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CLINICAL SYNTHESIS   |    
Internet-Delivered Psychotherapy for Anxiety Disorders and Depression
Nickolai Titov, Ph.D.; Blake Farran Dear, Ph.D.; Gerhard Andersson, Ph.D.
FOCUS 2014;12:299-308. doi:10.1176/appi.focus.12.3.299
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Author Information and Disclosure

Nickolai Titov, Ph.D., eCentreClinic, Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia and The MindSpot Clinic, Macquarie University, Sydney, Australia

Blake Farran Dear, Ph.D., eCentreClinic, Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia and The MindSpot Clinic, Macquarie University, Sydney, Australia

Gerhard Andersson, Ph.D., Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden and Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden

Dr. Titov and Dr. Dear report the following disclosures: both are funded by the Australian Government to develop and provide a free national Internet and telephone-delivered treatment service, the MindSpot Clinic (www.mindspot.org.au), for people with anxiety and depression.

Dr. Dear is supported by a National Health and Medical Research Council (NHMRC) Australian Public Health Fellowship.

Dr. Andersson reports no competing interests.

Address correspondence to Dr. Titov; e-mail: nick.titov@mq.edu.au

Abstract

Anxiety and depressive disorders are highly prevalent, but fewer than half of those who meet diagnostic criteria seek treatment each year. Internet-delivered cognitive behavioral therapy (iCBT) may improve access to evidence-based psychological treatment for people with these conditions. This clinical synthesis focuses on structured iCBT delivered over a period of several weeks or months. Results of meta-analyses consistently indicate the efficacy of therapist-guided iCBT interventions relative to control conditions. This synthesis considers key issues in this rapidly evolving field. Notwithstanding the challenges of safely integrating iCBT into existing mental health services and systems, the authors recommend iCBT interventions as a promising strategy for reaching and treating people with anxiety and depression who might not otherwise receive treatment.

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Which of the following best represents the role of psychotherapy in the treatment of bipolar disorder?

See Swartz and Swanson; Results, p 252
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See Swartz and Swanson; Table 2: Description of Evidence-Based, Bipolar Specific Psychotherapies, p 259
3.
How does psychopathology develop within the framework of metacognitive theory?

See Mundy and Hofmann; Meta-Cognitive Therapy, p 267
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