In the Treatment of GAD
An examination of current literature in the field of psychology has shown that cognitive behavioral therapy is an empirically supported and effective treatment type for a multitude of disorders, especially a variety of anxiety disorders. Keywords: effectiveness, CBT, anxiety, GAD, treatment.
Effectiveness of CBT
In the Treatment of GAD
Cognitive-Behavioral therapy (CBT) is an empirically supported treatment for a variety of disorder diagnoses. Although pharmacological treatments are the most widely used method of treatment in anxiety disorders in America, research has found that even though patients respond sufficiently to medication treatment initially some are unable to maintain their gains long-term (McDermott, 2004). Generalized Anxiety disorder (GAD) is one of the most commonly diagnosed axis-1 anxiety disorders. The DSM-IV characterizes GAD by two main symptom clusters, the first of which is excessive and uncontrollable worry about a number of events and activities. The second cluster consists of six somatic symptoms (also referred to as associated symptoms in the DSM-IV), the six somatic symptoms include: restlessness, feeling on edge, easily fatigued, difficulty concentrating irritability, muscle tension and sleep disturbance (Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision [DSM-IV-TR], American Psychiatric Association, 2004). The purpose of this paper is to examine current empirical research in the field of psychology on CBT use in the treatment of GAD. And by doing so, demonstrate the effectiveness of Cognitive Behavioral Therapies (CBT) in the treatment of Generalized Anxiety Disorder (GAD). Cognitive Behavioral Therapy
Cognitive-behavioral therapy is an empirically supported form of therapy that has had profound significance in the treatment of various anxiety disorders. Cognitive behavioral therapy, or CBT, is in short a form of therapy where individuals are taught to actively engage with their cognitive processes in hopes to control where negative feelings (depression, anxiety) come from. And by understanding our cognitive processes which, in individuals who received diagnoses of anxiety or depression, promote negative feelings or emotions we can better control those processes and hopefully deal with the outcomes more effectively (Patelis-Siotis, 2001). CBT is not a single therapy but rather a heterogeneous array of psychotherapies grouped under a common rubric. There are different approaches that can be taken with CBT such as: including rational emotive behavior therapy, rational behavior therapy, rational living therapy, cognitive therapy, and dialectic behavior therapy (Dryden. 2009). Also, CBT can be performed in either group or individual sessions; both forms are shown to be empirically beneficial (Dugas, Ladouceur, Léger, Freeston, Langolis, Provencher, & Boisvert. 2003). The benefits of CBT are empirically supported, such benefits as: having a strong psychoeducational nature promoting monitoring and self-regulation which helps treatment of severe chronic recurring disorders. Furthermore CBT also has been shows to be effective in increasing compliance to pharmacological treatments and has a strong effectiveness of preventing relapse when dealing with certain types of disorders.(Patelis-Siotis, 2001). CBT is an effective treatment for a range of anxiety disorders. In a study done in Japan by Watanabe, Furukawa, Chen, Kinoshita, Nakano, Ogawa, & Noda (2010) they looked at 57 patients in a mental health facility, all of whom with a diagnosis of social anxiety disorder (sad). They worked with these individuals from Feb. 2005-May 2007. The CBT program consisted of 12 or more, two-hour, group sessions, with the number of sessions depending on each group’s progress (maximum 20 sessions). The patients were treated in groups of 3 or 4 led by two therapists (one active...