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CCBT and Behavioral Telehealth During the COVID19 Pandemic

The Center for Cognitive and Behavioral Therapy is delivering behavioral telehealth and mental telehealth services during the COVID19 Pandemic.

If you’re a want to be a new patient and haven’t been in contact with us before, call us at 614-459-4490 or use the Contact Us form at the bottom of this page.

Existing Patients or First-Time Patients, see the Getting Ready information below.

Getting Ready for Telehealth: Existing Patients

  • If you didn’t complete an online Telehealth informed consent form, please click the button on this page for that form and complete it prior to the session.
  • Set aside time for your appointment.
  • Be sure your equipment is charged up and ready to go.
  • Find a private, comfortable place where you are comfortable talking with your therapist.
  • Your therapist will contact you on the number we have on file for you at your appointment time.
  • Have any water or beverages nearby so you don’t have to leave your space during the session.
  • At the end of the session, please give your therapist feedback about how it went.
  • Have your calendar handy to make any additional appointments.

Getting Ready for Telehealth: First-Time Patients

  • Be sure you completed all the new patient paperwork online. If you have questions about the paperwork, call the office well in advance of your first appointment.
    • Be sure the insurance information you inserted in our forms is up-to-date and accurate.
    • Be sure to complete the credit card on file form
  • Set aside time for your appointment.
  • Be sure your equipment is charged up and ready to go.
  • Find a private, comfortable place where you are comfortable talking with your therapist.
  • Your therapist will contact you on the number we have on file for you at your appointment time.
  • Have any water or beverages nearby so you don’t have to leave your space during the session.
  • During the FIRST SESSION, you’ll normally be asked 1) questions about your history, 2) the reason you’re seeking therapy and 3) to complete one or more questionnaires verbally.
  • At the end of your initial appointment, be sure to ask your therapist any questions you have.
  • Have your calendar handy to make any additional appointments.

Adapted Treatment Protocol for COVID19-Related Anxiety:

A Holistic Model and Clinical Health Application of Cognitive-Behavioral Therapy to Pandemics

Kevin D. Arnold, PhD, ABPP
Jared Skillings, PhD, ABPP

Managing COVID19 Anxiety and Denial: 5 Tips on What to Do

Kevin D. Arnold, PhD, ABPP
President and CEO
The Center for Cognitive and Behavioral Therapy

Anxiety during the pandemic is perfectly normal. When we hear that our lives might be at-risk, anxiety shows up as the natural self-preservation response to that risk.

But our fight or flight system can’t use physical aggression or speedily running away to deal with the threat from an invisible attacker. We can, however, use our anxiety to our advantage in different ways or not allow denial of the danger to set in.

What Not to Do
Years ago, psychologists studying anxiety found that there is an optimal level of fear that motivates us. Most of us use anxiety as an alarm to trigger actions that deal with stressors. When we do, we reduce the anxiety.

But if the anxiety gets too high, people tend to lose the drive to cope. Instead, they often begin to ignore the anxiety and behave in riskier ways. Call it denial, unhealthy coping, or just plain unwise, ignoring anxiety during the COVID19 Pandemic can cause us to behave in much riskier ways.

Unfortunately, the outcome of denial isn’t just a short-term sigh of relief from our discomfort. Denial can also cause us to behave as if there is no risk of severe illness and death. When we ignore the anxiety signal, we act like life can be lived normally. Denial causes us to expose ourselves potentially to COVID19. If we do become infected, denial could actually kill us or our loved ones.

Don’t allow denial to control you. Don’t risk ending up dead.

How to Confront COVID19 Stress and Denial Ideas and Behaviors

1. Sense of Security when Wearing PPE: We sometimes have a false sense of security when we wear gloves or masks. If we use them, we have to remember to keep our hands away from our faces and stay away from others regardless of wearing PPE. Transferring the virus from your gloves, or the risk of the virus getting around an improperly fitted mask, are very real dangers. We must continue to behave safely even if we wear PPE.

2. Denial of Danger: We can become so anxious that we get used to feeling it. When that happens, we can become less motivated to stick to the Stay Home order or to keep six feet between us. Unfortunately, you might not live very long in Denial, Ohio. Listen to your self-talk—if you hear ideas like “They are making way too much about COVID19,” or “I probably already had it, so I’ll be fine,” then talk back to your thoughts. Focus on thoughts like these, instead: “Staying Home can keep me and my family safe from being exposed,” or “If someone gets too close to me, I’ll ask them politely to back up or I’ll move away.”

3. Infringing on my Rights: When we become anxious, sometimes resentment and frustration set-in. During the COVID19 Pandemic, that frustration can express itself in ideas like “I have my rights and can host a house-party if I feel like it.” Unfortunately, that kind of thinking moves us toward almost a total disregard for the needs of all our fellow Ohioans. A healthier way to think might be “The Stay Home order applies to us all, keeping me safe from others that might have COVID19.” We all have the freedom to choose consideration and safety as a way of life.

4. Can’t Stand this Anxious Feeling: Many of us have learned to think that most of life can meet our needs immediately (or very close to it). The internet and cell phones have given us the impression that waiting or being anxious has no place in everyday life anymore. As a result, we often don’t tolerate anxiety well. Of course, most of us probably have enjoyed a roller coaster or surprise birthday party, because some anxiety is actually not so bad (or even fun). If we begin to accept that anxiety is normal to feel when a deadly virus is infecting tens of thousands of us, we can stop focusing on the discomfort of anxiety and shift to what we want in our lives, and accept that living the way we want can be modified during the pandemic—it can even occur when we are feeling anxiety.

5. Give Up, What’s the Use: When we try to adjust our lives radically, sometimes we lose the motivation to do our normal, every day life-stuff. The reality is that we’ve known for years that keeping to a daily routine is some of the best medicine we have against depression and that sense of futility. Useful strategies for coping with the COVID19 Pandemic include a) getting up at your normal time every day, b) get ready the same way for your day as you normally would, c) eat meals when you normally would, d) keep in touch with your friends and family over technology, and e) schedule times during the week when you do some enjoyable things. And, sometimes it helps to keep a diary of how being normal helps you feel better.

Seven Ways to Think Clearly During the COVID19 Pandemic:
Overcoming Common Mistaken Ideas that Threaten Public Health

Kevin D. Arnold, PhD, ABPP
CEO and President
The Center for Cognitive and Behavioral Therapy
Columbus, Dayton, Gahanna, Marion, Westerville

In places like Ohio, the graph of new cases looks like Stay-at-Home and physical distancing have begun to help. But there’s a real concern that many of us might become relaxed about Stay-at-Home and physical distancing orders and guidance.

COVID19 Healthare Provider Stress Mangement Toolkit

CCBT has prepared healthcare provider stress management toolkit to help deal with the stress of serving during the COVID19 pandemic. Here is the card from the toolkit:

14 Tips for Primary Healthcare Providers to Cope with COVID-19 Burnout and Stress

Kevin D. Arnold, PhD, ABPP
The Center for Cognitive and Behavioral Therapy Delivering Behavioral and Mental Telehealth for Ohio

Stress and burnout will likely climb during the COVID-19 crisis among healthcare providers. Physicians, nurses, medical assistants and other healthcare workers already experiences stress and burnout (some studies reported over 50%).

4 Tips for Managing the Stress and Demands of Working from Home


Kevin D. Arnold, PhD, ABPP
The Center for Cognitive and Behavioral Therapy
Delivering Behavioral and Mental Telehealth for Ohio

(This Web Post is Based on Petriglieri, Ashford, and Wrzesniewski, 2018, Harvard Business Publishing)

An article in 2018 on the “gig” economy provides some great tips for many of us working from home. The “gig” economy defines itself as the economy of workers who have several “gigs” like Uber, at-home-based customer service, or Door Dash. Workers with multiple jobs (gigs) need to manage their careers in likewise ways to many of us now working from home on the phone. These tips can help make the #StayHomeOhio order easier to deal with, so we feel connected as #apartwestandtogether.

Managing with new co-workers who happen to be family

By Eva Shinka, LISW-S

Many parents and families are faced with trying to not only juggle work life balance, but also trying to adjust to working from home while managing and working with children of all ages in addition to working closely with your spouse or significant other.

10 Tips for Managing Avoidance-of-Health Behaviors During COVID-19

Anxiety about becoming infected with COVID-19 can easily turn into unhealthy avoidance of important coping strategies. Many of us avoid triggers to our anxiety by eliminating reminders of what we fear, or at least by delaying any exposure to them.

With COVID-19, avoidance can produce harmful effects for us all. Facing our avoidance becomes just as important as any other positive health behavior. Here are tips for overcoming avoidance of simply health behaviors.


According to, and the Dr. Amy Acton’s order, mental health and substance abuse providers and staff are essential workers, and CCBT will continue to provide services using all the precautions requested by Dr. Acton and Governor DeWine.

If you need services and aren’t already a patient, please feel free to contact us. Our intake email is in several places on the website, or you can call us at 614-459-4490.

AWST: Apart We Stand Together!

CCBT and COVID-19/Novel Corona Virus: Coping for Patients and Potential Patients

Thanks to all who are following the physical distancing guidance: The media messages are frightening, and almost everything is about avoiding risk. That makes sense, but CCBT knows that our patients need to also receive positive feedback for taking positive steps. The data from Ohio seems to say the following will help all of us:



Here are some resources on that: npr | ccbt

If you are isolated and aren’t able to maintain contacts with others physically, keep in contact on the phone. Try not to interpersonally isolate while you physically distance yourself.

Keep things in perspective—stick to your routines but alter your physical proximity to others and keep your hands washed.

Be informed, but don’t over do it—Try to capture new information as time goes by, but continuous watching of news coverage can become overwhelming and make your thinking more catastrophic. Try to limit your exposure to the news.

What about my kids—Use this time to teach your children the notion of problem, not crisis, and coping, not avoidance. Remember to teach them to keep to a routine, manage exposure to viruses, washing their hands, and not touching their faces.

In the News

Get the Help You Need to Solve Your Problems Through Learning Healthy Behaviors and Changing your Thinking

Cognitive Behavior Therapy or CBT works to learn healthier behaviors/habits and change unrealistic ideas about you, the future, and the world around you. By overcoming avoidance, learning ways to enjoy life again, and testing your thinking by looking at the real evidence in your life, CBT teaches you to build healthier behaviors, think in realistic ways, create solutions to your problems.

• Changing Self-Defeating Thoughts and Behaviors
• Behavioral Interventions and ABA for Children

Start Today! Make a difference

Parenting Children with ADHD

In 2016, Dr. Bill Pelham and his team put out a great paper. In it, he compared teaching parents behavioral skills or using medicine for ADHD children. What he found was the order you first use the parenting skills and medicine matters. 

Parenting benefits children with ADHD when it includes direct behavioral strategies. For example, parents must be more careful about how they give attention to ADHD children. Attention, even negative attention, can reward the very behaviors parents want to stop. Strategies like focusing on positive behavioral expectations, and rewarding them with praise and attention, can benefit children with ADHD quite a bit. 

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