About this trial
The goal of this clinical trial is to learn if cognitive analytic therapy-guided self-help (CAT-GSH) is comparable to cognitive behavioural therapy-guided self-help (CBT-GSH) in terms of whether it is effective and acceptable for people with anxiety or low mood, who are returning to NHS Talking Therapy services for further treatment. The main questions it aims to answer are:
* Does CAT-GSH work well and feel acceptable for people coming back to the Talking Therapies service, compared to CBT-GSH, when taking their characteristics (like age) into account * Does CAT-GSH work well and feel acceptable for people coming back to the Talking Therapies service, compared to those using CBT-GSH for the first time, when taking their characteristics (like age) into account?
Participants will:
* Choose their preferred treatment * Complete 6 sessions of either CAT-GSH or CBT-GSH * Sessions will be weekly or bi-weekly * Complete routine outcome measures before, during and at the end of therapy
Eligibility criteria
Qualifiers
Previously received CBT-GSH at same participating NHS Talking Therapies service
Presenting with anxiety or depression
Deemed suitable for step 2 low-intensity therapy, through assessment by a qualified PWP
Disqualifiers
Previously received high-intensity therapy since receiving CBT-GSH
The previous treatment episode was in another NHS Talking Therapies service.
Not fluent in English
Trial design
Treatments tested in this trial
- Cognitive analytic therapy guided self-help (CAT-GSH)
- Cognitive behavioural therapy guided self-help (CBT-GSH)
Treatment groups
Sponsors and collaborators
University of Sheffield
Lead sponsor
Catalyse CAT Limited
Collaborator
Tameside and Glossop Talking Therapies service
Collaborator
Leeds Mental Wellbeing service
Collaborator