This randomized controlled trial (RCT) will compare the efficacy and feasibility and acceptability of a culturally adapted CBT manual with a standard CBT manual, focusing on addressing cultural factors in therapy delivery.
Individuals aged 18 to 65 years
5 years of education
Symptoms of depression and anxiety
Substance use disorder according to DSM-5 criteria as determined by primary care clinician
Significant cognitive impairment (for example, profound learning disability or dementia) as determined by primary care clinician
Active psychosis as determined by their primary care clinician
Parallel
Culturally adapted CBT (CaCBT) based guided self-help manual
BehavioralThe intervention consists of seven modules including cognitive restructuring, problem solving, behavioural activation and conflict management. Three additional modules focus on interpersonal relationships, mental health wellbeing and self-care. Each module is delivered over one week. The intervention uses culturally appropriate stories, drawings, examples from local folklore and religious context to describe the concepts of CBT.
Standard CBT Manual
BehavioralThe standard CBT manual will follow conventional CBT techniques without specific cultural adaptations
Feasibility and acceptability measures
Feasibility and acceptability and Client's satisfaction will be measured through standardized measures of anxiety and depression
Clinical Measures
Depression and Anxiety, measured by Hosptal and Anxiety Scale (HADS)
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