Across Western countries, more than a third of people will have a mental health disorder over their lifetime; mood and anxiety disorders are the most common. The effectiveness of psychological interventions is well established. Cognitive Behavioural Therapy (CBT), for example, is as effective for mild and moderate anxiety as medica‐ tions; combined psychopharmacology and CBT is superior to either modality alone, suggesting a synergistic effect. However, CBT requires a major investment of time and resources. Thus, in public systems, CBT has limited availability and is subject to long waiting times; primary-care physicians and psychiatrists may not offer CBT. Can technology address the deficiency of psychological interventions for mental illness? Internet therapies (including smart phone apps) have been developed, offering CBT and other psychological interventions. In this chapter, we focus on Internet-assisted CBT (ICBT). ICBT allows patients to receive ongoing CBT with easier and quicker access, at reduced cost, and with increased convenience over traditional CBT. We review evidence from randomized trials and meta-analyses, which strongly support the use of ICBT in clinical practice, especially in combination with ongoing therapist support. We consider government experimentation with ICBT, with a particular focus on Australia. We also present a case demonstrating the clinical application of ICBT. Finally, with an eye to the future, we will look at potential research questions. a randomised controlled trial.
Anxiety — Is There an App for That? Considering Technology, Psychiatry, and Internet-Assisted Cognitive Behavioral Therapy
D. Gratzer,Faiza Khalid-Khan,S. Khalid-Khan
Published 2015 in Unknown venue
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- Publication year
2015
- Venue
Unknown venue
- Publication date
2015-09-09
- Fields of study
Medicine, Computer Science, Psychology
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Semantic Scholar
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