This study presents early findings from an ongoing qualitative project exploring therapists’ experiences providing online psychotherapy during disasters and crises across diverse cultural and geographical contexts. The project aims to develop a globally informed, culturally adaptable framework to promote equity, diversity, and inclusion (EDI) in digital mental health response. A literature review was completed, synthesizing studies and identifying equity and access gaps in disaster mental health delivery. Later, semi-structured interviews are being conducted with therapists from several countries, representing diverse disaster contexts including earthquakes, pandemics, floods, and conflict-related displacement. The interviews aim to explore therapists’ experiences, challenges, and culturally responsive adaptations, and will be analyzed using reflexive thematic analysis to identify cross-cutting themes and practice-informed strategies. Preliminary results suggest that therapists view online psychotherapy as an essential modality for maintaining continuity of care when in-person services are disrupted. However, they report barriers related to technological access, cultural adaptation, and ethical boundaries. Many described the importance of community-based collaboration, flexible session structures, and trauma-informed practice to enhance engagement and safety. Despite limitations, participants noted improved accessibility for marginalized clients and reduced stigma surrounding help-seeking. Preliminary insights indicate that online psychotherapy is both feasible and culturally responsive across diverse disaster contexts. Continued analysis will refine these findings and support the development of a global framework and practitioner toolkit aimed at strengthening equitable, inclusive, and sustainable approaches to online mental health care delivery.

Authors:
Zehra Kaya, Bogazici University, Türkiye

About the Presenter(s)
Dr. Zehra Kaya, Assistant Professor of Clinical Psychology in Istanbul and a U.S.-licensed clinical psychologist. My interests include cross-cultural mental health, grief and bereavement, with a focus on how culture shapes healing and adaptation.

Connect on Linkedin
https://tr.linkedin.com/in/zehra-merve-kaya-phd-lp-23707073

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