COVID-19 pandemic presented us with a new question: When is avoidance an adaptive response to a shifting and uncertain environment, and when is it a symptom? We discuss ways in which avoidance emerged following the start of the pandemic. Clinical and ethical considerations are also presented, with a focus on discerning when avoidance is problematic versus a reasonable response to a novel stressor, as well as how to responsibly proceed when the context of treatment dramatically changes.

Continuing Education Information

1 CE Credit, Instructional Level: Intermediate

1 Contact Hour (New York Board of Psychology)

Learning Objectives:

  1. Utilize novel treatment approaches and interventions.
  2. Revise case conceptualizations to better account for changing patient pressures.
  3. Describe how avoidance and exposure-related concerns shifted during COVID-19.

Disclosures: None

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CE Disclaimers

The National Register of Health Service Psychologists is approved by the American Psychological Association to sponsor continuing education for psychologists. The National Register maintains responsibility for this program and its content.

The National Register of Health Service Psychologists is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0010

Molino & Kriegshauser

Alma Teresa C. Molino, PhD, ABPP (she/her), North Chicago VA, is a licensed psychologist with board certifications in Clinical Psychology and Behavioral and Cognitive Psychology. She has expertise in cognitive behavioral therapies for PTSD, anxiety disorders, and obsessive-compulsive and related disorders. She has worked as a psychologist and evaluator for multiple clinics and clinical research trials, and has co-authored publications about adapting structured therapies for different populations and circumstances. 

Kathryn Kriegshauser, PhD, ABPP (she/her), Kansas City Center for Anxiety Treatment (KCCAT), is a licensed psychologist with board certification in Behavioral and Cognitive Psychology, Director of the Kansas City Center for Anxiety Treatment, P.A., and Adjunct Assistant Professor in the Department of Psychology, University of Missouri – Kansas City. She utilizes and conducts research on evidence-based treatments for anxiety, obsessive compulsive spectrum, and related disorders across the lifespan.

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