Dissemination of empirically supported treatments for anxiety disorders: Introduction to the special issue |
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| Affiliation: | 1. Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK;2. Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, UK;3. Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK;1. School of Psychology, University of New England, Australia;2. Graduate School of Health, University of Technology Sydney, Australia;3. Discipline of Psychology, Edith Cowan University, Australia;1. Department of Psychiatry, University of Illinois at Chicago, 1747 W Roosevelt Road, Chicago, IL 60608, United States;2. Department of Psychology, McGill University, 1205 Dr. Penfield Avenue, Montreal, Quebec H3A 1B1, Canada;3. Department of Psychiatry, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5295, United States;4. Department of Psychology, University of Michigan, 1004 East Hall, 530 Church Street, Ann Arbor, MI 48109-1043, United States;5. Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2500, United States;6. Departments of Psychology and Anatomy and Cell Biology, and Graduate Program in Neuroscience, University of Illinois at Chicago, United States;1. VA Boston Healthcare System, United States;2. VA National Center for PTSD, United States;3. Boston University School of Medicine, United States;4. VA Providence Medical Center, United States;5. University of Memphis, United States |
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| Abstract: | Effective exposure therapies for anxiety disorders have been available for half a century. Over that time we have made great strides increasing the potency of these powerful methods. Yet, most of us in practice still have a conversation like the following with our new patients: Therapist: “So what treatments have you had for your anxiety symptoms to date?” Patient: “I have seen numerous therapists over the last 10 years.” Therapist: “Great, so what did you do?” Patient: “We talked about things. And I learned relaxation and breathing techniques.” Therapist: “Did a therapist ever help you face your fears?” Patient: “What do you mean?” Therapist: “I mean did you directly confront feared situations, perhaps with your therapist outside the office?” Patient: “No, why, is that important?” This oft-repeated conversation highlights the disconnect between the well-established efficacy of exposure-based treatments for pathological anxiety and their inaccessibility to most anxious clients. This failure to successfully disseminate exposure-based empirically supported treatments is the motivation for this special issue. The articles that follow consider the causes of this dissemination failure, highlight areas of success, and offer constructive remedies for addressing this important public health problem. |
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| Keywords: | Dissemination Exposure therapy Anxiety disorders Special issue Empirically supported treatments Introduction |
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