Family-Based Cognitive–behavioral Therapy for an Intelligent, Elementary School-Aged Child With Generalized Anxiety Disorder

2016 ◽  
Vol 15 (6) ◽  
pp. 443-458
Author(s):  
Ellen Kolomeyer ◽  
Kimberly Renk

This case study follows an 8-year-old Caucasian female who presented with symptoms of Generalized Anxiety Disorder (GAD). Given this child’s age but advanced cognitive skills, careful selection of an appropriate treatment was made. In the current case study, a family-based cognitive–behavioral therapy intervention (Wood & McLeod, 2008) was implemented to treat this child’s symptoms of GAD. Following completion of the intervention, the child demonstrated significant decreases in her symptoms. In addition, she demonstrated a thorough understanding of coping skills, successfully applied and generalized her skills to a variety of situations, and took pride in teaching her skills to others. This child showed quantitative improvements on objective self-report measures as well as qualitative improvements in her overall emotional and behavioral functioning. This case study suggested that cognitive–behavioral therapy interventions, particularly when used in a family-based approach, are effective for children with symptoms of GAD.

2019 ◽  
Vol 33 (4) ◽  
pp. 301-319
Author(s):  
Ariella P. Lenton-Brym ◽  
Kathleen E. Stewart ◽  
Alice E. Coyne ◽  
Henny A. Westra ◽  
Michael J. Constantino ◽  
...  

Clients with generalized anxiety disorder (GAD) that demonstrate observer-coded treatment ambivalence benefit from the addition of motivational interviewing (MI) to cognitive behavioral therapy (CBT; Button, Westra, Constantino, & Antony, 2016). While observer-coded assessment of ambivalence and readiness for change is resource-intensive, the present study investigates the use of more efficient self-report measures to predict treatment outcomes. Participants (N = 85) with GAD received CBT or MI-CBT and completed self-report measures of readiness for change (Change Questionnaire, Miller & Johnson, 2008) and ambivalence (Treatment Ambivalence Questionnaire, Purdon, Rowa, Gifford, McCabe, & Antony, 2012). Greater self-reported baseline readiness for change was associated with lower posttreatment worry and symptom severity and faster reduction in worry. Self-reported ambivalence was not associated with outcomes. Patients with less concern about adverse consequences of treatment who received CBT experienced greater increases in readiness for change than those receiving MI-CBT. We discuss implications for using these measures in clinical settings.


2017 ◽  
Vol 2 (1) ◽  
pp. 020117
Author(s):  
Hanna Burda

Generalized anxiety disorder - is a common disease, which is quite difficult diagnosed and treated. Cognitive-behavioral therapy is indicated to patients with GAD as a first-line method. This article provides an overview of the principles, advantages and evidence of the effectiveness of this type of therapy. Although cognitive behavioral therapy has advantage over other types of therapy for GAD, this issue requires further research, because there are problems such as a high percentage of patients interrupting therapy and relatively low percentage of clinically meaningful improvement.


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