Addressing Anxiety and Depression in the Allergy Clinic Through Motivational Interviewing, Brief Cognitive Behavioral Therapy, and Curious Questions

Authors

• Marylee Verdi, Dartmouth College Student Health, Hanover, NH.
• Dominic Candido, Enhance Health, Lebanon, NH.
• Juliette Madan, Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH; Department of Psychiatry, Dartmouth Hitchcock Medical Center, Hanover, NH; Department of Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, NH.
• Jonathan A. Bernstein, Department of Internal Medicine, Division of Rheumatology, Allergy and Immunology, University of Cincinnati College of Medicine, Cincinnati, Ohio.
• Don Bukstein, Allergy, Asthma, and Sinus Center, Milwaukee, Wis.
• Aikaterini Anagnostou, Department of Pediatrics, Division of Allergy and Immunology, Baylor College of Medicine, Houston, Texas.
• Matthew Greenhawt, Section of Allergy and Immunology, Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colo.
• S Shahzad Mustafa, Rochester Regional HealthFollow
• Julie Wang, Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
• Anna Nowak-Wegrzyn, Department of Pediatrics, Division of Allergy and Immunology, NYU Grossman School of Medicine, New York, NY; Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
• Elissa M. Abrams, University of Manitoba, Winnipeg, Man, Canada.
• John Oppenheimer, Department of Internal Medicine, University of Medicine and Dentistry of New Jersey-Rutgers New Jersey Medical School, Newark, NJ.
• Alexandra E. Conway, Geisel School of Medicine at Dartmouth, Hanover, NH.
• Andrew A. White, Division of Allergy, Asthma, and Immunology, Scripps Clinic, San Diego, Calif.
• Taylor A. Doherty, Division of Allergy, and Immunology, University of California, San Diego, Calif.
• Richard P. Morse, Department of Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, NH; Section of Pediatric Neurology, Dartmouth Hitchcock Medical Center, Lebanon, NH.
• Marcus Shaker, Department of Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, NH; Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH; Section of Allergy and Immunology, Dartmouth Hitchcock Medical Center, Lebanon, NH.

Department

Allergy and Immunology

Document Type

Article

Publication Title

The Journal of Allergy and Clinical Immunology. In Practice

Abstract

Allergic diseases, particularly food allergy, can be associated with significant psychosocial impairment. Allergist-immunologists can provide evidence-based information to correct misperceptions and misunderstandings regarding food allergy that may perpetuate cycles of fear and anxiety. Whereas motivational interviewing can be an empathetic approach to empower patients to actualize health goals, cognitive behavioral therapy (CBT) aims to provide disease-state insight to facilitate an understanding of risk that can transform health beliefs and behaviors. Brief CBT is a clinical approach that can help address ineffective management paradigms through conversations that begin with curious questions. In this review, we discuss evidence supporting implementation of an integrated method of CBT in the Allergy-Immunology clinic and provide resources for this approach.

First Page

1960

Last Page

1969.e2

DOI

10.1016/j.jaip.2025.05.020

Volume

13

Issue

8

Publication Date

8-1-2025

Medical Subject Headings

Humans; Cognitive Behavioral Therapy (methods); Motivational Interviewing; Anxiety (therapy, psychology); Depression (therapy, psychology); Food Hypersensitivity (psychology, therapy)

PubMed ID

40383432

Recommended Citation

Verdi, M., Candido, D., Madan, J., Bernstein, J. A., Bukstein, D., Anagnostou, A., Greenhawt, M., Mustafa, S. S., Wang, J., Nowak-Wegrzyn, A., Abrams, E. M., Oppenheimer, J., Conway, A. E., White, A. A., Doherty, T. A., Morse, R. P., & Shaker, M. (2025). Addressing Anxiety and Depression in the Allergy Clinic Through Motivational Interviewing, Brief Cognitive Behavioral Therapy, and Curious Questions. The Journal of Allergy and Clinical Immunology. In Practice, 13 (8), 1960-1969.e2. https://doi.org/10.1016/j.jaip.2025.05.020