Does talking about delusions make matters worse? How can we help patients deal with threatening hallucinations? How do we prevent relapses? And are there types of interventions that are contra-indicated when it comes to psychosis? Many therapists still feel uncertain when they are faced with psychotic symptoms. Promisingly, however, the last 20 years have witnessed increased research on psychological interventions for psychosis. We are now in the fortunate situation to have a range of psychological interventions for this group of patients from which we can select the most suitable ones based on patients’ goals, situation and preferences.
The first part of the workshop will provide an overview of the different types of psychological interventions available and their evidence base for different outcomes. This will be followed by a more comprehensive introduction to cognitive behavioral therapy for psychosis (CBTp) and the research it builds on. The main part of the workshop will detail some of the basic components of CBTp, such as building rapport, developing individualised models of explanation, challenging beliefs associated with distressing symptoms, and encouraging behavioural changes. This part will involve practical demonstrations and role-plays. The final part will provide an outlook on recent developments in the field that have taken specific symptom-focused approaches to delusions, hallucinations and negative symptoms.