AUTHOR=Waumans Ruth C. , Muntingh Anna D. T. , Batelaan Neeltje M. , van Balkom Anton J. L. M. TITLE=Understanding and preventing nonadherence and treatment dropout in adolescents and young adults with anxiety and depressive disorders JOURNAL=Frontiers in Psychiatry VOLUME=14 YEAR=2023 URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1174285 DOI=10.3389/fpsyt.2023.1174285 ISSN=1664-0640 ABSTRACT=

Dropout from psychological or pharmacological treatment for anxiety and depressive disorders is common. It is especially problematic in adolescents and young adults because of the adverse consequences for their development. Reasons for treatment dropout can be divided into therapy-process related factors, attitudinal aspects, and practical issues. Adjusting treatment to patient preferences and shared decision making, improving the therapeutic alliance, and interventions such as (family) psychoeducation, motivational interviewing, and help with practical issues are promising strategies to optimize engagement and adherence.