The purpose of this project is to implement culturally adapted Cognitive Behavioral Therapy (CBT) based interventions in general health settings that are delivered to reduce Generalized Anxiety Disorder (GAD) symptoms, increase levels of functioning, and improve health-related quality of life.

This project seeks to lay the foundation for an effectiveness trial that will lead to the advancement of CBT based treatments for GAD among Spanish-speaking Latinos, particularly Puerto Ricans. This area of research is important in light of the limited treatment options currently available for Spanish-speakers with GAD and the long-term negative consequences of this condition. Participants in this study are recruited in general health settings. Patients meeting criteria for enrollment will be randomly assigned to receive either cognitive behavior based therapy or treatment as usual. Assessments for all participants will be collected at baseline, post-treatment, and at two months follow-up visits.

Inclusion Criteria:

• diagnosis of GAD
• 18 to 65 years
• Spanish speaker
• able to read and write
• plan to continue receiving services in the health care setting during the next six months

Exclusion Criteria:

• severe cognitive impairment, psychoses, history of bipolar disease, alcohol or drug abuse or dependence
• clinically judged to have a high acute suicide risk
• life-threatening medical condition
• currently receiving psychotherapy