Complex and/or therapy-resistant psychiatric disorders Mental and Behavioural Disorders
Conditions
Interventions
The intervention is a structured affect-focused group psychotherapy based on Intensive Short-Term Dynamic Psychotherapy (ISTDP), referred to as ISTDP-G. The treatment focuses on the relationship betwe
(2) therapist-guided individual work within the group, focusing on anxiety regulation and barriers to emotional processing
and (3) continued individual work in the group, with emphasis on the links between emotions, anxiety, and learned automatic coping strategies. Therapists take an active role throughout to minimise neg
Sponsors
Region Stockholm
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Meet at least one of the following criteria whilst also expressing motivation for group treatment: 1. Having two or more personality disorder diagnoses 2. Having a personality disorder together with another psychiatric diagnosis 3. Having a psychiatric diagnosis and at least one year of contact with adult psychiatric services without being able to conclude treatment because of persistent functional impairment 4. Having autism in combination with another psychiatric diagnosis 5. Having undergone two or more treatment attempts without satisfactory effect 6. Having a psychiatric diagnosis together with active self-harm behavior
Exclusion criteria
Exclusion criteria: 1. A primary diagnosis of substance dependency (note that a diagnosis of substance dependency that was considered secondary to another psychiatric diagnosis did not lead to exclusion) 2. Psychiatric problems that were not considered as complex (i.e., a single anxiety/mood disorder, having been treated with positive outcome, etc) 3. Therapy-disrupting antisocial behavior 4. PTSD with acute symptoms such as easily triggered flashbacks (note that PTSD without acute flashbacks and trauma in general was not reason for exclusion) 5. Ongoing psychotic illness 6. Intellectual disability with a documented IQ of 70 or below 7. The need for an interpreter in order to communicate in Swedish
Countries
Sweden
Contacts
Public ContactBjörn Philips
Outcome results
None listed