Client's Symptoms Research Articles

Analysis of the Application of Murottal Al-Quran to the Signs and Symptoms of Hearing Hallucinations

Schizophrenia is a serious mental health problem where one of the symptoms is hallucinations. Signs and symptoms of hallucinations include feeling more comfortable with their situation, the client is seen laughing and talking to himself or expressing things that are not actually real, so pharmacological and non-pharmacological therapy management is needed. One of them is by providing Murottal Al-Qur'an therapy. The aim of this research is to explain nursing care and determine the analysis of Al-Quran murottal therapy on reducing the signs and symptoms of auditory hallucinations experienced by patients. This research design uses descriptive research with a case study method. Therapy is given for 7 days for 15 minutes by listening to the chanting of holy verses from the Koran, one of which is Surah Ar-Rahman and Surah Al-Jinn. The results of the research were a decrease in the signs and symptoms of hallucinations in clients and the ability to control their hallucinations by carrying out positive activities, conversing with people around them and murottalizing the Koran. Providing Al-Quran murottal therapy can reduce the client's signs and symptoms of hallucinations, namely daydreaming, isolating himself, smiling, talking to himself, lack of eye contact and hearing voices that are not real.

Consultation Content and Techniques for measurement-Based Care Implementation in Youth Community Mental Health Settings.

Measurement-based care (MBC) is an evidence-based practice (EBP) focused on regularly administering outcome measures to clients to inform clinical decision making. While MBC shows promise for improving youth treatment outcomes, therapist adoption remains low. Clinical consultation is one strategy that improves MBC implementation, but our limited understanding of consultation hinders the ability to optimize its impact. This research explored the content of, and techniques used during MBC consultation calls. Therapists (N = 55) in a randomized controlled trial treating adolescents with anxiety and/or depression were trained to utilize MBC with usual treatment using the Youth Outcome Questionnaire (YOQ) through an online measurement feedback system (MFS). Weekly ongoing consultation followed an initial workshop training in MBC. Case discussions (N = 294) during consultation calls were coded using a developed codebook, including 12 content and 10 consultant techniques. Results indicated that content focused predominantly on interpretation of client symptom and alliance report, planning for YOQ administration, and discussion of data with clients in session. Common consultant techniques included modeling and eliciting report viewing and interpretation, making clinical suggestions, and didactics about clinical and technical issues. Notably, role-play/behavioral rehearsal was not used. The prevalence of passive consultation techniques (suggestions, didactics) suggests a focus on teaching rather than active techniques (behavioral rehearsal, modeling), potentially influenced by the novelty of MBC and MFS. Technical aspects of MBC, such as measure administration and system usage, emerged as key consultation content, highlighting an unanticipated emphasis on logistics over clinical implementation. These findings underscore the evolving role of consultation in supporting MBC implementation and suggest that addressing technical challenges early in training might enhance adoption.

Sosyal Kaygı Bozukluğunda Bilişsel Davranışçı Terapi Olgu Sunumu

In this study, the client's symptoms were characterized as social anxiety disorder based on dsm5 diagnostic criteria. The client is a 24-year-old female university student. The client stated that she had fears of failing, being stupid and being disgraced and mentioned physical symptoms such as hand and voice tremors, nausea and heart palpitations due to these fears. The client, who has beliefs such as inadequate, worthless and I must be successful, shows excessive anxiety and avoidance behaviors in situations such as eating in front of people, speaking in public, making presentations and mixing with people. The client realized that his academic success was jeopardized and his functionality was decreasing and applied for therapy. Cognitive behavioral therapy was used with the client. First, the client was psychoeducated about the therapy and its progress and a therapeutic relationship was developed. In the first stage of the treatment, cognitive processes were emphasized, automatic negative thoughts and core beliefs were identified and questioned, and cognitive restructuring was performed. Then behavioral techniques were practiced. Key words: Social anxiety disorder, anxiety, cognitive behavioral therapy.

Does personal therapy predict better trainee effectiveness?

AbstractObjectivesThe aim of this study was to examine whether the history of personal therapy among therapist trainees predicts their clinical effectiveness in terms of client symptom reduction.MethodsTwo anonymous archived datasets from a longitudinal research project on mental health counselling training in China were used. Both datasets included trainee‐reported history of personal therapy and their client‐reported symptom levels prior to each counselling session.ResultsUsing multilevel modelling, we found that, in Dataset 1, neither of the personal therapy variables (whether trainees had undergone personal therapy nor number of personal therapy hours) significantly predicted trainees' client symptom outcome. Dataset 2, which included whether trainees were satisfied with their personal therapy, showed that more hours of unsatisfactory personal therapy for a trainee were associated with decreased average client symptom improvement, whereas more hours of highly satisfactory personal therapy for a trainee were associated with greater client symptom improvement.ConclusionsFindings in this study suggested that the association between trainees' personal therapy length and their clinical effectiveness may be moderated by the quality of their personal therapy: Whereas satisfactory personal therapy might be beneficial in the trainee's clinical work, longer unsatisfactory personal therapy was associated with decreased trainee effectiveness. Research limitations and implications for training are discussed.

The relationship of early therapeutic alliance, baseline client symptom severity, and client race to duration in therapy and post client symptom severity

AbstractExtending the study of Shaw et al., this study aimed to determine whether early therapeutic alliance, baseline client symptom severity, and client race predicted treatment duration and post client symptom severity. Participants (N = 75) were clients at a community mental health clinic. Baseline client symptom severity, but not early therapeutic alliance, predicted post client symptom severity; client race predicted treatment duration. Collectively, early therapeutic alliance, baseline client symptom severity, and client race predicted post client symptom severity.

Case Study of Congklak Playing Therapy in Children to Improve Social Interaction Due to Gadget Addiction

Objective: To see the effectiveness of congklak play therapy in increasing social interaction in children because of gadget addiction. Method: The research design used is a case study research method, with a descriptive research type. The research subject used was 1 school-age child client with social interaction problems due to gadget addiction. Result: Subjectively, the client experiences an increase in interaction with the people around him and a decrease in the intensity of his use of gadgets. Clients can better control their emotions, and there is an increase in learning. Likewise, objectively, the client seems to be able to control his emotions, and often interacts with the people around him. Conclusion: After doing research on An. M., the data obtained by the client's mother complains that the client rarely interacts with other people; the client often plays gadgets until he forgets the time; and when the gadget is taken, he often gets angry. The client's mother gets information from the client's school teacher that the client is less cooperative while studying at school. Based on the assessment, the diagnosis that emerged was social interaction disorder. The author conducted an intervention to overcome social interaction disturbances for four days. The intervention that the author has done is to provide congklak play therapy. After the intervention, the client's signs and symptoms of impaired social interaction diminished. The client has often interacted with people around him by using his gadget a little less.

Chinese counseling trainees' trait and state mindfulness and client symptom outcome: A longitudinal examination with multilevel and random-intercept cross-lagged panel models.

This study aimed to explore how Chinese counseling trainees' trait and state mindfulness predicted their clients' symptom level over the course of therapy. A data set consisting of 6,888 sessions from 1,216 clients and their 211 master's level beginning therapist trainees in China was used, which included a measure of trainees' trait mindfulness at the beginning of their practicum and their state mindfulness and client-rated symptom distress level at the beginning of each of their therapy sessions. Multilevel modeling and random-intercept cross-lagged panel model results suggested that (a) at the trainee level, a trainee's trait mindfulness did not predict their average client symptom improvement over practicum; (b) at the session-to-session level, higher trainee state mindfulness before one session significantly predicted lower client distress before the next session, and higher client distress before one session did not predict trainee state mindfulness before the subsequent session. Findings suggested that it was the trainees' session-to-session state mindfulness, instead of their general trait mindfulness, that temporally led to greater client symptom reduction. Implications for clinical training were discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Mental Health Counseling From Conversational Content With Transformer-Based Machine Learning

Use of asynchronous text-based counseling is rapidly growing as an easy-to-access approach to behavioral health care. Similar to in-person treatment, it is challenging to reliably assess as measures of process and content do not scale. To use machine learning to evaluate clinical content and client-reported outcomes in a large sample of text-based counseling episodes of care. In this quality improvement study, participants received text-based counseling between 2014 and 2019; data analysis was conducted from September 22, 2022, to November 28, 2023. The deidentified content of messages was retained as a part of ongoing quality assurance. Treatment was asynchronous text-based counseling via an online and mobile therapy app (Talkspace). Therapists were licensed to provide mental health treatment and were either independent contractors or employees of the product company. Participants were self-referred via online sign-up and received services via their insurance or self-pay and were assigned a diagnosis from their health care professional. All clients received counseling services from a licensed mental health clinician. The primary outcomes were client engagement in counseling (number of weeks), treatment satisfaction, and changes in client symptoms, measured via the 8-item version of Patient Health Questionnaire (PHQ-8). A previously trained, transformer-based, deep learning model automatically categorized messages into types of therapist interventions and summaries of clinical content. The total sample included 166 644 clients treated by 4973 therapists (20 600 274 messages). Participating clients were predominantly female (75.23%), aged 26 to 35 years (55.4%), single (37.88%), earned a bachelor's degree (59.13%), and were White (61.8%). There was substantial variability in intervention use and treatment content across therapists. A series of mixed-effects regressions indicated that collectively, interventions and clinical content were associated with key outcomes: engagement (multiple R = 0.43), satisfaction (multiple R = 0.46), and change in PHQ-8 score (multiple R = 0.13). This quality improvement study found associations between therapist interventions, clinical content, and client-reported outcomes. Consistent with traditional forms of counseling, higher amounts of supportive counseling were associated with improved outcomes. These findings suggest that machine learning-based evaluations of content may increase the scale and specificity of psychotherapy research.

Supplemental Material for Chinese Counseling Trainees’ Trait and State Mindfulness and Client Symptom Outcome: A Longitudinal Examination With Multilevel and Random-Intercept Cross-Lagged Panel Models

Supplemental Material for Chinese Counseling Trainees’ Trait and State Mindfulness and Client Symptom Outcome: A Longitudinal Examination With Multilevel and Random-Intercept Cross-Lagged Panel Models

The TT-AT trauma protocol piloted in different international settings: Zambia, UK, Italy

ABSTRACT Background Art therapists have worked with traumatised individuals from the very beginning. Nevertheless, the effectiveness of art therapy in the treatment of Post Traumatic Stress Disorder (PTSD) and Complex Post Traumatic Stress Disorder (C-PTSD) is not yet evidence-based. Studies suggest innovative treatments should describe clearly both the intervention, in order to facilitate replication, and the treatment targets, in order to facilitate assessment and research. Context In the ‘Trauma Treatment through Art Therapy’ (TT-AT) protocol, the intervention is described clearly, and the treatment targets are the six client symptom clusters listed by the International Society for Traumatic Stress Studies (ISTSS): (1) emotion regulation; (2) relationships with others; (3) relationship with self; (4) awareness of trauma; (5) distancing; (6) resources. The intervention consists of six sessions, one for each symptom and related need. Approach The TT-AT protocol – that was developed and piloted in Tanzania – is now being applied in three other countries (Zambia, the UK and Italy). Outcomes The group participants in the three countries followed the six themes easily. Some shared the history of traumas, even though verbal sharing was optional, and sometimes for the first time hidden traumas of the past. After the intervention they described being able to leave the past in the past, feeling stronger in the present, and more hopeful about their future. Conclusions and implications for research The TT-AT protocol can be replicated easily and it has clear treatment targets. This makes it suitable for use in research. Plain-language summary This article reports on the implementation of an innovative trauma treatment intervention (the TT-AT protocol) in three countries: Zambia, the UK and Italy. The format is group art therapy and all the participants are women with a history of traumatic experience presenting with a variety of PTSD and C-PTSD symptoms. The six art therapy workshops addressed the six symptoms listed by the International Society of Traumatic Stress Studies (ISTSS). The groups are: (a) a group of six medical students in Zambia; (b) a group of five in a community mental well-being project in the UK; (c) a group of four private practice clients in Italy. The article illustrates the art therapy process in each group. The participants moved through three stages, from the initial strengthening phase to the stage of becoming more aware of their trauma, to the final stage of trusting their own resources. Feedback shows improvements in dealing with their past and in coping with present life challenges. This report suggests that the protocol is suitable to be applied to diverse countries and cultures.

Therapist self-efficacy developmental profiles, supervisory working alliance, and client outcome: A growth mixture analysis.

The aims of this study were to investigate the overall, and subgroups of, developmental profiles of the three domains of counseling self-efficacy (CSE) among beginning therapist trainees in China. Further, the associations between the different CSE developmental profiles and the trainees' perceived supervisory working alliance (SWA) and their clients' reported symptom distress were also examined. Participants included 258 beginning therapist trainees in a master's level counseling training program in China, who completed measures of CSE in three waves throughout the practicum and rated SWA after every supervision session. Clients rated their symptom distress before and after treatment. Growth mixture analysis results indicated that overall, trainees showed the highest initial confidence in helping skills use, followed by in session management, and last in handling counseling challenges, and there were significant increases in all three aspects of self-efficacy. Second, four subgroups of developmental profiles emerged, including beginning moderate with no changes, beginning moderate with moderate increases, beginning low with marked increases, and beginning high with partial minor increase. Third, the beginning moderate with no changes subgroup showed lower ratings of SWA and the lowest average client symptom improvement. Recommendations for future research and implications for training are presented. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Undocumented PTSD among African American clients with serious mental illness in a statewide mental health system.

African Americans are at increased risk for trauma exposure and the development of posttraumatic stress disorder (PTSD) relative to other racial groups. Among African Americans with Serious Mental Illness (SMI), PTSD is frequently underdiagnosed and untreated. The primary objective of this study was to investigate trauma exposure, PTSD symptom severity, and the rate of undocumented PTSD in medical records among African Americans diagnosed with SMI. Screening for trauma exposure and PTSD symptoms was implemented among 404 clients receiving community mental health services. Participants endorsed at least 1 traumatic event, had a score of at least 45 on the DSM-IV PTSD Checklist indicating probable PTSD, and had a chart diagnosis of an Axis I disorder. Around 18.3% of participants had PTSD diagnosed in their medical chart. A diagnosis of schizophrenia/schizoaffective disorder was inversely related to the detection of PTSD in the chart. Client age and gender did not adversely affect the detection of PTSD, and detection rates remained low overall. Childhood sexual abuse was the most commonly endorsed index trauma, followed closely by sudden death of a loved one (including violent death). Participants typically experienced an average of 8 types of traumatic events in their lifetime. Cumulative total trauma exposure significantly predicted PTSD severity. Clients with mood disorders reported more severe PTSD. Findings highlight the low detection rate of PTSD and related symptoms in African American clients with SMI. There is a need for early intervention, grief counseling, culturally sensitive trauma screening, and culturally informed treatment options for this population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Machine-Learning-Based Prediction of Client Distress From Session Recordings.

Natural language processing (NLP) is a subfield of machine learning that may facilitate the evaluation of therapist-client interactions and provide feedback to therapists on client outcomes on a large scale. However, there have been limited studies applying NLP models to client outcome prediction that have (a) used transcripts of therapist-client interactions as direct predictors of client symptom improvement, (b) accounted for contextual linguistic complexities, and (c) used best practices in classical training and test splits in model development. Using 2,630 session recordings from 795 clients and 56 therapists, we developed NLP models that directly predicted client symptoms of a given session based on session recordings of the previous session (Spearman's rho =0.32, p<.001). Our results highlight the potential for NLP models to be implemented in outcome monitoring systems to improve quality of care. We discuss implications for future research and applications.

A longitudinal investigation of the relationship between Chinese counseling trainees’ anxiety and client symptom outcome

ABSTRACT Objective This study examined the reciprocal association between counseling trainees’ trait and state anxiety and their clients’ symptom distress and the mediating effects of working alliance. Method Data set included 6,888 sessions conducted by 211 master’s level beginning therapists with their 1,216 clients in China. Trainees completed a measure of trait anxiety at the beginning of practicum. Before each session, trainees completed the state anxiety measure and clients reported their symptom distress; and after every session, both the trainees and clients rated their perceived working alliance. Results Multilevel modeling showed that (a) Therapist trainees’ level of trait anxiety did not predict overall client outcome in terms of symptom reduction. (b) At the session-to-session level, higher therapist state anxiety before one session significantly predicted higher client distress before the next session, and higher client distress before one session significantly predicted higher therapist state anxiety before the subsequent session. (c) Therapist and client perceptions of working alliance were both significant mediators of the reciprocal relationship between therapist state anxiety and client distress. Conclusions Findings suggested that it was trainees’ state anxiety, instead of trait anxiety, that reciprocally related to client symptom outcome at the session-to-session level. Implications for clinical training were discussed. PRACTICAL IMPLICATIONS A generally more anxious therapist trainee does not seem to have worse overall clinical effectiveness compared with a generally less anxious trainee. From session to session, trainees who experience less state anxiety tend to establish a stronger working alliance with their clients, which leads to more client symptom relief. Evidence suggests against selecting trainees based on their trait anxiety level; but it is recommended that supervisors help trainees manage their state anxiety before a session.

Examining therapist estimation of client working alliance and client symptom outcome using truth and bias model and response surface analysis

Objective The aims of this study were to investigate the congruence and discrepancy between Chinese therapist trainees’ estimated client working alliance (WA) and their clients’ actual WA rating, and how the congruence and discrepancy predicted client symptom outcome. Methods Participants were 211 beginning therapist trainees and 1216 clients. Data from their 6888 sessions were analyzed using Truth and Bias Model and Response Surface Model. Results and Conclusions (i) Chinese trainees’ estimation of client WA was on average significantly lower than actual client WA. (ii) At the between-person level, whether the trainee generally over- or underestimated client WA was not related to the client's initial symptom level or symptom improvement rate. (iii) At the within-person between-session level, a session where a trainee accurately perceived high client WA, compared to a session where the trainee accurately perceived low client WA, was followed by greater client symptom relief before the next session. In the case of estimation bias, a session where the trainee underestimated client WA was followed by greater client symptom reduction in the next session, rather than the other way around when the trainee overestimated client WA. Implications on therapist training were discussed.

Alcohol use as a mediator of the effect of two alcohol reduction interventions on mental health symptoms of ART clients in Vietnam

ABSTRACT We aimed to examine the mediating role of alcohol use in the pathway from the interventions to depression and anxiety symptoms using data from a randomized controlled trial among people living with HIV (PWH) with hazardous alcohol use (n = 440) in Thai Nguyen, Vietnam. Participants were randomized into either a combined intervention (CoI), a brief intervention (BI) and a standard of care arm. Both interventions were based on cognitive behavioral therapy and motivational enhancement therapy. Alcohol use was measured as the percentage of days abstinent from alcohol in the last 30 days. Symptoms of depression and anxiety were measured with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 scales. Alcohol use was a significant mediator of the effects of two alcohol interventions on depression symptoms, but not anxiety symptoms. There were significant indirect effects via alcohol use of both interventions on depression symptoms at 12 months (CoI: mean difference (MD) = −0.134; 95%CI: −0.251, −0.035); (BI: MD = −0.141; 95%CI: −0.261, −0.038). There were no significant direct or total effects of the interventions on either symptoms at 12 months. Interventions with a dual focus on mental health and alcohol disorders are needed to determine optimal ways to tackle these common comorbidities among PWH.

AWARENESS INTEGRATION THEORY CASE REPORT: THERAPUTIC INTERVENTION FOR ANXIETY AND DEPRESSION IN A TRANSEXUAL MALE COLLEGE STUDENT

One clinical psychotherapist's case report about a 19-year-old Caucasian transexual male college student with above-average intelligence is presented. Client had previously been diagnosed with generalized anxiety disorder, gender dysmorphia, and obsessive-compulsive disorder tendencies. The client sought therapeutic services due to low self-esteem that promoted feelings of awkwardness in social situations, worry that others are mad at him, and a desire for deeper relationships with friends. Therapist followed the six phases of Zeine's model of awareness integration therapy (AIT) based on AI theory. AIT has been found to successfully reduced anxiety symptoms in clients diagnosed with generalized anxiety and other disorders. AIT aims to enhance one's self-awareness about internal processes, increase self-esteem, release past traumas and psychological blocks, reduce anxiety symptoms, and regulate thoughts, emotions, attentions, intentions, and actions. Therapist's treatment plan and client's goals aligned with the six phases of AIT by: (a) increasing insight into the historical and current sources of low self-esteem; (b) decreasing the frequency of negative self-descriptive statements; (c) increasing the frequency of positive self-descriptive reports; (d) decreasing anxiety level while increasing the ability to function daily and learn; (e) implementing mindfulness exercises to reduce anxiety and worry; and (f) taking committed actions toward living a valued life. Therapist helped client access and gain awareness of the correlation between the way he perceives the world and how he relates to and behaves towards others. Client enhanced his abilities to incorporate new understanding of how he viewed the world following therapy, and made better decisions regarding himself and his personal identity. Client's scores on the posttraumatic stress disorder checklist (for DMS-5), the generalized anxiety disorder screen (GAD-7), and the patient health questionnaire (PHQ-9) decreased signicantly following 10 months of AIT. Client reported his anxiety had decreased, and he felt condent about initiating and participating in social interactions. (word count: 300)

Effectiveness of Educational Intervention Based on Transtheoretical Model on Physical Activity and Menopausal Symptoms.

Menopause is an inevitable part of women's lives. Physical activity as nonhormonal therapy can decrease the symptoms of menopause. This study is aimed at investigating the effect of educational intervention based on the transtheoretical model (TTM) on physical activity and menopausal symptoms of female clients of the health center in Pasargad City, Iran. This quasi-experimental study was performed on 140 females admitted to health center of Pasargad City, Fars Province, Iran (intervention = 70 and control = 70). The data collection tool consisted of demographic data, menopause rating scale, international physical activities questionnaire, and TTM questionnaire (stages of change, processes of change, decision-making balance, and self-efficacy) that were completed before and two months after intervention. For intervention group, the educational program was implemented during 5 sessions of 50-55 min. Data were analyzed by SPSS 25 and by using Chi-square test, independent t-test, and paired t-test. After intervention, the mean scores of physical symptoms are sleep problems, muscle problems and discomfort, psychological symptoms, depression, irritability, and anxiety of intervention group decreased significantly post intervention (p < 0.001). Analysis showed that psychological symptoms, mental fatigue, somatic, and urogenital symptoms, and vaginal dryness increased 2 months after the intervention. Also, the mean score of cons, pros, decision balance, self-efficacy, consciousness raising, dramatic relief, environmental reevaluation, and self-reevaluation have significant changed in intervention group (p < 0.05). In addition, the top percent of progress can be seen in contemplation (31. 5%). This study showed the effectiveness of educational intervention based on TTM to reduce menopausal symptoms and promote physical activity in postmenopausal women.

The role of the consultant in consultation for an evidence-based treatment for PTSD.

Consultation is an important implementation strategy to improve treatment fidelity and clinical outcomes, yet research has not identified the aspects of consultation that differentially affects clinician skill development and client symptom change. Thus, the present study investigated the effect of the consultant, consultation activities, and consultants' (n = 6) perceptions of consultees (n = 60) on post-traumatic stress disorder (PTSD) treatment fidelity and client outcomes. In addition, we assessed the accuracy of consultants' evaluations of clinicians using the Perceived Enthusiasm, Skill, and Participation scale (P-ESP). Results indicated that there was a significant effect of consultant on adherence to, but not competence in, delivering Cognitive Processing Therapy (CPT). The effect of the consultant on PTSD symptom change was not significant. Consultants significantly differed in their discussion of CPT strategies and their application to individual cases, but did not differ on reviewing and providing feedback on fidelity. Consultant perceptions as assessed by the P-ESP were not associated with clinicians' current levels of adherence or competence, suggesting that consultants may not accurately assess clinician skill during consultation. Client PTSD symptom change neither predicted, nor was predicted by, consultants' perceptions of their consultees' skill. This article outlines potential reasons for consultant effects and possible biases at play that may reduce the accuracy of consultant perceptions and presents suggestions on alternative strategies to assess clinician skill during consultation. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Attitudes To and Uptake of Repertory Software in Homeopathy Clinical Practice-Results of an International Survey.

Despite the substantial size of the maturing complementary medicine (CM) industry, the technologies used by practitioners have received little research attention. In the clinical delivery of homeopathy services, repertory software can be employed to cross-reference client symptoms with numerous databases, making the process of seeking a clinical intervention quicker and more accurate. The purpose of the study is to learn about the quantitative patterns of usage, uptake and attitudes to repertory software amongst professional homeopaths. An online cross-sectional survey of 15 questions was completed by practicing professional homeopaths between August 2016 and May 2017, using non-probability snowball sampling. Questions gathered demographic information, reflections and attitudes on the use of electronic repertories in clinical homeopathy practice. In total, 59% of respondents reported using software regularly in practice and 71% found that it adds clear value in their work. Sixty-eight percent of respondents learned about repertory software during homeopathy training, and 47% were introduced to software when they began clinical practice. Lack of sufficient training is a very important barrier to the use of repertory software, indicating that more robust and accessible software training is needed for practitioners. Many respondents agreed with a statement that repertory software represents good value for money and yet 46% agreed that it is cost prohibitive for most practitioners, signaling a challenge for software companies. Few respondents reported regularly using more than three of the most common repertory features. This preliminary study presents some potentially significant uptake, usage and attitude markers that stand to shed light on the practice of homeopathy and the place of emerging technologies such as repertory software. Ultimately, more research is needed to help identify and address the challenges, risks and tensions around integration of practice-enhancing technologies in CM educational and clinical settings to best serve the diverse and changing needs of practitioners.