I have been procrastinating about writing this blog for a while. This is, in part, caused by hesitancy about involving myself in the CBT for psychosis (CBTp) debate.
Regular readers of the Mental Elf will be aware that in recent months Jauhar and colleagues presented results of a meta-analysis that called into question the effectiveness of CBTp (Jauhar et al, 2014).
More recently, the findings of Morrison et al’s study of CBT for un-medicated psychosis were published in The Lancet (Morrison et al, 2014). Morrison and colleagues considered the results to be an endorsement of CBTp, but their conclusions were questioned by members of the Mental Elf team (Tomlin et al, 2014).
I was first trained in CBTp as a trainee clinical psychologist. Since then, I have seen people who seem to have benefitted from CBTp and some whom it does not seem to have helped. As a jobbing clinician, working regularly with people with psychosis, I currently find myself in a bit of a quandary. The evidence for CBTp is contested and debated yet recently updated NICE and SIGN guidelines continue to recommend its use. I had hoped that the paper I have been asked to review might help me to think about this aspect of my clinical practice since it seeks to explore service user perspectives on their experiences of individual CBTp, an extremely important group of stakeholders.