The purpose of this study is to test internet-delivered cognitive behavior therapy for children and adolescents with anxiety disorders and obsessive-compulsive disorder in a routine clinical setting in a rural part of Sweden.

Aim The aim of this study is to conduct a pragmatic evaluation of ICBT for children and adolescents with anxiety disorders and OCD within routine health care in a rural area.

Research questions

• Is ICBT an acceptable method for the patient group?
• Is ICBT effective in a clinical setting?
• Is further treatment needed after ICBT?
• What are the long-term effects of ICBT?
• What predicts treatment outcome?
• How does ICBT work in a clincal setting? (time spent, negative effects etc)?

Design This is a uncontrolled intervention study where included families and children will be recruited consecutively during two years from a routine care CAMHS unit. All participants will be offered ICBT and assessed pre- and post-treatment, and at three-month follow-up through clinician ratings and self-report measures. The primary outcome measure is clinician rated severity of principal disorder at three-month follow-up. Long-term results will be assessed through study of medical records two years after completed ICBT.

Inclusion Criteria:

• Fulfills diagnostic criteria for an anxiety disorder or OCD
• Access to a computer and internet connection
• Read and speak Swedish

Exclusion Criteria:

• ICBT is currently not assessed to be a suitable treatment
• Acute psychiatric problem (eg. severe depression or suicidality)
• Current psychosocial problems in the family (i.e substance abuse, abuse, neglect)

No such plan exists at the moment