Clinical Child Psychology and Psychiatry

 

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Clinical Child Psychology and Psychiatry, Vol. 13, No. 1, 95-103 (2008)
DOI: 10.1177/1359104507086344

E-mail: A New Technique for Forming a Therapeutic Alliance with High-risk Young People Failing to Engage with Mental Health Services? A Case Study

Hermione Roy

Princess Royal Hospital, UK, hermione.roy{at}sussexpartnership.nhs.uk

Tim Gillett

Princess Royal Hospital, UK

This article describes e-mail therapy with a teenager whom professionals found difficult to communicate with and understand. Anne had a 4-year history of low mood and unpredictable self-harming behaviour that in the past had led to admission to a secure unit. Therapy involved weekly e-mails over a 3-month period and ended when she was transferred to adult services. The article focuses on how e-mail enabled engagement to occur. The therapeutic relationship allowed Anne to explore and understand past experiences, and start resolving present problems. Diagnosis also became clearer.

Key Words: adolescent • communication • e-mail • engagement • therapy


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