Indications for prescribing
TPT is a suitable therapy for patients whose mental health scores place them in the low to moderate range for anxiety-based presentations and who do not present any risk to themselves or others. This is the group who will not be accepted by the local specialist mental health trust or community mental health team and who may not be prioritised on the local IAPT service waiting list.
TPT is ideal for patients who require timely psycho education and support to prevent deterioration and/or who need to learn and apply relapse prevention strategies. The typical TPT client may be employed and/or off sick from work, will usually have some social/family support network and will not be physically substance-dependent or have a history of affect disregulation or self-harm.
TPT can be particularly useful in overcoming the problems of access faced by some patients because of: their responsibilities as carers of children, older adults or disabled relatives; their own physical disabilities; availability and cost of transport; gender or cultural difficulties with attending conventional therapy sessions; difficulty getting time off work.
Because patients prescribed TPT do not have access to a clinical therapist who can monitor any potentially deteriorating condition it must not be prescribed inappropriately.
In particular TPT should not be prescribed where a higher-level face-to-face therapy is required.