Interventions

Our interventions include:

      • Evidence-based CBT
        We offer people empirically-validated CBT, consisting of weekly or fortnightly individual, one-hour sessions for a period of six months. CBT works in the present and is based on the assumption that unpleasant emotions are closely linked to certain thoughts or beliefs someone has about themselves, like “I’m worthless”. These thoughts can lead to unhelpful behaviours that maintain the problem and create vicious cycles. Therapy involves identifying these distressing thoughts and behaviours, gradually attempting to understand them, test them out and hopefully change them. Therapy also involves changing unhelpful behaviours and trying out new coping skills for dealing with distressing experiences, like hearing voices.
      • Trauma-focused interventions
        Research has found there are high rates of childhood and adult trauma within the population of people with psychosis. Furthermore, the experience of psychosis can be traumatic for many people. Such experiences can lead to the development of post-traumatic stress disorder (PTSD). Interventions, including trauma-focused CBT, are provided for people with active symptoms of psychosis who also have PTSD. Individual therapy sessions last between 60 and 90 minutes, and are held weekly or fortnightly for a period of nine to 12 months. The therapy aims to promote understanding, reduce symptoms and lessen the distress.
      • Six booster sessions post-therapy, to maintain therapeutic gains, if required
      • Therapeutic groups
        When capacity allows, clients may be invited to attend psychological therapy groups such as a compassionate focused therapy group or bipolar disorder group while they are on the waiting list to receive individual therapy. They involve  six to eight weekly sessions with two therapists, with four to six people per group. The main aims of the groups are for people to gain a better understanding of the CBT model, to learn strategies for coping and self-management of their symptoms, develop the ability to self-soothe and be self-compassionate, and to gain support from others with similar problems. The format is a mixture of information giving, group discussion and worked exercises.
      • Cognitive behavioral based family intervention
        The intervention is designed to help those with psychosis and their families improve how they cope, problem-solve specific difficulties, manage the emotional impact of psychosis on family members, reduce stress, improve support networks and address issues of relapse prevention. Therapy sessions are one-hour long and service users and their carers are usually seen together on a fortnightly basis for 10 sessions, over a period of three months to one year. Therapy is delivered by two trained therapists with expertise in family intervention. Sessions are offered at the clinic or the person’s home, depending on the family’s preferences and the availability of staff.

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