S4 Ep1: Mind the Kids - Rebooting the Great Psychotherapy Debate
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Drawing from the landmark IMPACT trial (the largest UK study of its kind with 465 participants), Professor Goodyer reveals surprising insights that challenge decades of therapeutic orthodoxy. Using cutting-edge network analysis, his team discovered that the key drivers of recovery aren't what therapists predicted—they're fatigue and insomnia, not the psychological symptoms clinicians typically focus on.
What You'll Learn
- The Common Factors Debate: Why CBT, psychoanalytic therapy, and brief psychosocial intervention showed no significant differences in outcomes
- The Speed of Recovery: Why most young people improved faster than any therapy manual predicted (often in just 6-12 sessions instead of 20-30)
- Network Science Meets Mental Health: How symptoms influence each other over time—and why this changes everything about diagnosis and treatment
- The Sleep Connection: Why addressing fatigue and insomnia might be more crucial than we realized for adolescent depression
- The Role of Time: Why recovery continues for 12 months after therapy ends, with remarkably low relapse rates
This isn't just an academic debate. These findings have profound implications for:
- Clinicians: Rethinking assessment priorities and treatment planning
- Trainees: Understanding what really drives therapeutic change
- Researchers: Opening new avenues for investigating mental health interventions
- Policy makers: Allocating resources more effectively in child and adolescent mental health services
From the JCPP paper ‘Dynamics of depression symptoms in adolescents during three types of psychotherapy and post-treatment follow-up’
Madison Aitken, Sharon A.S. Neufeld, Clement Ma, IMPACT Consortium, Ian M. Goodyer
https://doi.org/10.1111/jcpp.14175
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