How our service can help you
Our service offers cognitive behavioural therapy (CBT) and family interventions for people with distressing positive symptoms of psychosis (including those with a diagnosis of bipolar disorder). This includes delusions and hallucinations, or those with a history of psychosis whose main difficulties are secondary emotional problems. We do not offer treatment for those who have predominantly negative symptoms, learning disabilities, are not distressed or do not want help.
Our service is psychology-led, headed by international, clinical and academic experts. PICuP was one of the two national demonstration sites for the Improving Access to Psychological Therapies for Severe Mental Illness (IAPT for SMI) project which aimed to increase access to psychological therapies for psychosis, bipolar disorder and personality disorders.
Watch a video about our service
We strive to:
- treat people with dignity and view our service users as experts in their own experiences
- place no pressure on people to change their view of the world and always work collaboratively with them towards achieving their goals
- include families, carers and other mental health professionals involved in the person’s care, if the patient wishes to
- disseminate knowledge and skills to other mental health professionals through training and supervision, both in the UK and overseas
- work towards improved quality of life for people with psychosis through clinical research and audits
- aim to increase access to psychological therapies for psychosis and bipolar disorder
- Service Borough Covers: National (Adult services) Treatment type: Outpatient
Contact the serviceSite Location: Maudsley Hospital Email: email@example.com Phone Number: 020 3228 3524 or 020 3228 5278
Denmark Hill,London, SE5 8AZ
Business Hours/Visiting Hours:
9am - 5pm
- Conditions: Bipolar disorder, Post-traumatic stress disorder (PTSD), Psychosis
Other essential information
Download and complete the Referral Form
If you would like to discuss a referral or would like any more information please contact:
Assistant psychologists on 020 3228 3524 or email firstname.lastname@example.org
- Evidence-based cognitive behaviour therapy (CBT): We offer people empirically-validated CBT, consisting of weekly or fortnightly individual, one-hour sessions for a period of six months. CBT works in the present and is based on the assumption that unpleasant emotions are closely linked to certain thoughts or beliefs someone has about themselves, like “I’m worthless”. These thoughts can lead to unhelpful behaviours that maintain the problem and create vicious cycles. Therapy involves identifying these distressing thoughts and behaviours, gradually attempting to understand them, test them out and hopefully change them. Therapy also involves changing unhelpful behaviours and trying out new coping skills for dealing with distressing experiences, like hearing voices
- Trauma-focused interventions: Research has found there are high rates of childhood and adult trauma within the population of people with psychosis. Furthermore, the experience of psychosis can be traumatic for many people. Such experiences can lead to the development of post-traumatic stress disorder (PTSD). Interventions, including trauma-focused CBT, are provided for people with active symptoms of psychosis who also have PTSD. Individual therapy sessions last between 60 and 90 minutes and are held weekly or fortnightly for a period of nine to 12 months. The therapy aims to promote understanding, reduce symptoms and lessen the distress
- Six booster sessions post-therapy to maintain therapeutic gains, if required
- Therapeutic groups: When capacity allows, clients may be invited to attend psychological therapy groups such as a compassionate focused therapy group or bipolar disorder group while they are on the waiting list to receive individual therapy. They involve six to eight weekly sessions with two therapists, with four to six people per group. The main aims of the groups are for people to gain a better understanding of the CBT model, to learn strategies for coping and self-management of their symptoms, develop the ability to self-soothe and be self-compassionate, and to gain support from others with similar problems. The format is a mixture of information giving, group discussion and worked exercises
- Cognitive behavioural based family intervention: The intervention is designed to help those with psychosis and their families improve how they cope, problem-solve specific difficulties, manage the emotional impact of psychosis on family members, reduce stress, improve support networks and address issues of relapse prevention. Therapy sessions are one-hour long and service users and their carers are usually seen together on a fortnightly basis for 10 sessions, over a period of three months to one year. Therapy is delivered by two trained therapists with expertise in family intervention. Sessions are offered at the clinic or the person’s home, depending on the family’s preferences and the availability of staff
- Men or women
- 18 years and over
- A diagnosis or suspected diagnosis of psychosis (including bipolar disorder), or presence of psychotic symptoms (for instance as a result of trauma), or history of psychosis
- Support from the referring community mental health team or GP
- Presence of distress and motivation to attend therapy
- No severe or primary drug or alcohol problem, excluding cannabis
- No current risk of violence
- No moderate or severe learning disability
- Reduction in distressing psychotic symptoms
- Reductions in hospital admissions
- Enhanced coping and self-management of symptoms
- Improved mood
- Improved quality of life
- Reduction in post-traumatic stress symptoms
- High satisfaction with therapy
- Achievement of individual recovery goals
- Peters E., Crombie T., Agbedjro D., Johns L., Stahl D., Greenwood K., Keen N., Onwumere J., Hunter E., Smith L., Kuipers E. (2015) The long-term effectiveness of Cognitive Behaviour Therapy for Psychosis within a routine psychological therapies service. Frontiers in Psychology, doi:10.3389/fpsyg.2015.01658
Peer support and involvement
Peer support at PICuP is aimed at providing an extra line of support for people referred to PICuP enabling them to attend their appointment.
- recruiting and training volunteers who have had recent experience of receiving therapy at PICuP to support people who may be anxious about travelling alone to attend therapy by accompanying them to their sessions
- peer supporters are also available to share their experience of therapy at PICuP with anyone who may be anxious or curious about what is involved in therapy
Please contact email@example.com for more information.
Training and consultancy
We provide a range of continuous professional development packages, both in the UK and overseas. We also offer workshops and customised training packages for mental health professionals working with people with psychosis and bipolar disorder who require further training in general CBT as well as CBT for psychosis, bipolar disorder, and family intervention.
- in-house group supervision
- outreach supervision groups
- full-day and half-day workshops
- outreach customised training packages
Group supervision is aimed at therapists already trained in CBT or family intervention who want to develop specialist skills in CBT or family intervention for psychosis. Therapists can work with some of our patients (in our daytime or evening clinics) and receive free fortnightly supervision at our clinic. We also run outreach groups for supervision of therapists’ own patients, which cost £400. Supervision will be held at the clinicians’ team base or can be run through video-conferencing facilities for therapists working outside of London or overseas.
We also offer workshops and customised training packages for mental health professionals working with people with psychosis and bipolar disorder who require further training in general CBT as well as CBT for psychosis and bipolar disorder, and family intervention at a negotiated fee.
For clinicians requiring more formalised training, please see Institute of Psychiatry, Psychology and Neuroscience graduate and postgraduate courses (certificate and diploma).
Please contact firstname.lastname@example.org for more information.
Prof Emmanuelle Peters: Read more
Dr Nadine Keen: Read more
Dr Harriet Mellotte: Read more
Dr Fergus Kane: Read more
Dr Leila Jameel: Read more
Teresa Temme: Read more
Dr Majella Byrne: Read more
Dr Rumina Taylor: Read more
Dr Amy Hardy: Read more
Dr Harriet Ferner: Read more
Christopher Shoulder: Read more
Dr Rebecca Kelly: Read more
Dr Sarah-Jane Grice: Read more
Dr Anderw Watson Read more
Dr Catherine Lankester Read more
Dr Dr Claire Hackford Read more