Conducting video therapy with adults with an intellectual disability: A qualitative study of qualified and trainee NHS psychologists’ experiences

Abstract

Online therapy is increasingly popular and necessary. There is little research regarding experiences of psychologists delivering online therapy to people with an intellectual disability. This study used interpretive phenological analysis to explore the experiences of five psychologists delivering online therapy to individuals with an intellectual disability. Four superordinate themes were identified regarding environment, person-centred working, rapport, and clinician ability and experience. Psychologists spoke of prior negative beliefs, challenges and discomforts to video therapy. However, motivation to continue offering therapy to clients overweighed this, with benefits of using video therapy including increased accessibility. A hybrid model including face-to-face and online therapy appears preferable. Training is recommended for supporting clients, and an assessment tool for suitability of online therapy. Further research exploring online therapy experiences of people with intellectual disabilities is required.