None listed
Conditions
Interventions
This is a pilot study of 16 sessions of Cognitive Analytic Therapy (CAT) (run over 16 weeks) compared to treatment as usual (TAU) for young people aged 15 to 24 years with co-occurring first episode psychosis and full or sub-threshold BPD. Patients who consent to be involved in the current study will be randomized to TAU or TAU + CAT. Measures will be undertaken at three time-points: baseline, end of treatment phase (for both conditions), and 6 month follow up. Measures include: demographics, and standardized measures of diagnosis, psychopathology, psychosocial functioning, substance abuse, treatment adherence and service utilization.
Sponsors
Study design
Eligibility
Inclusion criteria
(1) Eligibility for EPPIC program, 1 week or more of psychotic symptoms with less than 6 months of active previous treatment (i.e., antipsychotic medication); and (2) Diagnosis of four or more DSM-IV BPD traits (APA, 1994).
Exclusion criteria
(1) Severe and enduring psychotic symptoms, defined as scores of 4 or more on 1 or more psychotic items of the Brief Psychiatric Rating Scale (BPRS) which have persisted for more than 1 month (Overall & Gorham, 1962); (2)Unable to converse in, or read English without an interpreter; (3) Intellectual deficits, such that unable to meaningfully participate in the psychotherapy; and (4) Already given informed consent for another psychotherapy trial at ORYGEN Youth Health, or already received a course of CAT.