Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey.

OBJECTIVES: Persons with disabilities are at elevated risk for mental disorders, yet little is known about the experiences, attitudes and needs of psychotherapists regarding this population. This study is among the first to examine outpatient psychotherapists' experiences in treating patients with disabilities and to explore their perspectives on accessibility and therapists' support needs. DESIGN: An exploratory cross-sectional online survey was conducted in collaboration with a regional statutory health association. METHODS: A total of N = 371 licensed outpatient psychotherapists in Germany participated in the study. All were qualified to treat adult patients under statutory health insurance. The survey included self-constructed items assessing treatment experiences, perceived accessibility and support needs, as well as a questionnaire for measuring explicit attitudes towards disability. RESULTS: Most participants (n = 340; 91.6%) reported prior experience treating patients with disabilities. Attitudes were generally positive and significantly associated with the quality-but not the quantity-of treatment experience. Psychotherapists perceived greater efforts in treating patients with intellectual and hearing impairments, and 357 (96.2%) identified barriers in their own outpatient settings. Only 93 (25.1%) considered themselves experts in disability-related topics. A strong demand for further training was expressed, particularly for working with specific types of impairments, with a preference for professional development programmes offered both online and in person. CONCLUSIONS: The findings highlight the need for enhanced training, improved structural accessibility and informed policy development. Despite positive attitudes, notable gaps remain in preparedness and environmental access, emphasizing the importance of integrating disability-related content into psychotherapist training and professional development.