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Clinical Case Studies, Vol. 3, No. 1, 37-48 (2004)
DOI: 10.1177/1534650103258969

Behavioral Activation as an Intervention for Coexistent Depressive and Anxiety Symptoms

Derek R. Hopko

University of Tennessee at Knoxville

C. W. Lejuez

University of Maryland

Sandra D. Hopko

Covenant Behavioral Healthdhopko{at}utk.edu

In recent years, behavioral activation approaches have been used to treat individuals with clinical depression. Extension of these strategies toward individuals presenting with coexistent depressive and anxiety symptoms may represent a parsimonious, practical, and time-and cost-effective treatment method. The present study outlines a case in which coexistent anxiety and depressive symptoms predominate, a clinical presentation made somewhat more complex given an Axis III diagnosis of colitis. A brief behavioral activation treatment for depression (BATD) is used to simultaneously incorporate activation and exposure strategies to ameliorate affective symptoms. Following a 10-session treatment protocol, the patient demonstrated notable decreases in self-reported anxiety and depressive symptoms and increased quality of life. Although these data are preliminary, they suggest some efficacy for BATD as a viable treatment alternative for individuals with a mixed anxiety-depressive disorder presentation.

Key Words: behavioral activation • depression • anxiety • exposure


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K. J. Ruggiero, T. L. Morris, D. R. Hopko, and C. W. Lejuez
Application of Behavioral Activation Treatment for Depression to an Adolescent With a History of Child Maltreatment
Clinical Case Studies, February 1, 2007; 6(1): 64 - 78.
[Abstract] [PDF]