First-line picks and clinical guidance for the presentations under this topic.
Generalized Anxiety Disorder
Chronic worry across multiple life domains, often with intolerance of uncertainty.
GAD is driven by worry as a strategy — clients believe it prepares or protects them. Treatment targets worry behavior, intolerance of uncertainty, and avoidance, alongside relaxation and metacognitive beliefs about worry itself.
First-line:CBT
Panic Disorder
Recurrent panic attacks plus fear of future attacks; often with agoraphobic avoidance.
Panic is maintained by catastrophic misinterpretation of body sensations (I'm dying, going crazy) and by avoidance/safety behaviors. Interoceptive exposure — deliberately producing the sensations — is the core intervention.
First-line:CBT
Social Anxiety Disorder
Fear of negative evaluation that drives avoidance, safety behaviors, and post-event rumination.
Treatment targets self-focused attention, safety behaviors, and avoidance of feared social situations. Behavioral experiments that drop safety behaviors are more effective than habituation alone.
First-line:CBT
Obsessive-Compulsive Disorder
Intrusive obsessions paired with compulsions that temporarily relieve anxiety and reinforce the loop.
OCD is maintained by the compulsion, not the thought. Treatment that reduces compulsions (overt and mental) breaks the cycle and lets new safety learning form. Medication (SSRIs at higher-than-depression doses) often adjuncts therapy in moderate-to-severe cases.
First-line:ERP
Specific Phobias
Marked, persistent fear of a specific object or situation, with avoidance.
Single-session exposure-based treatment (Öst) achieves clinically meaningful gains in many specific phobias. The active ingredient is exposure with inhibitory learning maximizers.
First-line:CBT · ERP
Health Anxiety
Excessive worry about having a serious illness, checking and reassurance-seeking behaviors.
Treated as an OCD-spectrum / anxiety problem. Cognitive misappraisal of body sensations + checking/reassurance behaviors maintain the disorder. ERP-style work targets the safety behaviors directly.
First-line:CBT · ERP