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Internet-Based Treatment for Anxiety and Obsessive-Compulsive and Related Disorders 

Internet-Based Treatment for Anxiety and Obsessive-Compulsive and Related Disorders
Chapter:
Internet-Based Treatment for Anxiety and Obsessive-Compulsive and Related Disorders
Author(s):

Christian Rück

, Erik Andersson

, and Erik Hedman

DOI:
10.1093/med/9780199395125.003.0032
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date: 07 April 2020

Internet-based cognitive behavior therapy (ICBT) is a highly structured therapist-guided self-help treatment that provides treatment content via a secure online treatment platform. The mechanisms of change are thought to be the same as in face-to-face CBT, but the patient learns about CBT through comprehensive psychoeducational texts, audiofiles, filmclips, and asynchronous text messages with a therapist. Important advantages of ICBT include the substantial increase in accessibility to psychological treatment for large patient groups. ICBT has been shown to be effective in the treatment of social anxiety disorder, panic disorder, generalized anxiety disorder, posttraumatic stress disorder, specific phobia and obsessive-compulsive disorder. At least 28 randomized controlled trials have been conducted investigating ICBT for anxiety disorders, predominantly social anxiety disorder and panic disorder thus far. When compared to face-to-face CBT in randomized trials the evidence suggests that the two formats can produce similar effects in terms of symptom reduction.

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