False economy? Half of “low intensity” CBT clients relapse within 12 months

Low-intensity CBT can include group-guided self-help, computerised CBT and telephone support By Christian Jarrett Heralded as a revolution in mental health care – a cost-effective way to deliver evidence-based psychological help to large numbers – low-intensity Cognitive Behavioural Therapy (CBT) is recommended by NICE, the independent health advisory body in England and Wales, for mild to moderate depression and anxiety and is a key part of the “Improving Access to Psychological Therapies” programme in those countries. Prior studies into its effectiveness have been promising. However, little research has looked at whether the benefits last. A new study in Behaviour Research and Therapy has done that, following a cohort of people with depression and anxiety over time. Disappointingly, the team led by Shehzad Ali at the University of York, found that after completing low-intensity CBT, more than one in two service users had relapsed within 12 months. Low-intensity CBT is based on the same principles as full or high-intensity CBT – clients reflect on and strive to change their habits of thought that could be contributing to their mental distress, and they also learn coping strategies and other skills. However, it’s delivered in such a way as to reduce the need for extended one-on-one time with a qualified psychotherapist. It typically incorporates self-help books and internet exercises, usually completed under the guidance of a “well-being prac...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Mental health Therapy Source Type: blogs