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Related Concept Videos

Anxiety: Overview01:18

Anxiety: Overview

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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
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Related Experiment Video

Updated: Jan 22, 2026

Reducing State Anxiety Using Working Memory Maintenance
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Reducing State Anxiety Using Working Memory Maintenance

Published on: July 19, 2017

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Whose anxiety are we treating, anyway?

Nicole Nehrig1,2, Tracy A Prout3, Katie Aafjes-van Doorn3

  • 1VA New York Harbor Healthcare System, Manhattan Campus, New York, New York.

Journal of Clinical Psychology
|July 10, 2019
PubMed
Summary

Empirically supported treatments (ESTs) help manage anxiety for patients, therapists, and administrators. However, over-reliance on ESTs may reduce the impact of patient factors and clinical judgment in reducing human distress.

Keywords:
anxietyempirically supported treatmentsevidence-based practicepsychotherapytraining

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Area of Science:

  • Psychology
  • Psychotherapy Research
  • Clinical Practice

Background:

  • Empirically Supported Treatments (ESTs) are increasingly utilized in mental health.
  • ESTs aim to provide structured and evidence-based approaches to complex human problems.
  • Anxiety is a common concern addressed by various therapeutic interventions.

Purpose of the Study:

  • To explore how ESTs assist patients, therapists, and administrators in managing anxiety.
  • To examine the mechanisms through which ESTs alleviate anxiety for different stakeholders.
  • To evaluate the broader implications of ESTs in clinical practice.

Main Methods:

  • Literature synthesis.
  • Integration of clinical experience.
  • Analysis of psychotherapy research.

Main Results:

  • ESTs manage patient anxiety by providing clear symptom mechanisms and expert therapist roles.
  • Therapists benefit from streamlined decisions and reduced treatment complexity with ESTs.
  • Administrators utilize ESTs for top-down dissemination, malpractice/insurance assurance.

Conclusions:

  • While ESTs offer benefits in anxiety management, they may overshadow patient factors and clinical judgment.
  • Over-reliance on ESTs could limit the potential of clinical practice to alleviate human distress.
  • Balancing ESTs with other evidence-based practice components is crucial for effective treatment.