The Psychiatrist as Clinical Computerologist in the Treatment of Adolescents: Old Barks in New Bytes

Adolescents with high-functioning autism spectrum disorders (ASDs) are at high risk for developing psychiatric symptoms, with anxiety disorders among the most commonly cooccurring. Cognitive behavior therapies (CBTs) are considered the best practice for treating anxiety in the general population. Modified CBT approaches for youth with high-functioning ASD and anxiety have resulted in significant reductions in anxiety following intervention. The purpose of the present study was to develop an intervention for treating anxiety in adolescents with ASD based on a CBT program designed for school-aged children. The Facing Your Fears-Adolescent Version (FYF-A) program was developed; feasibility and acceptability data were obtained, along with initial efficacy of the intervention. Twenty-four adolescents, aged 13–18, completed the FYF-A intervention. Results indicated significant reductions in anxiety severity and interference posttreatment, with low rates of anxiety maintained at 3-month follow-up. In addition, nearly 46% of teen participants met criteria for a positive treatment response on primary diagnosis following the intervention. Initial findings from the current study are encouraging and suggest that modified group CBT for adolescents with high-functioning ASD may be effective in reducing anxiety symptoms. Limitations include small sample size and lack of control group. Future directions are discussed.

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“…This tool requires 20 minutes to complete. The SCQ has good specificity (.80) and sensitivity (.96) [40]. …”

Section: Methodsmentioning

confidence: 99%

“…Increased motivation and interest may result in increased responsiveness to the intervention. Several recent papers have supported the integration of technology with traditional models of psychotherapy [40, 41]. …”

Section: Introductionmentioning

confidence: 99%

Facing Your Fears in Adolescence: Cognitive-Behavioral Therapy for High-Functioning Autism Spectrum Disorders and Anxiety

Reaven

Blakeley‐Smith

Leuthe

et al. 2012

Autism Research and Treatment

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“…Or there is only partial concealment. One may operate with one's full name and identity, and have met the person(s) one communicates with (Bailey, Yager, & Jenson, 2002). But in these interactions, the face, mimicry, gestures, body bearing, all that we name non-verbal communication, are not available.…”

Section: On E-communicationmentioning

confidence: 99%

Sh@me in Cyberspace. Relationships without faces: the e‐media and eating disorders

Skårderud

2003

Euro Eating Disorders Rev

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“…11 The development of e-mail communication between psychiatrists and their patients is currently at an early stage of evolution although many areas of applicability have already been suggested including the treatment of chronic pain and the eating disorders. [12][13][14] The purpose of this article is to suggest another potential role for online communication between patients and their providers in the treatment of substance abuse. Generally accepted adjunctive measures towards ensuring a high probability of recovery from substancerelated disorders include ongoing patient monitoring, forming and supporting structure in the lives of addicted patients, and maintaining patient accountability to their monitoring professionals.…”

Section: Introductionmentioning

confidence: 99%

Patient-Provider E-Mail Communication as an Adjunctive Tool in Addiction Medicine

Collins

McAllister²,

Ford

2007

Journal of Addictive Diseases

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Frequent electronic mail communication between patients and their addiction specialist can be utilized as an adjunct in the treatment of alcohol or substance dependency. Selected patients benefit from mandatory daily electronic mail communications with their provider through enhanced accountability, frequent self-assessment, deterrents to isolation, and a sense of continuous access to care. Participants have found the experience easy and enjoyable and all have maintained continuous sobriety. We present our experience using this modality as a series of illustrative case reports and a discussion of the implications of using electronic mail with patients in addiction medicine.

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The Psychiatrist as Clinical Computerologist in the Treatment of Adolescents: Old Barks in New Bytes

Cited by 27 publications

References 18 publications

Facing Your Fears in Adolescence: Cognitive-Behavioral Therapy for High-Functioning Autism Spectrum Disorders and Anxiety

Facing Your Fears in Adolescence: Cognitive-Behavioral Therapy for High-Functioning Autism Spectrum Disorders and Anxiety

Sh@me in Cyberspace. Relationships without faces: the e‐media and eating disorders

Patient-Provider E-Mail Communication as an Adjunctive Tool in Addiction Medicine

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