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Applied Relaxation Classification — MRCPsych Paper B MCQ

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ModerateAnxiety & Stress-Related DisordersApplied Relaxation ClassificationMRCPsych Paper B

An adult with generalised anxiety disorder has marked functional impairment and chooses psychological treatment after discussion of the NICE step 3 options. How is applied relaxation classified within the NICE CG113 stepped-care model?

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Correct answer: A — A high-intensity psychological intervention offered at step 3

Applied relaxation is an individual high-intensity psychological intervention offered at step 3 for GAD with marked functional impairment or an inadequate response to step 2 treatment. NICE recommends offering either CBT or applied relaxation when the person chooses high-intensity psychological treatment. Applied relaxation teaches recognition of early anxiety cues, progressive and increasingly rapid relaxation, and application of relaxation skills during anxiety-provoking situations. Low-intensity step 2 interventions instead comprise non-facilitated self-help, guided self-help and psychoeducational groups. Applied relaxation is neither medication nor an occupational therapy or mindfulness-based intervention. NICE usually recommends 12–15 weekly one-hour sessions delivered by a trained, competent practitioner.

Reference: National Institute for Health and Care Excellence. CG113, Generalised anxiety disorder and panic disorder in adults: management, recommendations 1.2.17–1.2.20. Published 2011; updated 2020. https://www.nice.org.uk/guidance/cg113/chapter/Recommendations