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Table 2 Reasons for taking part in the AVATAR RCT and information about the voice selected for therapy purposes

From: Participants’ experiences of AVATAR therapy for distressing voices: a thematic qualitative evaluation

Name (anonymised)

Age

Primary Diagnosis

Age voices started

Reason for taking part in AVATAR RCT

Sessions

Voice selected

Liam

55

Paranoid Schizophrenia

36

“I’ve been part of another study which was computerised cognitive therapy at the X Hospital.”

7

Male distressing voice

George

34

Schizoaffective Disorder

17

“I felt some kind of therapy could bring about some changes and help me to improve my life and, yeah, to seek help.”

7

Male distressing voice, “similar to myself”

Alison

35

Paranoid Schizophrenia

18

“My parents had brought it up and I thought it might be helpful and so we went from there.”

7

Female “gravelly” and abusive voice

John

52

Paranoid Schizophrenia

20

“I thought you (AVATAR team) might be able to do certain things to do to me to get rid of these demons, you know.”

10

Male “demonic” and “bullying” voice

Gregory

50

Paranoid Schizophrenia

9

“Because I thought it would benefit me to do with other things, and that the reason why is because eventually I got on, the very first time I met my therapist and I thought ‘do I really want to do this’ but I got on with her.”

7

Male “nasty” voice

William

50

Paranoid Schizophrenia

16

“Well, it just seemed a good because the NHS don’t really provide much therapy, because they can’t afford it I don’t think, so it’s just a good opportunity to get some therapy and some help with my condition really.”

7

Male “threatening” voice, “trying to attack me”

Shaheim

31

Paranoid Schizophrenia

20

“I’m hearing voices and I thought it would be helpful that the avatar can get rid of my voices.”

7

Male distressing voice

Ajay

39

Paranoid Schizophrenia

27

“Because I was hearing more than one voice, it was 4 voices, and hearing them every day is very upsetting and distressing sometimes.”

7

Male distressing voice

Assaf

33

Schizoaffective Disorder

22

“I wanted to get rid of my voices and I wanted to get better.”

7

Male distressing voice

Harry

36

Paranoid Schizophrenia

20

“My psychiatrist said to me about trying the avatar thing and I said yeah why not. And I jumped at the chance to try and do it.”

8

Male distressing voice

Imene

37

Depression with Psychotic Symptoms

34

“I actually thought it was gonna be of help to me. That it was gonna help my mental illness, because my care coordinator told me. She actually, she explained to me about it.”

7

Male “huge” and abusive voice

Mohamed

42

Paranoid Schizophrenia

25

“I decided to volunteer on the project because I used to hear voices and they disturbed me a lot.”

3 (Considered completer)

Male “big” and “abusive” voice

Anne

46

Paranoid Schizophrenia

18

“I suppose first of all, I wouldn’t have heard of it if it wasn’t referred to me by my psychiatrist. That was the first port, when he told me about it. And I thought, well it’s something different, seemed to…I liked the idea of the voices being – or the voice that we concentrated on – being acknowledged as being real, rather than just ‘oh here’s some tablets, off you go’, you know.”

7

Male distressing voice of “my deceased father”

Catherine

47

Paranoid Schizophrenia

24

“I wanted to decrease the frequency and maybe the loudness”

7

Female distressing voice, “similar to my voice, when I was a child”

Ray (Drop-out)

46

Paranoid Schizophrenia

17

“To give people like yourself insight, to be able to use, what’s the word not ulterior, different treatment strategies. If it helps other people, I’m all for these research tests.”

1

Male “dominant” and distressing voice