Effectiveness of CAT-GSH for Returning Patients

Summary

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

Eligibility

Inclusion Criteria:

* Previously received CBT-GSH at same participating NHS Talking Therapies service
* Presenting with anxiety or depression
* Deemed suitable for step 2 low-intensity therapy, through assessment by a qualified PWP

Exclusion Criteria:

* Previously received high-intensity therapy since receiving CBT-GSH
* The previous treatment episode was in another NHS Talking Therapies service.
* Not fluent in English

Individuals who are not fluent in English will be excluded from the study due to not having translated CAT-GSH workbooks available and limited funding to translate any workbooks.

Conditions2

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