ABSTRACT

Background: Online therapy has become increasingly desirable and available in recent years, with the current COVID-19 pandemic acting as a catalyst to develop further protocols enabling therapists to conduct online treatment safely and efficaciously. Offering online treatment potentially means that treatments are available to clients who would otherwise have no access, closing the gap in the provision of mental health services worldwide.

Objective: This paper focuses on practical guidelines using online Narrative Exposure Therapy (e-NET). It aims to be an addition to the general manual of NET to enable therapists to deliver online treatment. The face-to-face version of NET is a well-known short-term and evidence-based treatment for posttraumatic stress disorder; e-NET is currently being tested in several additional trials.

Methods: The differences between NET and e-NET are elaborated and depicted in detail.

Results: Difficulties encountered in e-NET delivery, e.g. confidentiality, dealing with interruptions, comorbid symptoms among others, are similar to those that occur during face to face interventions but the solutions have to be adapted. Dissociation is often regarded as a challenge in face-to-face treatment, and requires particular attention within the online setting. Therefore, tools for addressing dissociation in this particular setting are presented.

Conclusions: These practical guidelines show the advantages as well as the challenges therapists face when conducting e-NET. They aim to empower therapists working with trauma clients to conduct e-NET confidently and safely.

摘要

背景：近年来，在线治疗变得越来越受欢迎和可用，当前的 COVID-19 大流行成为制定进一步协议的催化剂，使治疗师能够安全有效地进行在线治疗。提供在线治疗可能意味着原本无法获得治疗的客户可以获得治疗，从而缩小全球心理健康服务供应的差距。

目标：本文重点介绍使用在线叙事暴露疗法 (e-NET) 的实用指南。它旨在成为 NET 通用手册的补充，使治疗师能够提供在线治疗。NET 的面对面版本是一种众所周知的创伤后应激障碍短期循证治疗方法；e-NET 目前正在几个额外的试验中进行测试。

方法：详细阐述和描述了 NET 和 e-NET 之间的差异。

结果：在 e-NET 交付中遇到的困难，例如机密性、处理中断、共病症状等，与面对面干预期间发生的困难相似，但必须调整解决方案。分离通常被视为面对面治疗中的挑战，需要在在线环境中特别注意。因此，提出了解决此特定环境中解离问题的工具。

结论：这些实用指南显示了治疗师在进行 e-NET 时所面临的优势和挑战。他们的目标是使与创伤客户合作的治疗师能够自信、安全地进行 e-NET。