Stepped Care Treatment for Childhood Anxiety Disorders

Inclusion Criteria: * A primary diagnosis of OCD or an anxiety disorder including separation anxiety disorder, social phobia, generalized anxiety disorder, specific phobia, agoraphobia, panic disorder, as determine by an IE using the DIAMOND-KID diagnostic interview. * Score of ≥ 14 on the PARS (items 2-7) which corresponds to clinically significant anxiety. * The child is 7-17 years old. * Residence in Texas and located in the state of Texas during treatment sessions. Exclusion Criteria: * -Psychosis, cognitive disability, any condition that would limit the caregiver's ability to follow instructions. * Parent substance use disorder within the past 3 months, which could impact their ability to implement step 1 * Child or parent is suicidal. A delayed entry once the parent or child is stabilized (\>6 months post suicidality) and no longer has suicidal ideation will be allowed if appropriate. * New pharmacological interventions or treatment changes: Initiation of an antidepressant within 12 weeks before study enrollment or 6 weeks for an antipsychotic, benzodiazepine, or attention deficit hyperactivity disorder (ADHD) medication before enrollment, or any change in established psychotropic medication (e.g., antidepressants, anxiolytics) within 6 weeks before study enrollment (4 weeks for antipsychotic, anti-anxiety, benzodiazepine, or ADHD medication changes). Medications will remain stable during treatment.