A Trial of Parent-coached Exposure Therapy for Children With Anxiety Disorders and OCD

Inclusion Criteria: * Have a DSM-5 anxiety disorder diagnosis, including generalized anxiety disorder, obsessive compulsive disorder, panic disorder, agoraphobia, separation anxiety disorder, social and specific phobias, as assessed on the relevant modules of the (MINI-Kids; (Sheehan et al., 2010) by study staff in the PADC. * Be appropriate for the PADC standard outpatient therapy program, and be interested in starting outpatient therapy, * Have the anxiety disorder as their primary diagnosis, * If taking a selective serotonin reuptake inhibitor, SNRI, tricyclic, or antipsychotic medication, had no medication changes made at least 8 weeks prior to initiating participation in the study and agree to no changes during the 12 weeks of the study. Exclusion Criteria: * History of and/or current psychosis, autism, bipolar disorder, or current suicidality, or eating disorder as assessed during the initial clinical interview and all available clinical information. * Current positive diagnosis in the child's caregiver of mental retardation, psychosis, or other psychiatric disorders or conditions that would limit his/her ability to understand CBT and follow-through with treatment directives (based on clinical interview). * Secondary diagnosis of oppositional defiant disorder or major depression of sufficient severity to prevent anxiety treatment. * Severity of symptoms that warrant higher level of care (i.e. intensive, residential, IOP, inpatient) * Family is unable to attend weekly sessions (i.e. geographical or scheduling barriers) * History of good quality exposure or CBT.