Psychodynamic Psychotherapy for Psychosis

Yale University

Status: Withdrawn

Conditions: Psychotic Disorders

Treatments: Behavioral: Psychodynamic Psychotherapy; Behavioral: Usual Care

Study type: Interventional

Funder types: Other

Identifiers

NCT04415541

2000028087

Details and patient eligibility

About

The broad goals of our pilot study are to (1) determine whether psychodynamic psychotherapy for psychosis (PPfP), relative to treatment as usual (TaU), can maintain or augment clinical and functional benefits for patients who have achieved initial recovery in our coordinated specialty care (CSC) early psychosis treatment program; (2) to conduct novel empirical study of how various psychodynamic factors may inform candidate selection, mediate therapeutic effects, and influence relational aspects of the therapy; and (3) to conduct a detailed study of how features of therapist and patient speech and behavior influence therapeutic outcomes, therapeutic alliance alliance, and relational process. This registration focuses on the first goal.

Sex: All

Ages: 16 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• completed the 2-3 year Coordinated Specialty Care (CSC) program
• judged by present provider to be in an intermediate or advanced phase of recovery
• had first episode of psychosis within the 3 years prior to enrollment

Exclusion criteria

• established diagnosis of primary affective disorder, psychosis secondary to substance use or a medical illness
• inability to communicate in English
• eligibility for Department of Developmental Services
• legally mandated to enter treatment.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Psychodynamic Psychotheray

Experimental group

Description:

Following Coordinated Specialty Care, we will offer weekly psychodynamic psychotherapy and medication management sessions which will be conducted solely by the PI, Keith Gallagher, in the initial pilot period. Consent will be obtained to record audio and video of the sessions

Treatment:

Behavioral: Psychodynamic Psychotherapy

Treatment as Usual

Active Comparator group

Description:

Following Coordinated Specialty Care, patients will be referred to general mental health providers in the community, which would typically include less intensive and frequent psychotherapy by a social worker or psychologist as well as medication management by a psychiatrist who may not be a specialist in psychotic disorders.

Treatment:

Behavioral: Usual Care