Many children have fears and worries. However, when a child experiences so many fears and worries that they interfere with school, home, or play activities, it is an anxiety disorder. Children with ADHD are more likely than those without to develop an anxiety disorder. Examples of anxiety disorders includ ADHD can make it hard for people to focus and pay attention. But it affects more than just school or work. ADHD can affect social skills, too The median age at onset of social anxiety disorder is 13 years, and 75% have an age at onset between 8 and 15 years. The disorder can emerge out of a childhood history of social inhibition or shyness but can also be triggered by a traumatic experience, including bullying. 1 Approximately 15 million Americans suffer from social anxiety disorder. Likewise, about one fourth of children with anxiety disorders have ADHD. This includes all types of anxiety disorders—generalized anxiety disorder, obsessive-compulsive disorder, separation anxiety, and phobia (including social anxiety). Younger children with overanxious disorder or separation anxiety are especially likely to also have ADHD Background: Up to 60% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) meet diagnostic criteria for at least one anxiety disorder, including Social, Generalized and/or Separation Disorder. Anxiety in children with ADHD has been shown to be associated with poorer child and family functioning
Health and information - Adhd and social anxiety in children are indeed very annoying, but as parents we are obliged to accompany children with adhd and social anxiety. Then what should parents do if children experience this? Here is the information for you. Attention inattentive hyperactivity disorder or ADHD is the most common childhood neurodevelopmental disorder Approximately 25% to 50% of children with ADHD suffer from at least 1 anxiety disorder, including separation, social, and generalized anxiety. 2, 3 Yet the impact of anxiety on the lives of children with ADHD remains poorly understood. If anxiety adversely affects functioning, then the management of anxiety should be prioritized in treatment Other studies, such as Combining Parent and Child Training for Young Children with ADHD suggest that social skills training is most effective when used in combination with parent training
These social challenges are outward signs of a problem caused by ASD, ADHD, or anxiety. If a child is withdrawn, plays alone, and lacks interest in other kids, we sometimes associate those behaviors with ASD. Children with ASD also sometimes have trouble interpreting social cues and distinguishing between teasing, playfulness, and bullying Efficacy measures included the Conners' Adult ADHD Rating Scale: Investigator-Rated: Screening Version (CAARS:Inv:SV), Liebowitz Social Anxiety Scale (LSAS), Clinical Global Impression-Overall. Collaborate with your child's teacher to make sure the classroom environment is as ADHD-friendly as possible so that your child is better able to manage ADHD symptoms. Work together with the teacher (and coach or another adult caregiver) on effective behavior management approaches, as well as social skills training ADHD anxiety in children can be a scary thing. Many of us, especially as adults, feel anxiety on some level. Children, on the other hand, should not feel overwhelmed by anxiety. Even in today's fast paced world, children should still have an opportunity to just be kids without the fear of stress
Many children and teens struggle with confidence, social anxiety, and bullying, but kids with ADHD often struggle even more with this challenges In fact, about 30 to 40 percent of people with ADHD have an anxiety disorder, which includes obsessive-compulsive disorder, generalized anxiety disorder, phobias, social anxiety and panic. It is the most common type of anxiety disorder in teenagers. It is more common in women and often starts in childhood or early adolescence. Some evidence suggests that, like other anxiety disorders, it occurs more frequently in children and adults with ADHD. 3 of Their anxiety and inability to control themselves are common causes of conflicts. But, there are various ways that can help your kid with ADHD to enjoy playing with other kids. I will describe a situation that I find simple but really effective for improving cooperation and non-aggression in the social play of kids with ADHD
anxiety in these children, the impact of anxiety on the lives of children with ADHD has been largely overlooked. WHAT THIS STUDY ADDS: Presence of $2 anxiety comorbidities in children with ADHD was associated with poorer child quality of life, daily functioning, and behavior. Multiple anxiety comorbiditie Anxiety disorders in children, also called pediatric anxiety disorders, commonly include social phobia, separation anxiety and generalized anxiety disorder (GAD). Structural MRIs have shown that in contrast to the smaller amygdala found in ADHD children, children dealing with anxiety have an enlarged amygdala and greater thickness in parts of. Social Anxiety Disorder symptoms are triggered by social situations. They are not the same for everyone and can overlap with ADHD symptoms. Here are some of the more common indications: Being very self-conscious in front of other people, even those who know you wel Anxiety is one condition that is often seen in people with ADHD. About 50 percent of adults and up to 30 percent of children with ADHD also have an anxiety disorder. Keep reading to learn more. Hypothyroidism in pregnant mothers linked to ADHD in their children. Emerging Treatment Approaches for ADHD. Samuele Cortese, MD, PhD: Precision Medicine Possible in ADHD. Irritability in ADHD May Flag Suicide Risk. 4 Ways to Cope With COVID-19 When Living With ADHD. Anxiety and Mood Disorders in Children and Adolescents With ADHD
Autism, Communication and Social Anxiety It is a well-known fact that children with autism experience much more social interaction problems than children with developmental delays. Approximately 30% to 50% of individuals with autism cannot reach the appropriate level of speech . Social anxiety may be manifested by stomach cramps and aches, diarrhea, frequent urination, and headaches Approximately 10% of children are currently diagnosed with ADHD, and the prevalence rate of anxiety disorders in children ranges from 4-20%. Aside from their importance in the world of children's mental health, these two conditions have unexpected overlap in the way that they impact children's functioning, particularly in school settings Social Anxiety and ADHD. For many children with ADHD, anxiety is a symptom of trying to cope with ADHD. In those cases, anxiety is defined as being secondary to ADHD because it is caused by the.
The emotional maturity level of children with attention deficit hyperactivity disorder (ADHD) may be well below that of their counterparts without ADHD. This means that a 10-year-old with ADHD may behave more like a 7- or 8-year-old around their peers, struggle to play well with others, and have a hard time sharing and losing at games The present findings support the suitability of manual-based group-based CBT for anxiety treatment in children with nonprimary ADHD. Further research should examine whether the positive outcomes reported can be extended to children with primary or severe ADHD 112.06 Anxiety and obsessive-compulsive disorders (see 112.00B5), for children age 3 to attainment of age 18, satisfied by A and B, or A and C: Medical documentation of the requirements of paragraph 1, 2, 3, or 4: Anxiety disorder, characterized by one or more of the following: Restlessness; Easily fatigued This is often a problem for children with ADHD, Asperger Syndrome, or children with social anxiety. (ADHD, Asperger syndrome, ASD, social anxiety, 0315) What Makes You Special? — This worksheet asks children to think about five things that make them unique. It can be used to help children understand their strengths and to spark a discussion. Parent training for treating ADHD has been evaluated in at least 28 published studies. Overall, these studies showed that parent training leads to improvements for children with ADHD in several areas, most notably, in the parents' own ratings of their child's problematic behaviors.. These studies suggest that parent behavior training is one of the most effective ways to treat symptoms of ADHD
. In our digital story about ADHD, The Kangaroo Who Couldn't Sit Still, the character Kangaroo implements each of these techniques to manage their symptoms. The Children's ADHD Skill Packet was created to accompany The Kangaroo Who Couldn't Sit Still If the anxiety symptoms are very troublesome and if there is a family history of anxiety, then the child probably should be treated for the anxiety symptoms first. Then, when the anxiety symptoms are reduced or resolved and the child still has inattentive symptoms interfering with school, ADHD treatment can follow
The goal is to provide collective support for a child with ADHD. Social skills training: This can help an individual with inattentive ADHD to adapt to social situations. The goal is to reduce some. Social & Cultural Factors influencing ADHD Over- or Misdiagnosis by Kristopher Thompson. More than likely, you know someone that has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) or someone whose child has received this diagnosis. Of course, this is assuming that you haven't been diagnosed with ADHD yourself This may be effective for ADHD, but if the symptoms are being driven by anxiety, the use of ADHD medication is massively heavy-handed and fails miserably to give the child the skills or resources needed to best manage the symptoms. Even if anxiety and ADHD are happening together, it's important to also treat the anxiety as a separate condition Children with anxiety and children with ADHD (Attention Deficit and Hyperactivity Disorder) can exhibit some of the same characteristics and behaviors so it can be hard to tell the difference.For example, both can have trouble with focusing in class, both can be inefficient, both resort to escapist behavior and both can lead to emotional outbursts or tantrums 4. Societal. Some children develop SAD because they grow up in a collectivist culture. The Japanese have come up with the term Taijin Kyofusho, which refers to a person's fear of not being able to conform to the norms of a group.Fear of deviating from expected behaviour can cause social anxiety
Anxiety may present as fear or worry, but can also make children irritable and angry. Anxiety symptoms can also include trouble sleeping, as well as physical symptoms like fatigue, headaches, or stomachaches. Some anxious children keep their worries to themselves and, thus, the symptoms can be missed Many children and adults use ADHD therapy to teach behavioral, social, and academic skills that may help manage ADHD symptoms throughout life. Consult with a mental-health professional to help determine what type of ADHD therapy is best suited for you or your child, and use the overview below to understand the 9 most popular therapies for ADHD Social Anxiety Disorder is often misunderstood in adults with ADHD. It gets perceived as shyness or being stuck up, yet it can hugely impact someone's life. Now we have a roadmap out of lockdown, it's time to consider what our future social lives might look like
When ADHD and ODD occur together, a child will display symptoms of both behavioral disorders. Symptoms for both disorders must be present for at least 6 months in order for the diagnosis to be made For Anxiety and Social Anxiety Problems Related to ADHD r/ adhd_anxiety. Join. Hot. Hot New Top Rising. Hot New Top. Rising. card. card classic compact. 138. Posted by 15 hours ago. ADHD and Sleep - For the love of God get yourself a sleep study. Please everyone, get yourself a sleep study. I am not saying everyone with ADHD has sleep apnea.
Social anxiety is one of the most common problems that prevents children from having a growth mindset. It is one of the main reasons kids are afraid to fail or to make mistakes. They may be afraid to let others down, or that they'll be embarrassed in front of others. One of the bigger consequences of social anxiety, though, is that it prevents children from trying new things and taking risks. Doctors often misdiagnosed ADHD women with anxiety. This occurs, in part, because ADHD and Anxiety are more similar than they first appear. In fact researchers think that between 50-75% of women with ADHD are undiagnosed or misdiagnosed (often with anxiety!).. That was my experience and it's one reason why I think it's so important that we understand the differences and the similarities
ADHD and Anxiety. One out of five children suffers with ADHD. Anxiety is a daily struggle for a child with ADHD. We can weigh the symptoms of anxiety vs. ADHD. Both conditions have a major impact on patients. The double-negative effect of having both conditions significantly hinders the quality of one's life. Forms & Symptoms of ADHD and. Social anxiety in children Social anxiety is fear and worry in situations where children have to interact with other people, or be the focus of attention. 1 Whilst symptoms typically improve as children get older, about 65% of children diagnosed with ADHD continue to have some symptoms of ADHD into adulthood, with about 15% continuing to meet. Jack is a 7 year old male Grade 1 student who lives in Toronto with his parents. He is the only child to two parents, both of whom have completed post-graduate education. There is an extended family history of Attention Deficit/Hyperactivity Disorder (ADHD), mental health concerns as well as academic excellence anxiety disorder, social phobia). The integrated treatment protocol involved parent management training for ADHD and family-based cognitive-behavioral therapy for anxiety The researchers used data from the Raine Study and measured maternal depressive and anxiety symptoms when each child was 10 years old using the Depression, Anxiety, and Stress Scale (DASS). The investigators also assessed offspring ADHD symptoms at age 17 using the DSM-oriented scales of the child behavior checklist (CBCL)
› In Australia, ADHD is the most common reason for a child to present to a pediatrician (Chow et al., 2014) › ADHD is diagnosed 3 to 4 times more often in boys than in girls (Strokoff et al., 2016) › Anxiety is a common comorbidity with ADHD and may manifest most often as social phobia, generalized anxiety, or separation anxiety Guanfacine (Tenex) therefore offers an alternative drug treatment for ADHD for the roughly 30% of children who cannot tolerate stimulants. Guanfacine (Tenex) is also sometimes used in the treatment of tic disorders and social phobias, or social anxiety disorder. Side Effects of Guanfacine (Tenex . It is possible to get Social Security benefits for your ADHD child. Read my experience plus helpful tips about applying and links. My Two Cents on Social Security. Several years ago, I applied for Social Security benefits for my son James who has ADHD. I did this for several reasons Effects of ADHD medication on anxiety. One of the tricky aspects of treating ADHD and anxiety is that stimulants that are used to treat ADHD, such as Adderall or Ritalin, can make anxiety symptoms worse.. Anxiety in and of itself is listed as a potential common side effect of Adderall. Gaur says that stimulants can also cause symptoms like jitteriness, agitation, and a racing heartbeat, which.
ADHD is the most commonly diagnosed mental disorder in children. Learn more about the symptoms in children and adults, types, causes, diagnosis, testing, treatment, differences between ADHD and. Objective: The aim of this study was to determine the frequency of childhood ADHD comorbidity in patients with social anxiety disorder (SAD), and the influence of this comorbidity on various demographic and clinical variables in SAD.Method: A total of 130 patients with SAD were assessed with K-SADS-PL's (Schedule for Affective Disorders and Schizophrenia for School-Age Children—Present and. Following a thorough assessment of your child's symptoms, including their frequency and duration, as well as their medical history, we can diagnose child ADHD or ADD and help relieve them of the difficulties of living with the symptoms and all the ways they affect their social skills, behaviour and academic performance posttraumatic stress disorder (PTSD), social anxiety disorder (also called social phobia), and specific phobias. Each anxiety disorder has specific symptoms. Gener Al Ized nx ety d sorder (GAd) If your child has generalized anxiety disorder, or GAD, he or she will worry excessively about a variety of things Child and Teenage Internet Addiction: Anxiety, ADHD, Social Phobias, and Depression on the Rise Posted by Dr. Andrew Rosen In today's world, around 85 percent of children and adolescents have some type of game console, cell phone, computer, or tablet
Baby Pediatric Symptom Checklist 12-question tool to screen children 1 - 18 months of age; Part of SWYCEmotion Screening NIH Toolbox (requires iPad; ages 3-to-adult; age-dependent variables) Family Psychosocial Screen Parental depression, Substance abuse, Domestic violence, Parental history of abuse, Social supports Mental Health Screening & Assessment Tools for Primary Care American Academy. And for parents, watching a child suffer from social anxiety can be absolutely heartbreaking and is frequently what first brings them to our child anxiety program seeking help. Social anxiety disorder is more common than you may think ADHD & Anxiety. Kids with ADHD are 3x more likely to have an anxiety disorder than kids who don't have ADHD. Some studies put the rate of anxiety amongst children with ADHD at 18% or even higher. Anxiety manifests as excessive worry, tension or uneasiness even when there is nothing to fear Drugs on the additional hand will make your child act zombie-like and over prescription of adhd medication won't assist with symptoms such as social awkwardness, depression, and anxiety, and will in fact worsen the entire group. Thankfully an individual another to be able to ADHD medications. As parents we want what greatest for for our child Attention deficit hyperactive disorder, or ADHD, is a condition characterized by inattention, hyperactivity, impulsiveness, or a combination. About 60 percent of children with ADHD in the United States become adults with ADHD; that's about 4 percent of the adult population, or 8 million adults.* Less than 20 percent of adults with ADHD have been diagnosed or treated, and only about one.
Differentiating Anxiety and Depression in Relation to the Social Functioning of Young Adolescents With ADHD. Becker SP(1), Langberg JM(2), Evans SW(3), Girio-Herrera E(4), Vaughn AJ(1). Author information: (1)a Division of Behavioral Medicine and Clinical Psychology , Cincinnati Children's Hospital Medical Center Inattentive behaviors in social situations might impair the children's ability to pay attention to their friends, potentially harming the reciprocity, sensitivity, conflict resolution, and commitment necessary to establish and maintain high-quality friendships.It's important not to confuse symptoms of ADHD with selfishness and egocentrism.
Child Behavior: Anxiety and Severe ADHD. Ask Dr. Fernandez. Grades. ADHD Autism Social and Emotional Development Teaching and Education. Appears in This Collection. Collection Child Development Articles Resources on child development and motivation for your classroom. Grade s. PreK-8. When assessing the impact of co-occurring social and emotional difficulties on school attendance and healthcare utilization, ADHD children with anxiety had significantly greater odds of missing more than 2 weeks of school (3.4 [2.2, 5.1]), having at least 2 ER visits (2.1 [1.2, 3.6]), and having at least 6 HCP visits (2.9 [2.0, 4.4]), compared. Regression analyses examined the interaction between social anxiety and sex in relation to the peer functioning variables, with age, race, ADHD subtype, and oppositional defiant disorder symptoms included as covariates. Social anxiety was associated with lower parent-reported social acceptance, with no sex differences in the association
Anxiety disorders are commonly found in children with ADHD—with risk for anxiety increasing as a child grows older 1, 8, 12 Studies have shown that up to 50% of children with ADHD suffer from anxiety. 1 Anxiety disorder shares some common symptoms with ADHD, including restlessness and difficulty with focusing. Stimulant response rates for children with ADHD and anxiety vary among studies. Some report lower response rates than for children with ADHD alone and possibly more treatment-emergent side effects. 6 The National Institute of Mental Health's Multimodal Treatment Study of Children with ADHD (MTA) found that comorbid anxiety did not adversely affect behavioral response to stimulants but did. Attention deficit hyperactivity disorder (ADHD) is a condition in which characterized by inattention, hyperactivity and impulsivity. ADHD is most commonly diagnosed in young people. An estimated 8.8% of children aged 4-17 have ADHD. While ADHD is usually diagnosed in childhood, it does not only affect children Social Security has a strict definition of disability for children. The child must have a physical or mental condition(s) that very seriously limits his or her activities; and The condition(s) must have lasted, or be expected to last, at least 1 year or result in death
The Connection Between Anxiety and ADHD. According to research, 50% of adults and 30% of children living with ADHD have anxiety disorders. If you are experiencing the former, it can be difficult to identify symptoms of the latter. Both ADHD and anxiety tend to make one feel restless and lacking the ability to relax Symptoms. The primary features of ADHD include inattention and hyperactive-impulsive behavior.ADHD symptoms start before age 12, and in some children, they're noticeable as early as 3 years of age.ADHD symptoms can be mild, moderate or severe, and they may continue into adulthood.. ADHD occurs more often in males than in females, and behaviors can be different in boys and girls Social Security Disability Benefits for Children with ADD/ADHD Written by Molly Clarke. Having a child who has been diagnosed with ADD or ADHD can be financially taxing. Oftentimes parents find themselves paying for medical expenses, prescription drugs, special educational assistance, and other indirect expenses ADHD and difficulties with focus, attention, hyperactivity, and self-regulation; Autism and difficulties with social emotional communications; Anxiety and heightened fight/flight nervous system activation; Children with early trauma, neglect or attachment disruption often develop sensory integration challenge
Your child may be struggling with social interactions, communication and other developmental abnormalities. The behavioral health specialists at the treatment center can help. ADHD/Disruptive Behavior Disorders Program. There are a few reasons your child may be a candidate for evaluation and treatment Objective: This investigation examined the contribution of anxiety to the social functioning of children with and without ADHD.Method: Participants were 62 children with ADHD (ages 6-10 years and 68% boys) and 62 age- and sex-matched comparison children. Children's social functioning was measured through parent and teacher reports, observations of social behaviors during a lab-based. .
The ADHD 365 podcast provides expert advice, tips, and strategies for families, adults, educators, and professionals. The All Things ADHD podcast is a learning resource program of CHADD's National Resource Center, funded by the CDC, to disseminate expert information to improve the lives of those affected by ADHD. CHADD does not endorse products, services, publications, medications, or. ADHD (Attention Deficit Hyperactivity Disorder) is one of the most common mental disorders in children and adolescents. ADHD usually becomes evident by early elementary years. Many ADHD children grow into ADHD adults. One big problem is - most adults don't realize they have ADHD until their child is. Mental health of children was assessed during the lockdown in Bangladesh via an online survey of 384 parents with children aged 5 to15 years. 3 Children's depression, anxiety, and sleep disorder scores were grouped into severity categories. Severity and percentages of mental health problems in the children were as follows: subthreshold (43%. . As a social worker, you may be in a position to work with individuals diagnosed with ADHD, a condition characterized by adjectives like impulsive, disorganized, restless, emotional, angry, and lazy The purpose of this NIMH-sponsored pilot study is to collect information on the efficacy and safety of drug treatments for children and adolescents who suffer from both ADHD and anxiety disorders. Specifically, the study will examine the benefits of the stimulant medication both alone and in combination with fluvoxamine, a selective serotonin.
Request More Information ADHD and LD Outdoor Adventure Summer Camp. For over 45 years, SOAR outdoor adventure summer camps have helped youth with ADHD and learning differences develop self-confidence, social skills and life skills. SOAR staff and instructors provide a community where campers are celebrated for their gifts, where they come to make friends, and where they have the freedom to be. BACKGROUND. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) classifies attention-deficit hyperactivity disorder (ADHD) as a neurodevelopmental disorder and defines it as 'a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. and negatively impacts directly on social and academic/occupational. Attention deficit hyperactivity disorder (ADHD) can affect a child's ability to make friends and have successful relationships with other children and adults. Some children are shy. Others are very active and aggressive. Children with the disorder are also at higher risk for substance abuse ADHD was the most prevalent diagnosis among children ages 3-17. Boys were more likely than girls to have ADHD, behavioral or conduct problems, autism spectrum disorder, anxiety, and Tourette Syndrome. Girls were more likely to be diagnosed with depression. Suicide is the second leading cause of death among children ages 12-1 Symptoms of ADHD Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent child mental health disorders in the United States - about 1 in 10 children in the U.S. have an ADHD diagnosis. ADHD symptoms include inattention, hyperactivity, and..
Joining a Group — This worksheet is designed to teach children the best way to join a group of peers who are already engaged in conversation or an activity. This is often a problem for children with ADHD, Asperger Syndrome, or children with social anxiety. (ADHD, Asperger syndrome, ASD, social anxiety, 0315 Of the patients referred for anxiety, the prevalence of lifetime ADHD was 37.5% (48.5% male, 51.5% female, p<0.05). The prevalence of lifetime ADHD was higher in our anxiety disorders clinic than that found in the general population, he concluded. Among those with ADHD, comorbidity was the rule rather than the exception Which statement best describes the intelligence of a child with ADHD? a) Over 50% of children with ADHD are below average in intelligence. b) Brighter children tend to show more symptoms of impulsivity and hyperactivity. c) Most children with ADHD are of average intelligence. d) Over 50% of children with ADHD are above average in intelligence Children with ADHD are also at-risk for emotional, social, behavioral, and academic disorders . When compared to children without ADHD, CWA are significantly more likely to have comorbid depression, anxiety, learning disabilities and childhood ADHD (Howe, 2010; Larson, Russ, Kahn, & Halfon, 2011) . In one study, researchers examined parental.
Nutritious meals, play and exercise, learning new coping skills, and improving social skills are all part of a balanced treatment plan that can improve your child's performance at school, bolster their relationships with others, and decrease stress and frustration—for them and for your whole family • Core features of social anxiety disorder (social phobia) same. • No longer requirement individuals over age 18 years must recognize that their fear and anxiety are excessive or unreasonable • 6-month duration is required for all ages in attempt to minimize over diagnosis of transient fears The prevalence estimates for anxiety in children vary from 6-9%. But anxiety is even more common in children with neurodevelopmental disorders. There are a different kind of anxiety disorders such as separation anxiety, social anxiety, general anxiety, specific phobias and fears. As a general rule, the more severe the anxiety disorder - the. Attention deficit hyperactivity disorder (ADHD) is a common neurological disorder affecting roughly 1 in 15 children in the developed world . Current treatment options are mainly pharmaceutical. Stimulant drugs, including Adderall and methylphenidate, help with symptoms but often bring their own set of negative side-effects Kids quickly feel safe and comfortable, enjoying their time in therapy, and parents feel encouraged. I engage children using play, and therapy techniques. Therapy strategies with adolescents often address issues of self-esteem, social and peer pressure, identity and self-worth, and emotional regulation and expression
Sep 28, 2018 - Explore Jennifer King's board ADHD materials, followed by 199 people on Pinterest. See more ideas about adhd, adhd and autism, adhd help Social Anxiety Disorder (Social Phobia) A number of studies have evaluated medications for childhood social phobia. In one randomized controlled trial (20), 80 children ages 7-17 years with social phobia were randomly assigned to receive 12 weeks of ﬂuoxetine (upto 40mg/day),placebo, orSocial EffectivenessTherap