Adolescent anxiety is a growing problem which affects millions of children every year. There are a myriad of factors which produce adolescent anxiety such as excessive stress, adverse childhood experiences, and chemical imbalances amongst many other factors. An emerging therapy to treat mental health disorders, such as anxiety, is cognitive behavior therapy (CBT) which teaches participants how to correct maladaptive thought patterns to develop resilience. Cognitive behavior therapy has produced positive results for reducing symptoms of anxiety and other mental health disorders in both adolescents and adults. Due to its unparalleled student access, schools have the unique opportunity to develop school-based CBT to integrate into their mental health programs. In recent years, many school-based CBT programs have been developed and piloted around the world with favorable results. School implemented CBT has the ability to meet the needs of a diverse population of students to decrease adolescent anxiety, improve social learning, and encourage academic success. Through an expanded literature review, the efficacy of school implemented CBT will be explored