Overview
The goal of this clinical trial is to learn if CBT(Cognitive Behavioural Therapy)-MyOWL(Optimizing Wellness through Literature) is feasible, leads to better patient retention, and has high acceptability by youth psychiatric outpatients with mood and/or anxiety disorder aged 14-19. The main questions it aims to answer are:
Primary Objective (feasibility): To determine whether a clinically meaningful proportion of youth complete a full course of CBT-MyOWL / CBT-as-usual.
Primary Objective (acceptability): To determine whether the CBT-MyOWL and CBT-as-usual interventions delivered are acceptable to youth participants.
Secondary Objectives:
- To determine whether CBT-MyOWL enhances time of retention compared to CBT-as-usual.
- To determine whether youth who receive CBT-MyOWL have improved scores on all of the following over the course of treatment and endpoint compared to youth who receive CBT-as usual: i) depression and anxiety ii) suicidal ideation, iii) self-harm, and iv) coping and emotional resiliency.
Participants will:
Participate in 12 sessions of either CBT-MyOWL or CBT-as-usual (active control) Completes 4-5 questionnaires at sessions 3,6,9,12 Complete the acceptability and exit interview at session 12
Eligibility
Inclusion Criteria:
- Aged 14-19
- Primary diagnosis of a mood disorder or an anxiety disorder
- Ability to understand written and spoken English and to read a novel
- Treating physician considers CBT as indicated for the patient
Exclusion Criteria:
- Patients already participating in active CBT therapy or recently completed CBT treatment (within the past 3 months)
- Active psychosis or mania