Aiming to improve the lives of trauma survivors experiencing psychosis

Trauma-Focused Cognitive Behavioural Therapy for Psychosis (TF-CBTp)

Stressful, difficult or traumatic events are common in people experiencing psychosis These can have a range of effects and get in the way of living life

Trauma-focused talking therapy is recommended for people who are experiencing post-traumatic stress difficulties.

But, traumatic events and their effects are often not recognised in people experiencing psychosis. As a result, trauma-focused therapy are not always offered.

Our integrated trauma-focused therapy for psychosis (TF-CBTp) aims to address this by supporting recovery from trauma.

The Study of Trauma and Recovery (STAR) trial was an NIHR-funded trial that evaluated if TF-CBTp is safe, acceptable, and effective for trauma survivors with distressing psychosis

What is Trauma-Focused CBT for psychosis (TF-CBTp)?

Trauma-Focused CBTp is a type of Cognitive-Behavioural Therapy (also known as CBT) that helps people to understand and learn to manage the common effects of trauma and psychosis.

Common effects of trauma include:

  • Memories, thoughts or nightmares about past events

  • Hearing voices, or having visions, smells or other sensations related to past trauma

  • Feeling unsafe around others

  • Feeling jumpy or being easily startled

  • Upsetting feelings like depression, anger, shame or guilt

  • Feeling shut-off, detached, empty, or spaced out

  • Avoiding other people and places

  • Problematic use of alcohol, drugs, food or sex

  • Difficulties in relationships

Therapy session

What does TF-CBTp involve?

TF-CBTp aims to help people feel better and rebuild their life. Typically, therapy follows these stages:

  • Finding out about difficulties and hopes for change during therapy

  • Learning about common effects of trauma

  • Understanding what led to difficulties and what keeps them going

  • Trying out ways of managing problems differently

  • Changing memories of traumatic experiences so they are less upsetting

  • Making a plan for how to continue managing any problems after therapy has ended.

Testimonials

  • “It opened the door…

    The STAR trial did what the other therapy didn’t, it took me back to the roots and it actually gave me an insight as to why things are happening... And it gave me confidence there is an opportunity to battle against these things.”

    Peter​

  • "It has been very rewarding, useful and life changing.

    Before I would just have these memories and bottle things up until it overflows. With this therapy… you can stop, think, apply everything you have learnt. It’s more manageable and I keep on the bright side rather than on the dark side.”

    Leena