Effectiveness of CAT-GSH for Returning Patients
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…
Conditions studied
Anxiety, Depression
About this study
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
Interventions
- Behavioral: Cognitive analytic therapy guided self-help (CAT-GSH) — Six session CAT-GSH treatment
- Behavioral: Cognitive behavioural therapy guided self-help (CBT-GSH) — Six session CBT-GSH treatment
Primary outcomes
- Composite score (Generalised Anxiety Disorder-7 (GAD-7), Patient health Questionaire-9 (PHQ-9) and Work and Social Adjustment Scale (WSAS)) (From enrolment to the end of treatment after 6 sessions, weekly or bi-weekly. 6-12 weeks.)
Eligibility information
Study locations
- Tameside and Glossop NHS Talking Therapies Service, Ashton-under-Lyne, OL6 7SR United Kingdom
- Leeds Mental Wellbeing Service, Leeds, LS9 7TA United Kingdom
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.