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Background. There is a lack of treatment plurality at step 2 of Improving Access to Psychological Therapies (IAPT) services. This project therefore sought to develop and pilot a cognitive analytic informed guided self-help treatment for mild-to-moderate anxiety for delivery by Psychological Wellbeing Practitioners. Method. Medical Research Council treatment development guidelines were used.Phase I included development of the 6-session treatment manual using practice guidelines, small-scale modelling (n=3) and indicated manual iterations. Phase II consisted of a mixed methods case series design (n=11) to index feasibility, uptake and clinical outcomes.Results. CAT-SH met established quality parameters for guided self-help. A high treatment completion rate was observed, with 10/11 of patients who attended the first treatment session subsequently completing full treatment. 6/10 of the patients completing full treatment met reliable recovery criteria at follow-up. Effect sizes and recovery rates equate with extant PWP outcome benchmarks. Practitioner feedback indicated that delivery of CAT-SH was feasible.Conclusion. CAT-SH shows promise as a low-intensity treatment for anxiety and further larger and more controlled studies are indicated.

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