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Thorn model psychosocial interventions (PSI) assist clients and their carer systems to manage the effects of psychotic symptoms. PSI has a broad menu of possible interventions from which a client and their therapist choose the most efficacious. In this process, assessment of the client's lived experience is crucial to choosing the most appropriate interventions. However, there are difficulties in adapting interventions designed for the ‘normal’ population for those with learning disabilities. This case study will explore conducting a Thorn model semi‐structured interview with a man with a diagnosis of Asperger's syndrome and mental health problems, highlighting both challenges and the approach used to address them.

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