Wood, Lisa;
Morrison, Anthony P;
Williams, Claire;
Lay, Barbara;
Johnson, sonia;
(2025)
A crisis-focused cognitive behavioural informed approach to formulating experiences of psychosis in acute mental health inpatient settings.
Behavioural and Cognitive Psychotherapy
10.1017/S1352465825101008.
(In press).
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Abstract
Background: People experiencing psychosis in acute crisis should be offered cognitive behavioural therapy for psychosis (CBTp); however, there are few crisis-focused CBTp-informed models to underpin formulation development for people experiencing psychosis and receiving inpatient mental health care. Aims: This paper draws on existing CBTp and crisis theories to conceptualise a psychotic crisis from a cognitive behavioural perspective to inform the delivery of therapy in inpatient settings. Method: Previous literature is reviewed, critiqued, and synthesised. It draws upon relevant crisis and CBTp theories to outline how to best formulate a psychotic crisis. Discussion: Drawing on existing research and theory, this paper outlines how a psychotic crisis can develop and be maintained. It highlights the importance of the person’s context including the social, political, and cultural context, interpersonal context and trauma, and previous and current inpatient experience. It then outlines the key triggers, cognitive, behavioural, and emotional components of the crisis, and personal strenghts, values and resources. A crisis-focused CBTp-informed approach is outlined, which can be used to underpin formulation and brief therapy strategies for people experiencing a psychotic crisis. More research is required to explore the efficacy of such therapies.
| Type: | Article |
|---|---|
| Title: | A crisis-focused cognitive behavioural informed approach to formulating experiences of psychosis in acute mental health inpatient settings |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1017/S1352465825101008 |
| Publisher version: | https://doi.org/10.1017/S1352465825101008 |
| Language: | English |
| Additional information: | Creative Common License - CCCreative Common License - BYCreative Common License - NC This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial licence (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use. Copyright © The Author(s), 2025. Published by Cambridge University Press on behalf of British Association for Behavioural and Cognitive Psychotherapies |
| Keywords: | acute psychosis cognitive theory inpatient CBT |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10215573 |
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