Managing Psychosis: an Australian Guide


Book Description

Psychosis is a relatively common condition affecting about 3 in 1,000 Australians at any time. Psychosis generally occurs as part of other mental health conditions such as bipolar disorder or schizophrenia. Psychosis may also occur in association with other medical conditions such as Parkinson’s disease, Alzheimer’s, or postnatal depression. People may have a single episode of psychosis, several episodes with complete recovery, or recurring episodes throughout their lives. Psychosis is a serious and complex mental health condition. In an acute episode, a person with psychosis may be unable to differentiate what is actually happening from what they imagine is happening to them. They may be a danger to themselves or others if they act on their false beliefs. They may, for example, think that people are talking about them and accost those people and start arguing with them. The good news is that psychosis is treatable. The best outcomes are achieved when symptoms of psychosis are recognised early and treated by a psychiatrist with medications to alleviate the symptoms. This is only the first step in treatment. The guide focuses on providing a practical resource for people with psychosis to take an active role in their recovery and partner with a team of people in the community to build a healthy pattern of life with physical and psychological wellness, a strong support group, a network of friends, and a rewarding array of personal, community, and work-related activities to lead a full and productive life. The guide comes out of lived experience of a complex mental illness, negotiating through psychotic episodes, letting go of the old, understanding and acceptance of a different set of circumstances, building a life again, renegotiating relationships, starting again with work, and a career. Every journey is different. We hope the guide helps you on your journey.




First Episode Psychosis


Book Description

The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management.




Psychosis and Schizophrenia in Children and Young People


Book Description

These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches. There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, and this new NICE guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms. For the one-third of children and young people who go on to experience severe impairment as a result of psychosis or schizophrenia the guideline also offers comprehensive advice from assessment and treatment of the first episode through to promoting recovery.This guideline reviews the evidence for recognition and management of psychosis and schizophrenia in children and young people across the care pathway, encompassing access to and delivery of services, experience of care, recognition and management of at-risk mental states, psychological and pharmacological interventions, and improving cognition and enhancing engagement with education and employment.




Promoting Recovery from First Episode Psychosis


Book Description

Family members can play a significant role in helping to identify early signs of psychosis, in seeking prompt and appropriate treatment for their relative, and in promoting the recovery process. The guide is divided into two parts: - Part I is designed to help families to support their relatives' recovery. It includes information about treatment of psychosis, crisis intervention, and working with mental health professionals. - Part II focusses on the family's journey to recovery. It describes specialized services for families, self-care strategies, and communication and limit-setting tips.




A Clinical Introduction to Psychosis


Book Description

This practical guide outlines the latest advances in understanding and treating psychotic symptoms and disorders, articulating step-by-step the clinical skills and knowledge required to effectively treat this patient population. A Clinical Introduction to Psychosis takes an evidence-based approach that encourages a wider perspective on clinical practice, with chapters covering stigma and bias, cultural factors, the importance of social functioning, physical health, sleep, and more. A broad array of treatment modalities are discussed, including cognitive behavioral therapy, cognitive remediation, psychosocial interventions, trauma-informed therapies, and recovery-oriented practice. The book also provides a concise overview of the latest advances regarding cognitive profiles in people with psychotic disorders, the developmental progression of cognitive abilities, and the clinical relevance of cognitive dysfunction. The book additionally familiarizes readers with issues and controversies surrounding diagnostic classification, transdiagnostic expression, and dimensional assessment of symptoms in psychosis. - Provides treatment and assessment methods for psychotic symptoms and disorders - Looks at how psychosis develops and the impact of stigma on clinicians and clients - Studies the links between trauma, PTSD, and psychosis, as well as sleep and psychosis - Covers digital technologies for treating and assessing psychosis - Outlines strategies for treating visual and auditory hallucinations - Examines how to incorporate consumer and clinician perspectives in clinical practice




Women & Psychosis


Book Description

Interrogating the relationship between women and psychosis from a variety of perspectives, this edited collection explores personal, literary, spiritual, psychological, biological, and psychodynamic approaches. The contributors reflect on medieval mystics and witches, postpartum psychosis, disordered eating, art and literature, feminism, and male/female differences in schizophrenia. Women with experience of psychosis, psychotherapists, and a shaman provide first-person accounts to give the book a personal grounding. Curated with the intent to expand the way we think about women and psychosis, the contributors to this collection recognize that “voices and visions” do not occur in a vacuum, but are experienced within, and are influenced by, particular socio-cultural contexts.




Delivering CBT for Insomnia in Psychosis


Book Description

Individuals with psychiatric disorders such as schizophrenia, bipolar disorder, and post-traumatic stress disorder often report Insomnia and difficulties sleeping which can significantly impede recovery, worsen symptoms, and reduce quality of life. This volume presents a detailed theoretical rationale and session-by-session outline for delivering Cognitive Behaviour Therapy for Insomnia to people with these mental health disorders.The treatment has been developed in close collaboration with people living with mental illness, as well as sleep specialists and psychosis experts. Information regarding the efficacy of the programme is presented, along with resources offering information on complicating factors, avoiding relapse, managing stress, and restoring lifestyle balance.




ACT for Psychosis Recovery


Book Description

ACT for Psychosis Recovery is the first book to provide a breakthrough, evidence-based, step-by-step approach for group work with clients suffering from psychosis. As evidenced in a study by Patricia A. Bach and Steven C. Hayes, patients with psychotic symptoms who received acceptance and commitment therapy (ACT) in addition to treatment as usual showed half the rate of rehospitalization as those who did not. With this important guide, you’ll learn how a patient’s recovery can be both supported and sustained by promoting acceptance, mindfulness, and values-driven action. The journey of personal recovery from psychosis is immensely challenging. Patients often struggle with paranoia, auditory hallucinations, difficulties with motivation, poor concentration and memory, and emotional dysregulation. In addition, families and loved ones may have trouble understanding psychosis, and stigmatizing attitudes can limit opportunity and create alienation for patients. True recovery from psychosis means empowering patients to take charge of their lives. Rather than focusing on pathology, ACT teaches patients how to stay grounded in the present moment, disengage from their symptoms, and pursue personally meaningful lives based on their values. In this groundbreaking book, you will learn how to facilitate ACT groups based on a central metaphor (Passengers on the Bus), so that mindfulness and values-based action are introduced in a way that is engaging and memorable. You will also find tips and strategies to help clients identify valued directions, teach clients how to respond flexibly to psychotic symptoms, thoughts, and emotions that have been barriers to living a valued life, and lead workshops that promote compassion and connection among participants. You’ll also find tried and tested techniques for engaging people in groups, particularly those traditionally seen as “hard to reach”—people who may be wary of mental health services or experience paranoia. And finally, you’ll gain skills for engaging participants from various ethnic backgrounds. Finding purpose and identity beyond mental illness is an important step in a patient’s journey toward recovery. Using the breakthrough approach in this book, you can help clients gain the insight needed to achieve lasting well-being.







Psychosis with Coexisting Substance Misuse


Book Description

This text sets out clear recommendations for healthcare staff (based on the best available evidence) on how to assess and manage adults and young people (aged 14+) who have both psychosis and a substance misuse problem, in order to integrate treatment for both conditions and thus improve their care.