Evidence-based recommendations on computerised cognitive behaviour therapy for treating depression and anxiety in adults.

This guidance replaces NICE technology appraisal guidance on computerised cognitive behaviour therapy (CCBT) for the treatment of depression and anxiety (TA51).

Recommendations 1.1 and 1.2 have been updated and replaced by NICE’s guidelines on depression in adults (CG90) and depression in adults with a chronic physical health problem (CG91).

Recommendation 1.3 has been updated and replaced by NICE’s guidelines on generalised anxiety disorder and panic disorder in adults (CG113) and social anxiety disorder (CG159).

For the management of panic, please see NICE guideline CG113.

For the management of specific phobias (previously known as 'social phobia') please see NICE guideline CG159.

No recommendation about the use of computerised CBT has been made in the social anxiety disorder guideline. 

Recommendations 1.4 and 1.5 about treating obsessive-compulsive disorder have not changed.

Guidance development process

How we develop NICE technology appraisal guidance

Is this guidance up to date?

In December 2013 we decided that we will consider a review within 6 months of publication of the results of the UK randomised controlled trial, OCTET.

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.