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1283

CBT and Antidepressants Combined With Virtual Reality Exposure For Chronic Agoraphobia

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Credit Value: 1
Exam Questions: 10
Passing Grade: 8 correct
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Course Description:

This course is based upon material published by the the International Journal of Clincial and Health Psychology, an open access journal and is available on their website.

According to the abstract: In this study we compared the efficacy of virtual reality exposure combined with cognitive-behavioral therapy (VRET) to that of traditional cognitive-behavioral therapy (CBT) alone in reducing phobic symptoms in a sample of patients with long-term agoraphobia. The study was a between-subject design with three experimental conditions (VRET group, N = 30; CBT group, N = 30; and medication only group, N = 20) and repeated measures (pre-treatment, post-treatment, and six-month follow-up). All patients were receiving antidepressant medication. Results showed that all therapies were statistically effective both at post-treatment and six-month follow-up. The VRET group showed clinical improvement in most variables measured at follow-up. The CBT group showed the highest dropout rates. These results are discussed pointing out that VRET probably serves as an intermediate procedure for an efficient exposure to phobic stimuli. Besides describing the advantages of VRET for the treatment of agoraphobia symptoms in cost-benefit terms, the study also considered issues related to higher treatment adherence and motivation.

This course on the treatment of chronic agoraphobia is designed for clinical social workers, psychologists, professional counselors and nurses who do clinical work.  This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their understanding of the treatment of chronic agoraphobia.  The course material includes an introduction to the literature on anxiety disorders as well as a brief review of virtual reality exposure therapy. The course material is based upon a research study and as such includes data which some clinicians may enjoy reading and others may not.

This course is particularly useful for licensed clinicians who require clinical continuing education courses for license renewal.  

Authors:  Castro et al

Learning Objectives: This course will provide the practitioner with detailed information regarding the treatment of chronic agoraphobia. Specifically, a professional will:

  • Identify the benefits of virtual reality exposure therapy (VRET) in the treatment of chronic agoraphobia.

  • Distinguish treatment outcomes for CBT and combined therapies for chronic agoraphobia. 

  • Recognize how issues related to treatment adherence and motivation are impacted by CBT and VRET. 

Citation:  Castro, Sancheza, Gonzalez, Bethencourt, Porteroa, and Marco (2014). Cognitive-behavioral treatment and antidepressants combined with virtual reality exposure for patients with chronic agoraphobia. International Journal of Clinical and Health Psychology 14, 9-17.

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Credits: 1 Exam Fee: $11.00 Format: Online
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  • The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
  • Association of Social Work Boards (ASWB) www.aswb.org Approved Continuing Education Program (ACE). Approval Period: 1/5/17 – 1/5/19. (Provider # 1142) Ce-Classes.com maintains responsibility for the program. Social Workers should contact their regulatory board to determine course approval.
  • Social workers participating in this course will receive 1 Clinical continuing education clock hours.

  • The National Association of Addiction Professionals (NAADAC) Provider #96981. Expires 9/1/2017
  • This course is NOT available for NBCC credit


  • The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2017
  • The California Board of Behavioral Sciences. Ce-Classes.com is approved to provide continuing education by the following professional organizations: ASWB and APA. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by these nationally recognized certifying bodies to satisfy renewal requirements.
  • The California Association of Alcoholism and Drug Abuse Counselors (CAADAC) Provider Number OS-12-174-1116 Expires 11-2019
  • The Texas Board of Social Work Examiners, Continuing Education Provider – 5674 expires 4/30/2017.
  • The Texas Board of Professional Counselors, Continuing Education Provider – 1622 expires 2/28/2018.
  • Massachusetts Authorization Number: 1283
  • Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Provider # RCST031201 Expires 5/31/2017
  • New York Social Work Board NYSED Provider #120


  • The Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2018 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
  • The California Board of Registered Nursing. CEP 15647 Expires 11/30/2018.


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