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Metacognitive therapy for generalized anxiety disorders in group: A case study
Ane T Hammersmark1, Odin Hjemdal1,2, Marit Hannisdal1
1Diakonhjemmet Hospital, Oslo, Norway.
Objectives:
In Metacognitive therapy (MCT), homework is used, for example, to increase awareness of thoughts and thought processes, to challenge metacognitive beliefs in real-life situations, and to practice new ways of processing thoughts, feelings, and symptoms. All MCT treatment manuals include homework assignments to be given between each session.
Method:
The following study provides a detailed description of the implementation of homework in a group-based MCT treatment for generalized anxiety disorder (GAD) at an outpatient clinic in Norway. The treatment described in this case consisted of 10 weekly group sessions (7 patients) lasting two hours.
Results:
This case study demonstrates that group-based MCT can be used to treat GAD and describes how the use of homework can facilitate therapeutic change.
Conclusion:
Overall, the effectiveness of MCT was found to be high. Homework gives patients the opportunity to take charge of their therapy and develop a sense of responsibility for their own progress, both during and after treatment.
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Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.

