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Comment & Response
February 27, 2018

The Evidence for Cognitive Behavioral Therapy

Author Affiliations
  • 1Indiana University, Bloomington
JAMA. 2018;319(8):831-832. doi:10.1001/jama.2017.20826

To the Editor Drs Leichsenring and Steinert argued that cognitive behavioral therapies (CBTs) should not be the gold standard treatment for mental disorders.1 They acknowledged that CBTs have been more widely studied than other forms of therapy but suggested that other treatments should be considered equivalent to CBTs unless evidence emerges to suggest otherwise. In doing so, they shifted the burden of evidence about the efficacy of other treatments away from those treatments and onto the evidence base for CBTs. In other areas of medicine, treatments with a broader positive evidence base are not considered equal to less widely studied treatments.