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image Image Forest plot of CBT effect sizes across anxiety disorders, depression, and quality of life outcomes
Effect size of the efficacy of CBT

A meta-analysis included 41 randomized controlled trials that compared CBT with placebo. In 34 of these studies, the intervention was delivered on an individual basis, whereas in the remaining 7 studies CBT was delivered to groups.

01.10.2025 Anxiety Disorders
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Cognitive–behavioural model of anxiety disorders

The cognitive‒behavioural model describes the maladaptive processes that can occur during mental disorders. Maladaptive beliefs can lead to maladaptive cognitions following exposure to certain triggers (e.g., situations, events, sensations, other thoughts). The triggers are evaluated and interpreted – appraisal – which leads to a subjective experience, physiological symptoms, and behavioural response.

01.10.2025 Anxiety Disorders
image Image Diagram of threat-responsive brain circuitry showing key brain regions involved in processing threats and triggering avoid, freeze, flee, or fight responses
Threat–responsive brain circuitry

Components of the brain’s threat circuitry – including the hippocampus, stria terminalis and its bed nucleus, amygdala, and frontal regions including the medial prefrontal cortex and insula – all interact depending on the nature and proximity of perceived threats to produce an appropriate response, ranging from avoidance to fighting.

01.10.2025 Anxiety Disorders
image Image Illustration showing sex differences in anxiety risk, comparing hormone fluctuations across menstrual and oestrous cycles and their effects on gene expression, brain function, and anxiety
Sex differences in risk of anxiety

Whilst it is relatively well established from epidemiological research that the prevalence of anxiety disorders is higher in females compared with males, the reasons behind this disparity are unclear.

01.10.2025 Anxiety Disorders
image Image Table summarising neuropeptides linked with anxiety and psychopathology
Neuropeptides linked with anxiety and psychopathology

Neuropeptides play a key role in emotion regulation and are being investigated for their involvement in anxiety disorders, offering insights into the neurobiology of anxiety and related psychopathology

01.10.2025 Anxiety Disorders
image Image Brain imaging scans highlighting grey matter alterations in people with generalized anxiety disorder compared with controls across multiple brain regions
Grey matter alterations in people with GAD compared with controls

Neuroimaging studies suggest that generalized anxiety disorder (GAD) is associated with structural changes in several brain regions involved in emotional processing, attention, and threat detection

01.10.2025 Anxiety Disorders

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