{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:47:53Z","timestamp":1789480073021,"version":"build-2803163510"},"reference-count":68,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Facing numerous barriers to care, most individuals experiencing symptoms of obsessive\u2010compulsive and related disorders do not receive evidence\u2010based treatment. While much existing literature has identified barriers to mental health treatment broadly, little empirical work has assessed barriers specifically within a sample of individuals with obsessive\u2010compulsive and related disorders, whose identified barriers and treatment preferences may differ from other clinical samples. In particular, this information is lacking for pediatric samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The current study examined treatment barriers and modality preferences among individuals (<jats:italic>N<\/jats:italic>\u2009=\u2009216; 48 adults and 168 parents of youth) receiving telehealth\u2010based treatment for obsessive\u2010compulsive and related disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants endorsed an array of barriers to treatment, including barriers to both in\u2010person and telehealth treatment modalities. Time and distance to in\u2010person treatment were the most influential barriers associated with a preference for telehealth treatment, while difficulty building rapport with the clinician via telehealth and telehealth feeling impersonal were the most influential barriers associated with a preference for in\u2010person treatment. Participants who indicated that clinician expertise was important in their decision\u2010making were more likely to prefer in\u2010person treatment, while participants who indicated that cost of treatment was important in their decision\u2010making were more likely to prefer telehealth treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Findings can inform future efforts to increase the accessibility and uptake of evidence\u2010based interventions for obsessive\u2010compulsive and related disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.70025","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T04:09:47Z","timestamp":1754366987000},"page":"1155-1165","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Treatment Barriers and Modality Preferences Among Individuals With Obsessive\u2010Compulsive and Related Disorders"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5252-6803","authenticated-orcid":false,"given":"Lauren","family":"Milgram","sequence":"first","affiliation":[{"name":"Department of Psychology University of Miami Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Toranzo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neurosciences University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Mathews","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neurosciences University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam B.","family":"Lewin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neurosciences University of South Florida Tampa 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