CBT for Anxiety: What the Evidence Actually Says

Research and clinical guidance can inform discussion of CBT for some anxiety presentations. Findings from studies and guidance summaries do not predict an individual response, pathway or outcome. An online guide cannot diagnose an anxiety condition or determine whether CBT is the right form of support for a particular person. CBT is a broad family of psychological approaches. Depending on an individual assessment, discussions may include patterns of worry, fear, avoidance, self criticism, bodily sensations, sleep, routines, relationships and work pressures. The focus, pace and format of any work are agreed with the person rather than taken from a research summary or a general guide. Evidence can be helpful when it is read with its limits in mind. Studies often involve particular groups, definitions, settings and follow up periods. A result from a trial does not tell us what a specific person will need, what practical barriers they face or whether another source of support should take priority. Questions about medication, physical health, diagnosis or urgent risk should be discussed with an appropriately qualified healthcare professional. An assessment can explore what is happening now, when the difficulty began, what makes it better or worse, what support is already in place and what the person hopes will change. It can also consider whether a medical review, a specialist service, workplace support or another form of help is more relevant. The Lyceum provides CBT based support in West London and online where clinically appropriate. Published fees are £110 online and £140 face to face. Current format, accessibility and arrangements can be discussed before making an enquiry. If anxiety is causing immediate risk, severe deterioration or a need for urgent medical or mental health support, use an appropriate emergency, crisis or healthcare service rather than relying on an online guide.