Psychological Treatments for Panic Disorders, Phobias, and Social and Generalized Anxiety Disorders

Author(s):  
David H. Barlow ◽  
Laren R. Conklin ◽  
Kate H. Bentley

A substantial number of strong studies have established the efficacy of cognitive-behavioral treatment for persons with panic disorder with or without agoraphobia. These treatments include some combination of cognitive elements, exposure to interoceptive sensations similar to physiological panic sensations, in vivo exposure, and breathing retraining. A number of excellent studies have established the clinical efficacy of situational in vivo exposure for patients with moderate to severe agoraphobia and specific phobia. The most common treatment approaches for social anxiety disorder include social skills training, relaxation techniques, exposure-based treatment methods, and multicomponent cognitive-behavioral treatments.

2013 ◽  
Vol 27 (2) ◽  
pp. 126-137 ◽  
Author(s):  
Sylvie Naar-King ◽  
Paul Earnshaw ◽  
Jeff Breckon

Improvements in behavior following active interventions diminish over time across a broad spectrum of behaviors. Motivational interviewing (MI) has been found to increase intrinsic motivation for initial behavior change, but there has been little discussion on how to integrate MI and the cognitive-behavioral treatments (CBTs) commonly used to maintain change. A prominent CBT approach to relapse prevention that has been tested in multiple behavioral domains includes the following maintenance strategies: managing the goal violation effect, flexible goal setting, identifying triggers and developing coping skills, and increasing self-efficacy and social support. Using a model of integration where MI is the foundation for CBT delivery, the integration of specific relational and technical components of MI and CBT strategies for maintenance of change are described. A universal maintenance intervention that uses MI as an integrative framework to deliver CBT may address maintenance of behavior change across multiple behavioral domains. Further research is necessary to confirm whether delivering MI with fidelity adds to the effectiveness of CBT maintenance interventions.


2000 ◽  
Vol 68 (3) ◽  
pp. 417-424 ◽  
Author(s):  
Norman B. Schmidt ◽  
Kelly Woolaway-Bickel ◽  
Jack Trakowski ◽  
Helen Santiago ◽  
Julie Storey ◽  
...  

2011 ◽  
Vol 25 (2) ◽  
pp. 114-129 ◽  
Author(s):  
Juliana I. Tobon ◽  
Allison J. Ouimet ◽  
David J. A. Dozois

A substantive literature suggests that anxious people have an attentional bias toward threatening stimuli. To date, however, no systematic review has examined the effects of cognitive behavioral therapy (CBT) for anxiety on attentional bias. A better understanding of the extant literature on CBT and its effect on attentional bias can serve to bridge the gap between experimental research on cognitive bias and the implications for clinical treatment of anxiety disorders. The present review examined studies that measured the effects of CBT on attentional bias. Of the 13 studies reviewed, 10 demonstrated that attentional bias, as assessed by dichotic listening tasks, the emotional Stroop test, or probe detection tasks, was significantly reduced from pretreatment to posttreatment for obsessive-compulsive disorder, spider phobia, social phobia, and generalized anxiety disorder. Methodological issues are considered, and implications for cognitive behavioral treatments of anxiety are discussed.


2005 ◽  
Vol 19 (3) ◽  
pp. 211-228 ◽  
Author(s):  
Katie Witkiewitz ◽  
G. Alan Marlatt ◽  
Denise Walker

Cognitive-behavioral approaches to alcohol and drug use disorders have received considerable empirical support over the past 20 years. One cognitive-behavioral treatment, relapse prevention, was initially designed as an adjunct to existing treatments. It has also been extensively used as a stand-alone treatment and serves as the basis for several other cognitive and behavioral treatments. After a brief review of relapse prevention, as well as the hypothesized mechanisms of change in cognitive and behavioral treatments, we will describe a “new” approach to alcohol and drug problems called mindfulness-based relapse prevention. Preliminary data in support of mindfulness-meditation as a treatment for addictive behavior are provided and directions for future research are discussed.


Author(s):  
John Piacentini ◽  
Audra Langley ◽  
Tami Roblek

Cognitive-Behavioral Therapy (CBT) has shown to be effective in the treatment of childhood OCD. This online Therapist Guide outlines a 12-session CBT-based treatment for OCD that benefits not only children and adolescents, but their families as well. Each session incorporates a family therapy component in addition to individual treatment for the child. It is a combined approach program that educates the child and family about OCD in order to reduce negative feelings of guilt and blame and to normalise family functioning. It also provides guidelines for conducting both imaginal and in vivo exposures, which are techniques at the core of helping children reduce their anxiety. For use with children ages 8 to 17, this online resource is an indispensable tool for clinicians helping children and their families cope with OCD.


2000 ◽  
Vol 3 ◽  
pp. np
Author(s):  
Keith S. Dobson ◽  
Paula A. Truax ◽  
Michael E. Addis ◽  
Kelly Koerner ◽  
Jackie K. Gollan ◽  
...  

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