{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T10:28:56Z","timestamp":1790504936706,"version":"4.1.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,9,25]],"date-time":"2012-09-25T00:00:00Z","timestamp":1348531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Behav Modif"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>Despite the well-established effectiveness of exposure-based cognitive-behavioral therapy (CBT) in the treatment of anxiety disorders, therapists have been slow to adopt CBT into their clinical practice. The present study was conducted to examine the utilization of psychotherapy techniques for anxiety disorders among community practitioners in a rural setting in order to determine the current status of the dissemination of CBT. A sample of 51 licensed psychotherapists from various mental health professions was recruited from online practice listings in the state of Wyoming. Participants completed a survey assessing their use of various psychotherapy techniques in the past 12 months for clients with obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, and social phobia. Nearly all psychotherapists reported providing CBT, and techniques such as cognitive restructuring, arousal-reduction strategies, and mindfulness were used by the vast majority of respondents. Therapist-assisted exposure was rarely utilized, and providers who delivered exposure therapy often did so alongside other techniques of questionable compatibility with this approach. Non-evidence-based techniques were frequently used, particularly by self-proclaimed anxiety specialists. Our findings highlight the successes and failures of efforts to disseminate exposure-based CBT to community practitioners. Implications for clinical training and practice are discussed.<\/jats:p>","DOI":"10.1177\/0145445512458794","type":"journal-article","created":{"date-parts":[[2012,9,26]],"date-time":"2012-09-26T05:08:00Z","timestamp":1348636080000},"page":"170-188","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":150,"title":["Dissemination of Evidence-Based Practices for Anxiety Disorders in Wyoming"],"prefix":"10.1177","volume":"37","author":[{"given":"Leilani J.","family":"Hipol","sequence":"first","affiliation":[{"name":"University of Wyoming"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett J.","family":"Deacon","sequence":"additional","affiliation":[{"name":"University of Wyoming"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,9,25]]},"reference":[{"key":"bibr1-0145445512458794","volume-title":"Exposure therapy for anxiety: Principles and practice","author":"Abramowitz J. S.","year":"2010"},{"key":"bibr2-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.6.4.430"},{"key":"bibr3-0145445512458794","unstructured":"American Psychiatric Association (2011). American Psychiatric Association Practice Guidelines. Retrieved July 25, 2012, from http:\/\/www.psychiatryonline.com\/pracGuide\/pracGuideHome.aspx."},{"key":"bibr4-0145445512458794","volume-title":"Anxiety and its disorders: The nature and treatment of anxiety and panic","author":"Barlow D. H.","year":"2002","edition":"2"},{"key":"bibr5-0145445512458794","volume-title":"Mastery of your anxiety and panic: Fourth edition","author":"Barlow D. H.","year":"2007"},{"key":"bibr6-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.19.2529"},{"key":"bibr7-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(03)00138-4"},{"key":"bibr8-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1159\/000115956"},{"key":"bibr9-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.04.010"},{"key":"bibr10-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.61.10.1005"},{"key":"bibr11-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.10255"},{"key":"bibr12-0145445512458794","volume-title":"Treating Variants and Complications in Anxiety Disorders","author":"Deacon B. J."},{"key":"bibr13-0145445512458794","volume-title":"Acceptance and commitment therapy for anxiety disorders: A practitioner\u2019s treatment guide to using mindfulness, acceptance, and values-based behavior change strategies","author":"Eifert G. H.","year":"2005"},{"key":"bibr14-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.1.151"},{"key":"bibr15-0145445512458794","volume-title":"Treating the trauma of rape: Cognitive-behavioral therapy for PTSD","author":"Foa E. B.","year":"1998"},{"key":"bibr16-0145445512458794","first-page":"25","volume":"27","author":"Freiheit S. R.","year":"2004","journal-title":"the Behavior Therapist"},{"key":"bibr17-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1037\/a0023584"},{"key":"bibr18-0145445512458794","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1176\/ajp.156.11.1819","volume":"156","author":"Goisman R. M.","year":"1999","journal-title":"American Journal of Psychiatry"},{"key":"bibr19-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.001"},{"key":"bibr20-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2010.08.015"},{"key":"bibr21-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.06.006"},{"key":"bibr22-0145445512458794","volume-title":"Acceptance and commitment therapy: An experiential approach to behavior change","author":"Hayes S. C.","year":"1999"},{"key":"bibr23-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(99)00017-3"},{"key":"bibr24-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2004.01423.x"},{"key":"bibr25-0145445512458794","volume-title":"Cognitive-behavioral group therapy for social phobia: Basic Mechanisms and clinical strategies","author":"Heimberg R. G.","year":"2002"},{"key":"bibr26-0145445512458794","volume-title":"Mastery of obsessive-compulsive disorder: A cognitive-behavioral approach","author":"Kozak M. J.","year":"1997"},{"key":"bibr27-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6394(1999)10:3<89::AID-DA1>3.0.CO;2-5"},{"key":"bibr28-0145445512458794","volume-title":"Cognitive-behavioral treatment of borderline personality disorder","author":"Linehan M.","year":"1993"},{"key":"bibr29-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.2.022305.095229"},{"key":"bibr30-0145445512458794","unstructured":"National Institute for Clinical Excellence (2011). Clinical Guidelines. Retrieved January 31, 2011, from http:\/\/guidance.nice.org.uk\/CG."},{"key":"bibr31-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2008.07.003"},{"key":"bibr32-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1037\/a0015158"},{"key":"bibr33-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.09.025"},{"key":"bibr34-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.3.417"},{"key":"bibr35-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.8.820"},{"key":"bibr36-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.12.2230"},{"key":"bibr37-0145445512458794","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.12.003"}],"container-title":["Behavior Modification"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445512458794","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0145445512458794","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445512458794","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:26:40Z","timestamp":1777382800000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145445512458794"}},"subtitle":["A Survey of Practicing Psychotherapists"],"short-title":[],"issued":{"date-parts":[[2012,9,25]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1177\/0145445512458794"],"URL":"https:\/\/doi.org\/10.1177\/0145445512458794","relation":{},"ISSN":["0145-4455","1552-4167"],"issn-type":[{"value":"0145-4455","type":"print"},{"value":"1552-4167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,25]]}}}