Young people with At Risk Mental State (ARMS) may have changes in their thoughts and the way they see or hear things, which they might find odd and distressing. They may be feeling tense, worried and low in mood and may not feel like socialising. They may also experience difficulties with eating and sleeping. For many people these symptoms might not last for very long, but for a small number of people, they might last longer and could become worse (health professionals call this psychosis). Psychological therapy, which involves talking to a therapist, can help to stop these symptoms from getting worse, stopping psychosis. It can also help to make the symptoms better. Cognitive Behavioural Therapy (CBT) is the treatment that is most recommended to help young people with ARMS. But, this is not always available, can take a long time and is quite expensive. Some research has shown that brief therapy with a therapist who is warm and understanding and helps the young person to make sense of their symptoms, may be as helpful as CBT, and is quicker and cheaper. This study hopes to develop a treatment like this and to offer it to 12 young people, aged between 16 and 25, who are experiencing the symptoms outlined. Participants will be given four treatment sessions, and will be asked to complete some questionnaires. The study aims to see how they find it and whether it seems to help them. It will also ask professionals who work with these young people what they think about the new therapy. This is a feasibility study so the findings will help us to decide whether more research should be done on this treatment and whether it could be offered in the NHS in the future.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
The intervention aims to: * Support the participant to explore their unusual experiences * Reduce the distress or anxiety participants feel in response to their unusual experiences, through: * Helping them to recognise how common these unusual experience * Supporting them to make sense of their unusual experiences * Supporting them to understand why they may be experiencing these symptoms * Challenging any unhelpful beliefs they hold about their symptoms * Help the participant to recognise the triggers to their unusual experiences * Support the participant to increase their activities and socialisation The intervention is not aiming to 'get rid' of the participant's symptoms, but to reduce their distress in response to them, which may result in improved wellbeing and reduced symptoms.
Central Norfolk Youth Team, 80 St Stephens Road
Norwich, Norfolk, United Kingdom
RECRUITINGComprehensive Assessment of At Risk Mental State (CAARMS) - Change in At Risk Symptoms
This is a 30 minute semi-structured interview, measuring the intensity, duration and frequency of subthreshold psychotic symptoms
Time frame: 2 months
Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) - Change in psychological wellbeing
The CORE-OM measures: Psychological wellbeing, functioning, symptoms and risk
Time frame: 2 months
Revised Short Version of the Working Alliance Inventory (WAI-SR)
Both clinician and client versions of this measure will be used to assess the therapeutic alliance formed for each participant
Time frame: 2 months
Session Rating Scale (SRS) - Completed after each session
Used to measure the participant's views of each session
Time frame: 1 week
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