Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a qualitative analysis of the experiences of young people, their parents and clinicians-in-training

Taylor, L., Creswell, C., Pearcey, S., Brooks, E., Leigh, E., Stallard, P., Waite, P. ORCID: https://orcid.org/0000-0002-1967-8028, Clarke, D. M., Stephens, G. and Larkin, M. (2021) Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a qualitative analysis of the experiences of young people, their parents and clinicians-in-training. Behavioural and Cognitive Psychotherapy, 49 (4). pp. 398-412. ISSN 1352-4658 doi: 10.1017/S1352465821000047

Abstract/Summary

Abstract Background: Social anxiety disorder (SAD) is common. It usually starts in adolescence, and without treatment can disrupt key developmental milestones. Existing generic treatments are less effective for young people with SAD than with other anxiety disorders, but an adaptation of an effective adult therapy (CT-SAD-A) has shown promising results for adolescents. Aims: The aim of this study was to conduct a qualitative exploration to contribute towards the evaluation of CT-SAD-A for adoption into Child and Adolescent Mental Health Services (CAMHS). Methods: We used interpretative phenomenological analysis (IPA) to analyse the transcripts of interviews with a sample of six young people, six parents and seven clinicians who were learning the treatment. Results: Three cross-cutting themes were identified: (i) Endorsing the treatment; (ii) Finding therapy to be collaborative and active; challenging but helpful; (iii) Navigating change in a complex setting. Young people and parents found the treatment to be useful and acceptable, although simultaneously challenging. This was echoed by the clinicians, with particular reference to integrating CT-SAD-A within community CAMHS settings. Conclusions: The acceptability of the treatment with young people, their parents and clinicians suggests further work is warranted in order to support its development and implementation within CAMHS settings.

Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/97203
Identification Number/DOI	10.1017/S1352465821000047
Refereed	Yes
Divisions	Life Sciences > School of Psychology and Clinical Language Sciences > Anxiety and Depression in Young People (AnDY) Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
Publisher	Cambridge University Press
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