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Although validated treatments such as cognitive-behavioural-based therapy (CBT) exist to treat anxiety and depression, the protocols are designed for highly trained therapists working in specialty clinics and have rarely been tested in primary health care (11).
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Although such negative findings should be treated with caution, one interpretation would be that structural brain regions predictive of response to CBT, should they exist, may be more subtle than those predictive of fluoxetine response.
However, the exercises in CBT that do exist are mostly de-contextualized and do not fully represent the situations in which children experience their anxiety.
We hypothesized that both CBT and MMI would be better than CAU, whereas no difference was thought to exist between CBT and MMI.
Fundamental differences do exist between the CBT and PEP interventions.
GAD can be treated effectively with cognitive behavioural therapies (CBT) [6] [8], but numerous barriers to treatment exist, including the direct and indirect costs of treatment, the limited availability of mental health professionals, stigma, and the difficulty of patients attending treatment during office hours [9], [10].
9 However, major limitations exist in the dissemination of these CBT interventions: the programs require that professionals be well trained in CBT; 10 12 time, cost and stigma are other barriers to access to a CBT program.
3– 5 As of 2012, though empirically derived treatment algorithms for SAD do not exist, pharmacotherapy and cognitive behavioural therapy (CBT) have consistently been shown to be effective as first-line treatments in a large database of randomised controlled trials, and are recommended in many countries.
Even though various evidence-based practices exist (e.g., DBT, problem solving therapy, CBT), it still remains that clinicians have indicated clients who self-injure are the most difficult to treat [ 4].
URMs seem to be a group that can be successfully treated for PTSS, even though cultural differences exist, as demonstrated in the treatment applications for TF-CBT [ 38– 41].
Effective treatments for these disorders exist (i.e., selective serotonin reuptake inhibitors (SSRIs) and cognitive behavior therapy (CBT) [4], [5].
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