Initial assessment prior to CBT should also include categorical and dimensional assessment of personality because of possible relevance for prognosis, treatment preference and possibilities, creation of homogenous groups for group therapy improving acceptability and outcome, and individual designed CBT as an element of group CBT. But better general knowledge of personality vulnerability for patients with HA here by using best diagnostics and a larger sample size than before and new and better assessment questionnaires for personality dimensions and traits is also relevant for designing more effective treatment and protocols for individual and group CBT in the future. As more general practitioners become educated in CBT and programs of Shared Care are introduced, in time this treatment for HA might also be possible to integrate in primary care more close to the patients.