Brain scans may reveal the right therapy for anxiety and depression
NCT ID NCT04426461
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
This study tests whether brain scans and decision-making tasks can predict how well people with anxiety and depression respond to different types of talk therapy. Participants will be randomly assigned to one of three therapies: behavioral activation, exposure-based therapy, or supportive therapy. Before and after treatment, they will undergo brain imaging and behavioral tests. The goal is to see if these measures can help personalize therapy choices.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Behavioral interventions: behavioral activation, exposure-based therapy, and supportive therapy
- What this could lead to
- If successful, this could help doctors choose the most effective therapy for each person with anxiety and depression, leading to more personalized mental health care.
- What could go wrong
- This is an early-stage study, and the results may not apply to everyone. The therapies are behavioral, so their success depends on individual engagement and adherence.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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260 people
The number who actually took part.
- Started
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Sep 2020
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * score \>55 on both the PROMIS Anxiety and PROMIS Depression scales * score \>5 on any one item of the SDS * able to provide informed consent * report of anxiety and depressive symptoms as areas of clinical concern * sufficient English proficiency to complete procedures. Exclusion Criteria: * significant or unstable physical or mental health conditions (e.g., immediate suicidal intent) requiring medical attention * history of bipolar, psychotic, cognitive, obsessive compulsive disorder, posttraumatic stress disorder (PTSD) * history of moderate to severe substance use disorder over the past year * diagnosis of neurologic disorders * MRI contra-indications (e.g., metal in body) * uncorrected vision/hearing problems * current, regular benzodiazepine use
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Laureate Institute for Brain Research
Tulsa, Oklahoma, 74136, United States
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