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Journal article

Adapting cognitive behavioural therapy for adolescents with psychosis: insights from the Managing Adolescent first episode in psychosis study (MAPS)

Abstract:

Background

Onset of psychosis commonly occurs in adolescence, and long-term prognosis can be poor. There is growing evidence, largely from adult cohorts, that Cognitive Behavioural Therapy for Psychosis (CBTp) and Family Interventions (FI) can play a role in managing symptoms and difficulties associated with psychosis. However, adolescents have distinct developmental needs that likely impact their engagement and response to talking therapy. There is limited guidance on adapting CBTp to meet the clinical needs of under-eighteens experiencing psychosis.

Method

This educational clinical practice article details learnings from therapists and supervisors working with young people (aged 14–18 years) with psychosis during the Managing Adolescent first-episode Psychosis: a feasibility Study (MAPS) randomised clinical treatment trial, supplemented by findings from nested qualitative interviews with young people receiving CBTp.

Results

Suggested are given for tailoring CBTp assessment, formulation and interventions to meet the developmental and clinical needs of adolescents with psychosis. Developmentally appropriate techniques and resources described.

Conclusions

Early indications from MAPS study indicate this developmentally tailored approach is an acceptable, safe and helpful treatment for young people with psychosis. Further research is needed to develop empirically grounded and evaluated CBTp for adolescents.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1080/17522439.2021.2001561

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Psychiatry
Role:
Author
ORCID:
0000-0003-3355-3202


Publisher:
Routledge
Journal:
Psychosis More from this journal
Volume:
15
Issue:
1
Pages:
28-43
Publication date:
2022-01-03
Acceptance date:
2021-10-29
DOI:
EISSN:
1752-2447
ISSN:
1752-2439


Language:
English
Keywords:
Pubs id:
1236061
Local pid:
pubs:1236061
Deposit date:
2022-03-26

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