A family-based CBT approach to the treatment of anxiety disorders in children and adolescents

This chapter highlights the key competencies required to deliver effective evidence-based cognitive behavioural therapy (CBT) for youth with anxiety disorders and their families. A number of generic competencies and specific CBT competencies are important for a clinician to master. Generic competencies include the ability to conduct a competent assessment and understanding relevant child and adolescent characteristics, whereas specific CBT competencies include competence in delivering key CBT strategies, such as cognitive restructuring and exposure. Clinicians also need to consider the role of family factors in maintaining youth anxiety. This chapter addresses the factors that clinicians need to consider when making a decision about the type and extent of parental involvement in therapy. Finally, some of the common obstacles to successful CBT intervention for youth anxiety and strategies for overcoming them are considered.