Message-Based Psychotherapy
Participants in this condition exchanged asynchronous text, audio, and video messages with their therapist, who replied each day following an agreed-upon schedule. All interactions were conducted on a HIPAA (Health Insurance Portability and Accountability Act)-compliant digital mental health platform accessible through desktop computers and internet-enabled smartphones. Participants were free to send messages at any time and of any type (eg, text, audio, and video).