Open Access
Case Report
09 October 2025A Case Report of Telehealth Assessment for Adolescent Anxiety, Depression and COVID-Related Grief
Rates of anxiety and depression in children and adolescents have steadily risen over the past decade, and the arrival of COVID-19 exacerbated existing psychological problems for many youth. In the context of these increased rates and the pandemic lockdown, telepsychology, including virtual assessment, evolved as a cornerstone of mental health practice. There are salient benefits to telepsychology, most notably its convenience and accessibility, which have contributed to its expanded application across different types of problems and populations. At the same time, it can pose challenges in acquiring a comprehensive picture of client functioning. This article presents a case study of an adolescent with combined anxiety and depression who was referred for teletherapy during COVID-19, with an emphasis on the assessment intake. Results from a multi-method approach to the assessment are provided along with a brief discussion of treatment and future implications for the practice of telepsychology with youth and families.
Open Access
Review
23 October 2025Adaptive Time Management: A Life-History Framework Integrating Mental Time Travel, Mortality Awareness, and Anticipatory Decision-Making
Adaptive time management is a newly developed life-history framework that integrates humans’ capacity for mental time travel with mortality awareness as a strategic process for time and resource allocation. Rather than triggering terror management, we conceptualize mortality awareness as an adaptive cue that recalibrates subjective time perception and episodic future thinking. This framework maps three key life-history factors (resource scarcity, unpredictability, and harshness) onto corresponding decision premises: perceived remaining time, death’s uncertainty, and life’s inevitability. We review evidence suggesting that: (1) constricted horizons accelerate delay discounting and favor immediate, fast strategies; (2) unpredictability of death (temporal variation of death) evokes emotions and prompt strategic present-oriented choices that secure survival under high-risk conditions; (3) inevitability of death (life’s finitude) fosters slow strategies through resource bet-hedging mental travel that allows time measure and management; and (4) episodic end-of-life thinking elicits anticipatory emotions that adaptively regulate self-control and cognitive reappraisal. We also introduce preliminary findings on “life-history intertemporal meditation” as a potential intervention for adaptive regulation. Finally, we discuss adaptive time management in applications in death education and mental health. Together, this framework highlights how harnessing life-history mental time travel and mortality awareness can promote adaptive decision-making and emotional resilience across the lifespan.
