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Thursday, September 11, 2025

Study finds in-person therapy better for youth anxiety than digital tools

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Kevin M. Guskiewicz President at Michigan State University | Official website

Kevin M. Guskiewicz President at Michigan State University | Official website

Anxiety is a prevalent issue affecting young individuals, with more than 40% of children experiencing chronic medical conditions resulting in significant psychological impacts. Families often grapple with finding the most effective treatment options for managing a child's mental health.

A study conducted by scientists at the Michigan State University College of Human Medicine and DePaul University points to the success of in-person mental health treatment for young patients, despite the increasing availability of apps and online support.

Natoshia Cunningham, a Michigan State University associate professor in the Department of Family Medicine, partnered with Susan Tran, an associate professor in the Department of Psychology at DePaul, in finding that technology should complement but not replace direct interaction therapy. "Our research suggests the most effective psychological therapy is defined by the human connection," Cunningham stated. "This is something I’ve been shouting from the rooftops for years."

Cunningham's study, involving eight fellow researchers, further emphasizes the need for a live provider when tackling anxiety, particularly in children with chronic medical conditions. The research was captured in a systematic review and meta-analysis featured in the Journal of Pediatric Psychology.

Prior research identifies cognitive behavioral strategies, including relaxation and altering thinking patterns, as effective therapies for child anxiety. Cunningham warns that untreated childhood anxiety can persist into adolescence and adulthood, resulting in additional mental health issues. Her research also links anxiety in children with chronic health conditions to greater functional impairments, such as missed school days and social challenges. "When a young patient is already battling a complicated diagnosis, anxiety and constant stress are not good for their health either," Cunningham added.

Cunningham is actively engaged in enhancing mental health support for chronic conditions by developing and testing specialized psychological treatment approaches for youth with ailments like abdominal pain disorders and lupus. Furthermore, she is exploring training opportunities for school nurses and other professionals who work with children in using cognitive behavioral strategies to manage symptoms. Collaborating with trained providers may be crucial for optimal care when feasible.

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