Evidence-Based PTSD Treatment via Secure Telehealth
A comprehensive, HIPAA-compliant program delivering CPT, PE, EMDR, pharmacotherapy, and digital therapeutics across Florida with rigorous safety, outcomes, and collaboration models.
Lead Clinician
Emily Johnson, LCSW — Certified in Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT).
Supervising Physician
Dr. Edgar Salazar, MD — Board-Certified Psychiatrist overseeing pharmacotherapy.
Service Model
Evidence-based telehealth platform delivering CPT, PE, EMDR, and integrated care.
Geographic Focus
Florida-wide care compliant with state licensure and telehealth regulations.
Compliance
Adherence to Florida Statutes §456.47 for consent, licensure, and prescribing.
Security
HIPAA platform with AES-256 encryption and BAA-compliant video conferencing.
Program Foundation & Administrative Protocol
Program Efficacy Statement
Meta-analyses of RCTs demonstrate non-inferiority of telehealth-delivered PTSD treatments vs. face-to-face care.
Theoretical Underpinning
Social Cognitive Theory guides remote self-efficacy development for symptom management via telehealth tools.
Technology Acceptance
Pre-treatment assessment of perceived usefulness and ease-of-use to optimize engagement.
Regulatory Compliance
FL §456.47 informed consent, cross-state licensure, and prescribing adherence.
Secure Platform
HIPAA-compliant video (e.g., Zoom for Healthcare, Doxy.me) with AES-256 encryption.
Digital Infrastructure & Safety Protocols
Digital Intake Pipeline
Automated, secure collection of demographics, insurance, and consent prior to evaluation.
Crisis Safety Planning
Pre-loaded safety plans with Florida resources: 988 Lifeline and local mobile response teams.
Emergency Override
Wellness checks via patient-provided address during imminent risk conditions.
Collaborative Care & Measurement-Based Care
Interprofessional Collaboration
Defined roles, protocols, and regular LCSW–psychiatrist consultations, with clear escalation pathways.
Outcome Measurement-Based Care
Session-by-session data collection to guide real-time treatment adjustments and optimize outcomes.
Pre-Treatment Assessment & Diagnostic Precision
CAPS-5 via Telehealth
Structured telehealth interview to establish definitive baseline PTSD diagnosis.
- ICD-10: F43.10, F43.11, F43.12
- Differential: BPD, C-PTSD, TBI
Trauma History Profiling
LEC-5 administration, indexing primary/secondary traumas, timeline and impact analysis.
Comorbidity Screening
PHQ-9, GAD-7, DAST-10/AUDIT-C and others as indicated.
Risk Assessment & Safety Monitoring
C-SSRS Baseline
Initial risk stratification with Columbia-Suicide Severity Rating Scale.
Physiological Baseline
Resting heart rate and GSR via wearables (Fitbit/Apple Watch) when available.
Ongoing Monitoring
Regular reassessment and protocol adjustments based on clinical changes.
Social Support & Therapeutic Alliance
Social Support Inventory
Assessment of network quality and availability to aid engagement and recovery.
Alliance Prediction
Pre-treatment attitudes toward telehealth predict engagement; use WAI-SR and allied tools.
Digital Readiness & Treatment Planning
Tech Skills Assessment
Evaluate competency with video, messaging, and digital tools.
Training & Support
Provide tailored digital literacy training and assistance.
SMART Goals
Collaborative Specific, Measurable, Achievable, Relevant, Time-bound objectives.
Core Psychotherapies (Telehealth Adaptations)
Cognitive Processing Therapy (CPT)
- Video-based psychoeducation and impact statement.
- Digital A-B-C worksheets via shared screen.
- Interactive Socratic questioning via chat.
- Secure assignment portal for stuck points, worksheets.
Prolonged Exposure (PE)
- In vivo hierarchy co-built on digital whiteboards.
- Imaginal exposure with secure session recordings.
- Therapist-Assisted Live Exposure (TALE) via smartphone.
EMDR & Advanced Modalities
- Remote bilateral stimulation (tactile/auditory), EMDRIA-aligned.
- NET (lifelines) and BEPP (meaning-making, rituals).
Pharmacotherapy via Telehealth
Personalized Medicine
Pharmacogenomic testing (e.g., Genesight) to guide SSRI/SNRI selection for resistant PTSD.
First-Line Protocols
SSRIs (Sertraline, Paroxetine) and SNRIs (Venlafaxine XR); secure consults and monitoring.
CPT codes 99213–99215; 99417 when applicable.
Adjuncts & Monitoring
Prazosin for nightmares; adjunct atypicals as needed; PROs for side effects and adherence.
Controlled Substances & Safety
EPCS with DEA compliance; caution with benzodiazepines; audit trails.
Smart Adherence
Smart pill bottles, mobile reminders, clinician dashboards and alerts.
Interaction Screening
Real-time pharmacodynamic interaction checks for safety.
Digital Therapeutics & Physiologic Monitoring
FDA-Authorized PDTs
Integration of reSET-O (SUD) and Somryst (insomnia) with outcome tracking.
VR-Based Exposure
Partnered VR headsets for graded exposure in safe, controlled settings.
Biofeedback & mEMA
HRV training (e.g., HeartMath) with clinician dashboards; smartphone EMA prompts.
Sleep Telemonitoring
Oura/Fitbit data integration, correlation analysis, clinical planning.
Digital Narrative Repository
Secure cloud storage for narratives, impact statements, worksheets.
Comprehensive Symptom & Function Monitoring
PCL-5
Bi-weekly gold-standard PTSD checklist for precise tracking.
PHQ-9 & GAD-7
Weekly depression and anxiety monitoring for comorbidity management.
ISI & WHODAS 2.0
Sleep disturbances (ISI) and multi-domain functional assessment (WHODAS).
Alliance & Real-Time Tracking
Quarterly WAI-SR alliance measurement; in-session SUDs scaling with visual dashboards.
Smart Alerts
Automated alerts on clinically significant worsening or risk flags for proactive support.
Security, Networking & Compliance
Home Network Standards
Password-protected Wi-Fi, no public networks; minimum hardware specs for A/V quality.
E2EE Verification
Session start encryption checks; secure asynchronous messaging policy.
Data Governance
HIPAA and Florida data residency compliance for recordings and notes; BAA vendors.
Incident Response
Real-time detection, containment, recovery, and patient communication procedures.
Digital Equity
Library/community partnerships, device loaners, and FHIR-based EHR integrations.
Environmental & Public Health Context
Environmental policy and climate risks impact mental health and equity. The program recognizes public health implications and environmental justice considerations in care planning.
Specialized Protocols
Military & Veterans
Moral injury assessments; MST-specific protocols; culture-informed care; C-PTSD focus.
Neurology & Pain
TBI differential with neuropsychology; adapted interventions; pain catastrophizing/fear-avoidance.
SUD & Geriatrics
Seeking Safety integrated via telehealth; geriatric adaptations for sensory/cognitive needs.
Pediatrics & Peripartum
TF-CBT teleplay techniques; digital play tools; peripartum PTSD within perinatal mental health.
Cultural & Identity-Affirming
Racial trauma frameworks; LGBTQ+ affirmative care; historical trauma and community integration.
Professional Standards, Billing & Quality
Telehealth Billing
Psychotherapy 90837/90834/90832; E/M 99213–99215; RTM 98975–98977, 98980–98981; modifiers 95/GT; POS 02.
Supervision & Fidelity
Inter-rater checks and recorded-session reviews to ensure CPT/PE adherence and skills growth.
CQI Metrics
Targets: 95% TUQ satisfaction, ≤15% no-show, ≥85% clinical response with standardized measures.
Ethics & Development
De-identification and consent for publication; PSYPACT/E.Passport; BC-TMH pursuits.
Provider Wellness
Telehealth rider coverage; burnout prevention, digital wellness, peer supports.
AI, Predictive Analytics & Emerging Modalities
Predictive Analytics
ML models anticipate dropout/non-response using symptoms, attendance, and homework data.
NLP Process Monitoring
Automated transcript analysis for alliance, empathy, and protocol adherence.
Digital Phenotyping
Passive sensors (GPS, keystrokes) indicate symptom shifts for proactive outreach.
Blockchain Records
Exploration of patient-controlled health data with cryptographic protections.
VR & Neuroscience
AI-driven avatar exposure with biometric integration; microbiome-informed adjuncts.
tDCS & Implementation Science
Home tDCS coordination; barriers/facilitators research for scalable replication.
Health Equity, Follow-Up & Dissemination
Equity Monitoring
Ongoing audits of access, engagement, and outcomes across demographics with targeted fixes.
Long-Term Follow-Up
6, 12, and 24-month assessments to ensure durability and booster planning.
Dissemination
Publications, conferences, and replicable models to advance tele-PTSD care.
Your Recovery, Backed by Science and Secure Telehealth
Start today with a streamlined, privacy-first experience designed around your goals.