Clinical Research

The Child CBT program provides state-of-the-art cognitive-behavioral therapy to children, adolescents, and young adults with a range of emotional and behavioral problems, while advancing the scientific understanding of CBT approaches, and fostering the dissemination of CBT to patients, families, and professionals.

Intensive Cognitive Behavioral Therapy Program for Youth with Anxiety Disorders
Director: Jamie A. Micco, PhD
Overview

We offer an intensive cognitive-behavioral therapy program for youth (ages 8-24 years) with moderate to severe symptoms of an anxiety disorder, including:

  • Generalized anxiety disorder
  • Obsessive compulsive disorder
  • Panic disorder with or without agoraphobia
  • School phobia
  • Selective mutism
  • Separation anxiety disorder
  • Social phobia
  • Specific phobia

This program is meant for children, adolescents, and young adults who find that standard outpatient treatment has not been sufficient for improvement or for those who desire an intensive, shorter-duration treatment.

What happens in the treatment?
The program consists of daily, three-hour individual sessions of cognitive-behavioral therapy. During these sessions, the patient: 1) gains a better understanding of the thoughts, emotions, physical reactions, and behavioral responses that are maintaining the anxiety disorder, 2) undergoes cognitive-behavioral skills training (e.g., identifying and challenging anxious thoughts, learning problem solving and distress tolerance skills, etc), and 3) engages in therapist-assisted gradual exposure to feared situations.

Skills and exposures are practiced between sessions in order to facilitate more rapid progress. Parents work with the therapist to learn how best to support their child through the treatment process.

The intensive treatment program is based within our office at MGH. However, portions of the treatment may be provided at the patient’s home or in the community, as needed. By conducting community or home visits, the clinician can more effectively target the patient’s fears in situations where they actually occur.

Because the program is tailored to meet each individual’s needs, the length of treatment will range between 2 to 8 days. For each patient, the length of treatment will be determined after completion of the initial assessment, in advance of starting the program.

Who conducts the therapy?
Treatment is provided by licensed clinical psychologists with expertise in CBT and the treatment of anxiety disorders. Each patient works with the same therapist throughout participation in the program.

How much does the program cost?
The initial evaluation is a reimbursable service for any family whose insurance is routinely accepted by the Child CBT Program at MGH.

The cost of treatment is $530 per day. The intensive CBT sessions are self-pay and therefore we do not accept insurance for these visits. Payment is expected in full at the beginning of treatment. The family is welcome to submit a claim to their insurance provider, but we cannot guarantee reimbursement.

What happens after the treatment is over?
The therapist will work with the family to develop a treatment plan after the intensive program has ended. This may include recommendations for weekly cognitive behavioral therapy, psychopharmacology, family therapy, or a combination of these treatment approaches.

We also encourage a follow-up appointment with the therapist approximately one month after completion of the intensive program to refresh skills, assess progress, and troubleshoot obstacles that may have arisen.

How do we get started?
If you are interested, please contact the Director of the Intensive CBT Program, Dr. Jamie Micco by phone at 617-643-6029 or by email at jmicco@partners.org.