Abstract

Cognitive-behavioral therapy (CBT) is an evidence-based treatment for a range of behavioral health disorders, including depression and anxiety. CBT is traditionally conducted in-person and has been shown to have at least a 50% response rate with decrease in symptoms.1 However, there are barriers that prevent traditional CBT from being an available option. Children and adolescents may lack access to in-person CBT treatments due to various issues, such as time conflicts with school hours, lack of transportation to clinics where CBT is delivered, and an overall paucity of CBT services in the community. Additionally, patients may be reluctant to access in-person care due to stigma associated with behavioral health conditions and treatments.

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