The ECHO study: compassion-focused therapy for young voice hearers and their caregivers. A pilot study
By
Maja Kargaard Musaeus
Charles Heriot-Maitland
Vibeke Fuglsang Bliksted
July 10, 2026
Clinical Scorecard: ECHO Study: A Pilot Investigation of Compassion-Focused Therapy for Young Individuals Experiencing Auditory Hallucinations and Their Caregivers
At a Glance
Category Detail
Condition Auditory Hallucinations Key Mechanisms Compassion-Focused Therapy (CFT) aimed at developing compassion and self-compassion to manage voice hearing. Target Population Adolescents aged 13-18 experiencing voice hearing. Care Setting Psychiatric hospitals in the Region of Southern Denmark.
Key Highlights
The ECHO study involves a 10-session manualized CFT for voice hearing. Caregivers participate in half of the sessions to enhance understanding and support. The study includes a clinical comparison group of young adults with first-episode schizophrenia. Guideline-Based Recommendations
Diagnosis
Voice hearing can occur in various psychiatric disorders including schizophrenia, depression, and PTSD. Management
Compassion-Focused Therapy (CFT) is used to address the psychological responses to voice hearing. Monitoring & Follow-up
Data collected at multiple time points: 3 months prior, immediately before, immediately after treatment, and at 1 month follow-up. Risks
Voice hearing is associated with stigma and shame, which can exacerbate suffering. Patient & Prescribing Data
Young individuals aged 13-18 experiencing auditory hallucinations.
CFT aims to balance the threat, drive, and soothing systems to alleviate suffering.
Clinical Best Practices
Involve caregivers in treatment to facilitate a common language about mental states. Utilize recordings of voice content to enhance caregiver understanding. Related Resources & Content
