Exploring Group-Based MBT-TF for Underserved Neurodiverse Late Adolescents: A Pilot Study on Mentalizing Challenges - Summary - MDSpire

Exploring Group-Based MBT-TF for Underserved Neurodiverse Late Adolescents: A Pilot Study on Mentalizing Challenges

  • By

  • Dawn. L. Bales

  • Mirjam E. J. Kouijzer

  • April 28, 2026

  • 0 min

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Objective:

To explore the feasibility and perceived impact of a group-based adaptation of Mentalization-Based Treatment for Trauma (MBT-TF) tailored for late adolescents with complex trauma and neurodiverse needs.

Key Findings:
  • High attendance and engagement from all participants.
  • Improvements in self-image, emotion regulation, reflective functioning, and relational trust.
  • Increased self-compassion and reduced shame reported by participants.
  • Favorable trends in reflective functioning, interpersonal problems, dissociation, and posttraumatic stress symptoms.
Interpretation:

Group-based MBT-TF is feasible, acceptable, and potentially beneficial for neurodiverse late adolescents with complex trauma and personality difficulties, enhancing epistemic trust and engagement.

Limitations:
  • Small sample size limits generalizability.
  • Lack of control group for comparative analysis.
  • Short duration of the study may not capture long-term effects.
Conclusion:

Findings support the need for further research with larger samples to refine trauma-focused mentalization-based approaches for neurodiverse populations.

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