This practical guide outlines the latest advances in understanding and treating psychotic symptoms and disorders, articulating step-by-step the clinical skills and knowledge required to effectively treat this patient population. A Clinical Introduction to Psychosis takes an evidence-based approach that encourages a wider perspective on clinical practice, with chapters covering stigma and bias, cultural factors, the importance of social functioning, physical health, sleep, and more. A broad array of treatment modalities are discussed, including cognitive behavioral therapy, cognitive remediation, psychosocial interventions, trauma-informed therapies, and recovery-oriented practice. The book also provides a concise overview of the latest advances regarding cognitive profiles in people with psychotic disorders, the developmental progression of cognitive abilities, and the clinical relevance of cognitive dysfunction. The book additionally familiarizes readers with issues and controversies surrounding diagnostic classification, transdiagnostic expression, and dimensional assessment of symptoms in psychosis. Provides treatment and assessment methods for psychotic symptoms and disorders Looks at how psychosis develops and the impact of stigma on clinicians and clients Studies the links between trauma, PTSD, and psychosis, as well as sleep and psychosis Covers digital technologies for treating and assessing psychosis Outlines strategies for treating visual and auditory hallucinations Examines how to incorporate consumer and clinician perspectives in clinical practice
Assessing Psychosis: A Clinician’s Guide offers both a practical guide and rich clinical resource for a broad audience of mental-health practitioners seeking to sharpen their understanding of diagnostic issues, clinical concepts, and assessment methods that aid in detecting the presence of psychotic phenomena. Practicing psychiatrists, psychologists, social workers, and psychiatric nurses will find this a valuable resource for clinical practice, training, and teaching purposes.
Individuals with psychiatric disorders such as schizophrenia, bipolar disorder, and post-traumatic stress disorder often report Insomnia and difficulties sleeping which can significantly impede recovery, worsen symptoms, and reduce quality of life. This volume presents a detailed theoretical rationale and session-by-session outline for delivering Cognitive Behaviour Therapy for Insomnia to people with these mental health disorders.The treatment has been developed in close collaboration with people living with mental illness, as well as sleep specialists and psychosis experts. Information regarding the efficacy of the programme is presented, along with resources offering information on complicating factors, avoiding relapse, managing stress, and restoring lifestyle balance.
Young people at clinical high risk of developing psychosis, or those with a recent onset of psychosis, can benefit from a range of tailored interventions each emphasizing recovery and return to functioning.
Extensive scientific research has been conducted into understanding and learning more about psychotic experiences. However, in existing research the voice of subjective experience is rarely taken into consideration. In this book, first-person accounts are brought centre-stage and examined alongside current research to suggest how personal experience can contribute to professional understanding, and therefore the treatment, of psychosis. Experiencing Psychosis brings together a range of contributors who have either experienced psychosis on a personal level or conducted research into the topic. Chapters are presented in pairs providing information from both personal and research perspectives on specific aspects of psychosis including: hearing voices, delusional beliefs, and trauma as well as cultural, existential and spiritual issues. Experts from the field recognise that first and foremost psychosis is a human experience and that those who suffer from psychotic episodes must have some involvement in any genuine attempts to make sense of the experience. This book will be essential reading for all mental health professionals involved with psychosis. The accessible style and compelling personal histories will also attract service users and their families.
Trauma and Psychosis provides a valuable contribution to the current understanding of the possible relationships between the experience of trauma and the range of phenomena currently referred to as psychosis. Warren Larkin and Anthony P. Morrison bring together contributions from leading clinicians and researchers in a range of fields including clinical psychology, mental health nursing and psychiatry. The book is divided into three parts, providing comprehensive coverage of the relevant research and clinical applications. Part I: Research and Theoretical Perspectives provides the reader with a broad understanding of current and developing theoretical perspectives. Part II: Specific Populations examines the relationship between trauma and psychotic experiences in specific populations. Part III: From Theory to Therapy draws together current knowledge and investigates how it might be used to benefit individuals experiencing psychosis. This book will be invaluable for clinicians and researchers interested in gaining a greater insight into the interaction between trauma and psychosis.
Can early, need-adapted treatment prevent the long-terms effects of psychosis? How important is phase-specific treatment? Evolving Psychosis explores the success of psycho-social treatments for psychosis in helping patients recover more quickly and stay well longer. Mental health professionals from all over the world share their clinical experience and scientific findings to shed new light on the issues surrounding need-specific treatment. They cover: The Nature of Psychosis, Early Intervention in Psychosis, Phase-Specific Treatment of Psychosis and The Need for Integration. Particular attention is paid to the how treatment can be improved with individually tailored treatment programmes, early intervention, more integration between psychological treatments, and new and better diagnostic concepts. This book incorporates new and controversial ideas which will stimulate discussion regarding the benefits of early, need-adapted treatment. It will be of interest to psychologists, psychiatrists and other mental health professionals interested in psycho-social approaches to psychosis.
The Psychotic Wavelength provides a psychoanalytical framework for clinicians to use in everyday general psychiatric practice and discusses how psychoanalytic ideas can be of great value when used in the treatment of seriously disturbed and disturbing psychiatric patients with psychoses, including both schizophrenia and the affective disorders. In this book Richard Lucas suggests that when clinicians are faced with psychotic patients, the primary concern should be to make sense of what is happening during their breakdown. He refers to this as tuning into the psychotic wavelength, a process that allows clinicians to distinguish between, and appropriately address, the psychotic and non-psychotic parts of the personality. He argues that if clinicians can find and identify the psychotic wavelength, they can more effectively help the patient to come to terms with the realities of living with a psychotic disorder. Divided into five parts and illustrated throughout with illuminating clinical vignettes, case examples and theoretical and clinical discussions, this book covers: the case for a psychoanalytical perspective on psychosis a historical overview of psychoanalytical theories for psychosis clinical evidence supporting the concept of a psychotic wavelength the psychotic wavelength in affective disorders implications for management and education. The Psychotic Wavelength is an essential resource for anyone working with disturbed psychiatric patients. It will be of particular interest to junior psychiatrists and nursing staff and will be invaluable in helping to maintain treatment aims and staff morale. It will also be useful for more experienced psychiatrists and psychoanalysts.
This book offers a new approach to understanding and treating psychotic symptoms using Cognitive Behavioural Therapy (CBT). CBT for Psychosis shows how this approach clears the way for a shift away from a biological understanding and towards a psychological understanding of psychosis. Stressing the important connection between mental illness and mental health, further topics of discussion include: the assessment and formulation of psychotic symptoms how to treat psychotic symptoms using CBT CBT for specific and co-morbid conditions CBT of bipolar disorders. This book brings together international experts from different aspects of this fast developing field and will be of great interest to all mental health professionals working with people suffering from psychotic symptoms.
This report provides an overview of the current state of knowledge about why some people hear voices, experience paranoia or have other experiences seen as 'psychosis'. It also describes what can help. In clinical language, the report concerns the 'causes and treatment of schizophrenia and other psychoses'. In recent years we have made huge progress in understanding the psychology of what had previously often been thought of as a largely biological problem, an illness. Much has been written about the biological aspects: this report aims to redress the balance by concentrating on the psychological and social aspects, both in terms of how we understand these experiences and also what can help when they become distressing. We hope that this report will contribute to a fundamental change that is already underway in how we as a society think about and offer help for 'psychosis' and 'schizophrenia'. For example, we hope that in future services will no longer insist that service users accept one particular view of their problem, namely the traditional view that they have an illness which needs to be treated primarily by medication. The report is intended as a resource for people who work in mental health services, people who use them and their friends and relatives, to help ensure that their conversations are as well informed and as useful as possible. It also contains vital information for those responsible for commissioning and designing both services and professional training, as well as for journalists and policy-makers. We hope that it will help to change the way that we as a society think about not only psychosis but also the other kinds of distress that are sometimes called mental illness. This report was written by a working party mainly comprised of clinical psychologists drawn from the NHS and universities, and brought together by their professional body, the British Psychological Society Division of Clinical Psychology. This report draws on and updates an earlier one, Recent Advances in Understanding Mental Illness and Psychotic Experiences, which was published in 2000 and was widely read and cited. The contributors are leading experts and researchers in the field; a full listing with affiliations is given at the end of the report. More than a quarter of the contributors are experts by experience - people who have themselves heard voices, experienced paranoia or received diagnoses such as psychosis or schizophrenia. At the end of the report there is an extensive list of websites, books and other resources that readers might find useful, together with list of the academic research and other literature that the report draws on.
This book provides clear and concise guidance for clinicians when they encounter a patient with psychosis, starting with the medical work-up to arrive at a diagnosis and ending with the comprehensive care for patients with established schizophrenia. It covers the optimal use of medications (emphasizing safe use) but also addresses other treatment approaches (psychological treatments, rehabilitation) and the larger societal context of care, including how to work effectively in complex systems. It uniquely condenses the literature into teaching points without simplifying too much, effectively serving as a learning tool for trainees and professionals. For this second edition, the book was extensively updated and its content expanded, with new figures as well. Each chapter begins with an initial summary and includes Tips and Key Points in text boxes. Each chapter also includes links to external websites and additional readings. The book contains clinical and practical wisdom for clinicians who are treating real patients at the front lines, setting it apart from all other texts. Psychotic Disorders is an excellent resource for medical students, early career professionals such as trainees and fellows, and related clinicians seeking additional training and resources, including those in psychiatry, psychology, neurology, and all others.
Cognitive Behaviour Therapy (CBT) for psychosis is constantly changing and evolving. Recently, in what is sometimes called the ‘third wave’, therapy has become more concerned with the individual’s relationship to their experience, rather than with the content of it. This more process–orientated approach appears to tap into universal psychological processes. The aim is to reduce distress by changing the function of the experience, rather than necessarily the experience itself. Written by some of the leading figures from around the world, CBT for Psychosis: Process-Orientated Therapies and the Third Wave brings the reader the latest developments in the field. Presented in three parts, CBT for Psychosis first explores theoretical perspectives on recent developments in cognitive behavioural therapies. Part two examines specific therapeutic approaches, including metacognitive training, mindfulness, acceptance and commitment therapy, compassion focused therapy and the method of levels. Finally, part three presents two critical perspectives: the first offering a reflection on the experience of receiving CBT, and the second looking ahead to possible future developments. Offering a cutting-edge collection of theoretical, therapeutic and critical perspectives, CBT for Psychosis: Process-Orientated Therapies and the Third Wave will be of great interest to clinical and counselling psychologists, both practising and in training, as well as psychiatrists, nurse therapists, occupational therapists and other healthcare professionals working with people experiencing psychosis.