Efficacy of exposure-based cognitive behavioral therapy for youth anxiety and obsessive-compulsive disorder
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Exposure-based cognitive behavioral therapy (CBT) is an effective first-line treatment for anxiety disorders and obsessive-compulsive disorder (OCD) in youth. The chapter provides an overview of the evidence base for CBT in youth anxiety and OCD, including examples of well-studied interventions: Coping Cat, Cool Kids, the Pediatric OCD Treatment Study, and the Nordic Long-Term OCD Treatment Study. It then examines the efficacy of key delivery format adaptations such as remote treatments, treatment intensity, and group versus individual therapy. Finally, it presents research on the impact of important clinical characteristics on CBT outcome, such as family factors, disorder-specific issues, and comorbid disorders. Although further research is needed regarding predictors of treatment outcome and how to maximize efficiency of care, there is strong evidence to support the use of exposure-based CBT for youth anxiety and OCD.