This text investigates the clinical strategies required to address anxiety disorders that fail to respond to standard evidence-based treatments. Authors Debbie Sookman and Robert L. Leahy, both established experts in cognitive-behavioral therapy, synthesize clinical research and practical experience to provide a framework for identifying and resolving therapeutic impasses. The book argues that symptom remission is achievable through a systematic evaluation of patient resistance, diagnostic refinement, and the integration of specialized intervention techniques.

Clinicians and mental health professionals frequently cite this work as a high-level resource for managing complex anxiety cases. Experts highlight the book's utility in providing actionable, evidence-based solutions for practitioners facing persistent challenges in patient care.