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Psychotherapy efficacy studies are conducted in highly con trolled research settings. In contrast, effectiveness studies are done in routine clinical practice. In India, the literature on psychotherapy outcome is almost nonexistent. Materials and methods: Here is a retrospective effectiveness study done by a psychiatrist in his clinic. A total of 67 patients visited for the treatment of anxiety disorders, whose data were available for analysis. Results: Out of this sample, 44 patients opted for cognitive behavior therapy (CBT) of which 20 (45%) patients dropped out of therapy by the 3rd session. Male patients represented 4 times more than female patients. The average number of sessions attended was 5.4. Of the 24 patients who attended 4 and more number of sessions, on Clinical global impression scale, 10 (41%) improved very much, 11 (45%) improved much, 2 (8%) improved minimally, and 1 (4%) did not change. Conclusion: This indicates CBT is quite effective for anxiety disorders in patients who attend 4 and more sessions. Early dropout is a significant obstacle to the effectiveness.

Effectiveness and Utilization Pattern of Cognitive Behavior Therapy of Anxiety Disorders: Evidence from a Psychiatry Clinic