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Unread June 5th, 2005, 09:54 PM
James Pretzer James Pretzer is offline
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Join Date: Jun 2004
Posts: 283
Default Computer-assisted CT

The June 2005 edition of the American Journal of Psychiatry contains a paper from Jesse Wright's research team describing a randomized, controlled trial that demonstrated the efficacy of computer-assisted cognitive therapy for depression.

Jesse suggests that this research could have significant implications for health care funding, patient access to effective treatments, and the efficiency of empirically tested psychotherapy. His team was able to demonstrate that the amount of therapist time required for successful treatment of depression could be substantially reduced, while maintaining full efficacy, by using a multimedia computer program for cognitive therapy.

The computer program used in this study is distributed by Mindstreet LLC in DVD-ROM format in both Consumer and Professional Editions. The Consumer Edition is a single user, self-help introductory guide for individuals interested in basic cognitive therapy. The Professional Edition is designed for multiple users in clinical settings such as outpatient offices, hospitals, and clinics. It features a patient registration and monitoring system that allows clinicians to track progress and integrate the computer program into an overall treatment plan.

For further information on Good Days Ahead: The Multimedia Program for Cognitive Therapy contact:
Laura Finnegan via phone: 502-893-9271 or email:
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Unread April 4th, 2011, 12:31 PM
James Pretzer James Pretzer is offline
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Join Date: Jun 2004
Posts: 283
Default Is therapist contact necessary for treating anxiety and depression?

Two recent articles have reviewed a variety of technologically-assisted self-help and minimal-contact therapies for anxiety and depression and for substance abuse. Overall, they conclude that there is evidence that technologically-assisted treatments can be helpful for individuals seeking help with anxiety and depression. However, some degree or therapist contact seems to be useful with less motivated clients and more severe disorders.

Personally, I'd expect a well-designed technologically-assisted treatment package (or a good self-help book) to be helpful to motivated individuals who follow-through persistently on applying the material in daily life. Unfortunately, many individuals in need of help aren't very good at following through persistently, especially when the changes they need to make are scary or uncomfortable. One could design a technologically-assisted treatment that monitors the extent to which participants follow-through and addresses non-compliance, but I think that live therapists will have a lot to contribute for the foreseeable future.
Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011). A review of technologically-assisted self-help and minimal-contact therapist for anxiety and depression: is human contact necessary for therapeutic efficacy? [i]Clinical Psychology Review[i], 31, 89-103.

Newman, M. G.; Szkodny, L. E.; Llera, S. J.; Przeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for drug and alcohol abuse and smoking addiction: Is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31, 178-186.
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