Computer-Aided CBT Self-Help for Anxiety and Depressive Disorders: Experience of a London Clinic and Future Directions

Lina Gega, Isaac Marks, David Mataix-Cols

    Research output: Contribution to journalArticlepeer-review

    107 Citations (Scopus)

    Abstract

    This article describes a broad-spectrum, computer-aided self-help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per-patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer-aided systems of cognitive behavior therapy (CBT) self-help for phobia/panic, depression, obsessive-compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician-extender systems offer hope for enhancing the convenience and confidentiality of guided self-help, reducing the per-patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer-aided system.
    Original languageEnglish
    Pages (from-to)147-157
    JournalJournal of Clinical Psychology
    Volume60
    Issue number2
    DOIs
    Publication statusPublished - Feb 2004

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