Delivering imagery rescripting via telehealth: Clinical concerns, benefits and recommendations

G. Paulik*, G. Maloney, A. Arntz, N. Bachrach, N. Koppeschaar, P. McEvoy

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)


Purpose of the Review
Delivery of psychological therapies via telehealth has increased with the emergence of the COVID-19 pandemic. Therapists may be hesitant in moving to telehealth when delivering therapies targeting memories of traumatic experiences. This paper collates the clinical experiences of clinicians and clients who have delivered or received imagery rescripting, respectively, via telehealth across a range of clinical presentations, and describes key clinical considerations and recommendations.

Recent Findings
It is important to consider perceived and real safety; practical and technological issues; therapeutic alliance; depth of emotional processing; and dissociation.

There was support for the delivery of imagery rescripting via telehealth being no less effective than face-to-face delivery; however, telehealth delivery was not a viable option for many clients during COVID-19 lockdowns who were living in high density housing, old houses with thin walls, or with some complex disorders.
Original languageEnglish
Article number24
Number of pages10
JournalCurrent Psychiatry Reports
Publication statusPublished - 2021


  • COVID-19
  • Imagery rescripting
  • Mental disorders
  • Remote therapy
  • Telehealth
  • Telepsychology


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