Addressed by Treatment
Generalized Anxiety Disorder
Separation Anxiety Disorder
COPING CAT: Cognitive-Behavioral Therapy for Anxious Children uses a cognitive-behavioral approach to treat anxiety disorders in children and young adolescents between 8 and 14 years old. Included among these disorders are generalized anxiety, social phobia, and separation anxiety. COPING
CAT can be presented in 16 individual therapy sessions or in 18 group therapy sessions. The treatment program includes education, coping skills training, and graded exposure activities, all coupled with a workbook used for in-session and homework activities. The overall goal of COPING
CAT is to teach children to recognize signs of anxious arousal and use these signs as cues to apply anxiety management strategies.
Two different randomized clinical trials have been conducted to evaluate the therapeutic efficacy of COPING
CAT. The first study, conducted in 1997, tested the efficacy of individual therapy sessions of COPING
CAT. Results indicated significant improvement in anxiety symptoms in the treatment group, with over 50% of children being free of their primary anxiety disorder after treatment. The improvement was maintained at the one-year follow-up.
A randomized controlled trial in 2000 tested the efficacy of the COPING CAT program in both individual and group format. Participants were 37 children between 8 and 14 years old with a childhood anxiety disorder who were randomly assigned to group treatment, individual treatment, or a wait-list control. Study results indicated that more treated children in both individual therapy (73%) and group therapy (50%) no longer met diagnostic criteria after treatment, compared with the Wait-List group (8%). Further, children in individual therapy (64%) and group therapy (50%) no longer met diagnostic criteria for comorbid diagnoses (general anxiety disorder, separation anxiety disorder, social phobia) after treatment.
Group: 18 Weeks, 18
Sessions (90 minutes each)
Individual: 16 Weeks,
16 Sessions (50-60 minutes each)
Trainees (Graduate Student, Intern, Post-Doc)
Trained mental health professionals or appropriately supervised doctoral trainees under 2 hours of weekly supervision. In the group therapy setting, treatment program developers recommend the use of co-therapists for groups with more than five children.
It is intended that this program be implemented by mental health professionals with appropriate education, training, credentialing, and experience treating the target population.
of Treatment Program Materials
including all treatment program materials available for purchase
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