Skip to main content

Working with People at High Risk of Developing Psychosis: A Treatment Handbook

Working with People at High Risk of Developing Psychosis: A Treatment Handbook


A timely overview of new psychological interventions in this exciting and emerging field, Working with People at High Risk of Developing Psychosis: A Treatment Handbook presents the most up-to-date progress in the identification of individuals who are at ultra high risk of developing a psychotic illness. The book focuses on a range of psychological interventions that are currently being developed, tested, and used in order to alleviate these early symptoms and attempt to delay or even prevent the onset of a psychotic illness. Even for those who will not go on to develop an illness, such interventions are helpful in the alleviation of their presenting symptoms. This practical treatment handbook addresses a wide range of issues presented by "at risk" clients. Specific chapters, written by experts in that particular area, cover stress management, co-morbidity, substance misuse, family work and group therapy.

About the Editors ix

List of Contributors x

Foreword xii

Acknowledgements xiii

Chapter 1 Introduction 1
Shôn Lewis

Chapter 2 Identification of the Population 7
Alison R. Yung

Chapter 3 Assessment and Developing a Formulation 25
Shona M. Francey and Henry J. Jackson

Chapter 4 Engagement and the Therapeutic Alliance 41
Jean Addington and David Penn

Chapter 5 Assessing and Managing Stress 53
Lisa Phillips

Chapter 6 Treatment Targets in the Pre-psychotic Phase 75
Paul Patterson, Amanda Skeate and Max Birchwood

Chapter 7 Substance Use and the ‘At Risk’ Period 93
Steven Leicester

Chapter 8 Addressing Attenuated Symptoms in ‘At Risk’ Clients 111
Samantha E. Bowe, Paul French and Anthony P. Morrison

Chapter 9 Brief Limited Intermittent Psychotic Symptoms (BLIPS): A Cognitive Behavioural Approach to Formulation and Intervention 129
Andrew I. Gumley

Chapter 10 Working with Families Following the Diagnosis of an At Risk Mental State 153
April A. Collins and Jean Addington

Chapter 11 Group Therapy for People at High Risk of Developing Psychosis 169
Andreas Bechdolf, Verena Veith and Joachim Klosterkötter

Chapter 12 Future Challenges 181
Anthony P. Morrison, Shona M. Francey and Jean Addington

Index 187

"I suspect that, like me, readers interested in developing programs to address individuals at high risk of developing psychosis will find this volume helpful and provocative." (Psychiatric Services, May 2008)