A digital place for people who access services, carers, staff and partner agencies, to share ideas around care co-ordination & care planning in mental health

Posts tagged ‘psychological approach’

Understanding Psychosis & Schizophrenia

Understanding psychosis and schizophreniaThe British Psychological Society have published the report Understanding Psychosis and Schizophrenia – why people sometimes hear voices, believe things that others find strange, or appear out of touch with reality, and what can help. This is a comprehensive and extensively referenced report presenting a psychological approach to experiences that are often referred to as psychosis. It is jargon free and punctuated with service user quotes throughout. The report should be read by people who experience psychosis and by all people working in mental health. Click here to read the report and here to read a critique of different sections by Laws, Langford and Huda.

Key messages:

  • Up to 10% of the general population experience voice hearing or feeling paranoid. Not all report this as distressing or seek help.
  • People’s experiences can be seen as a continuum, there is no clear dividing line between psychosis and other thoughts and feelings.
  • People’s experiences of psychosis are often a response to trauma, abuse or deprivation. The content of their experiences often reflects this.
  • People should have the opportunity to talk in detail about their experiences and to make sense of them.
  • Biological factors may contribute to cause but there are no biomarkers as yet. Poverty, inequality and social disadvantage impact significantly on mental health.
  • An alternative to diagnosis is collaborative formulation – developing a hypothesis or ‘best guess’ as a basis for moving forward.
  • Found to be helpful:-
  • Self help – help from friends and family, community, peer support, Recovery Colleges
  • Mental health services – support to achieve goals and overcome difficulties
  • Talking based approaches/psychological help – such as CBT, Trauma Focused Therapy
  • Medication – can help reduce frequency, intensity and amount of distress of experiences
  • All interventions have advantages and disadvantages
  • Services need to increase their capacity to offer psychological help

What does this mean for Planning Care?

This report presents evidence that challenges the prevailing medical model of psychosis. Depending upon your current values, attitudes and beliefs about mental health this may be old news or it may be a news flash. It signals:

  • Service users being more activated; aware of their own and alternative views of psychosis; aware of what they should have access to
  • Collaboration – a move away from paternalism, seeking to understand people’s belief about their experiences in their cultural context
  • Meeting people’s needs – through listening, enabling people to talk and think, being calm, supportive and non-judgemental and open minded
  • Supporting people to reach their goals
  • Willingness to take positive risks with people; providing information and trying things out
  • Offering choice: talking therapy, peer support, self help, medication or no medication

What are your views? Share your comments here on the blog or email them to planningcarelypft@nhs.net

Tag Cloud

Open Minded Online

sharing ideas and resources about holistic approaches to emotional and social wellbeing

Dr Sally Pezaro

This is the research blog of Dr Sally Pezaro. Sally is 'The Academic Midwife' working to secure excellence in teaching and maternity services. Specialist interests include maternity services, workforce and midwifery research.

The Mental Nurse

The inane ramblings of a mental health nursing student in the UK.

Academic Irregularities

Critical university studies, discourse and managerialism


Sharing all things mental health nursing

The Academic Triangle

Teaching, Research and Admin


The evolving tale of my PhD as it happens

Blogs on Nursing

Nursing, Nursing politics, Leadership, anything.

gate: The General Assessment Tool

The General Assessment Tool

Graeme Cumming

Author, Speaker, Blogger

Patient Leader

My continuing journey as a Patient Leader

Mental Health Cop

A venn diagram of policing, mental health and criminal justice

Critical Mental Health Nurses' Network

Committed mental health nurses asking questions about mental health nursing

A Caring Mind

A blog for carers of mental health

%d bloggers like this: