Mechanistic Non-Response After Psychotherapy for Anxiety Disorders: A Maintenance-Mechanism-Based Clinical Taxonomy

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This narrative review proposes a clinical taxonomy for mechanistic non-response in adult anxiety disorders, defining it as a mismatch between therapeutic mechanisms and dominant anxiety maintenance processes. It identifies six specific failure modes, such as impaired inhibitory learning and cognitive rigidity, to guide clinicians toward mechanism-matched treatment adaptations rather than repeating standard interventions. The resource is intended for clinicians seeking frameworks for reformulating cases that have not responded to initial psychotherapy trials.

ID
1758521b69594a65
Source org
PubMed Central
Author
Dawid Sasin (Impact Clean Power Technology (Poland)), Bernard Rybczynski (Impact Clean Power Technology (Poland)), Bartosz Maj (Geotermia Mazowiecka (Poland)), Joanna Chwaszcz (John Paul II Catholic University of Lublin), Michał Pruc (John Paul II Catholic University of Lublin), Iwona Niewiadomska (John Paul II Catholic University of Lublin), Łukasz Szarpak (John Paul II Catholic University of Lublin)
Published
2026-05-29
OA status
gold
DOI
10.3390/jcm15114223
PMID
Not recorded
PMCID
Not recorded
Citations
0

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BibTeX

@article{allodium:1758521b69594a65,
  title = {Mechanistic Non-Response After Psychotherapy for Anxiety Disorders: A Maintenance-Mechanism-Based Clinical Taxonomy},
  author = {Dawid Sasin and Bernard Rybczynski and Bartosz Maj and Joanna Chwaszcz and Michał Pruc and Iwona Niewiadomska and Łukasz Szarpak},
  year = {2026},
  journal = {PubMed Central},
  doi = {10.3390/jcm15114223},
  url = {https://doi.org/10.3390/jcm15114223}
}

RIS

TY  - JOUR
TI  - Mechanistic Non-Response After Psychotherapy for Anxiety Disorders: A Maintenance-Mechanism-Based Clinical Taxonomy
AU  - Sasin, Dawid
AU  - Rybczynski, Bernard
AU  - Maj, Bartosz
AU  - Chwaszcz, Joanna
AU  - Pruc, Michał
AU  - Niewiadomska, Iwona
AU  - Szarpak, Łukasz
PY  - 2026
PB  - PubMed Central
DO  - 10.3390/jcm15114223
UR  - https://doi.org/10.3390/jcm15114223
ER  -

APA

Sasin, D., Rybczynski, B., Maj, B., Chwaszcz, J., Pruc, M., Niewiadomska, I., & Szarpak, Ł. (2026). Mechanistic Non-Response After Psychotherapy for Anxiety Disorders: A Maintenance-Mechanism-Based Clinical Taxonomy. PubMed Central. https://doi.org/10.3390/jcm15114223

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