# Shaping the future of psychotherapy: Leveraging technology-supported online clinics

**Authors:** Franziska Miegel, Anna Brähler, Lara Wille, Amir H. Yassari, Lara Rolvien

PMC · DOI: 10.1192/j.eurpsy.2025.10118 · 2025-10-16

## TL;DR

This paper discusses how technology can help people like Melanie, who live in rural areas, access specialized psychotherapy for OCD when traditional options are unavailable.

## Contribution

The paper introduces the concept of technology-supported online clinics as a novel solution to overcome geographic and logistical barriers in accessing intensive psychotherapy.

## Key findings

- Online clinics can provide intensive therapy for OCD to individuals in remote or underserved areas.
- Technology can help overcome barriers like long distances and waiting lists for specialized treatment.
- Digital solutions may improve access to mental health care without requiring inpatient or local outpatient options.

## Abstract

Melanie, a mother of two, has struggled with severe contamination-related obsessive-compulsive disorder (OCD) for years, spending hours each day cleaning and avoiding activities that feel “unsafe,” which causes constant anxiety. Her symptoms make daily tasks difficult, as she cannot play with her children outside, do groceries without taking drastic measures, or visit friends and family without intense fear of contamination. Her rigid routines and compulsions take a toll on her mental and physical health and her children’s, leaving her feeling isolated and overwhelmed. Melanie knows she needs specialized treatment. However, living in a rural area, the nearest specialized clinic is too far away for a day treatment program, inpatient care is not an option due to childcare responsibilities, and outpatient treatment is inaccessible due to long waiting lists and insufficient intensity for her needs. As a result, she remains stuck, unable to access the intensive therapy she requires.

## Linked entities

- **Diseases:** obsessive-compulsive disorder (MONDO:0008114), OCD (MONDO:0001158)

## Full-text entities

- **Diseases:** fire (MESH:D000092422), post-traumatic stress disorder (MESH:D013313), Mental disorders (MESH:D001523), suicidal ideation (MESH:D001072), anxiety (MESH:D001007), psychosis (MESH:D011618), OCD (MESH:D009771), depression (MESH:D003866), cognitive impairments (MESH:D003072)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12646116/full.md

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Source: https://tomesphere.com/paper/PMC12646116