Author: Paul Crits-Christoph et. al.
The treatment approach described in this chapter represents an application of Luborsky’s (1984) supportive-expressive (SE) dynamic therapy manual to generalized anxiety disorder (GAD). The treatment is brief (16 sessions) and focal in nature. While a diagnosis of GAD does not warrant a radically different treatment approach from standard brief SE, there are important treatment issues and emphases that are relevant to GAD patients,
requiring this addendum to the generic SE manual. The specific elements of SE treatment as delivered to GAD patients become even more important in a research context where the mission is to standardize treatment so that
studies can be replicated and efficacious treatments disseminated. Thus, on the one hand, we are not attempting to present a “new” dynamic therapy, but on the other hand, we are attempting to provide a further level of specificity
of SE treatment for GAD patients that we hypothesize will lead to better outcomes. We believe the combination of the generic manual plus this more specific guide for applying SE to GAD can meet the goals of standardization
for research yet retain the essence of the general SE approach.