Studies suggest possible limitations to unguided iCBT that need to be addressed in further research before implementing iCBT as a part of routine, mainstream care. Limitations include:
-High dropout rates
-Small effects compared with face-to-face and guided internet interventions


Syracuse University

Self-guided internet-based cognitive behavioral therapy (iCBT) is defined as CBT made available over internet for an individual to complete at their own discretion. It may provide feedback but does not provide support related to the therapeutic content.

Self-guided internet-based cognitive behavioral therapy (iCBT)

JAMA Psychiatry. 2017;74(4):351-359. doi:10.1001/jamapsychiatry.2017.0044

Efficacy of Self-guided Internet-Based Cognitive Behavioral Therapy in the Treatment of Depressive Symptoms
A Meta-analysis of Individual Participant Data


Self-guided internet-based cognitive behavioral therapy (iCBT) allows physicians, such as general practitioners, to supply access to psychological treatments that are both easy and affordable. (iCBT) has to ability to significantly expand availability of evidence-based therapy.

Advantages of internet-based cognitive behavioral therapy (iCBT)

While studies show that psychotherapy and pharmacotherapy can be effective in alleviating depressive symptoms, there remain several barriers to accessing these forms of treatment.

-Many people with depressive symptoms often do not seek out help
-Health care systems fail to marshal sufficient number of qualified therapists to offer psychological interventions.
-limited availability of trained clinicians
-high cost of treatment
-fear of stigmatization

As a result, many people who suffer from depressive symptoms remain untreated


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