Previously submitted to: Interactive Journal of Medical Research (no longer under consideration since Nov 27, 2023)
Date Submitted: Aug 30, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Comprehensive Virtual Treatment for Severe Anxiety in Youth: A Case Report
ABSTRACT
Introduction: Anxiety disorders and obsessive-compulsive disorder (OCD) are among the most common mental health conditions in children and adolescents and are associated with various impairments and long-term consequences. Evidence-based treatments exist but are lacking in elements needed to effectively treat youth with more severe presentations. This case report illustrates a patient’s treatment course in an innovative program for children, adolescents, and young adults with anxiety and OCD. The program offers a continuum of outpatient, evidence-based care tailored to the severity of the patient's condition.
Methods:
The case study focuses on "Patient A," an adolescent female with severe anxiety as well as OCD who had previously received extensive treatment without sustained improvement.
Results:
Through the program's three treatment phases, Patient A and her parents demonstrated consistent engagement and adherence to treatment. Patient A showed significant progress, with rapid reduction in symptoms and functional impairment. Discussion: This case report highlights the acceptability and feasibility of the program in providing accessible and comprehensive care for youth with anxiety and OCD. It underscores key elements of this program that address gaps in the field, particularly for patients with severe presentations, including virtual access, insurance coverage, coordinated care, between-session coaching, and measurement-based care. Further research is warranted to evaluate the generalizability and long-term outcomes of this program and its potential to transform the treatment landscape for pediatric anxiety and OCD.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.