Related Experiment Videos
Treatment for anxiety disorders: Efficacy to effectiveness to implementation
Michelle G Craske1, Peter P Roy-Byrne, Murray B Stein
1University of California, Los Angeles, Department of Psychology, Franz Hall, 405 Hilgard Avenue, Los Angeles, CA 90095, USA. craske@psych.ucla.edu
Behaviour Research and Therapy
|July 28, 2009
Summary
Evidence-based anxiety disorder treatments, including cognitive behavioral therapy (CBT) and pharmacotherapy, are effective in primary care. Computer-assisted CBT and collaborative care models enhance treatment sustainability and patient engagement.
Area of Science:
- Primary care mental health
- Anxiety disorder treatment
- Health services research
Background:
- Anxiety disorders are prevalent, costly, and often undertreated in primary care.
- There is a need for evidence-based, sustainable anxiety treatments in real-world settings.
Purpose of the Study:
- To describe programs developed for delivering evidence-based anxiety treatment in primary care.
- To evaluate the efficacy and sustainability of these interventions.
Main Methods:
- Collaborative Care Model for Anxiety Programs (CCAP) evaluated CBT and pharmacotherapy for panic disorder.
- The CALM study extended interventions to multiple anxiety disorders using computer-assisted CBT and a measurement-based approach.
Main Results:
- CCAP demonstrated superior outcomes for panic disorder compared to usual care.
- Computer-assisted CBT in the CALM study is acceptable to clinicians and patients, promoting sustainability.
Conclusions:
- Evidence-based treatments, including CBT and pharmacotherapy, are effective in primary care for anxiety disorders.
- Computer-assisted CBT and collaborative care models show promise for sustainable, accessible mental healthcare.
Related Concept Videos
01:22Behavior Therapy
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
01:26Anxiolytic Drugs: Overview
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic circuitry.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic circuitry.
01:28Drug Therapy
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
01:24Treatment Strategies for Psychological Disorders
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
01:30Electroconvulsive Therapy
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
01:29Anxiolytic Drugs: Benzodiazepines and Buspirone
Benzodiazepines are a class of anxiolytic drugs known for their rapid efficacy and high therapeutic-to-lethal dose ratio, but with a potential risk of drug dependence. These drugs are lipophilic, allowing for rapid absorption after oral administration, eventually reaching the central nervous system (CNS). Once in the CNS, benzodiazepines bind to the allosteric site of the GABAA receptor. This binding enhances the inhibitory effects of the neurotransmitter GABA. By doing so, they prevent...