Distance psychotherapy aimed at modifying cognitive biases in attention and interpretation.

The article presents the theoretical foundations of distance cognitive behavioral therapy (c-CBT) along with therapy aimed at modifying cognitive bias both from attention and action (CBM). Based on recent meta-analyses, the effectiveness of these forms of remote psychotherapy for depression, anxiety spectrum disorders and alcohol abuse are evaluated. Based on a review of several foreign studies until 2022, there is an extensive evidence base for the effectiveness of the remote form of CBT for depression, anxiety and alcohol-related disorders, however, due to therapeutic barriers, the cognitive-behavioral profile of patients, "standard" protocols are not enough to maintain the effectiveness of treatment. In this regard, it is recommended to focus on the specifics of the socio-cognitive processes of the patient (forms of displacement or shifts), in the perception of oneself, others, the situation and on the development of forms of flexible (multi-perspective) attribution, behavioral modification of cognitive shifts (not only beliefs) aimed at both attention, interpretation of incoming information and actions. It is shown that this tactic leads to large-scale changes due to the combined additive and interactive psychotherapeutic effects.