TTĐA: Psychological support for a case of acute psychosis based on acceptance and commitment therapy

INFORMATION ABOUT MASTER'S PROJECT

1. Student's full name:NGUYEN XUAN THANH2. Gender: Female

3. Date of birth: August 19, 1998

4. Place of birth: Can Tho

5. Student recognition decision No. 5626/QD–XHNV dated December 29, 2023 of the President of the University of Social Sciences and Humanities, Vietnam National University, Hanoi

6. Changes in training process: None

7. Project title: Psychological support for a case of acute psychosis based on acceptance and commitment therapy

8. Major: Clinical Psychology, applied orientation; 9. Code: 8310402

10. Scientific instructors: Dr. Nguyen Hanh Lien, Associate Professor, Dr. Trinh Thi Linh

11. Summary of project results:

The project presents an overview of acute psychosis in general. The project presents arguments to synthesize studies providing epidemiological data on the incidence, progression, etiology and clinical manifestations of acute (and transient) psychosis in Vietnam and internationally; at the same time, it discusses the treatment approaches currently applied to patients with acute psychosis, including their advantages and disadvantages. The project also describes clinical characteristics according to ICD-10, and presents an emphasis on the role of psychosocial factors in this disease. In addition, the project focuses on introducing the theoretical foundation and psychological support methods based on Acceptance and Commitment Therapy (ACT) for individuals who have experienced psychotic episodes, and inpatient treatment for psychosis, including acute psychosis. The project presents the process of assessment and psychological support for a case of acute and recurrent psychosis using Acceptance and Commitment Therapy. The results of psychological support show that through increased levels of psychological flexibility, clients are able to live a life of vitality in accordance with their own values, despite difficult inner experiences and incomplete remission or risk of future recurrence of delusional-hallucinatory symptoms.

12. Practical application:

Based on the results obtained from the theoretical and practical research process in clinical intervention, the project has provided further evidence on the effectiveness and appropriateness of Acceptance and Commitment therapy in providing psychological support for individuals who have experienced psychosis, especially acute psychosis cases in enhancing confidence in reintegrating into a vibrant life with full value domains and minimizing psychosis recurrence from psychosocial risks through increasing psychological flexibility, contributing to the long-term management of patients with schizophrenia spectrum. In addition, the limitations of the project are also mentioned with the desire to provide clinicians with practical experiences when providing psychological support for cases of acute psychosis in an inpatient setting.

13. Further research directions: None

14. Published works related to the project: None

INFORMATION ON PROJECT

1. Full name: NGUYEN XUAN THANH 2. Sex: female

3. Date of birth: August 19, 1998 4. Place of birth: Can Tho

5. Admission decision number: 5626/QD–XHNV Dated December 29, 2023

6. Changes in academic process: None

7. Official project title: Psychological support for an Acute Psychosis case based on Acceptance and Commitment Therapy

8. Major: Applied Clinical Psychology 9. Code: 8310402

10. Supervisors: Nguyen Hanh Lien, Ph.D., Associate Professor Trinh Thi Linh, Ph.D.

11. Summary of the findings of the project:

This project presents an integrative review of acute psychosis, summarizing research on its epidemiology, course, etiology, and clinical manifestations in both Vietnam and international contexts. It also examines current treatment approaches for individuals with acute psychosis, outlining their respective strengths and limitations. Clinical features are described in accordance with ICD-10 diagnostic criteria, with a particular emphasis on the influence of psychosocial factors in the onset and maintenance of the disorder. Furthermore, the project introduces the theoretical foundation and clinical application of Acceptance and Commitment Therapy (ACT) as a psychological support for individuals who have experienced a psychotic episode and received inpatient treatment, including those diagnosed with acute psychosis. A detailed case study is presented, illustrating the psychological assessment and ACT -based support for a client with acute and recurrent psychosis. The therapeutic outcomes suggest that enhancing psychological flexibility enables the client to pursue a value-directed and meaningful life despite inner distress, partial remission, or residual psychological symptoms such as delusions and hallucinations.

12. Practical applicability:

The findings from this project offer valuable insights into the clinical applicability of Acceptance and Commitment Therapy (ACT) in the psychological care of individuals who have experienced psychotic episodes, particularly those diagnosed with acute psychosis. The results suggest that ACT can serve as an effective therapeutic framework for enhancing psychological flexibility, thereby helping clients rebuild confidence and re-engage in value-based living despite residual symptoms or psychosocial risk factors. By fostering a more adaptive relationship with internal experiences, ACT may contribute to reducing the likelihood of relapse and promoting long-term psychological well-being among individuals within the schizophrenia spectrum. Furthermore, the project acknowledges several limitations, which may serve as a basis for reflection among clinicians working with inpatients experiencing acute psychotic episodes.

13. Further research directions: None

14. Project -related publications: None