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This roundtable of leaders in the field of child anxiety with the goal of discusses a refocusing of CBT on the construct of child independence to bring effective treatment to far more children, reduce clinician, parent, and child resistance to treatment, and increase effect sizes. IFT is described, and preliminary data on its effectiveness is presented. The role of resilience as an outcome of independence and a possible transdiagnostic mechanism in the treatment of child anxiety is also discussed. How to adapt independence activities for children who live in inner-city, rural, and suburban settings is discussed.

The InStride Health team discusses the importance of taking a systems-based approach to care, identify common challenges, and offes practical solutions. They also provide recommendations for how caregivers can facilitate “surround sound” for their child when working with the various adults in their child’s system.