1 Guidance
This review concerns five specific packages for the delivery of computerised cognitive behaviour therapy (CCBT) accessed via a referral from a general practitioner (GP): three for depression (Beating the Blues, COPE and Overcoming Depression), one for panic/phobia (FearFighter) and one for obsessive-compulsive disorder (OCD) (OCFighter, previously known as BTSteps). This guidance should be read in the context of the Clinical Guidelines on depression, anxiety and OCD.
1.1 Beating the Blues is recommended as an option for delivering cognitive behaviour therapy (CBT) in the management of mild and moderate depression.
1.2 There is insufficient evidence to recommend the use of COPE and Overcoming Depression as a clinically or cost-effective option for the management of depression, except as part of ongoing or new clinical trials that are designed to generate robust and relevant data on the clinical effectiveness of these specific CCBT packages.
1.3 FearFighter is recommended as an option for delivering CBT in the management of panic and phobia.
1.4 OCFighter (previously known as BTSteps) is not recommended as an option for delivering CBT in the management of OCD.
1.5 People currently using OCFighter, whether as routine therapy or as part of a clinical trial, should have the option to continue on therapy until the person, or the GP and/or specialist, consider it appropriate to stop.