Anxiety disorders are common and disabling. Cognitive behavior therapy is the treatment of choice but is often difficult to obtain. Automated, internet-delivered, cognitive behavior therapy (iCBT) courses may be an answer. There are three recent systematic reviews of randomized controlled trials that show that the benefits are substantial (d = 1.0) and similar to face to face CBT. There are two large effectiveness trials that demonstrate strong effects when iCBT is used in primary care; 60 % of patients who complete the courses no longer meet diagnostic criteria. The courses are suitable for most people with a primary anxiety disorder. Research studies usually exclude people whose anxiety is secondary to schizophrenia, bipolar disorder, or substance abuse or who are actively suicidal. Little additional input from clinicians is required. Patients find the courses very convenient. Clinically, the principal advantage is the fidelity of the treatment. What you prescribe is what the patient sees.
Anxiety disorders Panic disorder Agoraphobia Social anxiety disorder Generalized anxiety disorder Internet cognitive behavior therapy
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Compliance with Ethics Guidelines
Conflict of Interest
Alishia D. Williams declares that she has no conflict of interest.
Gavin Andrews is the developer of the ThisWayUpClinic suite of courses. They are a not for profit initiative of St Vincent's Hospital Sydney Australia. Dr Andrews has transferred all IP to the hospital.
Jill M. Newby is supported by an Australian National Health and Medical Research Council (NHMRC) Early Career Fellowship (1037787).
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
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1.Clinical Research Unit for Anxiety and Depression (CRUfAD), School of PsychiatryThe University of New South Wales (UNSW) at St Vincent’s Hospital, Level 4, The O’Brien Centre St. Vincent’s HospitalSydneyAustralia