This book offers a practitioner's guide to evidence-based practice in working with psychotic patients in an outpatient setting by clinicians and scholars who are internationally recognized for their work in treating severe psychopathology. Topics cover conceptual, technical, and practical considerations in the parameters of working with adult and adolescent populations that exhibit thought disorder, delusions, hallucinations, borderline organizations, trauma, and schizoid phenomena. Different theoretical models are presented from psychoanalytic traditions that introduce the student and practitioner to eclectic ways of conceptualizing and treating these challenging clinical groups. Concrete approaches to establishing a proper treatment environment, working alliance, symptom management, managing countertransference, and facilitating a therapeutic framework are provided. Various psychodynamic techniques are demonstrated by master clinicians through the extensive use of clinical case material culled from outpatient settings that illustrate how psychoanalytic perspectives enrich our understanding of the psychotic spectrum and lead to therapeutic efficacy.

The First Episode of Psychosis is the ideal book for patients experiencing the frightening and confusing initial episode of psychosis, which often occurs during late adolescence or early adulthood, and which affects nearly 3% of all people over the course of their lifetime. The book covers a range of disorders, focusing on primary psychotic disorders such as schizophrenia and schizophreniform disorder, clearly describing symptoms, early warning signs, and treatment--information that is essential for patients and families faced with the challenges posed by psychosis. The book also discusses psychiatric evaluation, healthy lifestyle choices, and the stigma often associated with mental illnesses. Worksheets allow readers to keep records of symptoms to facilitate communication with care providers, and an extensive glossary clarifies the dizzying array of terms used by medical professionals. Optimistic, practical, and recovery-oriented, The First Episode of Psychosis will help patients and their families to take an active, informed role in their care to ensure the best possible prognosis.

The first book for non-specialists on intervening and helping young persons who may be experiencing psychosis In recent years, there has been increasing attention given to young people with emerging psychotic illness, both in popular media coverage of current events as well as policies and movements toward providing specialized services to this vulnerable population. This concise, accessible guide for helping professionals without training in psychosis intervention is a quick reference for identifying and intervening with a person experiencing a first psychotic episode. It guides helping professionals in how to identify a possible psychotic episode, how to interact compassionately and effectively with the individual, and how to make appropriate referrals toward receiving proper treatment. Free of jargon and unfamiliar medical terminology, this how-to resource offers clear guidelines for detecting possible psychosis, advice on how to provide immediate care for the at-risk individual, and specific actions to take depending on the severity of the crisis. With a focus on adolescents and young adults—the most “at-risk” population for initial psychotic episodes—the book offers quick-access information for a wide range of professionals in educational and community health settings, including school personnel, counselors, social workers, law enforcement professionals and primary care providers. Also included is a brief review of research supporting early intervention strategies. The resource is valuable as a desk reference for immediate access to information or can be read from start to finish to increase knowledge and preparedness for a variety of situations. Key Features: Addresses a critical need for early identification of young people who are experiencing a first psychotic episode and describes how to help them Presents information clearly, succinctly and accessibly for non-specialists Stresses the need to make appropriate referrals to qualified individuals Written for a wide range of helping and other professionals in educational and community settings Authored by professionals highly experienced in working with individuals with psychosis

Schizophrenia and other psychotic disorders can be both devastating and long-lasting, and are associated with significant individual, familial, and societal costs. Schizophrenia is one of the top ten leading causes of disability world-wide, and yet the overwhelming majority of research is conducted in populations in the Global North (North America, Europe, and Australia - together comprising only around 16% of the world's population). Psychosis: Global Perspectives synthesises the existing research in non-western countries to provide detailed accounts of ongoing research programmes, local treatment systems, cultural contexts, and the lived experience of psychosis across nine countries in the Global South, setting the findings in frameworks of relevant current evidence from the Global North where appropriate. It features a critical review of the literature on specific aspects of psychosis, from phenomenology to mental health services and systems, to provide a solid background on the subject. Academically rigorous yet accessibly written, this new title addresses the substantial inequalities in literature and attention in the global understanding of psychotic disorders.

The fully updated and revised edition of The First Episode of Psychosis is aimed at young people and their families experiencing the frightening and confusing initial episode of psychosis, which often occurs in late adolescence or early adulthood. Filled with practical, easy-to-understand information on navigating evaluation, treatment, and recovery, this book is an essential resource for use during what can be a stressful and isolating experience.

The most comprehensive guide to cognitive-behavioral therapy (CBT) with clients in crisis is now in a significantly revised fourth edition with 75% new material. Over 15 years of clinical and research advances are reflected in fully updated chapters on evidence-based brief strategies for helping people cope in highly stressful situations. From leading experts, the book addresses suicide prevention, crises related to mental and physical health problems, child and family crises, and exposure to disasters and mass or community violence. Vivid case material illustrates what the interventions look like in action and how to tailor them to individual clients' needs. New to This Edition *Chapters on clinician self-care and ethical and legal issues in crisis intervention. *Chapters on managing the involuntary hospitalization process, working with psychosis in inpatient settings, intervening with clients at risk for mass violence, and more. *Prior edition chapters are all updated or rewritten to incorporate current data, clinical strategies, and assessment tools. *All of the case examples are new.

This volume deals with theoretical, methodical and empirical aspects of the management of chronic psychotic patients. The possibilities for assessing this specific task of mental health care in terms of cost and effectiveness are examined. For this purpose the authors refer to social and economic implications of de-institutionalization, procedures for estimating the costs of treatment, public and private costs of selected treatment strategies and time-budget analyses of chronic psychotic patients. The contributions are interdisciplinary as well as international and will be of value to public health organisations, politicians and researchers alike.

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.