Promoting Quality Psychotherapy: It Is Not the Process, but the Outcome That Matters!

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The paper published in this issue of JAACAP by Bear et al.1 is the first to use meta-analytic procedures to try to understand the value of psychotherapy for pediatric anxiety and depression as usually delivered in the community. The authors scoured the literature for psychotherapy clinical trials that used treatment as usual (TAU) as a control group or observational studies of treatment in mental health settings, then applied meta-analytic approaches to get a better idea of what TAU outcomes were and by extension what to expect from psychotherapy as usually delivered.

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