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Younger Patients Struggle to Engage with Adult-Oriented NHS Therapy Services
6 Aug
Summary
- NHS talking therapies 25% less effective for 16-24 year olds
- Young adults 17% less likely to see reliable improvement in therapy
- Experts cite difficulties navigating adult-focused services, missing sessions

According to a recent analysis, NHS talking therapies for conditions like depression and anxiety appear to be less effective for young adults aged 16-25 compared to older patients. The study, conducted by researchers at University College London, examined data from over 1.5 million people who attended NHS talking therapy sessions between 2015 and 2019.
The findings reveal that younger adults were 25% less likely to meet the threshold for reliable recovery after therapy, and 17% less likely to see reliable improvement, compared to those aged 25-65. Experts suggest younger patients may find it harder to consistently attend sessions and navigate services that have been set up primarily for adults.
Professor Argyris Stringaris of UCL psychiatry explains that the late teens and early 20s are a period of significant transition and stress for many, which can make it more difficult to attend therapy regularly. He emphasizes the need to work closely with young people to optimize the content and delivery of treatment for this age group.
Researchers warn there is an 'urgent need' to ensure the best possible mental healthcare for 16-25 year olds, as rates of common mental health conditions like anxiety and depression continue to rise in this demographic. With talking therapy being a preferred treatment for many younger adults, addressing these disparities in outcomes is crucial.