How do you approach requests from patients with social anxiety disorder or agoraphobia to work remotely as a medical accommodation?
What work accommodations have you recommended for patients with anxiety disorders?
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I would approach this request with a lot of compassion and also humility. One of my first questions would be whether working remotely would actually be the most therapeutic approach for this patient. I would worry that remote work would act a bit like avoidance of an anxious trigger and could, over ...
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I would collaborate with a therapist who is working on CBT (or do it myself) and focus on ERP. Obviously, meeting the patient where they are is important, but it is also important to help them engage in multidisciplinary treatment.
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Focus on treating the anxiety and not inadvertently avoiding the setting that might escalate symptoms. I agree with the use of CBT, multidisciplinary approaches, and DBT to provide real-time tools to manage symptoms.
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