When the ‘Psychosis Service’ Becomes Psychotic

I was just talking to a colleague in a Psychosis Service, where he is the only CBT therapist. He is tasked with doing ‘relapse prevention’, trouble is that none of his clients have recovered from their psychosis, making relapse prevention meaningless (psychotic)! Further none of the clients have had any CBT treatment, he is restricted to providing a diagnosis, a formulation and relapse prevention. I am at a loss to understand the evidence base for such an approach.



When I was told also of a client who is visited at home and is required to take his antipsychotic medication in view of the Nurses and there is discussion of ECT, I began to wonder whether we have moved beyond the asylums of old.


Dr Mike Scott