Failures in cognitive-behavior therapy for children

J Clin Psychol. 2011 Nov;67(11):1140-50. doi: 10.1002/jclp.20848. Epub 2011 Sep 27.

Abstract

This article discusses treatment failures in child therapy, specifically cognitive-behavioral therapy (CBT) for anxiety and its disorders. The theoretical foundations and principles of CBT are discussed first, followed by a summary of the treatment outcome literature. Also discussed is how treatment failure is defined and gauged in CBT, as well as factors implicated in treatment failure. A case illustration highlights these factors, which resulted in the child not advancing positively in treatment. The article concludes with key practice recommendations.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy*
  • Anxiety, Separation / psychology
  • Anxiety, Separation / therapy
  • Child
  • Cognitive Behavioral Therapy*
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy
  • Education
  • Family Therapy
  • Humans
  • Implosive Therapy
  • Internal-External Control
  • Male
  • Outcome and Process Assessment, Health Care
  • Personality Assessment
  • Treatment Failure