EVIDENCE FOR CBT

CBT is EVIDENCE BASED which means that it has been CLINICALLY PROVEN to work

Research from around the world clearly demonstrates that CBT is HIGHLY EFFECTIVE and is the treatment of choice for a wide range of mental health issues as indicated in the following government backed guidelines.

Evidence compiled by Government agencies worldwide

Government agencies around the world compile Clinical Guidelines to give guidance to health workers, doctors, therapists, psychologists etc on the appropriate treatment and care of people with specific illnesses and conditions. Below are excerpts from some of those guidelines.

You can also download the full guidelines as PDFs.

AMERICAN PSYCHIATRIC ASSOCIATION (APA)
Practice guidelines for the treatment of patients with panic disorder. 2nd ed. Washington (DC)
2009

“Psychosocial treatments for panic disorder should be conducted by professionals with an appropriate level of training and experience in the relevant approach”

“Based on the current available evidence, CBT is the psychosocial treatment that would be indicated most often for patients presenting with panic disorder”

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UNITED KINGDOM N.I.C.E. GUIDELINES
National Institute for Health and Clinical Excellence
Information for people with panic disorder or generalised anxiety disorder, their families and carers, and the public

“Psychological therapy: If you opt for psychological therapy, you should be offered cognitive behavioural therapy (often shortened to ‘CBT’).”

“CBT should be delivered by people who have been specially trained to deliver the therapy and who follow an established way of providing it.”

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THE CANADIAN JOURNAL OF PSYCHIATRY CLINICAL PRACTICE GUIDELINES
Management of Anxiety Disorders

CBT is the most consistently efficacious psychological treatment for PD, according to meta analyses. CBT can be effectively delivered in various settings, including individual, group, and minimal intervention formats such as self help books or treatment via telephone or internet.”

“Evidence is accumulating that CBT may be more effective than medication in preventing relapse. A long term follow-up study of patients who had become panic free with exposure therapy found that 93% remained in remission after 2 years.

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THE ROYAL AUSTRALIAN & NEW ZEALAND COLLEGE OF PSYCHIATRISTS
Clinical Practice Guidelines Team for Panic Disorder and Agoraphobia
Beneficial Interventions / Cognitive behavioural therapy / Acute Management

Cognitive Behavioural Therapy is the most consistently efficacious treatment for PD, according to three meta-analyses”

“Cognitive Behavioural Therapy showed the strongest ESs in both systematic reviews, as well as the greatest percentage of people who were panic-free at the end of treatment”

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THE WORLD FEDERATION OF SOCIETIES OF BIOLOGICAL PSYCHIATRY (WFSBP)
Task force for the Pharmacological Treatment of anxiety, obsessive compulsive and post traumatic stress disorders.
Developed by a panel of 30 international experts based on 510 clinical studies (RCTs) and 130 open studies and case reports.
Section: Non-pharmacological treatment of Panic Disorder

Cognitive Behavioural Therapy (CBT) and other variants of behaviour therapy have been sufficiently investigated in controlled studies in patients with anxiety disorders, OCD and PTSD to support them being recommended either alone or in combination with medicines.”

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ONLINE CBT proved to be effective for Anxiety & Panic Disorder

Studies now show that ONLINE CBT (with brief email contact) can be just as effective as direct contact with a therapist.

Jan Bergström, a clinical psychologist at the Anxiety Disorders Unit of the Psychiatry division of the Stockholm County Council conducted a randomized trial of 104 patients diagnosed with panic disorder which concluded that online CBT was just as effective as group CBT and much more cost effective.

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Incredible Success Rate for CBT

In an article in the Journal of Consulting and Clinical Psychology 1991 a review of 150 research studies showed that 87% of people with Panic Disorder (with Agoraphobia) improved with only a 10% relapse rate. CBT for Panic Disorder without Agoraphobia has an incredible improvement rate of 90% with only a 5% relapse rate.

Studies also suggests that CBT long term outcomes are better than with pharmacology (medication):
87% of patients remain without attacks at 1 year
, and 75-81% at 2 years after completion of brief CBT.

References – Michelson, L.K. & Marchione, K. (1991). Behavioral, Cognitive, and Pharmacological Treatments of PDA: Critique and Synthesis. Journal of Consulting and Clinical Psychology, 59, 100-114.

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Cognitive behavior therapy [is] very effective. Some papers describe response rates in excess of 80% in panic disorder. A response can sometimes be achieved within a six-session program. Randomized clinical trials have shown cognitive behavior therapy to be superior to medication. Cognitive behavior therapy can also be helpful in withdrawing patients from antidepressants and benzodiazepines, and ongoing cognitive behavior therapy is associated with fewer relapses over time”

American Psychiatric Publishing, Inc http://journals.psychiatryonline.org/