title: Combining and sequencing medication and cognitive-behaviour therapy for childhood anxiety disorders.
abstract: Despite the absence of data on the efficacy of combination therapy (i.e., psychosocial and medication) for the treatment of anxiety disorders in youths, clinicians in clinical practice often utilize this treatment approach. This paper discusses issues related to sequencing, combining, and integrating cognitive behavioural and pharmacological interventions for anxiety disorders in children and adolescents. We briefly summarize the empirical evidence for mono and combination therapy and raise a variety of issues that should be considered when making treatment decisions. Finally, we present an integrated treatment model to facilitate the delivery of a comprehensive treatment approach across care providers. These suggestions are geared toward optimizing clinical outcomes for anxious youths.
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21287-3325, USA. cpierce@jhmi.edu
authors.forename: Courtney P
authors.initials: CP
authors.lastname: Keeton
authors.forename: Golda S
authors.initials: GS
authors.lastname: Ginsburg
mesh_terms: D000293:Adolescent; D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D001008:Anxiety Disorders / Q000188:drug therapy / Q000628:therapy*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D006287:Health Planning Guidelines; D006801:Humans; D010290:Parents / Q000523:psychology; D010348:Patient Care Team; D055502:Secondary Prevention
chemical_list: D014151:Anti-Anxiety Agents