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The aim of the project is to increase the provision of evidence-based treatments for common mental health conditions such as anxiety and depression by primary care organisations. This includes workforce planning to adequately train the mental health professionals required. [ 1 ]
The HiTOP model does not account for individual level developmental processes that may lead to various disorder outcomes. [4] [13] To update HiTOP as new structural and validation studies become available, the Consortium formed a Revisions Workgroup. This workgroup has designed a process for continuous evidence-based revision of the model. [2]
A large number of hierarchies of evidence have been proposed. Similar protocols for evaluation of research quality are still in development. So far, the available protocols pay relatively little attention to whether outcome research is relevant to efficacy (the outcome of a treatment performed under ideal conditions) or to effectiveness (the outcome of the treatment performed under ordinary ...
Establish anxiety stimulus hierarchy. The individual should first identify the items that are causing the anxiety problems. Each item that causes anxiety is given a subjective ranking on the severity of induced anxiety. If the individual is experiencing great anxiety to many different triggers, each item is dealt with separately.
The least anxiety-provoking situations are ordered at the bottom of the hierarchy while the most anxiety-provoking situations are at the top. Exposure hierarchies typically consist of 10-15 items and will guide the client’s exposure practices. [1] An abbreviated example of an exposure hierarchy is pictured in Image 1. Image 1: Exposure ...
Reciprocal inhibition is based on the idea that two opposing mental states cannot coexist and is used as both a psychological and biological mechanism. [13] The theory that "two opposing states cannot occur simultaneously" i.e. relaxation methods that are involved with desensitization inhibit feelings of anxiety that come with being exposed to phobic stimuli. [13]
In some areas the cognitive component had an additive effect (for example, evidence suggests that cognitive interventions improve the result of social phobia treatment. [ 17 ] ) but in other areas it did not enhance the treatment, which led to the pursuit of third generation behaviour therapies.
A 2018 meta-analysis confirmed the effectiveness of MCT in the treatment of a variety of psychological complaints with depression and anxiety showing high effect sizes. It concluded, "Our findings indicate that MCT is an effective treatment for a range of psychological complaints. To date, strongest evidence exists for anxiety and depression.