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.0157 Tc
[(safe)-334(to)-335(the)-334(p).8(atient.)-331.4(U).6(l)-4.9(t)3.3(imatel)-4.9(y)-329.3(h)-1(ow)-6.1(ever,)-331.4(a)-.4(llo)-4.9(wing)-329.3(the)]TJ
0 -1.2974 TD
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[(pat)5.4(i)2.9(ent)-347.4(t)-.3(o)-355.6(r)1.9(e)3.9(m).4(ai)2.9(n)-352.1(s)-1.2(hut)5.4(ter)7.6(e)-1.8(d)-355.6(a)1.7(t)-347.4(h)1.1(ome)-348.9(r)1.9(i)2.9(s)-1.2(ks)-348.4(pe)3.9(rp)2.9(etuat)5.4(-)]TJ
0 -1.3031 TD
.0163 Tc
[(ing)-698.5(t)3.9(he)-697.6(anx)4.9(i)-4.3(ous)-697(p)1.4(rocess.)-695(T)1.4(hus,)-695(w).2(e)-697.6(p)1.4(ropose)-697.6(that)]TJ
0 -1.2974 TD
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[(grad)3.3(ual)-417.8(i)3.3(nte)4.3(g)-2.4(rat)5.8(i)3.3(on)-420(o)3.3(f)-417(in)6.8(-p)3.3(e)4.3(r)2.3(so)3.3(n)-420(s)-.8(e)4.3(s)-.8(s)4.9(i)3.3(ons)4.9(,)-420(af)4.1(te)4.3(r)-424.5(f)4.1(o)3.3(r)2.3(-)]TJ
0 -1.3031 TD
.0161 Tc
[(mation)-393.6(of)-390.7(an)-393.6(initial)-391.5(p)1.2(sychotherap)-4.5(e)2.2(utic)-390.5(rap)-4.5(port)-394.6(f)2(ro)-4.5(m)]TJ
0 -1.2974 TD
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[(the)-407.4()50.4(safety)50.4()-410.5(o)1.4(f)-407.5(o)-4.3(nline)-407.4(s)-2.7(essio)-4.3(n)4.9(s,)-404.8(may)-408.3(b)-4.3(e)-407.4(a)-409.5(novel)-408.3(a).2(p-)]TJ
T*
.0157 Tc
[(p)-4.9(r)-.2(oach)-274.1(to)-272.4(exposure)-271.4(t)3.3(herapy.)-274.5(In)-268.8(thi)-4.9(s)-270.8(way,)-268.8(t)-2.4(he)-271.4(po)-4.9(wer)-273.3(o).8(f)]TJ
0 -1.3031 TD
.0161 Tc
[(the)-441.7(t)-2(herap)-4.5(e)2.2(utic)-447.4(alliance)-447.4(c)2.2(o)-4.5(u)-.6(ld)-442.7(b)-4.5(e)-441.7(harnessed)-442.7(t)-2(o)-442.7(h)-.6(elp)]TJ
0 -1.2974 TD
.0154 Tc
[()49.5()-1.7(draw)-535.6(o)-5.2(u)-1.3(t)49.5()-536.6(t)3(he)-539.1(patient)-537.6(f)1.3(rom)-537(t)3(heir)-535.4(co)-5.2(nfines)-538.5(to)-534.4(the)]TJ
0 -1.3031 TD
.0158 Tc
[(p)-4.8(h)-.9(ysi)-4.8(c)1.9(al)-312.1(office)-311.1(of)-311.3(the)-311.1(t)3.4(herapist,)-314.3(as)-304.8(a)-313.3()49.9(step)-4.8(ping)-312.1(s)2.5(tone)49.9()]TJ
0 -1.2974 TD
[(to)-306.5(the)-305.5(o)-4.9(utside)-311.2(wo)-4.9(rld.)-308.7(The)-311.2(r)-.2(ati)-4.9(o)-306.5(of)-311.4(in-perso)-4.9(n)-303(t)-2.4(o)-312.2(o).8(nline)]TJ
0 -1.3031 TD
.0153 Tc
[(sessio)-5.3(ns)-276.9(co)-5.3(uld)-272.8(b).4(e)-277.5(g).4(rad)-5.3(u)-1.4(ally)-272.8(adj)-5.3(u)-1.4(sted)-278.4(based)-272.8(o).4(n)-274.9(p)-5.3(atient)]TJ
0 -1.2975 TD
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[(and)-243.6(p)1.1(rov)-4.6(ider)-238.9(n)-1.1(eeds.)-240.1(T)1.1(his)-242(h)-.7(y)-4.6(b)1.1(rid)-243.6(a)-.1(ppro)-4.6(a)-.1(ch)-245.4(may)-237.9(a)-.1(lso)-243.6(b)1.1(e)]TJ
0 -1.3031 TD
.0162 Tc
[(appropriate)-413.1(i)1.3(n)-410.6(r).3(everse)-413.1(for)-409.4(p)-4.4(atients)-412.5(w).1(ho)-414.1(may)-408.4(n)-.9(eed)-408.4(a)]TJ
0 -1.2974 TD
.0166 Tc
[(greater)-568.3(d)1.7(egree)-566.4(o)-4(f)-566.6(i)1.7(n-person)-569.5(care)-572.1(upfront,)-569.5(such)-569.1(as)]TJ
T*
.0159 Tc
[(those)-362.2(s)2.6(uffering)-363.2(fro)-4.7(m)-360(perso)-4.7(n)4.5(al)-4.7(ity)-363.2(d)1(i)-4.7(s)2.6(ord)-4.7(e)2(rs,)-359.7(a)-.2(s)-361.6(e)2(l)-4.7(a)-.2(bo-)]TJ
0 -1.3031 TD
.0167 Tc
[(rated)-334(l)1.8(ater.)]TJ
/F3 1 Tf
11.9551 0 0 11.9551 35.8866 187.8236 Tm
0 Tc
[(Special)-336.7(Patient)-340.1(Populations)]TJ
/F1 1 Tf
9.9626 0 0 9.9626 45.8079 175.1244 Tm
[(After)-319.6(years)-318.8(of)-313.6(practic)-10.9(e)-309.8(b)0(y)-314.3(many)-315.8(psy)-9(chiatris)-9.9(ts)-310.2(and)-315.5(psych)-11.1(o-)]TJ
-.9959 -1.3031 TD
[(therapis)-9.9(ts,)-287.5(the)-287.7(consen)-10.5(sus)-282.3(of)-290.8(the)-287.7(field)-289(is)-284.3(cle)-8.6(ar)-282.3(that)-290.8(any)-287(typ)-8(e)-281.4(o)0(f)]TJ
0 -1.2974 TD
[(patient)-317.8(may)-315.9(be)-313.4(seen)-320(using)-315.9(vi)-7.1(deoconfer)-14.1(encing.)]TJ
7.4718 0 0 6.641 228.8692 153.6377 Tm
(5)Tj
9.9626 0 0 9.9626 235.8991 149.2157 Tm
[(The)-313(onl)-7(y)-310.8(ab-)]TJ
-20.0763 -1.3031 TD
[(solute)-342.2(contraind)-11.9(ications)-345.1(to)-340.2(a)-334.7(psychiatr)-13.5(ic)-336.1(interv)-9.4(iew)-340.8(are)-336.1(if)-336.3(the)]TJ
0 -1.2974 TD
[(patient)-352(refuses)-351.6(to)-345.9(attend,)-348.4(as)-348.1(some)-349.8(do,)-342.8(or)-349.5(if)-342(they)-348.1(are)-347.5(activ)-9.6(ely)]TJ
T*
[(acting)-373.8(out)-368.3(and)-366.7(demo)-10(nstratin)-10.9(g)-362(d)0(a)-8.2(ngerous)-374.1(behavior)-378.2(to)-368.7(them-)]TJ
0 -1.3031 TD
[(selves)-306.3(or)-298.2(others)-309(at)-301.6(the)-299(time)-303.3(of)-302.2(the)-304.7(intervie)-9.7(w.)-300.6(There)-302.9(are,)-307.6(how-)]TJ
0 -1.2975 TD
[(ever,)-457(a)-454.3(numb)-9.2(er)-450.9(of)-455.8(groups)-460.5(of)-455.8(patie)-9.6(nts)-452.5(wher)-11.3(e)-452.1(other)-460.7(specific)]TJ
0 -1.3031 TD
[(psychothera)-15.6(peutic)-285.9(iss)-7.4(ues)-282.9(apply.)]TJ
/F6 1 Tf
27.2976 62.4026 TD
[(PSYCHO)-11.7(TIC)-337.3(PATI)-7.8(ENTS)]TJ
/F1 1 Tf
1.0015 -1.2747 TD
[(Psychot)-12.1(ic)-290.6(patients)-297(often)-294.3(feel)-295.9(very)-298.6(unsafe)-296(by)-291.6(virtue)-299.2(of)-290.8(their)]TJ
-1.0015 -1.3031 TD
[(illnes)-9.4(s.)-332(Thoug)-9.8(h)-335.3(psychotic)-346.1(patient)-10.5(s)-332(commo)-10.3(nly)-331.4(hav)-7.8(e)-332.6(par)-7(anoid)]TJ
0 -1.2974 TD
[(thou)-9.4(ghts)-324.7(about)-325.3(tele)-9.6(visions)-325.3(and)-326.9(rad)-7(ios,)-322(interes)-10.3(tingly)-328(we)-325.9(have)]TJ
0 -1.3031 TD
[(obser)-10.4(ved)-231.5(that)-233.9(some)-230.3(psy)-9(chotic)-234.6(patien)-9.5(ts)-230.6(do)-229(seem)-235(to)-232.1(feel)-233.3(more)-232.9(at)]TJ
0 -1.2974 TD
[(ease)-341.8(when)-342.6(the)-338.9(pr)-8(ovider)-339.8(is)-341.2(not)-340.2(in)-339.2(the)-338.9(room.)-342(In)-341(their)-341.2(compr)-8.8(e-)]TJ
0 -1.3031 TD
[(hensiv)-11.1(e)-315.5(review)-322.9(of)-319.2(the)-321.8(literature)-10.3(,)-318.7(Sharp)-319.2(et)-322.2(al.)-315.5(found)-322.3(that)-319.2(psy)-9(-)]TJ
0 -1.2974 TD
[(chiatr)-10.1(ic)-415.8(ca)-7.2(re)-416.8(thro)-8.6(ugh)-423.8(videoco)-11.3(nferenc)-9.1(ing)-422.4(was)-421.1(well)-424(tolerat)-9.4(ed)]TJ
T*
[(by)-439.5(psychoti)-13.5(c)-435(patien)-9.6(ts,)-435.4(and)-440.7(that)-438.7(the)-441.3(increased)-446.9(physical)-444(and)]TJ
0 -1.3031 TD
[(psych)-11.1(ological)-312.9(dista)-9(nce)-306.7(affo)-8(rded)-310(by)-308.7(the)-310.4(m)-6.1(odality)-313.5(may)-310.2(reduce)]TJ
0 -1.2974 TD
[(anxiety)-248.5(in)-242.5(this)-239.4(pop)-10.6(ulation.)]TJ
7.4718 0 0 6.641 417.4865 568.3463 Tm
(11)Tj
9.9626 0 0 9.9626 427.6912 563.9243 Tm
[(For)-244.9(especiall)-11.3(y)-236.8(p)0(a)-8.2(ranoid)-241.7(pa)-8.2(tients,)]TJ
-12.0298 -1.3031 TD
[(offering)-279.2(to)-266.3(tempo)-10.9(rarily)-274.7(point)-273.3(the)-270.6(camer)-9(a)-266.5(away)-273.7(from)-272.9(them)-270.9(\(so)]TJ
0 -1.2974 TD
[(that)-290.8(the)-287.7(provider)-290.9(has)-290.8(only)-289.4(audio)-288(infor)-8.6(mation,)-291.9(but)-282.9(the)-287.7(pa)-8.2(tient)]TJ
0 -1.3031 TD
[(can)-274.7(still)-269.6(bot)-8(h)-267.1(see)-274.5(and)-275.7(hear)-273.1(the)-270.6(prov)-9.4(ider\))-273.7(may)-270.3(prov)-9.4(ide)-271.4(enoug)-9.2(h)]TJ
0 -1.2974 TD
[(dista)-9(nce)-283.9(that)-285.1(the)-287.7(patie)-9.6(nt)-279.8(feels)-292.2(safer.)-289.6(In)-284.1(addition,)-290.7(the)-287.7(therap)-10.2(ist)]TJ
0 -1.3031 TD
[(may)-230.5(feel)-233.3(safer)-232.7(with)-230.7(the)-230.7(remov)-8.8(al)-224.5(of)-228.2(the)-230.7(threat)-235.2(of)-228.2(phys)-8.6(ical)-230.5(harm)]TJ
0 -1.2974 TD
[(by)-502.1(psych)-11.1(otic)-500(patie)-9.6(nts)-498(who)-508.6(are)-501.1(potential)-11.9(ly)-496.4(as)-6.7(saultive.)-509.7(This)]TJ
T*
[(enabl)-8.6(es)-249.2(the)-247.8(therap)-10.2(ist)-245.5(to)-249.2(be)-250.8(both)-252.3(more)-249.9(relaxed)-254.6(and)-252.9(more)-249.9(direct)]TJ
0 -1.3031 TD
[(when)-285.7(commu)-12.1(nicating)-286.2(with)-287.6(such)-288.2(patients.)]TJ
/F6 1 Tf
0 -2.6233 TD
[(HIG)-8(HLY)-334.9(ANXIO)-9.3(US)-339.4(PATIENT)-11.1(S)]TJ
/F1 1 Tf
1.0015 -1.2747 TD
[(Psychot)-12.1(herapy)-348.4(over)-349.8(video)-346.7(m)-6.1(a)0(y)-344(b)0(e)-341.8(p)0(a)-8.2(rticularly)-349.6(help)-9.2(ful)-341.6(for)]TJ
-1.0015 -1.3031 TD
[(anxious)-314.8(patients)-314.1(who)-309.4(have)-312(difficul)-10.3(ty)-306.1(with)-310.4(leaving)-311.5(the)-310.4(home,)]TJ
0 -1.2974 TD
[(especi)-11(ally)-271.3(if)-268(related)-272.7(to)-272(agorapho)-10.5(bia)-273.5(or)-264.1(other)-278.6(phobias.)]TJ
7.4718 0 0 6.641 527.5274 399.9684 Tm
(4)Tj
9.9626 0 0 9.9626 534.1038 395.5464 Tm
[(With)-270.3(a)]TJ
-22.711 -1.3031 TD
[(video)-11(-based)-259(modal)-9.9(ity,)-258.4(patients)-262.9(who)-258.2(mig)-7.4(ht)-256.6(otherwise)-262.9(dela)-8.6(y)-253.9(o)0(r)]TJ
0 -1.2974 TD
[(forego)-310.6(treatm)-8.4(ent)-299.4(coul)-9.2(d)-299.4(access)-306.5(a)-300.6(therap)-10.2(eutic)-305.1(relati)-8.4(onship)-308(in)-299.4(a)]TJ
0 -1.3031 TD
[(way)-490.9(that)-495.6(feels)-497(safe)-489.9(for)-494.5(them.)-492.9(If)-491.7(a)-488.4(CBT)-494.5(model)-497.2(is)-489.2(used)-491.3(for)]TJ
0 -1.2974 TD
[(treat)-8(ment,)-356.7(having)-362(the)-355.9(patient)-357.7(even)-8.6(tually)-357.3(come)-356.1(to)-357.3(the)-355.9(thera-)]TJ
T*
[(pists)-421.7(offic)-9.4(e)-418(could)-422.4(be)-421.5(set)-415.2(as)-422.1(a)-414.4(goal)-425(for)-420.5(therapy,)-423.4(or)-417.8(it)-419.9(could)]TJ
0 -1.3031 TD
[(specif)-11.1(ically)-431.1(serve)-436.2(as)-433.4(one)-432.8(of)-427.4(the)-435.6(steps)-432.1(in)-430.3(a)-431.5(set)-432.3(of)-433.1(gradually)]TJ
0 -1.2974 TD
[(escal)-9.6(ating)-285.8()51.2(expo)-9.6(sures.)40.7()-278.8(A)0(s)-282.3(far)-285.1(as)-279.8(we)-286.1(know)-9(,)-278.8(this)-284.9(use)-288.6(of)-279.4(a)-283.5()51.2(hy)-8.8(-)]TJ
0 -1.3031 TD
[(brid)41.8()-352.8(approac)-9.9(h)-352.4(o)0(f)-353.4(telepsy)-12.9(chothera)-12.3(py)-354.2(and)-355.3(in-person)-359(psy)-9(cho-)]TJ
0 -1.2974 TD
[(therap)-10.1(y)-299.4(has)-302.2(not)-300.4(bee)-8.6(n)-295.9(studi)-9.6(ed,)-302(and)-298.4(it)-300.4(m)-6.1(a)0(y)-298.4(hav)-7.8(e)-298.5(potential)-307.8(as)-302.6(a)]TJ
0 -1.3031 TD
[(powerf)-10.1(ul)-225.1(too)-8(l)-225.5(i)0(n)-225.4(the)-225.1(tre)-8(atment)-231.5(of)-222.5(highl)-9.8(y)-225.5(anxious)-235.2(patients)-234.4(who)]TJ
0 -1.2975 TD
[(mig)-7.4(ht)-279.4(otherw)-10.2(ise)-281.2(avoi)-9.6(d)-282.4(psychothera)-15.6(py)-280.2(ent)-9.2(irely.)]TJ
/F6 1 Tf
0 -2.6233 TD
[(PATI)-7.8(ENTS)-339(ON)-333.6(THE)-340.8(AUTISM)-341.1(SPEC)-8.4(TRUM)]TJ
/F1 1 Tf
1.0015 -1.2747 TD
[(Patients)-418.7(on)-413.2(the)-412.8(autism)-415.1(spectr)-10.4(um)-409.7(strug)-10.6(gle)-413.6(with)-412.8(tolerat)-9.4(ing)]TJ
-1.0015 -1.3031 TD
[(nove)-9.6(l)-231.1(envir)-8.4(onments)-9.3(,)-233.3(and)-235.8(many)-236.2(hav)-7.8(e)-230.2(d)0(i)-7.1(fficulty)-241.1(with)-236.4(the)-236.4(soc)-8(ial)]TJ
0 -1.2974 TD
[(norm)-8.4(s)-195.4(and)-196(senso)-10(ry)-195.8(expe)-8.6(rience)-203.4(of)-199.7(visiting)-202.6(the)-202.3(office)-199.7(of)-199.7(a)-198.2(doctor)]TJ
0 -1.3031 TD
[(or)-190.1(therapis)-9.9(t.)]TJ
7.4718 0 0 6.641 357.1086 179.7732 Tm
(12)Tj
9.9626 0 0 9.9626 366.7463 175.3511 Tm
[(Many)-193.8(higher)-195.4(functioni)-10.7(ng)-185.6(patie)-9.6(nts)-185(on)-191.3(the)-190.9(autism)]TJ
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[(spectr)-10.4(um)-415.4(enjo)-9.6(y)-413.2(u)0(s)-7.2(ing)-416.7(comp)-10(uters)-419.3(and)-417.9(find)-419.5(a)-420.1(sense)-418.7(of)-421.7(com-)]TJ
0 -1.3031 TD
[(munity)-218.5(online,)-212.2(su)-7.2(ch)-207(that)-216.8(they)-211.5(may)-213.4(feel)-210.5(m)-6.1(ore)-209.7(comf)-9.2(ortable)-216.8(with)]TJ
0 -1.2974 TD
[(this)-660.5(modal)-9.9(ity)-656.8(for)-659.5(receivi)-11.3(ng)-657.9(psychiatr)-13.5(ic/psycho)-12.1(therap)-10.2(eutic)]TJ
0 -1.3031 TD
[(care)-8.6(.)-301.6(This)-304.5(populati)-11.5(on)-299.4(of)-307.9(patients)-308.4(may)-304.5(bene)-8.6(fit)-303.2(from)-307(an)-300.6(onl)-7(ine)]TJ
0 -1.2974 TD
[(psych)-11.1(otherapy)-341.6(modalit)-8.7(y)-333.6(i)0(n)-333.6(which)-340(they)-336.7(can)-337.3(begin)-337.5(buildi)-11.5(ng)-333.6(a)]TJ
0 -1.3031 TD
[(relati)-8.4(onship)-290.9(with)-287.6(the)-287.7(therap)-10.2(ist)-285.3(from)-290(the)-287.7(comfor)-11.5(ting)-286.8(and)-287(con-)]TJ
0 -1.2974 TD
[(taini)-7(ng)-583.9(aspec)-9.6(t)-581.4(o)0(f)-586.7(the)-8.8(ir)-582.8(own)-588.6(home)-592.2(or)-582.8(schoo)-11.1(l,)-584(potent)-11.5(ially)]TJ
T*
[(even)-8.6(tually)-260.5(transiti)-8.7(oning)-260.9(to)-254.9(in-)-7.2(person)-260.7(sess)-8.4(ions)-259.4(if)-256.7(the)-259.2(pair)-255.2(feels)]TJ
/F11 1 Tf
11.9551 0 0 11.9551 449.7448 741.9966 Tm
[(TELEPSYCHO)-8.7(THERAPY)]TJ
/F9 1 Tf
6.9738 0 0 6.9738 204.4913 29.7638 Tm
()Tj
/F7 1 Tf
1.3251 0 TD
.2013 Tc
[(MARY)-335.5(ANN)-334.3(L).8(IEBE)-4.1(RT,)-333.5(I)6.1(NC.)]TJ
/F10 1 Tf
15.0069 0 TD
0 Tc
()Tj
/F7 1 Tf
1.008 0 TD
.1028 Tc
[(VO)-11.6(L.)-342.6(0)-8.4(0)-1000.2(N)-10.1(O)-3.5(.)-342.6(0)-.3(0)]TJ
/F10 1 Tf
9.0237 0 TD
0 Tc
()Tj
/F8 1 Tf
.9999 0 TD
.1109 Tc
[(M)7.7(O)-3.5(N)6.1(T)-.2(H)-327.2(0000)]TJ
/F3 1 Tf
7.9702 0 0 7.9702 449.6313 29.7638 Tm
0 Tc
[(TELEME)13.6(DICINE)-327.7(and)-336(e-HEALTH)-647.9(3)]TJ
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9.9626 0 0 9.9626 50.1732 693.1841 Tm
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[(this)-267.8(would)-276.6(be)-267.8(helpfu)-11.5(l.)-265.3(A)-269(series)-273.1(of)-268(interes)-10.3(ting)-269.8(experim)-11.3(ents)-267.2(has)]TJ
0 -1.3031 TD
[(occurred)-353.3(us)-7.2(ing)-348.5(online)-348.8(virtual)-356.1(reality)-353.3(systems)-354.7(to)-345.9(teach)-351.8(social)]TJ
0 -1.2974 TD
[(skills)-214.4(to)-215.1(auti)-8.8(stic)-213.9(ch)-7.8(ildren)-216.8(that)-216.8(m)-6.1(a)0(y)-213.1(b)0(e)-216.6(a)-215.2(model)-218.3(for)-215.6(other)-221.7(groups)]TJ
0 -1.3031 TD
[(of)-279.4(patie)-9.6(nts.)]TJ
7.4718 0 0 6.641 96.7181 658.7148 Tm
(13)Tj
/F6 1 Tf
9.9626 0 0 9.9626 50.1732 628.1573 Tm
[(CHILDREN)-342.9(AND)-342.6(TEENS)]TJ
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[(Youn)-9.7(ger)-357.7(ch)-7.8(ildren)-364.7(may)-361.4(be)-358.9(less)-362.8(nervous)-368.4(at)-358.5(home)-364.5(than)-363.7(in)-356.3(a)]TJ
-.9958 -1.2975 TD
[(therapis)-9.9(ts)-281.8(offic)-9.4(e,)-281.4(and)-8.2(,)-278.8(thus,)-292.3(the)-287.6(therapis)-9.9(t)-279.8(may)-287.4(get)-285.9(a)-283.5(mor)-8.4(e)-281.4(ac-)]TJ
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[(curate)-322.2(picture)-318.8(of)-319.2(the)-316.1(childs)-322(eve)-8.6(ryday)-321.4(behavior)-321.3(from)-318.4(the)-321.8(less)]TJ
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[(intrusive)-355.9(vantage)-355.7(of)-347.7(telepsycho)-12.9(therap)-10.1(y.)]TJ
7.4718 0 0 6.641 217.0771 581.0455 Tm
(14)Tj
9.9626 0 0 9.9626 228.3023 576.6235 Tm
[(In)-346.7(addition,)-353.3(many)]TJ
-17.8797 -1.3031 TD
[(teens)-281.1(today)-283.7(spend)-279(a)-277.8(cons)-8(iderable)-284.5(amou)-8.2(nt)-274.1(of)-279.4(time)-280.6(online,)-286.2(and)]TJ
0 -1.2974 TD
[(they)-461.9(may)-458.1(be)-461.3(m)-6.1(ore)-460.1(comforta)-11.5(ble)-459.2(using)-463.8(online)-462.6(m)-6.1(odalities)-466(to)]TJ
0 -1.3031 TD
[(obtain)-323.5(menta)-8.6(l)-316.5(health)-323.9(services)-11.7(.)-318.7(Teen)-8.6(s)-314.9(and)-321.2(ol)-7(der)-317.9(chil)-9.2(dren)-317.8(m)-6.1(a)0(y)]TJ
0 -1.2975 TD
[(also)-389.3(feel)-398.3(that)-393.2(this)-393(mean)-7.6(s)-388.9(o)0(f)-387.5(obt)-8(aining)-396.5(care)-389.9(off)-9(ers)-390.3(improve)-10.1(d)]TJ
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[(privacy;)-395.3(for)-386.3(exa)-7.2(mple,)-391.2(they)-393.6(would)-390.4(not)-391.4(need)-389.9(their)-392.4(parents)-393.8(to)]TJ
0 -1.2974 TD
[(drive)-285.1(them)-288(to)-283.3(a)-277.8(clinic)-288.8(for)-283.9(care.)]TJ
/F6 1 Tf
0 -2.6233 TD
[(TRAUM)-8.9(ATIZE)-7.8(D)-333.8(PATIE)-7.8(NTS)]TJ
/F1 1 Tf
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[(Patien)-11.7(ts)-498(with)-503.9(signific)-9.9(ant)-500.7(childho)-10.1(od)-502.1(abuse)-507.4(histories)-505.8(m)-6.1(a)0(y)]TJ
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[(have)-283.5(an)-283.5(esp)-8(ecially)-285.7(difficu)-12.5(lt)-277.6(t)-6.7(ime)-279.6(feeli)-9.2(ng)-282.3(safe)-285.1(aro)-7(und)-281.9(the)-287.6()51.2(au-)]TJ
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[(thority)-221.5(figur)-8.2(e)48.7()-216.2(o)0(f)-216.8(the)-219.4(doc)-9.6(tor)-213.9(or)-218.6(the)-8.8(rapist.)-218.3(For)-222.1(victim)-8.8(s)-212.5(o)0(f)-222.5(sexual)]TJ
0 -1.3031 TD
[(abuse)-228.6(or)-230(rape,)-231.5(the)-230.7(intimate)-232.8(setting)-229.7(of)-228.2(the)-230.7(therap)-10.2(ists)-230.3(office)-228.2(and)]TJ
0 -1.2974 TD
[(the)-287.7(pot)-8(ential)-294.1(gender)-295.5(differen)-10.7(ce)-289.6(between)-295.7(patie)-9.6(nt)-285.5(and)-292.7(provider)]TJ
0 -1.3031 TD
[(\(e.g.,)-328.3(fema)-10.3(le)-324.7(patie)-9.6(nt,)-325.3(male)-329.8(the)-8.8(rapist\))-330(may)-332.9(cause)-330(cons)-8(iderable)]TJ
0 -1.2974 TD
[(anxiety)-9.5(.)-182.1(I)0(t)-182.7(i)0(s)-181.9(imp)-7.4(ortant)-185.4(to)-186.6(note)-189.1(that)-188.3(for)-181.5(the)-190.9(patient)-186.9(to)-186.6(heal,)-186.8(su)-7.2(ch)]TJ
T*
[(anxiety)-277(wo)14.5(u)11.8(l)0(d)-251.7(i)0(d)15.7(e)0(a)15.5(l)13.5(ly)-251.7(be)-256.5(wo)14.5(r)12.6(k)0(e)13.8(d)-259.6(th)16.5(r)12.6(o)0(u)13.9(g)0(h)19.6(.)-261.8(Ho)13.8(we)15.5(ve)16.7(r)12.6(,)-261.8(an)-249.4(on)13.6(li)21.4(ne)]TJ
0 -1.3031 TD
[(a)12.4(p)0(p)15.7(r)0(o)14.7(a)12.4(ch)-520(ma)17.7(y)-527.1(h)11.8(el)16.7(p)-527.1(t)0(o)-516.7(b)0(u)13.9(i)13.5(ld)-519.2(im)18.9(po)15.7(rt)17.3(a)12.4(n)0(t)-518.8(i)0(n)19.3(i)0(t)18.3(i)0(a)14.5(l)-521.4(ra)19.3(pp)15.7(or)14.7(t)-524.5(a)0(n)18.1(d)]TJ
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[(sa)21.8(fe)17.5(ty)12.6(.)-267.5(F)0(o)15.7(r)-272(ex)14.5(a)12.4(m)0(p)13.2(l)0(e)16.7(,)-267.5(th)16.5(e)-275.7(a)12.4(ut)16.5(ho)13.9(r)12.6(s)-275.1(r)12.6(e)0(c)12(e)0(n)20.2(t)0(l)18.3(y)-271(sa)16.1(w)-272.2(a)-272.2(f)0(e)17.5(m)0(a)17.7(l)0(e)-267.8(p)0(a)20.2(t)0(i)18.3(e)0(n)14.5(t)]TJ
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[(w)12.4(i)0(t)18.3(h)-215.8(a)-215.2(h)0(i)13.9(s)0(t)19.8(o)0(r)20.4(y)-219.8(of)-205.4(se)18.3(x)11.4(u)0(a)12.8(l)-214.1(a)12.4(b)0(u)13.9(s)0(e)-203.7(o)0(v)15.7(e)0(r)-206.2(t)0(e)13.5(l)13.5(e)0(c)12(o)13.5(nf)14.4(er)15.7(en)20.2(ce)-210(fo)22.2(r)-215(a)0(n)-209.5(i)13.5(ni)13.6(ti)18.3(a)12.4(l)]TJ
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[(ps)17.3(yc)16.7(h)11.8(i)0(a)14.5(t)0(r)17.3(i)13.5(c)-344(a)12.4(ss)18.9(es)12.6(sm)20.4(en)14.5(t.)-325.3(A)-343(t)0(h)16.5(o)0(r)20.4(o)0(u)13.9(g)0(h)-327.5(h)0(i)13.9(s)0(t)19.8(o)0(r)14.7(y)-339.3(wa)19.1(s)-337.7(g)0(a)14.5(t)0(h)16.5(e)0(r)21.4(e)0(d)16.7(,)-341.4(in)19.3(-)]TJ
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[(of)-364.8(se)12.6(x)11.4(u)0(a)18.5(l)-379.1(ab)20.2(us)15.5(e)-378.1(o)0(v)15.7(e)0(r)-371.2(t)0(e)19.2(l)0(e)16.7(c)0(o)16.7(n)11.4(fe)17.5(re)15.7(nc)14.5(e,)-366.7(an)18.1(d)-379.1(t)0(h)16.5(a)0(t)-369.9(t)0(h)16.5(i)13.5(s)-377.5(c)0(o)16.7(n)0(v)13.6(e)0(r)21.4(s)0(a)16.1(-)]TJ
T*
[(ti)18.3(on)-214.1()62.6()0(w)12.4(a)12.4(s)-223.9(ea)15.5(si)23(er)-217.6(th)16.5(a)12.4(n)-221.9(us)15.5(ua)18.5(l.)19.2()56.9()-221.9(A)-223.5(p)0(a)14.5(t)0(i)18.3(e)0(n)20.2(t)-222.9(su)15.5(ch)-212.7(as)-211.5(th)16.5(is)-216(ma)17.7(y)-219.8(b)0(e)16.7(n)0(e)14.5(f)0(i)16.5(t)]TJ
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[(fr)21.2(om)-265.7(be)16.7(gi)21.4(nn)17.1(in)13.6(g)-271(p)0(s)17.3(y)0(c)16.7(h)11.8(ot)12.6(h)11.8(e)0(r)15.7(a)0(p)14.5(y)-271(on)19.3(li)15.7(n)11.4(e)0(,)-264.3(g)0(r)20.4(a)0(d)14.5(u)11.8(al)14.5(ly)-263.1(tr)23(an)12.4(si)23(ti)18.3(on)13.6(in)19.3(g)]TJ
0 -1.2974 TD
[(ov)15.7(er)-291.6(to)-294.7(i)13.5(n)0(-)13.4(p)0(e)16.7(r)12.6(so)17.3(n)-307.3(s)0(e)18.3(s)0(s)18.9(i)0(o)15.7(n)11.4(s)-303.6(o)0(n)19.3(c)0(e)-295.3(s)0(o)17.3(m)0(e)-293.1(r)0(a)13.6(p)0(p)21.4(o)0(r)14.7(t)-302.6(ha)18.5(s)-303.6(b)0(e)16.7(e)0(n)-292.8(e)0(s)18.3(t)0(a)17.1(b)0(-)]TJ
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[(nvenience.)-183.1(In)-183.1(a)-182.1(s)-2.9(ense,)-183.1(s)-2.9(uch)]TJ
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[(an)-308.1(ap)-4.4(proach)-313.5(wo)-4.4(uld)-311.7(s)2.9(erve)-316.4(as)-310.1(a)-312.9(g)-4.4(raduated)-311.7()44.7()4.8(exposure)50.3()-313.9(t)-1.9(o)-311.7(t)-1.9(he)]TJ
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[(intimate)-282.7(setting)-277.9(o)-4.8(f)-277.2(p)-4.8(sy)-4.8(chotherapy.)]TJ
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[(stress)-327.5(d)-4.8(i).9(so)-4.8(rder)-330.1(\(PTSD\))-4.8(,)-325.6(w)-5.9(hich)-330.9(is)-333.2(a)-330.3(t)3.5(rau)-6.5(m)4.1(a-)-4.9(related)-329.1(c)1.9(o)-4.8(n)-1.2(dition)-331.3(in-)]TJ
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12.7753 0 TD
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[(ning)-208.8(the)-207.8(u)0(se)-207.8(of)-208(teleconferen)5.3(cing)]TJ
14.5223 62.4026 TD
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[(fo)-4.8(r)-204.9(d).9(elivery)-203.9(of)-208.8(psycho)-4.8(th)-6.5(erapeuti)]TJ
12.7013 0 TD
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[(c)-202.7(t)-1.9(reatments)-207.7(i)1.2(n)-200.1(b)-4.5(oth)-205.4(v)1.2(eteran)-205.8(and)]TJ
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[(nonv)-5(eteran)-303(pop)-5(ulations)-299.3(w)-6.1(ith)-302.6(P)-1.4(TSD)-5.1(.)]TJ
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[(15)-7.6(18)]TJ
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[(Their)-301.5(w)-.1(ork)-303.5(h)-.7(as)-299(sho)-4.7(w)-.1(n)]TJ
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0 -1.2974 TD
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[(liv)-4.8(ery)-340.5(o)-4.8(f)-334(t)-2.2(hese)-339.5(mod)-4.8(a)-.2(lities.)-337(T)-4.8(h)-.8(e)-339.5(a)-.2(dvantages)-338.9(discussed)-340.5(ea)-5.9(rlier,)-342.7(in)]TJ
T*
[(particular)-193.6(the)-197.4(c)-3.9(omfort)-201.5(prov)-4.9(ided)-192.6(b)-4.9(y)-192.6(t)-2.3(he)-197.4(phy)-4.9(s)2.4(ical)-198.3(and)-198.3(v).8(i)-4.9(r)-.1(tual)-198.3(sp)-4.9(ace)]TJ
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[(of)-293.8(telep)-4.4(s)2.9(y)-4.4(c)2.3(hotherapy,)-296.7(as)-293(well)-294.6(as)]TJ
13.1167 0 TD
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[(the)-292.9(p)2(otential)-288.2(for)-294.9(i)2(ncreased)-293.9(pri-)]TJ
-13.1167 -1.2975 TD
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[(PERSO)-8.1(NALITY)-341(DISO)-8.4(RDERED)-346.4(PATIENTS)]TJ
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[(perso)-4.7(n)4.6(al)-4.7(ity)-209.5(disordered)-209.5(p)1(atients)-208(w)]TJ
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[(ill)-209.4(have)-208.5(many)-203.7(challeng)-4.6(es,)-205.9(j)1.1(ust)-206.9(a)0(s)]TJ
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[(d)13.5(o)13.5(n)17.1(ed)-216.6(w)12.4(i)13.5(th)27.9(i)13.5(n)-233.3(a)-226.6(f)14.3(ew)-217.8(mo)24.6(n)11.4(t)16.1(h)11.8(s)-229.6(e)14.5(i)13.5(t)16.1(h)11.8(e)14.5(r)-232.1(b)13.5(e)14.5(c)14.5(a)12.4(u)11.8(s)15.1(e)-230.2(s)15.1(h)11.8(e)-230.2(l)13.5(o)13.5(s)15.1(t)-234.3(t)16.1(r)12.6(u)17.5(st)-219.2(i)13.5(n)-227.6(th)27.9(ei)28.1(r)]TJ
0 -1.2974 TD
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[(capac)-14.2(i)8.2(ty)-222.6(to)-222.6(be)-215.9(c)-14.2(o)8.2(nfide)-14.2(n)11.7(t)-14.2(i)15.4(a)-1.8(l)-222.6(o)-.7(r)-217.9(b)-.7(ec)-14.2(a)12.7(u)-2.4(se)-221.6(she)-221.6(did)-216.9(not)-220(f).1(ee)-14.2(l)-208.1(t)1.9(hey)-222.6(w)-1.8(ere)]TJ
0 -1.3031 TD
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[(com)-13.7(p)10.9(etent)-339(t)2.4(o)-341.6(t)-13.7(r)15(e)-13.7(a)13.2(t)-339(her.)-338.1(When)-343.7(first)-344.7(s)1.4(een,)-338.1(s)1.4(he)-340.6(gave)-340.6(a)-337.1(h)-1.9(istory)-341.6(of)]TJ
0 -1.2974 TD
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[(early)-489.9(c).4(hildhood)-489.9(sexual)-489.9(and)-489.9(p)-.6(hy)-14.1(s)8.9(i)-.6(cal)-484.3(a)-1.7(buse,)-492.1(a)-491.1(dysfunc)-14.1(t)10.8(ional)]TJ
0 -1.3031 TD
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[(fam)-13.7(i)10.9(ly)-421.3(where)-420.3(m)-13.7(e)11.8(t)2.4(hamphet)-13.7(a)9.1(mine)-420.3(and)-426.9(a)4.4(lcohol)-421.3(abuse)-426(w)4.4(as)-425.4(rife)-13.7(,)]TJ
0 -1.2974 TD
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[(teenage)-244.2(y)-.5(ears)-243.6(charact)-14(e)10.9(rized)-245.2(by)-245.2(s)-14(e)9.9(lf-mutilation)-247.3(and)-245.2(p)-.5(aras)-14(u)12.9(i)-.5(c)-14(i)14.1(d)-14(a)11.9(l)]TJ
0 -1.3031 TD
[(gest)-14.1(u)13.8(r)-1.5(es,)-247.4(m)2.6(ultiple)-244.3(chaotic)-244.3(a)-1.7(nd)-245.3(som)-14.1(e)11.4(t)-14.1(i)9.9(mes)-243.7(a)-1.7(busive)-244.3(relations)-14.1(h)12.8(ips)-14.1(,)]TJ
0 -1.2974 TD
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[(and)-205.1(e).7(pis)-13.8(o)9.2(dic)-204.1(polysubst)-13.8(a)14.7(n)-2.4(ce)-209.8(ab)-13.8(u)11.5(s)1.3(e)-13.8(.)-192.8(She)-204.1(was)-203.5(working)-205.1(a)-1.4(s)-203.5(a)-206.3(t)-13.8(r)14.9(auma)]TJ
0 -1.3031 TD
[(adv)-13.9(o)7.5(cate/co)-13.9(u)11.4(nselor,)-372.4(w)-1.5(hich)-377.7(she)-375(f).4(ound)-375.9(s)-13.9(t)11.6(ressful)-375.9(and)-375.9(w)-1.5(here)-375(she)]TJ
0 -1.2974 TD
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[(tended)-336.2(to)-336.2(b)-14(e)8.4(com)-14(e)-324.2(over-involve)-14(d)-327.4(w)4.1(it)-14(h)-321.9(h)-2.2(er)-337.2(clients.)-338.4(She)-335.2(was)-334.6(di-)]TJ
T*
-.0139 Tc
[(agnose)-13.9(d)-293.1(a)4.2(s)-300.4(h)-2.1(aving)-302(a)-303.1(borderline)-306.7(p)-.4(ersonality)-302(dis)-13.9(o)9.1(r)4.4(de)-13.9(r)-288.4(a)-1.5(nd)-302(grad-)]TJ
0 -1.3031 TD
[(ually)-199.4(tak)-13.8(e)11.3(n)-201.6(o)-.3(ff)-198.6(a)-200.6(s)1.3(eries)-203.5(o)-.3(f)-198.6(m)2.9(e)-13.8(d)8.6(ications)-203.5(o)-.3(rigi)5.4(nally)-199.4(prescribed)-199.4(f).5(o)-13.8(r)-186.9(a)]TJ
0 -1.2974 TD
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[(pre)-14.2(s)9.7(umpt)-14.2(i)9.7(v)-.7(e)-363.9(bipolar)-360.1(disorder.)-367(Se)-14.2(e)9.2(i)-.7(ng)-364.9(t)-14.2(h)8(e)-363.9(t)1.9(elep)-14.2(s)8.8(y)-.7(chiat)-14.2(r)8.8(i)5(s)-14.2(t)-352.9(g)-.7(ave)]TJ
0 -1.3031 TD
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[(he)-13.9(r)-277(s)1.2(o)-13.9(m)10.7(e)-289.6(p)-.4(s)-13.9(y)9.1(chotherapeutic)-289.6(continuit)-13.9(y)-280.2(over)-291.6(s)1.2(everal)-290.6(years)-289(d)-.4(ur-)]TJ
0 -1.2974 TD
-.014 Tc
[(ing)-267.9(w)-1.6(hich)-264(s)-14(h)12.9(e)-266.9(g)-.5(radually)-267.9(learned)-267.9(a)-1.6(bout)-265.4(h)-2.2(er)-268.9(personalit)-14(y)-251.8(s)-14(t)11.5(yle,)-270.1(i)-.5(ts)]TJ
0 -1.3031 TD
-.0135 Tc
[(psychological)-369.8(and)-369.8(b)0(ehavioral)-369.8(implicat)-13.5(i)16.1(o)0(ns,)-372(a)4.6(nd)-369.8(how)-365.3(t)-13.5(o)-359.4(a)-1.1(dopt)]TJ
0 -1.2975 TD
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[(improved)-290.6(c).6(oping)-284.9(s)-13.9(t)11.6(r)-1.3(ategies)-13.9(.)-277.6(Aft)-13.9(e)11(r)-285.9(a)-1.5(bout)-288(1)-.4(5)-290.6(s)1.2(essions)-289(i)-.4(n)-287(6)-290.6(years)-13.9(,)]TJ
0 -1.3031 TD
-.0137 Tc
[(she)-266.6(r)-1.1(em)-13.7(a)9.7(i)5.5(ns)-271.7(in)-269.8(occasional)-273.3()48.9()3.4(supervisory)-273.3(t)2.4(herapy,)48.9()-269.8(has)-266(g)-.2(radually)]TJ
0 -1.2974 TD
-.014 Tc
[(developed)-228.1(a)-223.6(trusting)-222.4(relat)-14(i)9.9(ons)-14(h)12.9(ip)-222.4(wit)-14(h)-213.7(the)-221.4(t)-14(e)10.9(l)-.5(epsychiatrist,)-224.6(t)-14(a)14.5(k)-14(e)11.1(s)]TJ
T*
-.0136 Tc
[(only)-392.7(oc)-13.6(c)9.8(a)-1.2(sional)-392.7()49()3.5(prn)54.7()-394.9(m)-13.6(e)11.9(dications,)-389.2(and)-392.7(i)-.1(s)-391.1(h)-1.8(app)-13.6(i)13.5(e)-13.6(r)-379.2(and)-392.7(m)3.1(uch)]TJ
0 -1.3031 TD
-.0141 Tc
[(more)-278.4(s)-14.1(t)11.4(able)-278.4(in)-281.5(the)-278.4(c)-14.1(o)8.3(m)2.6(m)-14.1(u)8.7(nity)-14.1(.)]TJ
/F5 1 Tf
8.9663 0 0 8.9663 44.8441 175.1244 Tm
0 Tc
[(Patient)-339.2(C:)-342.6(trauma)-342.2(and)-343.2(intimacy.)]TJ
/F1 1 Tf
9.9626 0 0 9.9626 171.6094 175.1244 Tm
[(Ms.)-290(C)-287.3(was)-273.1(a)-283.5(1)0(6)-280.2(yea)12(r-o)11(ld)-280.2(Na-)]TJ
-13.6232 -1.3031 TD
[(ti)12.6(ve)-432.9(Ame)12.6(ric)12.2(an)-431.5(gir)11.2(l)-430.3(who)-428.9(was)-421.1(refe)10.4(rre)11.2(d)-430.3(for)-426.2(tel)10(ep)11(sych)9.4(iat)13.6(ric)-426(as-)]TJ
0 -1.2974 TD
[(ses)10.6(sme)12.2(nt)-228.6(beca)15.1(use)-231.7(she)-226(had)-224.1(beco)10.6(me)-230.5(angr)15.8(y)-236.8(a)0(n)12.4(d)-236.8(dis)13.8(mis)11.2(sive)-227.8(of)-228.2(her)]TJ
0 -1.3031 TD
[(fam)15(ily)12.2(,)-267.5(was)-256(ref)13(usi)12(ng)-259.6(to)-260.6(att)10.4(end)-256.4(scho)9.4(ol,)-251.7(and)-258.6(had)-258.2(sto)10.6(pp)10(ed)-262.2(taki)12.8(ng)]TJ
0 -1.2974 TD
[(par)15.7(t)-234.3(i)0(n)-231.1(all)-222.3(trib)15.9(al)-230.1(acti)16.7(viti)11.2(es,)-226.4(whi)14.9(ch)-235.5(had)-224.1(pre)12.2(viou)12.6(sly)-225.2(been)-224.8(a)-232.3(sou)12(rce)]TJ
T*
[(of)-228.2(gre)12.2(at)-227.6(pri)11.2(de)-228(to)-232.1(her)10.4(.)-233.3(She)-223.7(ref)13(used)-223.9(to)-232.1(ta)11.4(lk)-231.9(to)-226.4(her)-222.9(fami)11.4(ly)-229(or)-224.3(to)-232.1(her)]TJ
0 -1.3031 TD
[(pri)11.2(ma)12(ry)-486(car)11(e)-491.9(phy)10.4(sici)16.9(an)-488.4(abo)11(ut)-484.3(her)-484.7(si)11.6(tuat)10.8(ion)-479.3(desp)11.2(ite)-479.4(havi)11.4(ng)]TJ
0 -1.2975 TD
[(pre)12.2(vio)12.2(usl)12(y)-464.5(had)-463.1(exc)12(ell)13.2(ent)-458.7(rel)12.2(ati)13.6(onsh)12(ips)-458.6(wit)13.6(h)-466.2(them)13.6(.)-466.6(She)-457(als)12.6(o)]TJ
0 -1.3031 TD
[(ref)13(use)13(d)-390.5(t)0(o)-380.1(g)0(o)-382.6(and)-383.8(see)-376.9(a)-386(loca)14.2(l)-384.8(coun)11.4(selo)16.9(r,)-385.8(but)-379.7(she)-379.7(rel)12.2(uct)14(ant)11.4(ly)]TJ
27.2976 62.4026 TD
[(agre)13.2(ed)-296.3(to)-294.7(meet)-291(with)-293.3(a)-300.6(tel)15.7(epsy)11.2(chi)11.4(atr)12.6(ist)10.6(.)-301.6(She)-292(init)14.8(ial)11(ly)-297.3(pre)12.2(sen)12.6(ted)]TJ
0 -1.3031 TD
[(as)-268.4(sull)14.2(en)-270(and)-270(angr)15.8(y,)-271(and)-270(was)-267.4(fo)10.8(cuse)10.4(d)-271(o)0(n)-276.7(m)0(a)12(kin)12.8(g)-276.7(sur)11(e)-275.7(the)-270.6(cal)12(l)]TJ
0 -1.2974 TD
[(was)-295.9(com)10.6(plet)12.2(el)11(y)-305.1(con)11(fide)10.4(nti)12.6(al)-298.4(and)-292.7(tha)11.8(t)-302.6(the)-299(tel)10(ep)11(sych)9.4(iat)13.6(ris)12.8(t)-302.6(was)]TJ
0 -1.3031 TD
[(not)-209.3(phy)10.4(sica)15.7(lly)-209.7(vis)13.8(itin)14.8(g)-219.8(t)0(h)10.8(e)-218.8(com)10.6(mun)11.4(ity)-212.9(in)-208.4(the)-208(near)-205.2(futu)14.2(re.)-211.9(Aft)11.8(er)]TJ
0 -1.2974 TD
[(rea)11(ssu)13.6(ranc)11(es)-471.1(and)-469.1(a)-477(d)0(e)11(lib)12.2(era)11(tel)10(y)-475.8(nonc)11(onf)10.8(ron)14.8(tat)10.4(ive)-470.5(app)11(roac)13.2(h)]TJ
T*
[(fro)12(m)-375.9(the)-373(ma)12(le)-376(tel)10(ep)11(sych)9.4(iat)13.6(ris)12.8(t,)-370.9(she)-374(fi)10.8(nal)14.6(ly)-376.9(adm)14.2(itt)11.6(ed)-376(th)10.8(at)-375.6(she)]TJ
0 -1.3031 TD
[(had)-246.8(been)-241.9(assa)15.2(ult)13(ed)-250.8(rece)10.6(ntl)12.6(y.)-248.2(She)-246.4(was)-250.3(afr)16.5(aid)-250.7(to)-249.2(ta)11.4(ke)-253.7(par)15.7(t)-257.1(i)0(n)-248.2(t)0(h)10.8(e)]TJ
0 -1.2975 TD
[(tri)13.8(bal)-467(act)14.5(ivi)12.2(tie)10(s)-474.3(b)0(e)11(cau)10.2(se)-471.1(th)10.8(e)-474.9(ass)14.2(ail)11(ant)-460.9(was)-466.6(als)12.6(o)-470.2(invo)12.2(lve)13.2(d)-470.2(i)0(n)]TJ
0 -1.3031 TD
[(them)13.6(,)-204.9(but)-197.6(she)-197.6(fe)11.8(lt)-203.7(una)12.8(ble)-197.4(to)-198(give)-195.2(an)-198.1(expl)13.2(ana)13.4(tion)-195.8(for)-192.9(her)-200.1(sud)12(den)]TJ
0 -1.2974 TD
[(ces)10(sati)17.3(on.)-333.6(She)-337.5(felt)-328.5(com)10.6(plet)12.2(ely)-334(tra)12.6(pped)-331.8(and)-338.2(hop)10.4(eles)12.2(s,)-337.7(an)12.4(d)-345(she)]TJ
0 -1.3031 TD
[(was)-421.1(una)12.8(ble)-425(to)-425.6(tal)13.6(k)-427.6(t)0(o)-425.6(anyo)11(ne)-423.6(in)-424.6(the)-424.2(co)11(mmun)11.1(ity)-423.4(abo)11(ut)-421.7(her)]TJ
0 -1.2974 TD
[(sit)10.6(uat)11.8(ion.)-229(Aft)11.8(er)-234.7(a)-243.7(hig)10.4(hly)-228.6(cha)10.2(rged)-230.3(and)-235.8(emo)10.6(tion)14.8(al)-235.8(ses)10.6(si)11.6(on,)-236.8(Ms.)-233.1(B)]TJ
0 -1.3031 TD
[(fin)10.8(all)11(y)-276.7(agre)13.2(ed)-279.2(to)-277.6(the)-276.3(tel)10(ep)11(sych)9.4(iat)13.6(ris)12.8(t)-279.8(talk)12.8(ing)-274.5(to)-277.6(a)-277.8(fem)11.4(ale)-272.5(com-)]TJ
0 -1.2975 TD
[(mun)11.4(ity)-218.6(el)11(der)-215.4(that)-216.8(she)-214.7(tr)11.6(uste)12(d)-225.5(t)0(o)-215.1(have)-215.2(tha)11.8(t)-222.9(per)12.2(son)-216(qui)10.4(etl)10(y)-225.5(spea)15.7(k)]TJ
0 -1.3031 TD
[(to)-277.7(her)-268.4(assa)15.2(ila)11(nt)-274.1(and)-275.7(ins)11.6(is)11.6(t)-279.8(tha)11.8(t)-279.8(h)0(e)-275.3(dro)11.2(p)-282.4(out)-271.6(of)-273.7(the)-276.3(tr)11.6(iba)11(l)-282.4(act)14.5(iv-)]TJ
0 -1.2974 TD
[(iti)14.7(es.)-357.3(She)-360.2(agre)13.2(ed)-358.9(to)-363(fur)10.2(th)10.8(er)-365.6(ses)16.3(sion)13.8(s)-366.1(wit)13.6(h)-369.5(t)0(h)10.8(e)-366.7(tel)10(ep)11(sych)9.4(iat)13.6(ris)12.8(t)]TJ
T*
[(and)-343.9(to)-345.9(her)-342.4(pri)11.2(mar)13.2(y)-350.7(car)11(e)-349.7(phy)10.4(sici)11.2(an)-340.4(bein)13.2(g)-350.7(told)-341.6(ve)11(rbal)12.2(ly)-348.5(abo)11(ut)]TJ
0 -1.3031 TD
[(what)-220.5(had)-218.4(happ)11.4(ene)12(d,)-225.5(as)-222.9(long)-215.4(as)-228.6(not)12.6(hin)14(g)-231.2(was)-221.9(put)-220.3(in)-225.4(her)-217.2(medi)12.8(cal)]TJ
0 -1.2974 TD
[(reco)15.3(rd,)-201.5(be)11(cau)10.2(se)-203.7(she)-197.6(had)-201.3(rel)12.2(ati)13.6(ves)-201.5(who)-195.6(wor)10(ked)-200.3(in)-202.7(th)10.8(e)-207.4(cli)13.2(nic)11(.)-204.9(She)]TJ
0 -1.3031 TD
[(att)10.4(end)11(ed)-455.6(seve)12.2(ral)-450.9(tel)10(epsy)11.2(chi)11.4(atr)12.6(y)-464.5(ses)10.6(si)11.6(ons)11.6(,)-460.9(beco)10.6(min)13.2(g)-464.5(inc)11(rea)11(s-)]TJ
0 -1.2974 TD
[(ingl)12.2(y)-407.6(com)10.6(for)12(tabl)15.7(e)-412.3(over)-401.1(ti)12.6(me,)-406.9(whi)14.9(le)-410.1(see)10(ing)-399.7(her)-405(pri)11.2(ma)12(ry)-406.4(car)11(e)]TJ
0 -1.3031 TD
[(phy)10.4(sici)16.9(an)-351.8(and)-349.6(the)-350.2(elde)10.6(r)-351.6(regu)12.6(larl)17.9(y.)-356.3(She)-348.9(ref)13(used)-349.1(to)-351.6(cha)10.2(rge)-346.3(her)]TJ
0 -1.2974 TD
[(assa)15.2(ila)11(nt)-268.4(and)-270(chos)9.4(e)-275.7(t)0(o)-272(avo)11(id)-274.5(him)-265.2(as)-274.1(much)-269.6(as)-268.4(poss)11.8(ibl)12.2(e.)]TJ
/F5 1 Tf
8.9663 0 0 8.9663 316.7999 384.0944 Tm
[(Patient)-415.1(D:)-406.7(anxiety)-408.4(and)-412.8(depression.)]TJ
/F1 1 Tf
9.9626 0 0 9.9626 453.77 384.0944 Tm
[(Mr)-8(s.)-349.1(D)-345.2(was)-352.8(a)-351.8(5)0(3)-348.5(year)-9.6(-old)]TJ
-14.6475 -1.3031 TD
[(Cauc)-9.6(asian)-487.2(divorc)-9.8(ee)-488.8(presenting)-495.4(with)-486.8(dep)-9.6(ression.)-490.3(He)-8(r)-482.5(major)]TJ
0 -1.2974 TD
[(stresso)-11.7(r)-408.5(was)-409.7(her)-410.7(only)-414.6(child,)-411.1(a)-408.7(2)0(9)-411.1(year)-9.6(-old)-412.6(son)-409.5(with)-412.8(a)-408.7(long)]TJ
0 -1.3031 TD
[(histo)-9.6(ry)-292.6(of)-296.5(alco)-8.6(hol)-296.9(depende)-12.5(nce)-301(and)-298.4(several)-302.1(rehab)-299.4(admis)-8.4(sions.)]TJ
0 -1.2974 TD
[(He)-349.5(lived)-358.1(in)-344.9(a)-351.8(broken)-9.1(-down)-351.2(shac)-8.8(k)-347.9(and)-349.6(kept)-354.9(aggressivel)-13.1(y)-350.7(ap-)]TJ
0 -1.3031 TD
[(pearing)-267(at)-261.7(his)-261.2(mother)-11.5(s)-258(home)-267.8(to)-260.6(invade)-268.2(her)-262.7(fridge)-265.1(and)-258.6(ea)-7.2(t,)-257.1(on)]TJ
0 -1.2974 TD
[(sever)-9.4(al)-417.9(occ)-8.6(asions)-425.4(breaki)-8.2(ng)-418.9(down)-427.1(her)-422.1(door)-424.8(when)-427.9(she)-425.2(occa-)]TJ
T*
[(siona)-8(lly)-243.9(t)-12.4(r)-10.2(i)-9.2(e)-13.9(d)-253.9(t)-12.4(o)-253.9(s)-7.6(t)-12.4(o)-9.2(p)-253.9(h)-16.7(i)-9.2(m)-11.7(,)-250.4(w)-16.1(h)-11(i)-9.2(l)-9.2(e)-252.9(s)-13.3(p)-14.9(e)-8.2(n)-11.4(d)-14.9(i)-9.2(n)-11.4(g)-253.9(a)-10.4(n)-11.4(y)-253.9(m)-11.7(o)-9.2(n)-11.4(e)-13.9(y)-253.9(h)-11(e)-252.9(h)-11(a)-10.4(d)]TJ
0 -1.3031 TD
.0106 Tc
[(o)-4.3(n)-313.7(drink.)-313.8(M)-4.3(r).4(s)-310(D)-4.5(.)-313.8(was)-315.7(challeng)-4.3(ed)-317.3(on)-313.7(her)-312.6(c)-3.3(o-d)-4.3(e)-3.3(pendent)-314.7(r).4(el)-4.3(a-)]TJ
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[(8.)-991.4(Johansson)-322.6(R,)-331.9(Frederick)-327.2(RJ,)-333.2(Andersson)-322.6(G.)-336.8(Using)-324.6(the)-333(internet)-328.1(to)-332.9(provide)]TJ
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12.2844 0 TD
[(Psychod)15.2(yn)-332(Psychiatry)]TJ
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9.0906 59.729 TD
[(9.)-998.5(Scharff)-325.9(JS.)-330.8(Technology-ass)13.6(isted)-330.1(psychoanalysi)12.9(s.)]TJ
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[(J)-335.6(A)0(m)-327.6(Psychoanal)-324.2(Assoc)]TJ
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1.6431 -1.1239 TD
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[(The)-288.5(art)-284.1(and)-291.8(science)-285.4(of)-290.2(brief)-286(psychother)13.1(apies:)-289(An)-289.2(illustrated)-282.8(guide)]TJ
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25.0951 0 TD
[(.)-296.7(3rd)-287.8(ed.)]TJ
-26.8521 -1.1239 TD
[(Arlington,)-322.7(VA:)-334.7(American)-322.2(Psychiatric)-331.5(Association)-323.3(Publishing)11.4(,)]TJ
/F14 1 Tf
23.1533 0 TD
(2017)Tj
/F12 1 Tf
2.1624 0 TD
(.)Tj
-26.9588 -1.6858 TD
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[(1)25(1)25(.)-473.1(Sh)5.7(arp)-328.2(I).8(R,)-335.7(K)5.7(o)-1(bak)-330.1(K)-1.4(A)4.1(,)-335.7(Osman)-335.7(D)-.5(A)4.1(.)-335.7(T)4.5(h)-1.4(e)-330.4(u)-1.4(se)-330.4(of)-331.6(videoco)6.1(n)-1.4(ferenc)4.2(in)5.7(g)-335.4(w)1(ith)]TJ
1.6431 -1.131 TD
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[(pa)-7.1(tie)-5.7(n)3.2(t)-6.9(s)-335.2(w)5.6(i)-8.5(th)-331.1(psy)-5.7(c)1.7(hosi)-8.5(s:)-336(A)-332.8(r).2(e)-5.7(v)1.4(ie)-5.7(w)-328.7(o)-3.5(f)-334.1(t)-6.9(he)-332.9(l)-8.5(i)-1.3(te)-5.7(rature)-5.7(.)]TJ
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21.1118 0 TD
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[(A)-5.3(n)3.5(n)-337.9(G)-3(en)-337.9(Psy)-5.4(c)2(hiatry)]TJ
/F14 1 Tf
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[(20)-7.2(11)-7.1(;)]TJ
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2.5607 0 TD
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[(10:14)6.7(.)]TJ
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0 Tc
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1.6431 -1.1239 TD
[(the)-325.9(desensitization)-324.4(from)-327.5(medical)-330.9(visits)-329.9(in)-334.7(Autism)-323.9(Spectrum)-329(Disorders.)]TJ
/F13 1 Tf
27.3358 0 TD
(Rev)Tj
-27.3358 -1.1239 TD
[(Psiquiatr)-326.8(Salud)-327.2(Ment)]TJ
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(2016;)Tj
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2.4398 0 TD
(10:2832.)Tj
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[(13.)-498.1(Georgesc)12.5(u)-332.2(AL,)-331(Kuzmanovic)-328.4(B,)-331.5(Roth)-330.4(D,)-329.3(Bente)-332.1(G,)-329.7(Vogeley)-329.3(K.)-330.2(The)-331.1(use)-326.9(of)-332.9(virtual)]TJ
1.6431 -1.1239 TD
[(characters)-288.3(to)-297.3(assess)-293.4(and)-302.5(train)-295.2(non-verbal)-292.7(commun)12.7(ication)-300.8(in)-292.1(high-functioning)]TJ
T*
(autism.)Tj
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3.1084 0 TD
[(Front)-323.8(Hum)-330.4(Neurosci)]TJ
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(8:807.)Tj
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[(14.)-498.1(Pakyurek)-323.3(M,)-333.4(Yellowlees)-326.8(P,)-329.8(Hilty)-330.4(D.)-336.4(The)-324(child)-334.3(and)-330.9(adolescent)-318.8(telepsychiatry)]TJ
1.6431 -1.1239 TD
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[(than)-325.2(conventional)-322.3(practice?)]TJ
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11.0396 0 TD
[(Telemed)-326.5(J)-335.6(E)-335.4(Health)]TJ
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1.6431 -1.1239 TD
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13.2375 0 TD
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[(he)12.4(r)-9.7(a)4.2(py)-335.9(for)-337.1(w)2.7(omen)-327(w)-4.5(i)2.8(th)-326.9(posttraumatic)]TJ
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[(D)-11.3(e)0(p)-18.7(r)-15.2(es)-23.1(s)-343.4(A)-13.8(nx)-18.7(i)-16.7(e)0(t)-22.1(y)]TJ
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[(201)13.8(5)-6.7(;)]TJ
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[(Trauma)-328.3(Stress)]TJ
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[(18.)-498.1(Morland)-326(LA,)-331(Raab)-333.4(M,)-326.3(Mackintosh)-327.3(MA,)-333(et)-328(al.)-335.9(Telemedi)12.4(cine:)-336.8(A)-326.8(cost-reducin)11.8(g)]TJ
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[(Telemed)-326.5(J)-328.5(E)-335.4(Health)]TJ
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[(Address)-343.9(correspond)-13.1(ence)-337.7(to:)]TJ
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[(2230)-341.3(Stockton)-341.5(Boulevard)]TJ
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[(Sacram)-6.2(ento,)-338.6(CA)-336.1(95817)]TJ
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[(KOCSIS)-335.1(AND)-335.7(YELLOWLEES)]TJ
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