Wrapping Up and What’s Next?

2020 ◽  
pp. 221-226
Author(s):  
Eli R. Lebowitz
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Childhood Anxiety ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Psychiatric Medication ◽  
Working Through ◽  
Evidence Based Treatments

This chapter looks at some possible next steps if the parents feel that the child’s anxiety has partially improved, but that the child is still coping with significant and impairing anxiety. The parents may need to continue working to reduce their accommodation, by taking on additional targets and working through the steps of making a plan and gradually reducing accommodation in this new area. The parents also may want to consider trying additional treatments and strategies. Some of the most evidence-based treatments for childhood anxiety include cognitive behavioral therapy (CBT) and psychiatric medication. The parents should consider meeting with a capable therapist or psychiatrist in their area to discuss the possibilities. If the child’s anxiety has improved and things are returning to a more routine pattern without the need for special plans to help the child cope, it is important to keep up the supportive attitude toward the child’s anxiety. A supportive attitude expressed in words and actions can help to prevent future anxiety from escalating or growing to a point where it is again a major problem. Lastly, the parents should try to notice if they are falling back into old patterns of accommodation, or starting to develop new ones.

scholarly journals Brief Psychotherapy for Depression: A Systematic Review and Meta-Analysis

2012 ◽  
Vol 43 (2) ◽  
pp. 129-151 ◽  
Author(s):  
Jason A. Nieuwsma ◽  
Ranak B. Trivedi ◽  
Jennifer McDuffie ◽  
Ian Kronish ◽  
Dinesh Benjamin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Problem Solving ◽  
Cognitive Behavioral Therapy ◽  
Systematic Reviews ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Brief Psychotherapy ◽  
Problem Solving Therapy

Objective: Because evidence-based psychotherapies of 12 to 20 sessions can be perceived as too lengthy and time intensive for the treatment of depression in primary care, a number of studies have examined abbreviated psychotherapy protocols. The purpose of this study was to conduct a systematic review and meta-analysis to determine the efficacy of brief psychotherapy (i.e., < 8 sessions) for depression. Methods: We used combined literature searches in PubMed, EMBASE, PsycINFO, and an Internet-accessible database of clinical trials of psychotherapy to conduct two systematic searches: one for existing systematic reviews and another for randomized controlled trials (RCTs). Included studies examined evidence-based psychotherapy(s) of eight or fewer sessions, focused on adults with depression, contained an acceptable control condition, were published in English, and used validated measures of depressive symptoms. Results: We retained 2 systematic reviews and 15 RCTs evaluating cognitive behavioral therapy, problem-solving therapy, and mindfulness-based cognitive therapy. The systematic reviews found brief psychotherapies to be more efficacious than control, with effect sizes ranging from −0.33 to −0.25. Our meta-analysis found six to eight sessions of cognitive behavioral therapy to be more efficacious than control (ES −0.42, 95% CI −0.74 to −0.10, I2 = 56%). A sensitivity analysis controlled for statistical heterogeneity but showed smaller treatment effects (ES −0.24, 95% CI −0.42 to −0.06, I2 = 0%). Conclusions: Depression can be efficaciously treated with six to eight sessions of psychotherapy, particularly cognitive behavioral therapy and problem-solving therapy. Access to non-pharmacologic treatments for depression could be improved by training healthcare providers to deliver brief psychotherapies.

scholarly journals Using a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders

2020 ◽  
Vol 51 (1) ◽  
pp. 69-84 ◽  
Author(s):  
Jennifer S. Silk ◽  
Gede Pramana ◽  
Stefanie L. Sequeira ◽  
Oliver Lindhiem ◽  
Philip C. Kendall ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Anxiety Disorders ◽  
Behavioral Therapy ◽  
Childhood Anxiety ◽  
Cognitive Behavioral ◽  
Smartphone App ◽  
Childhood Anxiety Disorders

scholarly journals Healing Interpersonal and Racial Trauma: Integrating Racial Socialization Into Trauma-Focused Cognitive Behavioral Therapy for African American Youth

2020 ◽  
pp. 107755952092145 ◽  
Author(s):  
Isha W. Metzger ◽  
Riana Elyse Anderson ◽  
Funlola Are ◽  
Tiarney Ritchwood
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Racial Socialization ◽  
Behavioral Therapy ◽  
African American Youth ◽  
Cognitive Behavioral ◽  
Trauma Treatment ◽  
Evidence Based ◽  
Socialization Theory ◽  
Racial Trauma

African American youth are more likely than their peers from other racial and ethnic groups to experience interpersonal traumas and traumatic racist and discriminatory encounters. Unfortunately, evidence-based trauma treatments have been less effective among these youth likely due to these treatments not being culturally tailored to address both interpersonal and racial trauma. In this article, we utilize the racial encounter coping appraisal and socialization theory to propose suggestions for adapting trauma-focused cognitive behavioral therapy—an evidence-based trauma treatment for children and adolescents—to include racial socialization or the process of transmitting culture, attitudes, and values to help youth overcome stressors associated with ethnic minority status. We conclude by discussing implications for the research and clinical community to best promote healing from both interpersonal and racial trauma for African American youth.

Cognitive Behavioral Therapy, Sertraline, or a Combination in Childhood Anxiety

2018 ◽  
Author(s):  
David Saunders ◽  
Andres Martin ◽  
Jerome H. Taylor
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Anxiety Disorders ◽  
Clinical Case ◽  
Behavioral Therapy ◽  
Childhood Anxiety ◽  
Child And Adolescent Psychiatry ◽  
Cognitive Behavioral ◽  
Study Intervention ◽  
Landmark Study

This chapter provides a summary of a landmark study evaluating the treatment of anxiety disorders in child and adolescent psychiatry. Is sertraline in combination with cognitive behavioral therapy more effective than monotherapy with either treatment alone in children with anxiety disorders? Also, how do these treatments compare with placebo therapy? Starting with these questions, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications, and concludes with a relevant clinical case.

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