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Anxiety disorders are the most common mental disorders among adults in the United States, with a lifetime prevalence rate of 29% and a 12-month prevalence rate of 18% (Kessler et al. 2005a, 2005b). Most persons with anxiety disorders experience significant impairment in role functioning (Kessler et al. 2005b), and costs associated with anxiety disorders have been estimated at more than $42 billion per year, including lost productivity, excess mortality, and treatment costs (Greenberg et al. 1999). While increasing numbers of people with anxiety disorders are seeking treatment (Olfson et al. 2004), first treatment contact is still typically delayed more than 10 years after onset of the disorder (Wang et al. 2005), indicating a continued need for better community education and access to treatment.

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