Computerized Cognitive Behavioral Therapy for Childhood Anxiety in Community Health Centers

Inclusion Criteria: * Outpatient boys and girls with an anxiety disorder (see below) aged 7-13 years. * Meets DSM-IV criteria for a diagnosis of one of the following anxiety disorders: separation anxiety disorder (SAD), generalized anxiety disorder (GAD), or social phobia. * Minimum score of 14 on the PARS Severity Scale. * The child has a Full Scale IQ greater than 80 as assessed on the Wechsler Abbreviated Scale of Intelligence. * Have home access to a computer with internet connection. Exclusion Criteria: * Receiving concurrent psychotherapy or other counseling services. * New Treatments: Initiation of an antidepressant within 12 weeks before study enrollment or an antipsychotic 6 weeks before study enrollment. No new alternative medications, nutritionals or therapeutic diets within 6 weeks of study enrollment. However, pharmacological interventions may be initiated or added if the child is randomized to the Treatment as Usual arm in Phase II. * Established Treatment changes: Any change in established psychotropic medication (e.g., antidepressants, anxiolytics) within 8 weeks before study enrollment (6 weeks for antipsychotic). Alternative medications that might have behavioral effects must be stable for 6 weeks prior to the study baseline assessment. Any medications that the child is on must remain stable during treatment unless s/he is randomized to the Treatment as Usual arm in Phase II. * (a) Current clinically significant suicidality or (b) individuals who have eng…