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RecruitingNAINTERVENTIONAL

Acceptability and Feasibility of a Brief Paranoia Intervention.

This study is testing a new talking therapy called TRUST for 16-18 year olds who are experiencing paranoia and are getting help from Child and Adolescent Mental Health Services (CAMHS). Paranoia means having strong fears that others want to harm you, which can be very upsetting. TRUST is a brief therapy that helps young people think about what's most important to them (their values) and uses imagination to picture positive things. The main goal is to check if this therapy can be easily given in CAMHS and if young people find it useful and helpful. Researchers will also look for early signs that it might reduce paranoid thoughts. Participants will have six therapy sessions and complete some questionnaires before, during, and after to see if it makes a difference.

At a glance

Status
Recruiting
Phase
NA
Sponsor
Lucy Jonas
Enrolment target
8
Start
24 Oct 2025
Estimated completion
01 May 2026

What is this study about?

You might be reading this because you, or someone you know, is a young person who has experienced paranoia. Paranoia is an upsetting feeling where you strongly believe others intend to cause you harm. It can make everyday life difficult and you might find it hard to trust people. It's more common than you might think in teenagers, and often affects young people getting help for their mental health, even if they don't have psychosis. At the moment, there aren't many proven therapies made specifically for young people with paranoia, as most treatments are designed for adults. This study wants to help fill that gap by exploring a new approach.

The study is looking at a new, short talking therapy called TRUST. This therapy helps young people think about what's really important to them in life (their 'values') and teaches them how to use their imagination to create more positive experiences. These types of approaches have shown promise in adults for reducing paranoid thoughts, by helping to change unhelpful ways of thinking, difficult mental images, and feelings about themselves and others. However, young people need treatments that are right for their age and experiences.

So, this research has two main goals. Firstly, it wants to see if the TRUST therapy can be easily given to young people in CAMHS (Child and Adolescent Mental Health Services) and if young people find it to be a good and helpful therapy. This includes checking if enough young people want to take part and if they stick with the sessions. Secondly, the study will look to see if there are any early signs that the therapy helps to reduce paranoid thoughts and might improve other things like how young people feel about themselves, their day-to-day life, and their ability to act on what matters most to them.

Key takeaways

  • It's a new talking therapy called TRUST for young people (16-18) with paranoia.
  • The study wants to see if TRUST is helpful and can be easily given through CAMHS.
  • TRUST uses 'values' (what matters to you) and 'imagery' (positive imagination).
  • It involves six therapy sessions and some questionnaires.
  • The aim is to find better ways to help young people with paranoia.

Who may be eligible?

This study is particularly looking for young people aged 16 to 18 years old who are currently getting support from a Child and Adolescent Mental Health Service (CAMHS). You would need to be experiencing paranoia and want some help with it. You also need to be able to understand English well enough to take part and be able to agree to join the study after discussing it.

The research team is looking for young people who have challenges with their mental health that affect their daily life, but are not in immediate danger or at very high risk to themselves or others. You wouldn't be able to join if you have very serious other conditions like significant drug or alcohol dependence, a learning disability that would make participation difficult, or if you're already having another type of talking therapy at the same time.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 16 to 18 years old?
  2. Are you currently receiving support from CAMHS?
  3. Are you experiencing paranoia and want help with it?
  4. Do you have a good understanding of English?
  5. Are you NOT currently having another talking therapy at the same time?
Answer every question to see your result.

What does participation involve?

If you decide to take part, you'll first have a meeting to make sure the study is right for you. If you're eligible, you'll be asked to fill out some questionnaires before the therapy starts. Then, you'll have six talking therapy sessions, spread out over different weeks. These sessions will be with a therapist from the study team. You'll also be asked to complete questionnaires during the therapy and after the sessions have finished, to see how you're feeling and if the therapy has helped. There is no medication involved in this study, only talking therapy.

Potential risks and benefits

Taking part in this study could offer you the potential benefit of trying a new type of therapy specifically designed to help young people with paranoia. It might help you understand your thoughts better and feel less worried. As with any new treatment, there's always a chance it might not help everyone, and talking about difficult feelings can sometimes feel uncomfortable for a while. You are free to withdraw from the study at any time, for any reason, without it affecting the care you receive from CAMHS.

Locations (1)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Westminster's Child and Adolescent Mental Health Service
    Verified postcode
    London, United Kingdom· Recruiting

Common questions

What is paranoia?

Paranoia means having strong, often upsetting, fears that other people intend to harm you, deceive you, or are against you in some way.

What is CAMHS?

CAMHS stands for Child and Adolescent Mental Health Services. These are NHS services that provide specialist mental health care for children and young people.

What is 'values-based' therapy?

Values-based therapy helps you figure out what truly matters to you in life, like kindness, creativity, or bravery, and how you can live more in line with those things.

What does 'imagery' mean in this therapy?

Imagery involves using your imagination to create mental pictures or scenes, often to help you feel calmer or more positive, or to change how you deal with difficult thoughts.

Will I have to take any medication?

No, this study is about a talking therapy (TRUST), and does not involve any medication.

How to find out more

Jessica Kingston, DClinPsy PhD

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Acceptability and Feasibility of a Brief Paranoia Interventi…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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