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 * Home
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 * Privacy notice
 * About moodgym
 * Contact us
 * FAQ


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MOODGYM TRAINING PROGRAM

moodgym is like an interactive self-help book which helps you to learn and
practise skills which can help to prevent and manage symptoms of depression and
anxiety.



 * Over 1 million users worldwide

 * Anonymous, confidential

 * Secure handling of your data

 * Access anytime, at your pace

 * Scientifically evaluated




HOW IS MOODGYM STRUCTURED?

moodgym provides training in cognitive behaviour therapy (CBT), and consists of
five interactive modules which are completed in order.

These include information, interactive exercises, workbooks to record thoughts,
feelings and behaviours, and quizzes with personalised feedback.


MODULE 1: FEELINGS

Why you feel the way you do

 * Connections between thoughts and feelings
 * Identifying the emotional consequences of negative thoughts
 * Understanding WUTIWUF (what you think is what you feel)


MODULE 2: THOUGHTS

Changing the way we think to feel better

 * Types of dysfunctional thinking and how these might be contested
 * Common problem areas such as authority and intimate relationships
 * Improving self-esteem


MODULE 3: UNWARPING

Changing warped thoughts

 * Different ways to change dysfunctional thinking
 * Identifying personal vulnerabilities
 * More help with self-esteem through actively increasing positive events


MODULE 4: DESTRESSING

Knowing what makes you upset

 * Identifying situations or events which might trigger stress or warped
   thoughts
 * Relaxation methods (includes downloads)
 * Problem-solving


MODULE 5: RELATIONSHIPS

Break-ups and how you were raised

 * How to cope with and grow from relationship break-ups
 * Mum and Dad issues (or how you were raised)


WORKBOOK

Easy access to quizzes and diaries

 * Retake quizzes and compare your results over time
 * Access exercises and diaries from each of the modules




EVIDENCE FOR EFFECTIVENESS

moodgym has been extensively evaluated in randomised controlled trials (RCTs)
undertaken by research groups around the world.



Using two or more modules has been linked to significant reductions in
depression and anxiety symptoms, and these benefits have been shown to still
last after 12 months.

Research trials have been undertaken in a range of settings (e.g., schools,
universities, Lifeline, NHS Choices online); across the mental health care
spectrum (from prevention to treatment); with different age groups (adults,
adolescents); with a range of population groups (e.g. students, primary care
patients, community users); in different countries; and with and without
guidance.

A 2016 meta-analysis of 12 studies confirmed that moodgym is effective at
reducing depression and anxiety symptoms in adult populations, with evidence
suggesting that it is also effective at reducing general psychological distress.

Studies have also reported moodgym to be effective in reducing hazardous alcohol
use, reducing suicide risk in high-risk populations, preventing mood and anxiety
disorders, and in improving wellbeing and quality of life in users.

User satisfaction of moodgym is high, and evaluation studies suggest that
moodgym is a viable option for those who cannot access face-to-face therapy, and
for those waiting for traditional services. There is also demonstrated cost
effectiveness of translating moodgym.

Research references


PEER-REVIEWED PUBLICATIONS REPORTING ON STUDIES OF MOODGYM:

McDermott, R., & Dozois, D. J. A. (2019). A randomized controlled trial of
Internet-delivered CBT and attention bias modification for early intervention of
depression. Journal of Experimental Psychopathology, 10(2), 2043808719842502.

Dorow, M., Stein, J., et al. (2018). Implementation of the Internet-Based
Self-Management Program "moodgym" in Patients with Depressive Disorders in
Inpatient Clinical Settings - Patient and Expert Perspectives. Psychiatr Prax,
45(5), 256-62.

Howell, A. N., Rheingold, A. A., et al. (2018). Web-based CBT for the prevention
of anxiety symptoms among medical and health science graduate students.
Cognitive Behaviour Therapy, 1-21.

Lobner, M., Pabst, A., et al. (2018). Computerized cognitive behavior therapy
for patients with mild to moderately severe depression in primary care: A
pragmatic cluster randomized controlled trial (@ktiv). J Affect Disord, 238,
317-26.

Gilbody, S., Brabyn, S., et al. (2017). Telephone-supported computerised
cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised
controlled trial. The British Journal of Psychiatry, 210(5), 362-267.

Healey, B. J., Griffiths, K. M., & Bennett, K. (2017). The effect of programme
testimonials on registrations for an online cognitive behaviour therapy
intervention: a randomised trial. Digital Health, 3, 2055207617729937.

Lobner, M., Stein, J., et al. (2017). Innovative E-Health-Ansatze fur komorbide
Depressionen bei Patienten mit Adipositas: Nutzungsakzeptanz aus Patienten- und
Expertenperspektive. [Innovative E-Health Approaches for Comorbid Depression in
Patients with Obesity: Patient and Expert Perspectives on User Acceptance].
Psychiatr Prax, 44(5), 286-95.

Yeung, A., Wang, F., et al. (2017). Outcomes of an online computerized cognitive
behavioral treatment program for treating chinese patients with depression: A
pilot study. Asian Journal of Psychiatry, 38, 102-7.

Brabyn, S., Araya, R., et al. (2016). The second Randomised Evaluation of the
Effectiveness, cost-effectiveness and Acceptability of Computerised Therapy
(REEACT-2) trial: does the provision of telephone support enhance the
effectiveness of computer-delivered cognitive behaviour therapy? A randomised
controlled trial. Health Technol Assess, 20(89), 1-64.

Twomey, C., & O’Reilly, G. (2016). Effectiveness of a freely available
computerised cognitive behavioural therapy programme (MoodGYM) for depression:
Meta-analysis. Australian and New Zealand Journal of Psychiatry, 51(3), 260-9.

Gilbody, S., Littlewood, E., et al. (2015). Computerised cognitive behaviour
therapy (cCBT) as treatment for depression in primary care (REEACT trial): large
scale pragmatic randomised controlled trial. BMJ, 351.

Guille, C., Zhao, Z., et al. (2015). Web-based cognitive behavioral therapy
intervention for the prevention of suicidal ideation in medical interns: A
randomized clinical trial. JAMA Psychiatry, 1-7.

Sorensen Hoifodt, R., Mittner, M., et al. (2015). Predictors of Response to
Web-Based Cognitive Behavioral Therapy With High-Intensity Face-to-Face
Therapist Guidance for Depression: A Bayesian Analysis. Journal of Medical
Internet Research, 17(9), 1-22.

Kolstrup, N. (2014). The Internet as a medium for delivering treatment for
depression. Possibilities and challenges highlighted by our experiences with
MoodGYM. Tidsskrift for Forskning i Sygdom og Samfund, 21, 19-36.

Lillevoll, K. R., Vangberg, H. C., et al. (2014). Uptake and adherence of a
self-directed internet-based mental health intervention with tailored e-mail
reminders in senior high schools in Norway. BMC Psychiatry, 14, 14.

Menga, G., Ing, S. M. D., et al. (2014). Fibromyalgia: Can Online Cognitive
Behavioral Therapy Help? The Ochsner Journal, 14(3), 343-9.

Phillips, R., Schneider, J., et al. (2014). Randomized controlled trial of
computerized cognitive behavioural therapy for depressive symptoms:
effectiveness and costs of a workplace intervention. Psychological Medicine,
44(4), 741-52.

Schneider, J., Sarrami Foroushani, P., et al. (2014). Acceptability of online
self-help to people with depression: users' views of MoodGYM versus
informational websites. Journal of Medical Internet Research, 16(3), e90.

Twomey, C., O'Reilly, G., et al. (2014). A randomized controlled trial of the
computerized CBT programme, MoodGYM, for public mental health service users
waiting for interventions. Br J Clin Psychol, 53(4), 433-50.

Wilhelmsen, M., Høifødt, R. S., et al. (2014). Norwegian General Practitioners’
Perspectives on Implementation of a Guided Web-Based Cognitive Behavioral
Therapy for Depression: A Qualitative Study. Journal of Medical Internet
Research, 16(9), e208.

Calear, A. L., Christensen, H., et al. (2013). Adherence to the MoodGYM program:
outcomes and predictors for an adolescent school-based population. J Affect
Disord, 147(1-3), 338-44.

Christensen, H., Farrer, L., et al. (2013). The effect of a web-based depression
intervention on suicide ideation: secondary outcome from a randomised controlled
trial in a helpline. BMJ Open, 3(6).

Donker, T., Batterham, P. J., et al. (2013). Predictors and moderators of
response to internet-delivered Interpersonal Psychotherapy and Cognitive
Behavior Therapy for depression. J Affect Disord, 151(1), 343-51.

Donker, T., Bennett, K., et al. (2013). Internet-Delivered Interpersonal
Psychotherapy Versus Internet-Delivered Cognitive Behavioral Therapy for Adults
With Depressive Symptoms: Randomized Controlled Noninferiority Trial. Journal of
Medical Internet Research, 15(5), e82.

Hoifodt, R. S., Lillevoll, K. R., et al. (2013). The clinical effectiveness of
web-based cognitive behavioral therapy with face-to-face therapist support for
depressed primary care patients: randomized controlled trial. Journal of Medical
Internet Research, 15(8), e153.

Lillevoll, K. R., Wilhelmsen, M., et al. (2013). Patients' experiences of
helpfulness in guided internet-based treatment for depression: qualitative study
of integrated therapeutic dimensions. Journal of Medical Internet Research,
15(6), e126.

Lintvedt, O. K., Griffiths, K. M., et al. (2013). Evaluating the translation
process of an Internet-based self-help intervention for prevention of
depression: a cost-effectiveness analysis. Journal of medical Internet research,
15(1), e18.

Lintvedt, O. K., Griffiths, K. M., et al. (2013). Evaluating the effectiveness
and efficacy of unguided internet-based self-help intervention for the
prevention of depression: a randomized controlled trial. Clinical Psychology &
Psychotherapy, 20(1), 10-27.

Powell, J., Hamborg, T., et al. (2013). Effectiveness of a web-based
cognitive-behavioral tool to improve mental well-being in the general
population: randomized controlled trial. Journal of Medical Internet Research,
15(1), e2.

Sethi, S. (2013). Treating Youth Depression and Anxiety: A Randomised Controlled
Trial Examining the Efficacy of Computerised versus Face‐to‐face Cognitive
Behaviour Therapy. Australian Psychologist, 48(4), 249-57.

Wilhelmsen, M., Lillevoll, K., et al. (2013). Motivation to persist with
internet-based cognitive behavioural treatment using blended care: a qualitative
study. BMC Psychiatry, 13, 296.

Farrer, L., Christensen, H., et al. (2012). Web-Based Cognitive Behavior Therapy
for Depression With and Without Telephone Tracking in a National Helpline:
Secondary Outcomes From a Randomized Controlled Trial. Journal of medical
Internet research, 14(3), e68.

Ellis, L., Campbell, A., et al. (2011). Comparative randomized trial of an
online cognitive-behavioral therapy program and an online support group for
depression and anxiety. Journal of Cybertherapy and Rehabilitation, 4(4), 461-7.

Farrer, L., Christensen, H., et al. (2011). Internet-Based CBT for Depression
with and without Telephone Tracking in a National Helpline: Randomised
Controlled Trial. PLoS One, 6(11), e28099.

Hickie, I. B., Davenport, T. A., et al. (2010). Practitioner-supported delivery
of internet-based cognitive behaviour therapy: evaluation of the feasibility of
conducting a cluster randomised trial. Med J Aust, 192(11 Suppl), S31-5.

Hind, D., O’Cathain, A., et al. (2010). The acceptability of computerised
cognitive behavioural therapy for the treatment of depression in people with
chronic physical disease: A qualitative study of people with multiple sclerosis.
Psychology & Health, 25(6), 699-712.

Sethi, S., Campbell, A. J., & Ellis, L. A. (2010). The Use of Computerized
Self-Help Packages to Treat Adolescent Depression and Anxiety. Journal of
Technology in Human Services, 28(3), 144-60.

Topolovec-Vranic, J., Cullen, N., et al. (2010). Evaluation of an online
cognitive behavioural therapy program by patients with traumatic brain injury
and depression. Brain Injury, 24(5), 762-72.

Calear, A. L., Christensen, H., et al. (2009). The YouthMood Project: a cluster
randomized controlled trial of an online cognitive behavioral program with
adolescents. J Consult Clin Psychol, 77(6), 1021-32.

Neil, A. L., Batterham, P., et al. (2009). Predictors of adherence by
adolescents to a cognitive behavior therapy website in school and
community-based settings. Journal of Medical Internet Research, 11(1), e6.

O'Kearney, R., Kang, K., et al. (2009). A controlled trial of a school-based
Internet program for reducing depressive symptoms in adolescent girls. Depress
Anxiety, 26(1), 65-72.

Batterham, P. J., Neil, A. L., et al. (2008). Predictors of adherence among
community users of a cognitive behavior therapy website. Patient Prefer
Adherence, 2, 97-105.

Burgess, N., Christensen, H., et al. (2008). Mental health profile of callers to
a telephone counselling service. J Telemed Telecare, 14(1), 42-7.

Mackinnon, A., Griffiths, K. M., & Christensen, H. (2008). Comparative
randomised trial of online cognitive-behavioural therapy and an information
website for depression: 12-month outcomes. The British Journal of Psychiatry,
192(2), 130-4.

Christensen, H., & Griffiths, K. (2007). Reaching standards for dissemination: a
case study. Stud Health Technol Inform, 129(Pt 1), 459-63.

Christensen, H., Griffiths, K., et al. (2006). Free range users and one hit
wonders: community users of an Internet-based cognitive behaviour therapy
program. Australian and New Zealand Journal of Psychiatry, 40(1), 59-62.

Christensen, H., Griffiths, K. M., et al. (2006). Online randomized controlled
trial of brief and full cognitive behaviour therapy for depression.
Psychological Medicine, 36(12), 1737-46.

O'Kearney, R., Gibson, M., et al. (2006). Effects of a cognitive-behavioural
internet program on depression, vulnerability to depression and stigma in
adolescent males: a school-based controlled trial. Cognitive Behaviour Therapy,
35(1), 43-54.

Christensen, H., Griffiths, K. M., & Jorm, A. F. (2004). Delivering
interventions for depression by using the internet: randomised controlled trial.
BMJ, 328(7434), 265.

Christensen, H., Griffiths, K. M., et al. (2004). A comparison of changes in
anxiety and depression symptoms of spontaneous users and trial participants of a
cognitive behavior therapy website. Journal of Medical Internet Research, 6(4),
e46.

Griffiths, K. M., Christensen, H., et al. (2004). Effect of web-based depression
literacy and cognitive-behavioural therapy interventions on stigmatising
attitudes to depression: randomised controlled trial. The British Journal of
Psychiatry, 185, 342-9.

Christensen, H., Griffiths, K. M., & Korten, A. (2002). Web-based cognitive
behavior therapy: analysis of site usage and changes in depression and anxiety
scores. Journal of Medical Internet Research, 4(1), e3.




FOCUS ON PROBLEM AREAS

moodgym helps users to identify their particular areas of vulnerability - for
example perfectionism, need for approval or sense of entitlement.

Users can then explore specific ways to deal with different vulnerabilities, and
practice with interactive exercises and diaries.

The moodgym characters illustrate how contrasting thinking styles and
vulnerabilities can lead to different emotions and outcomes.

Users meet Noproblemos, Cyberman, Iffy, Worrie-woman, Moody and Creepy Angry.




FREQUENTLY ASKED QUESTIONS

What is moodgym?

moodgym is an online self-help program designed to help users prevent and manage
symptoms of depression and anxiety. It is like an interactive, online self-help
book which teaches skills based on cognitive behaviour therapy (CBT). You can
log back in to at any time to learn more skills or to add to your workbooks and
diaries.

moodgym is accredited to the National Safety and Quality Digital Mental Health
standards . These standards improve the quality of digital mental health
services and protect service users and their support people from harm.

I need help now?

If you or someone else is feeling suicidal, you should seek immediate help.
There are people and services who can help at any time of the night or day. See
Emergency help for more information.

Note that moodgym is not appropriate for crisis help.

Does moodgym follow established clinical practice guidelines?

Yes.

moodgym provides training in cognitive behaviour therapy (CBT) which is a
recommended treatment for depression and anxiety disorders in the clinical
practice guidelines published by Royal Australian and New Zealand College of
Psychiatrists. Digital CBT or Internet-delivered CBT (iCBT) is also recognised
in the guidelines, which make specific mention of the moodgym program.

You can access the clinical practice guidelines through the following links:

 * 2020 Royal Australian and New Zealand College of Psychiatrists clinical
   practice guidelines for mood disorders
 * Royal Australian and New Zealand College of Psychiatrists clinical practice
   guidelines for the treatment of panic disorder, social anxiety disorder and
   generalised anxiety disorder

Who is moodgym intended for?

moodgym is designed to be used by people who would like to prevent mental health
problems or manage problems which are troubling but not incapacitating.

The program content is suitable for users aged 16 years or older. However, the
moodgym Terms of Use require that users users are aged 14 years or older, or
aged 18 years or older if from the USA.

moodgym is not specifically designed for use by people with clinical levels of
depression or anxiety. moodgym suggests that those who score above 2-3 on the
moodgym Depression Quiz should contact a health professional.

 * Some of the exercises might be counterproductive for those with strong
   emotions.
 * Contact with a person (rather than an internet site) is very helpful for
   those dealing with these sorts of problems. A therapist can provide both the
   support and motivation to assist those with who may feel overwhelmed by their
   difficulties or who are battling to initiate self-help strategies.
 * The perceptions of another person are helpful as each person is unique.
 * Each person is unique and a standard program may need to be modified to take
   into account their particular circumstances.

Does moodgym work?

moodgym has been extensively evaluated in randomised controlled trials (RCTs)
undertaken by research groups around the world.

Using two or more modules has been linked to significant reductions in
depression and anxiety symptoms, and these benefits have been shown to still
last after 12 months.

Research trials have been undertaken in a range of settings (e.g., schools,
universities, Lifeline, NHS Choices online); across the mental health care
spectrum (from prevention to treatment); with different age groups (adults,
adolescents); with a range of population groups (e.g. students, primary care
patients, community users); in different countries; and with and without
guidance.

A 2016 meta-analysis of 12 studies confirmed that moodgym is effective at
reducing depression and anxiety symptoms in adult populations, with evidence
suggesting that it is also effective at reducing general psychological distress.

Studies have also reported moodgym to be effective in reducing hazardous alcohol
use, reducing suicide risk in high-risk populations, preventing mood and anxiety
disorders, and in improving wellbeing and quality of life in users.

User satisfaction of moodgym is high, and evaluation studies suggest that
moodgym is a viable option for those who cannot access face-to-face therapy, and
for those waiting for traditional services. There is also demonstrated cost
effectiveness of translating moodgym.

» References


PEER-REVIEWED PUBLICATIONS REPORTING ON STUDIES OF MOODGYM:

McDermott, R., & Dozois, D. J. A. (2019). A randomized controlled trial of
Internet-delivered CBT and attention bias modification for early intervention of
depression. Journal of Experimental Psychopathology, 10(2), 2043808719842502.

Dorow, M., Stein, J., et al. (2018). Implementation of the Internet-Based
Self-Management Program "moodgym" in Patients with Depressive Disorders in
Inpatient Clinical Settings - Patient and Expert Perspectives. Psychiatr Prax,
45(5), 256-62.

Howell, A. N., Rheingold, A. A., et al. (2018). Web-based CBT for the prevention
of anxiety symptoms among medical and health science graduate students.
Cognitive Behaviour Therapy, 1-21.

Lobner, M., Pabst, A., et al. (2018). Computerized cognitive behavior therapy
for patients with mild to moderately severe depression in primary care: A
pragmatic cluster randomized controlled trial (@ktiv). J Affect Disord, 238,
317-26.

Gilbody, S., Brabyn, S., et al. (2017). Telephone-supported computerised
cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised
controlled trial. The British Journal of Psychiatry, 210(5), 362-267.

Healey, B. J., Griffiths, K. M., & Bennett, K. (2017). The effect of programme
testimonials on registrations for an online cognitive behaviour therapy
intervention: a randomised trial. Digital Health, 3, 2055207617729937.

Lobner, M., Stein, J., et al. (2017). Innovative E-Health-Ansatze fur komorbide
Depressionen bei Patienten mit Adipositas: Nutzungsakzeptanz aus Patienten- und
Expertenperspektive. [Innovative E-Health Approaches for Comorbid Depression in
Patients with Obesity: Patient and Expert Perspectives on User Acceptance].
Psychiatr Prax, 44(5), 286-95.

Yeung, A., Wang, F., et al. (2017). Outcomes of an online computerized cognitive
behavioral treatment program for treating chinese patients with depression: A
pilot study. Asian Journal of Psychiatry, 38, 102-7.

Brabyn, S., Araya, R., et al. (2016). The second Randomised Evaluation of the
Effectiveness, cost-effectiveness and Acceptability of Computerised Therapy
(REEACT-2) trial: does the provision of telephone support enhance the
effectiveness of computer-delivered cognitive behaviour therapy? A randomised
controlled trial. Health Technol Assess, 20(89), 1-64.

Twomey, C., & O’Reilly, G. (2016). Effectiveness of a freely available
computerised cognitive behavioural therapy programme (MoodGYM) for depression:
Meta-analysis. Australian and New Zealand Journal of Psychiatry, 51(3), 260-9.

Gilbody, S., Littlewood, E., et al. (2015). Computerised cognitive behaviour
therapy (cCBT) as treatment for depression in primary care (REEACT trial): large
scale pragmatic randomised controlled trial. BMJ, 351.

Guille, C., Zhao, Z., et al. (2015). Web-based cognitive behavioral therapy
intervention for the prevention of suicidal ideation in medical interns: A
randomized clinical trial. JAMA Psychiatry, 1-7.

Sorensen Hoifodt, R., Mittner, M., et al. (2015). Predictors of Response to
Web-Based Cognitive Behavioral Therapy With High-Intensity Face-to-Face
Therapist Guidance for Depression: A Bayesian Analysis. Journal of Medical
Internet Research, 17(9), 1-22.

Kolstrup, N. (2014). The Internet as a medium for delivering treatment for
depression. Possibilities and challenges highlighted by our experiences with
MoodGYM. Tidsskrift for Forskning i Sygdom og Samfund, 21, 19-36.

Lillevoll, K. R., Vangberg, H. C., et al. (2014). Uptake and adherence of a
self-directed internet-based mental health intervention with tailored e-mail
reminders in senior high schools in Norway. BMC Psychiatry, 14, 14.

Menga, G., Ing, S. M. D., et al. (2014). Fibromyalgia: Can Online Cognitive
Behavioral Therapy Help? The Ochsner Journal, 14(3), 343-9.

Phillips, R., Schneider, J., et al. (2014). Randomized controlled trial of
computerized cognitive behavioural therapy for depressive symptoms:
effectiveness and costs of a workplace intervention. Psychological Medicine,
44(4), 741-52.

Schneider, J., Sarrami Foroushani, P., et al. (2014). Acceptability of online
self-help to people with depression: users' views of MoodGYM versus
informational websites. Journal of Medical Internet Research, 16(3), e90.

Twomey, C., O'Reilly, G., et al. (2014). A randomized controlled trial of the
computerized CBT programme, MoodGYM, for public mental health service users
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Who is behind moodgym?

moodgym was originally developed and evaluated over 15 years by researchers at
the Australian National University. The principal authors of the content were
Professor Helen Christensen and Professor Kathy Griffiths, who first scripted
moodgym in 2001. Other staff provided clinical, technical and design expertise,
and young people from the community provided feedback.

The development and delivery of moodgym is now undertaken by e-hub Health – an
ANU spin-off company managed by the senior members of the original team. e-hub
Health is committed to the ongoing development of quality resources which make a
measurable impact in the wellbeing of users. e-hub Health is part of the
Dialogue group of companies.

I'm looking for a different program?

moodgym is also available in German. You can access German moodgym at moodgym.de

moodgym's sister program, e-couch provides comprehensive information and
self-help for common mental health problems, including social anxiety. You can
access e-couch at ecouch.com.au

More FAQs

Page: https://www.moodgym.com.au/




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