Preferences for Psychological Therapy or Support Within an ARMS Psychological Therapies Trial:The Importance of Targeted Intervention for Unusual Sensory Experiences

Background: Individuals with an at risk mental state (ARMS) often experience hallucinatory-type experiences, which we refer to as unusual sensory experiences (USE). However, it is not known whether individuals want to know more about USE or discuss these in therapy. Our preferences study asked whether individuals who are referred into a treatment trial for USE in ARMS consider attention to USE important. Methods: Ninety-four service users of ARMS services within two UK National Health Service (NHS) mental health trusts completed the study-specific, “Preferences for psychological therapy or support” questionnaire. Questions elicited preferences for target of therapeutic work and therapist approach. Analysis employs a repeated measures ANOVA with post hoc analysis of difference between preferences. Results: Treatment preferences which help understand causes of USE and how to manage USE were the group priority above talking therapy generally or a focus on low mood or anxiety. Provision of medication was the lowest priority in treatment preference though it was important to some. Overall, working with a therapist to make sense of experiences was more important than having space to talk, new ideas for coping, or working collaboratively on goals. Conclusions: Psychological intervention for individuals with at-risk mental state needs to include acceptable and credible psychoeducation on causes of USE and how to manage these.