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Mental health
The online treatment tool, ‘Mood Mechanic’, is a viable option for the treatment of anxiety and depression in young adults who do not undertake face-to-face treatment
  1. Gillian Colville
  1. Paediatric Psychology Service, St George's Hospital, London, UK
  1. Correspondence to Gillian Colville, St Eores Hospital, London, UK; gcolvill{at}

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Commentary on: Staples LG, Dear BF, Johnson B, et al. Internet-delivered treatment for young adults with anxiety and depression: evaluation in routine clinical care and comparison with research trial outcomes. J Affect Disord 2019;256:103–9.

Implications for practice and research

  • For those who completed the course, ‘Mood Mechanic’ was associated with significant improvements in anxiety and depression symptoms and may be a useful option for use with groups of young adults who are reluctant or unable to enrol for face-to-face treatment

  • More research is needed on how best to retain patients in online treatment in real-life clinical settings


The prevalence of anxiety and depression in young adults is high1 but as a group they are less likely than older people to make use …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.